S209

PDF page 717 / S35

Peritoneal abscess
# S313 - subphrenic..........................................................................        7     370.95    7
# S314 - abdominal...........................................................................        6     301.10    7
# Z569 Pelvic abscess, incision and drainage - rectal or vaginal
         approach ............................................................................             122.05    7
# Z594 Percutaneous abdominal abscess drainage including daily
         supervision, for one or more abscesses within the same
         abdominal quadrant or the pelvis .......................................                          508.80
# E686   - within each other abdominal quadrant, or the pelvis (if the
           initial abscess was not in the pelvis) .......................... add                           144.10
   Z595 Replacement of drainage catheter in abdominal abscess ......                                        54.05
# Z574 Removal of infected sutures from abdominal wall or re-
         exploration of wound for bleeding - general anaesthetic....                                 6      94.85    7
# S311 Umbilical vein intra-abdominal dissection and catheterization    6       232.50      6
      Note:
      For vascular newborn - see Diagnostic & Therapeutic Procedures - Vascular Cannulation.
# S320 Insertion of antabuse into abdominal wall...............................                             58.15
    Insertion of peritoneo-jugular shunt for ascites
# S203 - primary ...............................................................................     7     281.85    7
# S209 - revision ...............................................................................    7     237.00    7
# S310 Insertion of intraperitoneal chemotherapy port by laparotomy
          or laparoscopy.................................................................... 6 215.10 6
# S315 Removal of intraperitoneal chemotherapy port by laparotomy
          or laparoscopy.................................................................... 6 215.10 6
      Payment rules:
      S310 or S315 are not eligible for payment in addition to any open or laparoscopic abdominal
      procedure.

Master, record 5332. Record Layout PDF, page 1.

S20920260401999999990000237000000000903700000000000000000111720000001117200

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