R856

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 669 / Q11

Traumatic
# R790 Suture of lacerated major artery .............................................               6     316.85    10
# R795 Repair of lacerated major artery or microscopic repair of digital
         artery (including patch angioplasty)....................................                  10     598.40    10
# R862 - by bypass or interposition graft ..........................................               10     834.30    10
    LIGATION
# R781 Ligation of artery - as sole procedure .....................................                 6     170.10    8
# R788 Internal maxillary artery - Caldwell Luc approach...................                         7     408.10    10
# R789 Anterior ethmoid artery ...........................................................          6     299.85    7
# R708 Internal iliac artery (unilateral or bilateral)...............................               7     409.55    10
EXCISION AND/OR REPAIR
  1. Common femoral artery repair includes repair to the profunda femoris artery as far as the first
     major branch.
    2. If the repair extends beyond the first major branch of the profunda femoris artery, R815 may be
       claimed in addition.
    3. If the repair extends beyond the second major branch of the profunda femoris artery, R856
       instead of R815 may be claimed in addition.
    4. For procedures involving the application of a complete aortic cross clamp, the anaesthetic basic
       fee will depend on:
        a. the level of application of the cross clamp; and
        b. the surgical exposure and extent of the aortic repair
# E679         - with vein graft harvest remote from site of by-pass and
                 only when saphenous vein is unavailable.................. add                            124.10
# E649         - embolectomy and/or thrombectomy when done in
                 conjunction with other vascular procedures............... add                            112.45

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 5077. Record Layout PDF, page 1.

R85620260401999999990000818800000001291000000000000000000159600000001596000

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.