R578

PDF page 593 / N13

Tendon
      Tenoplasty
# R557 - one .....................................................................................    6      223.65      7
# E050    - each additional........................................................... add                    77.05
      Tendon graft
# R559 - one .....................................................................................    6      382.30      7
# E052    - each additional........................................................... add                   324.35
# R586 Reconstruction of flexor tendon pulley, per finger...................                                  97.35      7
      Silicone rod insertion
# R554 - one .....................................................................................    6      294.20      7
# E051     - each additional........................................................... add                  245.90
      Transplant/transfer
# R563 - single ..................................................................................    6      376.05      7
# E054    - each additional........................................................... add                   311.60
      Tendon repair - extensor
# R578 - suture extensor tendon and/or open repair acute or chronic
          boutonniere deformity, single                                                               6      276.10      7
# E580 - each additional*............................................................ add                    119.40
      Flexor
# R585 - single ..................................................................................    6      433.10      7
# E581    - each additional* ......................................................... add                   181.55
      Mallet finger or Boutonniere deformity
   UVC - closed .................................................................................           visit.fee
         Note:
         *If additional tendon repair(s) requires a separate incision, bill according to Surgical Preamble
         SP2.
         [Commentary:
         Open repair of acute or chronic mallet or Boutonniere deformity may be claimed as R578.]

PDF page 636 / N56

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
FOOT AND ANKLE
                                                                                                        Asst         Surg         Anae
# R430 Claw or hammer or overlapping 5th toe ..................................                            6         287.70          6
# E594          - each additional hammer toe....................................... add                               56.55
# R355 Hallux valgus reconstruction...................................................                     6         446.40          7
# R360 Major forefoot reconstruction, must include the first MP joint
         and a minimum of 2 other MP joints ...................................                            6         711.15          7
         Payment rules:
         1.R355 includes first metatarsal bunionectomy, tenotomy(ies),soft tissue releases and
           plications, and may include metatarsophalangeal synovectomy/debridement if performed.
         2.Excisional arthroplasty for treatment of hallux valgus should be claimed as R309 or E587
           and is not eligible for payment as R355.
    Club Foot
# R408 Posterior or medial release.....................................................                    6         312.70          7
# R448 Posteromedial release, lateral shortening, tendon transfers
          and fusion...........................................................................            6         371.20          7
# R313 Complex reconstruction or revision of previous club foot repair
          (not to include simple tendon releases)..............................                            6         468.65          6
# R546 Plantar fascia release (Steindler)............................................                      6         248.95          6
    Ligaments
      Ankle
# R185 - one .....................................................................................         6         346.85          7
# R744 - extensive/multiple...............................................................                 6         588.20          7
    Tendons
# R640 Exploration - tendon sheath....................................................                     6         200.90          7
      Tenolysis - extensive release
# R556 - one .....................................................................................         6         202.25          6
# E599    - each additional digit ................................................... add                             87.20
      Tendon transfer foot and ankle
# R565 - single ..................................................................................         6         253.30          7
# E055    - each additional........................................................... add                            94.60
# R572 Tenodesis................................................................................           6         338.10          7
# R560 Graft........................................................................................       6         253.30          6
# E053   - each additional........................................................... add                             94.60
      Lengthening or shortening
# R557 - one .....................................................................................         6         223.65          7
# E050    - each additional........................................................... add                            77.05
      Suture extensor tendon
# R578 - one .....................................................................................         6         276.10          7
# E580    - each additional........................................................... add                           119.40
     Suture flexor tendon
# R585 - one .....................................................................................         6         433.10          7

Master, record 4805. Record Layout PDF, page 1.

R57820260401999999990000276100000000774600000000000000000111720000001117200

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.