S174

PDF page 703 / S21

DIGESTIVE SYSTEM SURGICAL PROCEDURES
 INTESTINES (EXCEPT RECTUM)
                                                                                                          Asst    Surg     Anae
# S173        - abdominal...........................................................................       9     1812.00    10
# S174        - perineal...............................................................................           533.80
# E738     - with continent ileostomy, to either S168, S169, S170,
             S173 or S174 ............................................................. add                       441.10
   E718    - bowel resection following previous resection with
             anastomosis, or following S217, S213, S214 or S215
             ................................................................................... add              162.15
       Note:
       E718 is not to be added to S181, S182, S185, S191, S192 or S193.
# S188 Bowel resection without anastomosis (colostomy and mucous
         fistula).................................................................................         6      877.40    6
# S189 Intestinal bypass for morbid obesity .......................................                        7      951.20    10
# E793    - laparoscopic or laparoscopic assisted, to S189 add 25%
         Note:
         1.S189 is an insured service only when all of the conditions set out in the Surgical Preamble
           are satisfied.
         2.Mini-gastric bypass (loop gastric bypass) does not constitute intestinal bypass for the
           purpose of S189.
    Intestinal obstruction (mechanical)
      One stage
# S175 - without resection ................................................................                6      814.95    7
# S176 - with entero-enterostomy.....................................................                      6     1023.75    7
# S177 - with resection .....................................................................              6     1207.25    7
# S180 - with enterotomy ..................................................................                6      943.60    7
      Note:
      If staged procedure, refer to Surgical Preamble SP2.
# S178 Intestinal atresia (newborn) ....................................................                   6     1722.55    7
# S179 Meconium ileus.......................................................................               6     1722.55    7
       REPAIR

Master, record 5302. Record Layout PDF, page 1.

S17420260401999999990000533800000000000000000000000000000000000000000000000

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.