R807

PDF page 548 / SP6

SURGICAL PREAMBLE
PREAMBLE
 24. Morbidly obese patients
     E676 is eligible for payment once per patient per physician in addition to the amount eligible for
     payment for the major surgical procedure(s) where a morbidly obese patient undergoes major
     surgery to the neck, thorax, peritoneal cavity, retroperitoneum, pelvis, or hip and:
    a. the patient has a Body Mass Index (BMI) greater than 40
    b. the surgery is rendered under general anaesthesia using either an open technique for the
       neck, thorax, or hip, or an open or laparoscopic technique for the peritoneal cavity, pelvis,
       retroperitoneum; and
    c. the principal surgical technique is neither aspiration, core or fine needle biopsy, dilation,
       endoscopy, mediastinoscopy, thoracoscopy, cautery, ablation nor catheterization.
E676A Morbidly obese patient, surgeon, to procedural fee(s)...... add                      25%
E676B Morbidly obese patient, surgical assistant, to major procedure
        add                                                                               6 units
     Note:
     E676A/B is only payable with the following procedures: D043, D046, D047, D052, E090, E499,
     E500, E505, E546, E589, E593, E626, E627, E655, E664, E673, E686, E697, E704, E706,
     E707, E708, E709, E711, E712, E713, E714, E718, E721, E722, E725, E728, E729, E731,
     E733, E734, E735, E736, E737, E738, E739, E743, E745, E748, E752, E754, E762, E764,
     E765, E766, E767, E768, E769, E771, E794, E796, E852, E853, E854, E855, E857, E860,
     E880, E882, E883, E884, E885, F100, F101, F135, M081, M082, M084, M090, M099, M100,
     M142, M143, M144, P018, P041, P042, P050, P055, P056, P057, P058, P059, P060, R108,
     R109, R216, R241, R269, R330, R423, R439, R440, R443, R470, R481, R488, R491, R553,
     R569, R590, R627, R628, R639, R686, R786, R800, R802, R803, R805, R806, R807, R811,
     R814, R815, R817, R823, R825, R826, R834, R839, R852, R855, R856, R858, R860, R861,
     R910, R885, R905, R913, R914, R915, R932, R933, R934, R935, R936, R937, S089, S090,
     S114, S115, S116, S117, S118, S120, S121, S122, S123, S124, S125, S128, S129, S131,
     S132, S133, S134, S137, S138, S139, S140, S149, S150, S154, S157, S158, S159, S160,
     S162, S164, S165, S166, S167, S168, S169, S170, S171, S172, S173, S175, S176, S177,
     S180, S182, S183, S184, S185, S187, S188, S189, S191, S192, S193, S194, S195, S196,
     S197, S199, S204, S207, S213, S214, S215, S217, S218, S222, S227, S265, S266, S267,
     S269, S270, S271, S274, S275, S276, S278, S280, S281, S282, S285, S287, S291, S292,
     S294, S295, S297, S298, S299, S300, S301, S302, S303, S304, S305, S306, S307, S308,
     S309, S310, S311, S312, S313, S314, S315, S318, S319, S321, S323, S325, S329, S332,
     S340, S342, S343, S344, S345, S405, S411, S416, S420, S422, S424, S427, S431, S432,
     S433, S434, S435, S436, S438, S440, S441, S445, S446, S447, S448, S449, S450, S451,
     S452, S453, S454, S455, S457, S460, S461, S462, S465, S466, S467, S468, S471, S482,
     S483, S488, S490, S491, S512, S513, S546, S549, S561, S590, S650, S651, S652, S710,
     S714, S727, S728, S729, S731, S733, S735, S736, S738, S739, S740, S741, S743, S745,
     S747, S748, S750, S751, S757, S758, S759, S760, S761, S763, S764, S766, S775, S776,
     S778, S780, S781, S782, S784, S788, S789, S790, S792, S793, S795, S798, S799, S800,
     S813, Z427, Z526, Z552, Z553, Z564, Z569, Z577, Z594, Z737, Z738

PDF page 674 / Q16

CARDIOVASCULAR SURGICAL PROCEDURES
ARTERIES
                                                                                                            Asst          Surg         Anae
    Mesenteric or celiac artery repair
# R811 - aneurysm.............................................................................                10          410.85         10
# R935 - removal of band only ...........................................................                     10          410.85         10
# R936 - endarterectomy or graft .......................................................                      10         1404.45         10
      Note:
      Use R935 for excision of celiac ganglion.
# R940 Pulmonary thromboendarterectomy (PTE) - includes
         circulatory arrest with hypothermia......................................                            18         2728.40         28
    Aorto-Iliac repair
# R814 - embolectomy or thrombectomy of bifurcation (aorta or graft)                                          10          461.50         10
# R858 Removal of infected aortic graft (stem and/or limbs, unilateral
         or bilateral)* .........................................................................             10         1082.60         17
# E664   - closure of duodenum ..................................................add                                      127.05
# E986         - suprarenal or supraceliac aortic cross clamp, to R858
                 ....................................................................................add                  250.00
         Note:
         * Arterial reconstruction extra.
# R805 Renal artery - aneurysm - reconstruction or excision with graft                                        10          867.35         10
# R806 Renal artery repair ...................................................................                10          867.35         10
# R807 Splenic artery aneurysm - reconstruction or excision with graft                                        10          411.05         10
# R786 Iliac repair to include internal iliac aneurysm ...........................                            10          805.65         10
# R937 Ilio-femoral bypass graft ..........................................................                   10          805.65         10
    Per-obturator ilio-femoral graft
# R860 - with saphenous vein............................................................                      10          898.55         10
# R861 - with prosthetic graft .............................................................                  10          876.85         10
    Profundoplasty
# R855 Common femoral/profunda femoris repair - as sole procedure                                             10          559.20         10
# R856 Extended profundoplasty.........................................................                       10          818.80         10
# R933 Axillo-femoral, femoro-femoral or axillo-axillary graft...............                                 10          656.55         10
# R932 Axillo-bilfemoral graft ...............................................................                10         1200.00         10
# R934 Aorto-femoral unilateral graft ...................................................                     10          867.35         17
# R808 Femoral aneurysm - reconstruction or excision with graft .......                                       10          600.30         10
# R873 Thrombin injection of femoral artery pseudoaneurysm ...........                                                     68.20         6
     Note:
     J202 is payable when rendered in conjunction with R873.
# R864 Repair of false aneurysm at groin anastomosis ......................                                   10          893.20         10

Master, record 5028. Record Layout PDF, page 1.

R80720260401999999990000411050000001291000000000000000000159600000001596000

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.