R576

PDF page 635 / N55

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 FOOT AND ANKLE
                                                                                                      Asst   Surg     Anae
# R420 Ankle synovectomy.................................................................              6     316.25    7
     Metatarsophalangeal synovectomy/capsulectomy/debridement
# R425 - one .....................................................................................     6     261.55    6
# R414 - two or more ........................................................................          6     339.65    7
    Soft Tissue
# R506 Bursa ...................................................................................... 6        149.45    6
# R549 Ganglion - simple or complex .................................................               6        221.80    6
# R576 Excision of fascia for Dupuytrens (planter fibromatosis), one or
          more rays ...........................................................................     6        322.15    6
# E831    - use of skin grafts, or revision surgery (with or without skin
            grafts), to R549 or R576 ................................... add 30%
      Payment rules:
      1.R576 is not payable for treatment of Dupuytren’s by aponeurotomy.
         2.A maximum of one R576 is eligible for payment per limb, per day.

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.

Master, record 4803. Record Layout PDF, page 1.

R57620260401999999990000322150000000774600000000000000000095760000000957600

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.