R744

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

PDF page 637 / N57

Fractures
      Ankle
# F074 - no reduction - rigid immobilization ......................................                           67.75
# F075 - closed reduction .................................................................            6     144.80    6
      - open reduction
# F076 - one malleolus .....................................................................           6     466.70    7
# F077 - multiple malleoli or ligaments .............................................                  6     746.10    7
      Ankle fracture with tibial Plafond burst
# F104 - closed reduction and external fixation ................................            6 363.40 6
# F108 - open reduction.................................................................... 6 954.35 6
      Payment rules:
      1.F108 is only eligible for payment for AO/OTA ankle plafond fractures classified as partial
        articular (43-B) or complete articular (43-C).
         2.F108 includes repair of medial or lateral or syndesmotic ligaments of the same ankle if
           performed.
         3.F108 is not eligible for payment with, F076, F077, R185 and/or R744 for repair/
           reconstruction of the same ankle.
         4.F104 is not eligible for payment for closed reduction of an ankle tibial plafond burst fracture
           without external fixation.
         5.E555 is not eligible for payment with F104.
      Metatarsus
  F061 - one or more ........................................................................                 49.20
  F062 - with rigid immobilization .....................................................                      67.75
      - closed reduction
  F063 - one or more ........................................................................          6      98.35    6
      - open reduction
# F064 - one .....................................................................................     6     358.05    7

Master, record 4969. Record Layout PDF, page 1.

R74420260401999999990000588200000000774600000000000000000111720000001117200

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.