R792

PDF page 671 / Q13

CARDIOVASCULAR SURGICAL PROCEDURES
 ARTERIES
                                                                                                    Asst   Surg      Anae
# R875 Endovascular aneurysm repair using stent grafting ................                           10     1563.05    17
     Two Surgeon
# R888 - Endovascular aneurysm repair using stent grafting – first
         surgeon ...............................................................................    10     1172.30    17
# R889 - Endovascular aneurysm repair using stent grafting – second
         surgeon ...............................................................................     nil   1172.30    nil
# E627    - ruptured aneurysm, to R875 or R888 .........................add                          619.25
# E510    - for branched or fenestrated devices, to R875 or R888
             ....................................................................................add 926.85
# E509    - conduit to aorta or common iliac artery, to R875 or R888
             ....................................................................................add 805.65
      Note:
      1.These services include insertion of all catheters including access catheters, interpretation of
        any images which may be taken at the time of the procedures.
         2.E510 is not eligible for payment for branched or fenestrated devices to the common iliac
           artery(s).
         3.E510 is not eligible for payment with E627.
         [Commentary:
         1.Endovascular repair for abdominal aortic aneurysms is only recommended for patients who
           are at high-risk of perioperative morbidity or death from open surgical repair.
         2.For open repair of abdominal aorta aneurysms, see page Q14.]
    Abdominal surgical exposure
# R880 - supraceliac aortic cross clamp ............................................                         -        20
# R881 - infraceliac aortic cross clamp ..............................................                       -        17
# R882 Thoracic surgical exposure......................................................                      -        25
# R883 Thoraco-abdominal surgical exposure ....................................                              -        30
# R815 Arterioplasty with or without patch graft including microvascular
          anastomosis, arterial or venous (other than listed below) ...                             10      581.85    10
    Carotid
# R792 - endarterectomy, with or without bypass graft ......................                        10      982.95    10
# E665    - with patch graft, to R792 .............................................add                      419.00
      Note:
      R815 is not eligible for payment with R792.
# R796        - carotid - carotid body tumor / aneurysm repair....................                  10      950.80    10
    Aortic arch reconstruction
# R830 - innominate...........................................................................      10      910.70    10
# R831 - subclavian ...........................................................................     10      910.70    10
# R832 - vertebral ..............................................................................   10      867.35    10
# E659    - with thoracotomy.........................................................add            6       169.00
# E667    - ruptured ......................................................................add              266.60

PDF page 759 / X7

NEUROLOGICAL SURGICAL PROCEDURES
 CRANIAL
                                                                             Asst      Surg         Anae
    CAROTID AND VERTEBRAL ARTERIES
# N223 Vertebral endarterectomy ....................................................... 10 798.80    10
# Z815 Temporal artery - biopsy, ligation or cryosurgery ....................              200.00     6
# Z808 Progressive carotid occlusion by Selverstone clamp..............                 10 317.85    10
# Z807 Removal of Selverstone clamp ...............................................     10 266.60    10
      [Commentary:
      For carotid endarterectomy, refer to R792 on page Q13 of the Cardiovascular Surgical
      Procedures section.]
    EXTRACRANIAL ENDOVASCULAR SURGERY
# N132 Carotid and vertebrobasilar artery stenting, with or without
          embolic protection device................................................... 15 1456.95 15
     Payment rules:
     N132 includes all components of the service including vascular access, intraoperative imaging/
     fluoroscopy, selective catheterization, pre/post-dilatation angioplasty as required, stent
     deployment, and embolic protection device placement, if used.

Master, record 5014. Record Layout PDF, page 1.

R79220260401999999990000982950000001291000000000000000000159600000001596000

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.