R523

Complex

Fee

ComponentValue
Provider fee$484.35
Assistant, listing; PDF p. 5926 basic units
Anaesthesia, listing; PDF p. 5927 basic units
Assistant, listing; PDF p. 6056 basic units
Anaesthesia, listing; PDF p. 6057 basic units
Assistant, listing; PDF p. 6186 basic units
Anaesthesia, listing; PDF p. 6187 basic units
Assistant, listing; PDF p. 6216 basic units
Anaesthesia, listing; PDF p. 6217 basic units
Assistant, listing; PDF p. 6306 basic units
Anaesthesia, listing; PDF p. 6307 basic units
Assistant, listing; PDF p. 6356 basic units
Anaesthesia, listing; PDF p. 6357 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 592 / N12

- complex .............................................................................. 6 484.35 7

PDF page 605 / N25

- complex .............................................................................. 6 484.35 7

PDF page 618 / N38

- complex .............................................................................. 6 484.35 7

PDF page 621 / N41

- complex .............................................................................. 6 484.35 7

PDF page 630 / N50

- complex .............................................................................. 6 484.35 7

PDF page 635 / N55

- complex .............................................................................. 6 484.35 7
Passages mentioning R523

PDF page 605 / N25

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 SHOULDER, ARM AND CHEST
                                                                                                         Asst   Surg     Anae
# R523        - complex ..............................................................................    6     484.35    7
# R416 Rotator cuff exploration - includes acromioplasty, excision of
         coraco-acromial ligament and subacromial bursa but
         excludes simple excision of clavicle ...................................                         6     206.90    10
         Note:
         When R416 is rendered in association with R298, R416 is payable at 85% and R298 is payable
         at 100%.

PDF page 635 / N55

Note:
         1.Services listed under "Skin Flaps and Grafts" are not eligible for payment with R549 or R576.
         2.R576 and E831 include the plantar and digital components of the Dupuytrens procedure,
           when rendered.
    Muscle
# R522 - simple .................................................................................      6     193.00    6
# R523 - complex ..............................................................................        6     484.35    7
    RECONSTRUCTION
    Pseudoarthrosis
# R363 Malleoli....................................................................................    6     404.50    7
# R321 Tarsals/metatarsals/phalanx ...................................................                 6     392.90    7
    Deformity
      Osteotomy
# R259 - os calcis..............................................................................       6     433.80    7
# R276 - metatarsals and phalanx ....................................................                  6     144.80    7
# E596    - each additional........................................................... add                    41.70
# R277 - midtarsal/tarsal ...................................................................          6     365.05    7
     Shortening metatarsal
# R337 - one .....................................................................................     6     225.50    6
# R338 - two or more ........................................................................          6     356.25    7
# R977 Circular external fixation without osteotomy*..........................                         6     583.75    6
# R978 Circular external fixation with osteotomy*...............................                       6     729.45    6
# R979 Circular external fixation with multiple osteotomies*...............                            6     911.30    6
     Note:
     * This requires the application of tibial apparatus.
Fee master record

Master, record 4751. Record Layout PDF, page 1.

R52320260401999999990000484350000000774600000000000000000111720000001117200

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.

FieldRaw / scale 10,000
provider00004843500 / 484.35
assistant00000774600 / 77.46
specialist00000000000 / 0
anaesthetist00001117200 / 111.72
non anaesthetist00001117200 / 111.72
Explanation

AI-generated. Unreviewed.

Complex muscle procedure is listed under Hand and Wrist, Shoulder, Arm and Chest, Pelvis and Hip, Amputation, Fibula and Tibia, and Foot and Ankle in the Musculoskeletal System Surgical Procedures section. It is listed for muscle and soft tissue procedures in those areas.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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