S091

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 691 / S9

DIGESTIVE SYSTEM SURGICAL PROCEDURES
 OESOPHAGUS
                                                                                                        Asst    Surg     Anae
# E683         - when performed thorascopically, by video-assisted
                 thoracic surgery (VATS), by robotic-assisted surgery, or by
                 uniportal approach, to S087, S089, S090, S093
                 ……................................................................... add 35%.
    REPAIR
# S161 Oesophageal myotomy, partial (below aortic arch)..................                                       584.15
# E758   - with oesophageal hiatus hernia repair ........................add                                    217.35
# S100 Total thoracic oesophageal myotomy (as sole procedure) ......                                            841.35
# E758    - with oesophageal hiatus hernia repair ........................add                                   217.35
# E683    - when performed thorascopically, by video-assisted
            thoracic surgery (VATS), by robotic-assisted surgery, or by
            uniportal approach, to S100, S161 .................. add 35%.
    REPAIR
    Oesophageal hiatus hernia
# S091 - abdominal or transthoracic approach with fundal plication..                                    10      750.00
# S092 - recurrent ..............................................................................       10     1100.00
# S079 - massive paraesophageal ....................................................                    10     1200.00
      Payment rules:
      S079 is only eligible for payment for surgical repair of
             a.a paraesophageal hernia with >50% intrathoracic herniation of the stomach with the
               fundus lying above the gastroesophageal junction, or
             b.a paraesophageal hernia with herniation of the stomach and any other abdominal
               organ(s) through the crus.
# E793         - laparoscopic, thoracoscopic, or laparoscopic/
                 thoracoscopic assisted, to S091, S092, or S079
                  ........................................................................... add 25%
# E744         - with gastroplasty, to either S091, S092, or S079 ........add                                   115.80
# E847         - with reconstruction of diaphragm requiring repair with
                 mesh or equivalent synthetic material, to S091, S092, or
                 S079 ...........................................................................add             75.00
# E742         - when S091, S092, or S079, with or without gastroplasty, is
                 done in conjunction with cholecystectomy, and/or
                 vagotomy with or without drainage procedures, add E742
                 to S091, S092, or S079 (with or without E744) for each
                 additional procedure performed. For any other
                 combination of surgical procedures with oesophageal
                 hiatus hernia repair (with the exception of S161 and S100),
                 see Surgical Preamble SP2 ........................................add                          217.35
# S095 Oesophageal stricture (Thal) - may include oesophageal hiatus
         hernia repair with or without gastroplasty............................                                 676.05
# S096 Ruptured oesophagus, suture and drainage ...........................                              10    1200.00
# S097 Oesophago-gastrostomy for bypass (as sole procedure)........                                             692.65

Master, record 5244. Record Layout PDF, page 1.

S09120260401999999990000750000000001291000000000000000000000000000000000000

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.