R621

PDF page 632 / N52

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
FOOT AND ANKLE
                                                                                                       Asst         Surg         Anae
    AMPUTATION
# R620 Metatarsal/phalanx disarticulation ..........................................                                226.00
                                                                                                          6                         6
# E585   - each additional........................................................... add                            47.30
# R621 Ray (single).............................................................................          6         286.00          6
# R623 Symes.....................................................................................         6         285.80          7
# R622 Transmetatarsal/transtarsal ....................................................                   6         326.60          7
# R619 Terminal Symes ......................................................................              6         144.80          6
    ARTHRODESIS
# R719 Ankle.......................................................................................       6         833.45          6
# R552 - revision of arthrodesis ........................................................                 6         506.65          7
# R471 Interphalangeal .......................................................................                      216.15
                                                                                                          6                         6
# E575   - each additional........................................................... add                            80.35
# R477 Metatarsophalangeal ..............................................................                 6         468.35          7
# R695 Subtalar ..................................................................................        6         761.95          6
# E511   - additional midtarsal(s), to R695 ................................. add                                   175.80
# R696 Midtarsal, single joint ..............................................................             6         500.00          6
# E512   - additional midtarsal(s), to R696 ................................. add                                   175.80
# R697 Metatarsal-tarsal (fusion of one or more joints) ......................                            6         452.05          6
# R475 Ankle and subtalar fusion with or without additional
         midtarsal(s), one stage .......................................................                  6        1250.20          6
         Payment rules:
         1.R719, R695, R696, and R697 include any neurovascular exploration and/or protection and
           tenolysis, when rendered.
         2.R696 is not payable in addition to R695 same patient, same side, same day.
         3.R719 or R695 are not payable in addition to R475 same patient, same side, same day
         4.R719 is not eligible for payment with R695 same patient, same side, same day.
         5.R475 is not eligible for payment for treatment of acute (< 6 weeks from injury) ankle and/or
           subtalar fractures.
         [Commentary:
         Treatment of acute ankle and/or subtalar fractures by one-stage ankle and subtalar fusion is
         not eligible for payment as R719, R695 or R475 and should be claimed using fee code(s) that
         describe the fracture(s) being treated.]

Master, record 4846. Record Layout PDF, page 1.

R62120260401999999990000286000000000774600000000000000000095760000000957600

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.