R486

PDF page 581 / N1

PREAMBLE
  A. The removal of a wire or pin or other device when used for traction or external fixation (except for
     rigid external fixators) in the treatment of a fracture or other orthopaedic procedure is to be included
     in the procedural fee (unless otherwise stated in the Schedule) unless a general anaesthetic is
     required, in which case a fee may be claimed. Removal of devices used for internal fixation more
     than 30 days after insertion may be claimed for in addition to the procedural benefit.
  B. The benefit for total joint replacement also includes denervation of the joint, all tenotomies and
     division and repair of muscle.
  C. The benefit for obtaining a bone graft is not to be claimed in cases of pseudoarthrosis repair,
     arthrodesis or for listings in which bone grafting is included.
  D. For the supervision of limb fitting and 6 months post-operative care following amputation, claim visit
     fees. Amputation with immediate fitting to include supervision of final limb fitting, add 40% (E586).
                                           Note:
                                           Reconstruction or Arthroplasty Procedures: If other procedures are claimed, same joint, same
                                           time, e.g. debridement, synovectomy, tendon release etc., the Medical Consultant will assess
                                           the surgeon's claim.
  # E554                                                               - synovectomy requiring a minimum of 30 minutes to resect,
                                                                         to R236, R240, R241, R244, R281, R288, R437, R438,
                                                                         R439, R440, R441, R442, R443, R453, R454, R456,
                                                                         R479, R481, R482, R483, R485, R486, R487, R488,
                                                                         R491, R493, R496, R497, R498, R499, R500, R509, R510
                                                                         ................................................................................... add   175.00
                                           Payment rules:
                                           Synovectomy codes other than E554 are not eligible for payment when rendered in addition to
                                           the codes listed above.

PDF page 596 / N16

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
ELBOW AND FOREARM
                                                                                                       Asst         Surg          Anae
    AMPUTATION
# R613 Through radius and ulna.........................................................                   6         351.05          7
# R614 Elbow disarticulation ...............................................................              6         289.50          6
    ARTHRODESIS
# R466 Elbow ......................................................................................       6         833.45          6
    ARTHROPLASTY
# E564 revision of elbow arthroplasty ................................... add 35%
# R281 Ulna replacement (lower end).................................................                      6         296.90           6
# R288 Implant radial head .................................................................              6         452.00           6
# R499 Removal of total replacement .................................................                     6         402.75           7
# R438 Humeral Prosthesis ................................................................                6         676.90          10
# R486 Complete arthroplasty replacement........................................                          6        1205.95           8
# R510 Interposition arthroplasty ........................................................                6         435.20           7
    ARTHROSCOPY
# R683 Elbow arthroscopy setup, includes when rendered
          debridement, synovectomy, synovial biopsy, removal of
          loose body(ies) and/or screw, drilling of defect or
          microfracture, and/or arthroscopic epicondylar release .....                                    6         400.00          7
         Note:
         1.An elbow procedure listed in the Elbow section of the Schedule performed arthroscopically is
           eligible for payment in addition to R683 if that procedure is not described as a component of
           R683 or described by an E-add-on code to R683.
         2.Arthroscopic E-add-on codes listed below are not eligible for payment in addition to R683
           when the service described by the E-code is a generally accepted component of a procedure
           described in Note #1.
# E478 Pinning of osteochondral fragment, to R683 .................... add                                          251.55
         Note:
         F-prefix fracture procedures are not eligible for payment with E478 for the same fracture.
# E481 Osteochondroplasty (extensive bone and arthrofibrotic tissue
         removal requiring a minimum of 2 hours to resect), to R683
          ..................................................................................... add                 500.00
# E482 Soft tissue capsular release for contractures without bone
         procedure, to R683....................................................... add                              251.55
# E483 Synovectomy for inflammatory arthritis requiring a minimum of
          90 minutes to resect, to R683 ...................................... add 326.55
      Payment rules:
      1.Only one of E481, E482 or E483 is eligible for payment same patient same day.
         2.Synovectomy less then 90 minutes in duration is included in R683.
         3.Osteochondroplasty less than 2 hours in duration is included in R683.

Master, record 4714. Record Layout PDF, page 1.

R48620260401999999990001205950000000774600000000000000000127680000001276800

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.