R746

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 664 / Q6

CARDIOVASCULAR SURGICAL PROCEDURES
HEART AND PERICARDIUM
                                                                                   Asst         Surg         Anae
# R710 Resection/ablation for ventricular tachycardia (to include
         cardiotomy, mapping with or without HIS bundle) ...............                       1112.15         20
    Excision
# R920 Ventricular tumour ................................................................... 18 780.80        28
# R746 Ventricular aneurysm...............................................................    18 947.80        28
# R747 Aneurysm of sinus of Valsalva.................................................         18 783.55        28
# E648    - excision of extensive endocardial scar, to ventriculotomy or
            aneurysm repair..........................................................add         135.80
# R741 Coronary artery endarterectomy and/or gas endarterectomy..                             18 730.70        20
# R740 Left atrial appendage occlusion/excision by suture or device,
          Sole procedure ....................................................................  6 400.00         7
# E521    - when done in conjunction with another procedure .....add                             200.00
      Payment rules:
      E521 is not eligible for payment for the same patient on the same day as R709.

Master, record 4970. Record Layout PDF, page 1.

R74620260401999999990000947800000002323800000000000000000446880000004468800

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.