R804

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 676 / Q18

CARDIOVASCULAR SURGICAL PROCEDURES
ARTERIES
                                                                                      Asst         Surg         Anae
    In-situ saphenous vein arterial bypass
# R797 - popliteal ...............................................................................    10  1414.15 17
      One Vascular Surgeon
# R804 - tibial ..................................................................................... 10  1643.00 17
      Two Vascular Surgeons
# R766 - tibial - first surgeon ..............................................................        10  1303.00 17
# R767 - tibial - second surgeon ........................................................             nil 1303.00 nil
      Payment rules:
      1.R766 and R767 are only eligible for payment to a physician that is a vascular surgeon with a
        specialty designation in General Surgery (03) or Vascular Surgery (17).
       2.R766 and R767 are not eligible for payment with R804.
       [Commentary:
       Surgical assistant units associated with R766 are only eligible for payment to one physician.]

Master, record 5025. Record Layout PDF, page 1.

R80420260401999999990001643000000001291000000000000000000271320000002713200

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.