R743

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 665 / Q7

CARDIOVASCULAR SURGICAL PROCEDURES
 HEART AND PERICARDIUM
                                                                                                      Asst   Surg      Anae
    Coronary artery repair
# R742 - one .....................................................................................   18  981.85 20
# R743 - two......................................................................................   18 1401.25 20
# E654     - each additional........................................................... add              188.85
# E645     - off pump coronary artery bypass grafting, to R742 or R743
             ................................................................................... add 24  371.00 40
# E651     - with coronary endarterectomy and/or gas endarterectomy,
             to R742 or R743......................................................... add                202.05
      Note:
      1.For the anaesthesiologist, when off-pump coronary artery bypass grafting is rendered,
        submit claim using E645C with 40 basic units plus time units, instead of R742C or R743C.
      2.For the surgical assistant, when off-pump coronary artery bypass grafting is rendered, submit
        claim using E645B with 24 basic units plus time units, instead of R742B or R743B.
# E652          - use of internal mammary or epigastric or radial artery for
                  construction of bypass graft, to R742 or R743........... add                                187.85
# E646          - vein patch angioplasty of coronary artery .................. add                            187.80
    Interruption of bronchial collateral arteries (one or more arteries)
# R857 - as sole procedure............................................................... 13                  730.70    20
# E663    - when done in conjunction with other cardiac surgery add                                           183.00
    Ligation or division patent ductus
# R754 - infant or child ......................................................................       13      525.75    20
# R755 - adolescent or adult .............................................................            13      801.10    20
    Resection coarctation
# R757 - infant...................................................................................    13      785.90    20
# R756 - child ....................................................................................   13      755.80    20
# R758 - adolescent or adult .............................................................            13     1079.80    20
# R759 Congenital heart procedures - e.g. Blalock, Glenn, Potts,
         Waterston or Central ..........................................................              13      774.35    20
    Creation of ASD
# R763 - by balloon septostomy........................................................                9       317.85    9
# R762 - by thoracotomy or Sterling Edwards ..................................                        18      755.80    20
    Closure of atrial septal defect
# R715 - secundum........................................................................... 18  828.65 20
# R716 - endocardial cushion and valve defect ................................               18 1233.10 20
# R717 - with anamalous pulmonary venous drainage .....................                      18  948.75 28
# R718 Closure of ventricular septal defect ........................................         18  948.75 28
     Note:
     R718 should be claimed only once regardless of the number of defects repaired by one patch.

Master, record 4968. Record Layout PDF, page 1.

R74320260401999999990001401250000002323800000000000000000319200000003192000

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.