R493

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 632 / N52

ARTHROPLASTY
# E564  - revision of arthroplasty....................................... add 35%
# R493 Ankle - total replacement ........................................................                 8        1204.50         10
# R694 Ankle - liner replacement ........................................................                 8         353.25         10
     Note:
     E564 is not eligible for payment with R694.
# R479 Removal of prosthesis without replacement ...........................                              6         193.00          6

Master, record 4721. Record Layout PDF, page 1.

R49320260401999999990001204500000001032800000000000000000159600000001596000

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.