R870

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 666 / Q8

CARDIOVASCULAR SURGICAL PROCEDURES
HEART AND PERICARDIUM
                                                                                              Asst         Surg          Anae
    Percutaneous transluminal catheter assisted closure for Secundum atrial septal defect
  Z465 - device closure of a single defect ........................................ 198.55
  Z466 - device closure of two or more defects................................      347.45
      Note:
      A maximum of 2 services of either Z465 or Z466 are eligible for payment if the services are
      rendered by 2 different physicians, same patient same day.
# R870 Orthotopic cardiac transplantation ..........................................            18         1659.50         28
# R872 Donor cardiectomy .................................................................      7           527.80         8
# R874 Cardiopulmonary transplantation............................................              18         2565.30         28
# M157 Donor Heart - Lung removal ...................................................           8           906.45          8

Master, record 5091. Record Layout PDF, page 1.

R87020260401999999990001659500000002323800000000000000000446880000004468800

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.