R876

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 668 / Q10

CARDIOVASCULAR SURGICAL PROCEDURES
VALVES
                                                                                                   Asst         Surg         Anae
# R724 Pulmonary valvotomy ..............................................................           18           727.00        28
# R725 Pulmonary valvotomy and infundibular resection ....................                          18           758.80        28
# R772 Pulmonary valve replacement .................................................                18           758.80        28
# R726 Tricuspid valvotomy .................................................................        18           853.25        20
# R727 Tricuspid annuloplasty .............................................................         18           678.80        20
# R731 Tricuspid valvuloplasty.............................................................         18           770.55        28
# R728 Tricuspid valve replacement ....................................................             18           777.40        28
# R729 Mitral valvotomy.......................................................................      18           717.25        20
# R730 Mitral valvotomy - restenosis ...................................................            18           798.80        20
# R734 Mitral annuloplasty...................................................................       18          837.00         20
# R735 Mitral replacement ...................................................................       18         1315.65         28
# R733 Mitral valvuloplasty ..................................................................      18          963.40         28
    Mitral valve reconstruction
# R773 - simple (includes annuloplasty) ............................................                18         1648.25         28
# R774 - complex (includes annuloplasty and repair of both the
           anterior and posterior leaflets).............................................            18         2058.20         28
# R930 Aortic valvoloplasty ..................................................................      18           837.70        28
# R736 Aortic valvotomy ......................................................................      18           776.05        20
# R737 Aortic infundibular resection (ventriculomyotomy) ...................                        18           913.20        28
# R732 Aortic valve replacement by open surgical approach ..............                            18         1548.25         28
# E647    - patch aortoplasty with pericardium or graft, to R732
            and/or aortic annuloplasty...........................................add    264.70
# E656    - aortic annuloplasty (reconstruction and enlargement of
            aortic annulus), to R732 and/or patch aortoplasty ......add                 288.85
# R739    - Aortic valve replacement by percutaneous approach.......                 18 949.20 28
      Payment rules:
      1.R739 includes all aspects of the service including vascular access, intraprocedural imaging
        guidance, ballon valvuloplasty as required, and valve deployment
         2.Intraoperative images obtained and/or interpreted in conjunction with R739 are not eligible
           for separate payment
         3.E650 is only eligible for payment with R739 when cardiopulmonary bypass is medically
           necessary due to hybrid procedures, intraoperative complications, or patient indication (as
           confirmed by operative documentation).
# R863 Replacement of aortic valve, replacement of ascending aorta,
         and reimplantation of coronary arteries (Modified Bentall)..                               18         2153.40         28
# R876 Valve sparing aortic root replacement or remodelling..............    18      2230.75     28
     Note:
     Multivalvular replacement - the fee will be that for the major valve replaced plus 85% of the fee
     for the additional valve or valves.

Master, record 5096. Record Layout PDF, page 1.

R87620260401999999990002230750000002323800000000000000000446880000004468800

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.