R702

PDF page 104 / GP90

SECOND ASSISTANT
Payment rules:
When more than one assistant was required for a surgical procedure, unless the service is listed
below, the second assistant’s service is only eligible for payment following authorization by a medical
consultant and requires submission of a letter from the surgeon outlining the reason the second
assistant was required. The amount payable for the second assistant is calculated in the same
manner as the amount payable for the first assistant.
Services where a second assistant's services are payable and authorization is not required:
D043, D046, D047, D052, D060, E645, F135, M112, M117, M134, M142, N539, N540, P042, P051,
P052, P056, P059, R008, R009, R013, R014, R015, R016, R055, R056, R064, R065, R067, R069,
R134, R135, R136, R140, R182, R240, R241, R244, R326, R327, R334, R393, R438, R440, R441,
R483, R487, R545, R553, R568, R593, R594, R617, R645, R701, R702, R704, R712, R713, R714,
R715, R718, R726, R727, R728, R729, R732, R733, R734, R735, R737, R739, R742, R743, R746,
R747, R749, R764, R770, R771, R772, R773, R774, R786, R799, R800, R801, R802, R803, R804,
R811, R815, R817, R818, R830, R832, R858, R863, R870, R872, R874, R876, R927, R929, R920,
R930, S005, S007, S079, S090, S091, S092, S096, S098, S099, S120, S125, S189, S210, S211,
S213, S214, S267, S270, S271, S274, S275, S294, S295, S298, S300, S321, S416, S429, S440,
S441, S453, S454, S462, S484, S750, S757, S758, S759, S816
       [Commentary:
       E003B is not eligible for payment for second assistant services.]

PDF page 660 / Q2

CARDIOVASCULAR SURGICAL PROCEDURES
HEART AND PERICARDIUM
                                                                                                      Asst         Surg         Anae
         Note:
         Preliminary diagnostic catheterization - extra to operative fees (see Diagnostic and
         Therapeutic Procedures). The basic anaesthetic fee of 28 units or more for major
         cardiovascular surgery includes such procedures as insertion of C.V.P. line (G269), arterial line
         (G268), blood sampling, blood analysis and interpretations.
# R700 With hypothermia and without bypass - basic fee for
         cardiovascular procedures .................................................                                  -           25
         Note:
         R700 replaces procedural basic code when hypothermia is used where basic is less
         than 25 units.
# Z759 Removal of failed vascular graft without arterial reconstruction
         - when sole procedure........................................................                             189.55          6
# E655   - re-operation for failed vascular grafts - for repair or
           replacement of existing prosthesis (more than one month
           after original operation) .............................................. add                            348.70
    Pump bypass
# E650  - includes cannulating and decannulating heart or major
          vein, major artery, supervision of pump and pump run
           ................................................................................... add                 400.00         28
# E682  - graft of major vessel other than ascending aorta for the
          purpose of cardiopulmonary bypass or ventricular assist
          device, to E650, R701, R702, R703, R704 and Z743
           ................................................................................... add                 423.85
         Note:
         For the anaesthesiologist, when a pump (with or without an oxygenator and with or without
         Hypothermia) is used in conjunction with an anaesthetic for cardiovascular procedures, submit
         claim using E650C with 28 basic units plus time units, instead of the basic units for the
         cardiovascular procedure.

PDF page 662 / Q4

CARDIOVASCULAR SURGICAL PROCEDURES
HEART AND PERICARDIUM
                                                                                                       Asst         Surg        Anae
    Ventricular assist devices
# R701 - uni-ventricular .....................................................................  18  721.60 28
# R702 - bi-ventricular ....................................................................... 18 1334.80 28
# R703 - paracorporeal......................................................................    18 1443.05 28
# R704 - implantable..........................................................................  18 2163.35 28
# R705 - removal of ventricular assist device ....................................              18  508.55 20
     Payment rules:
     1.R701 or R702 are eligible for payment only for paracorporeal devices inserted for less than
       14 days.
         2.Despite payment rule #1, R701 is also eligible for payment in addition to R703 or R704 when
           a right ventricular assist device is inserted to support a left ventricular assist device,
           regardless of the duration of insertion of the right ventricular assist device.
         3.R703 is eligible for payment only for paracorporeal devices inserted for 14 or more days.
         4.R705 is only eligible for payment for removal of paracorporeal or implantable ventricular
           assist devices inserted for 14 or more days.
         5.R705 includes repair of vessels when rendered.
         6.Z744 (decannulation of circulatory assist device) is eligible for payment for removal of
           paracorporeal or implantable ventricular assist devices inserted for less than 14 days.
         7.Only one of Z744 or R705 is eligible for payment per patient per day for removal of
           ventricular assist devices.
         8.Extracorporeal membrane oxygenator procedures do not constitute R701, R702, R703 or
           R704.
         [Commentary:
         1.Extracorporeal membrane oxygenator procedures are eligible for payment as Z788.
         2.Z744 or R705 are eligible for payment when rendered with cardiac transplantation.
         3.If a ventricular assist device is replaced, both the appropriate removal and insertion fee
           codes are eligible for payment.]
         Claims submission instructions:
         Submit claims for R703 and R705 only after the device has been inserted for 14 or more days.
# Z412 Replacement or repair of pacemaker lead ..............................                             6         110.75         7
# Z428 Pacemaker lead extraction, including the use of extraction
         sheathes, with or without laser or similar technology..........                                 10         598.50         7
# E628   - each additional lead extraction ...................................add                                   194.50
    Implantation of cardioverter (CD) defibrillator
# R753 - by thoracotomy ...................................................................               6         720.30        20
# R761 - by transvenous approach....................................................                      6         587.35        8

Master, record 4927. Record Layout PDF, page 1.

R70220260401999999990001334800000002323800000000000000000446880000004468800

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.