R393

PDF page 104 / GP90

SECOND ASSISTANT
Payment rules:
When more than one assistant was required for a surgical procedure, unless the service is listed
below, the second assistant’s service is only eligible for payment following authorization by a medical
consultant and requires submission of a letter from the surgeon outlining the reason the second
assistant was required. The amount payable for the second assistant is calculated in the same
manner as the amount payable for the first assistant.
Services where a second assistant's services are payable and authorization is not required:
D043, D046, D047, D052, D060, E645, F135, M112, M117, M134, M142, N539, N540, P042, P051,
P052, P056, P059, R008, R009, R013, R014, R015, R016, R055, R056, R064, R065, R067, R069,
R134, R135, R136, R140, R182, R240, R241, R244, R326, R327, R334, R393, R438, R440, R441,
R483, R487, R545, R553, R568, R593, R594, R617, R645, R701, R702, R704, R712, R713, R714,
R715, R718, R726, R727, R728, R729, R732, R733, R734, R735, R737, R739, R742, R743, R746,
R747, R749, R764, R770, R771, R772, R773, R774, R786, R799, R800, R801, R802, R803, R804,
R811, R815, R817, R818, R830, R832, R858, R863, R870, R872, R874, R876, R927, R929, R920,
R930, S005, S007, S079, S090, S091, S092, S096, S098, S099, S120, S125, S189, S210, S211,
S213, S214, S267, S270, S271, S274, S275, S294, S295, S298, S300, S321, S416, S429, S440,
S441, S453, S454, S462, S484, S750, S757, S758, S759, S816
       [Commentary:
       E003B is not eligible for payment for second assistant services.]

PDF page 612 / N32

Bilateral periorbital correction Treacher-Collins Syndrome
# R390 - with or without bone grafts* (extra-cranial).........................                         10        1699.45          20
# R653 - with skull and muscle transpositions* (includes skull
          reconstruction) (intracranial)...............................................                10        2196.35          25
    Pericranial flap to orbit or face
# R654 - unilateral.............................................................................                  307.15          6
  E973    - when in conjunction with coronal approach for main
            operation .................................................................... add                    178.90
# R655 - bilateral...............................................................................                 409.55          7
# E974    - when in conjunction with coronal approach for main
            operation .................................................................... add                    297.55
# R378 LeFort III total maxillary advancement* ..................................                      12        2037.35          25
# R656 LeFort III and subcranial hypertelorism correction* ................                            12        2590.35          25
# R657 LeFort III and LeFort I maxillary advancement*......................                            12        2334.85          25
# R658 LeFort II, subcranial hypertelorism correction Le Fort I
         maxillary advancement* .....................................................                  12        2928.10          25
    Upper LeFort III advancement without occlusal change*
# R659 - unilateral.............................................................................       6          932.10          10
# R675 - bilateral...............................................................................      12        1443.95          25
    Forehead advancement (bone grafts not included)
# R676 - unilateral.............................................................................       12        1187.50          25
# R393 - bilateral...............................................................................      12        1443.95          25
# R394 Cranial vault reshaping* - anterior or posterior half ................                          10        1525.30          20
# R677 Total cranial vault reshaping*..................................................                12        2078.35          25
    Medial transnasal canthopexy
# R398 - unilateral.............................................................................        6         414.30          6
# E557     - when done in conjunction with another procedure..... add                                             154.00
      Note:
      * Includes harvesting and grafting of bone or cartilage grafts.

Master, record 4621. Record Layout PDF, page 1.

R39320260401999999990001443950000001549200000000000000000399000000003990000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.