R839

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 677 / Q19

CARDIOVASCULAR SURGICAL PROCEDURES
 VEINS
                                                                               Asst        Surg        Anae
       Varicose veins involving the long and/or short saphenous vein(s)
        Surgical services (ligation/stripping) for the treatment of varicose veins involving the long
        saphenous and/or short saphenous vein(s) are only insured when all of the following conditions
        are met:
        1.There is incompetence (i.e. reflux) at the saphenofemoral junction or saphenopopliteal
          junction that is documented by Doppler or duplex ultrasound scanning;
        2.The patient has failed a trial of conservative management of at least three months duration;
          and
        3.The patient has at least one of the conditions described in either a. or b. below:
            a.One or more of the following signs of chronic venous insufficiency:
              i. Eczema;
              ii. Pigmentation;
              iii. Lipodermatosclerosis;
              iv. Ulceration
            b.Varicosities that result in one or more of the following:
              i. Ulceration secondary to venous stasis;
              ii. One or more significant hemorrhages from a ruptured superficial varicosity;
              iii. Two or more episodes of minor hemorrhage from a ruptured superficial varicosity;
              iv. Recurrent superficial thrombophlebitis;
              v. Stasis dermatitis;
              vi. Varicose eczema;
              vii. Lipodermosclerosis;
              viii. Unremitting edema or intractable pain interfering with activities of daily living and
                    requiring chronic analgesic medication.
        1.Conservative management includes analgesics and prescription gradient support
          compression stockings.
        2.Significant hemorrhage refers to a hemorrhage related to varicose veins that requires iron
          therapy or transfusion.
       LIGATION/STRIPPING
# Z745 Saphenous..............................................................................             53.20   6
# R868 High ligation and stripping of long saphenous vein with groin
          dissection ...........................................................................      6   200.00   7
# R869 Stripping of short saphenous vein with popliteal dissection....                                6   107.50   7
# R837 Multiple ligation and avulsion..................................................               6   200.00   7
# R844 Recurrent varicose veins - multiple ligation and/or stripping ..                               6   353.80   7
# R842 Extra fascial and sub-fascial incompetent perforators by full
          fascial technique.................................................................          6   384.75   7
# E653    - plus stripping.............................................................. add              127.15
# Z746 Femoral...................................................................................     6    74.25   7
# Z747 Popliteal ..................................................................................   6    74.25   7
# Z748 Internal jugular ........................................................................      6   148.60   7
# R839 Internal iliac.............................................................................    6   394.85   10
# R834 I.V.C. - transabdominal ...........................................................            6   446.50   10

Master, record 5060. Record Layout PDF, page 1.

R83920260401999999990000394850000000774600000000000000000159600000001596000

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.