S033

PDF page 684 / S2

DIGESTIVE SYSTEM SURGICAL PROCEDURES
ORAL CAVITY AND PHARYNX
                                                                                                     Asst         Surg          Anae
# S021 Repair of extensive laceration (see General Preamble GP12)                                     6            I.C           I.C
      Note:
      For minor lacerations - see Skin.
# S034 Cleft palate repair ...................................................................          6         369.25          8
# S035 Removal of sutures under general anaesthesia .....................                                           41.25         6
# S032 Bone graft to palate ................................................................            6         335.65          8
    Closure of fistula
# S030 - anterior alveolar..................................................................            6         197.45          6
# S033 - palate..................................................................................       6         281.95          8
# S036 Uvulopalatopharyngoplasty (includes tonsillectomy) ..............              239.75      6
      Note:
      S036 Uvulopalatopharyngoplasty is an insured service only under the following conditions:
         a.For the treatment of obstructive sleep apnea that is unresponsive to continuous positive
           airway pressure (CPAP) or intolerant of continuous positive airway pressure (CPAP) and;
         b.the procedure is rendered to correct an identified site of airway obstruction causing the
           obstructive sleep apnea.

Master, record 5206. Record Layout PDF, page 1.

S03320260401999999990000281950000000774600000000000000000127680000001276800

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.