S291

PDF page 548 / SP6

SURGICAL PREAMBLE
PREAMBLE
 24. Morbidly obese patients
     E676 is eligible for payment once per patient per physician in addition to the amount eligible for
     payment for the major surgical procedure(s) where a morbidly obese patient undergoes major
     surgery to the neck, thorax, peritoneal cavity, retroperitoneum, pelvis, or hip and:
    a. the patient has a Body Mass Index (BMI) greater than 40
    b. the surgery is rendered under general anaesthesia using either an open technique for the
       neck, thorax, or hip, or an open or laparoscopic technique for the peritoneal cavity, pelvis,
       retroperitoneum; and
    c. the principal surgical technique is neither aspiration, core or fine needle biopsy, dilation,
       endoscopy, mediastinoscopy, thoracoscopy, cautery, ablation nor catheterization.
E676A Morbidly obese patient, surgeon, to procedural fee(s)...... add                      25%
E676B Morbidly obese patient, surgical assistant, to major procedure
        add                                                                               6 units
     Note:
     E676A/B is only payable with the following procedures: D043, D046, D047, D052, E090, E499,
     E500, E505, E546, E589, E593, E626, E627, E655, E664, E673, E686, E697, E704, E706,
     E707, E708, E709, E711, E712, E713, E714, E718, E721, E722, E725, E728, E729, E731,
     E733, E734, E735, E736, E737, E738, E739, E743, E745, E748, E752, E754, E762, E764,
     E765, E766, E767, E768, E769, E771, E794, E796, E852, E853, E854, E855, E857, E860,
     E880, E882, E883, E884, E885, F100, F101, F135, M081, M082, M084, M090, M099, M100,
     M142, M143, M144, P018, P041, P042, P050, P055, P056, P057, P058, P059, P060, R108,
     R109, R216, R241, R269, R330, R423, R439, R440, R443, R470, R481, R488, R491, R553,
     R569, R590, R627, R628, R639, R686, R786, R800, R802, R803, R805, R806, R807, R811,
     R814, R815, R817, R823, R825, R826, R834, R839, R852, R855, R856, R858, R860, R861,
     R910, R885, R905, R913, R914, R915, R932, R933, R934, R935, R936, R937, S089, S090,
     S114, S115, S116, S117, S118, S120, S121, S122, S123, S124, S125, S128, S129, S131,
     S132, S133, S134, S137, S138, S139, S140, S149, S150, S154, S157, S158, S159, S160,
     S162, S164, S165, S166, S167, S168, S169, S170, S171, S172, S173, S175, S176, S177,
     S180, S182, S183, S184, S185, S187, S188, S189, S191, S192, S193, S194, S195, S196,
     S197, S199, S204, S207, S213, S214, S215, S217, S218, S222, S227, S265, S266, S267,
     S269, S270, S271, S274, S275, S276, S278, S280, S281, S282, S285, S287, S291, S292,
     S294, S295, S297, S298, S299, S300, S301, S302, S303, S304, S305, S306, S307, S308,
     S309, S310, S311, S312, S313, S314, S315, S318, S319, S321, S323, S325, S329, S332,
     S340, S342, S343, S344, S345, S405, S411, S416, S420, S422, S424, S427, S431, S432,
     S433, S434, S435, S436, S438, S440, S441, S445, S446, S447, S448, S449, S450, S451,
     S452, S453, S454, S455, S457, S460, S461, S462, S465, S466, S467, S468, S471, S482,
     S483, S488, S490, S491, S512, S513, S546, S549, S561, S590, S650, S651, S652, S710,
     S714, S727, S728, S729, S731, S733, S735, S736, S738, S739, S740, S741, S743, S745,
     S747, S748, S750, S751, S757, S758, S759, S760, S761, S763, S764, S766, S775, S776,
     S778, S780, S781, S782, S784, S788, S789, S790, S792, S793, S795, S798, S799, S800,
     S813, Z427, Z526, Z552, Z553, Z564, Z569, Z577, Z594, Z737, Z738

PDF page 711 / S29

Hepatectomy
  # S269 - local excision of lesion (less than 5 cm) .............................                                                    7      350.65    7
  # S275 - partial lobectomy (excision greater than 5 cm)...................                                                          8      585.05    8
  # S270                                  - Hepatectomy, one or two liver segments............................                       12     1426.05    12
  # S267                                  - Hepatectomy, three or four liver segments.........................                       12     1885.55    12
  # S271                                  - Hepatectomy, five or more liver segments .........................                       12     2135.35    12
  # E812                                  - for repeat resection procedures, to S267, S270, S271
                                             ............................................................................. add 25%
  # E814                                  - with portal lymphadenectomy, to S267, S269, S270, S271,
                                            S275, S291................................................................... add                287.65
        Note:
        E814 is only eligible for payment when a formal portal lymphadenectomy has been performed
        and the operative record describes removal of all lymphatic tissue surrounding the common
        bile duct/ hepatic artery and portal vein.
  # S272 Laparotomy, cholangiogram and biopsy (neonatal jaundice) .              6   387.40    7
  # E793     - laparoscopic or laparoscopic assisted, to S267, S269,
               S270, S271, S272 or S275 ................................ add 25%
      Liver transplant
  # E765    - with reconstruction or repair of the hepatic artery (i.e. re-
              anastomosis or conduit), to liver transplant fee ......... add                                                                 342.10
  # S274 Deceased donor, liver removal ...............................................                                                6     1098.25    8
  # S294 Deceased donor, liver transplant ............................................                                                20    3129.95    30
  # S295 Repeat liver transplant............................................................                                          30    4299.90    40
  # S265 Living donor, hepatectomy...................................................... 20 4760.60 35
  # S266 Living donor, orthotopic liver transplant ..................................    25 6023.10 35
        Note:
        Cholecystectomy is not eligible for payment in conjunction with liver lobectomy involving liver
        segments #4 and/or #5, or formal anatomic resection involving liver segments #4 and/or #5.

PDF page 713 / S31

DIGESTIVE SYSTEM SURGICAL PROCEDURES
 BILIARY TRACT
                                                                                                     Asst   Surg     Anae
    INCISION
# S278 Cholecystostomy ....................................................................           7     408.05    7
# S276 Choledochotomy (previous cholecystectomy) ........................                             7     694.80    8
# S280 Transduodenal sphincterotomy and choledochotomy (previous
          cholecystectomy)................................................................            7     961.80    9
# S281 Choledochoduodenostomy or choledochoenterostomy or
         choledochocholechostomy .................................................                    7     821.80    9
# E704       - with choledochoscopy, to S276, S280, S281 or S287 plus
               E721........................................................................... add           46.50
         Note:
         S281 cannot be claimed with S276.
# S282 Cholecystogastrostomy ..........................................................               7     447.45    7
# S283 Cholecystoenterostomy ..........................................................               7     509.50    7
# E743   - with entero-enterostomy, to S281 or S283................. add                                    174.25
# S285 Intrahepatic choledochoenterostomy (anastomosis above the
          common hepatic duct bifurcation) ......................................                     9     915.30    12
    EXCISION
# S287 Cholecystectomy ....................................................................           7     544.30    7
# S286 Completion cholecystectomy (removal of gallbladder remnant
         following prior incomplete or subtotal cholecystectomy) ....                                 7     800.00    7
# E721   - with choledochotomy ................................................. add                        139.00
# E722   - with transduodenal sphincterotomy ........................... add                                185.25    1
# E728   - with truncal or selective vagotomy ............................. add                             167.65
# E729   - with highly selective vagotomy................................... add                            324.25
# E794   - with intra-operative cholangiogram ............................ add                               40.80
# S291 Choledochectomy for tumour* ................................................                   8     463.25    8
    REPAIR
# S292 Common duct stricture, dissection and/or resection* .............                              7     203.40    10
# S293 Biliary duct atresia, infant (see General Preamble GP12) ......                                8      I.C      12
# Z596 Extracorporeal shock wave lithotripsy for bile duct calculi......                                    314.20    6
         Note:
         * For reconstruction, refer to S281.

Master, record 5389. Record Layout PDF, page 1.

S29120260401999999990000463250000001032800000000000000000127680000001276800

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.