S329

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 719 / S37

DIGESTIVE SYSTEM SURGICAL PROCEDURES
      ABDOMEN, PERITONEUM AND OMENTUM
                                                                                                      Asst   Surg     Anae
      ENDOSCOPY
      Peritoneoscopy, culdoscopy or laparoscopy
  # Z552 - without biopsy.....................................................................         6     160.50    6
  # Z553 - with biopsy and/or lysis of adhesions and/or removal of
            foreign body and/or cautery of endometrial implants .........                              8     196.65    8
      REPAIR
  # S325 Omentopexy - as sole operative procedure............................                          6     305.05    7
      HERNIOTOMY
  # E725  - recurrent - all types of hernia, except oesophageal ... add                                4     130.00
      Inguinal and/or femoral
  # S322 - infants.................................................................................    6     522.60    7
  # S326 - children...............................................................................     6     442.20    6
  # S323 - adolescents and adults.......................................................               6     357.80    7
        Unilateral with exploration of other side
  # S328 - infants and children ............................................................           6     458.40    7
        Strangulated or incarcerated
  # S329 - without resection of bowel ..................................................               6     425.00    7
  # S330 - with resection of bowel .......................................................             6     660.50    7
  # S345 Massive sliding inguinal hernia ...............................................               6     491.15    7
    E726     - repeat recurrent inguinal hernia (more than 2 repairs), to
               S322, S323, S326, S329 or S330.............................. add                        4     257.35
      Umbilical
  # S332 - adolescent or adult, with or without resection of
            incarcerated/strangulated contents ....................................         6 324.20  6
  # S333 - child (operative), with or without resection of incarcerated/
            strangulated contents ......................................................... 6 240.75  6
  # E764    - umbilical hernia repair when done in conjunction with
              other abdominal surgery, to other surgery ................. add                  27.55
        Payment rules:
        1.E764 is only eligible for payment for services related to a pre-existing umbilical hernia that is
          documented in the patient’s permanent medical record prior to the service being provided.

PDF page 720 / S38

DIGESTIVE SYSTEM SURGICAL PROCEDURES
ABDOMEN, PERITONEUM AND OMENTUM
                                                                                                      Asst         Surg         Anae
    Omphalocele and gastroschisis
# S348 Primary or first stage repair ....................................................                7        1266.60          7
# E691    - requiring mobilization of abdominal wall musculature, to
            S348........................................................................... add                    178.40
# S349 Second or subsequent stage repair........................................                         7        1603.65          7
    Congenital diaphragmatic hernia
# S346 Primary or first stage repair ....................................................                9        1300.55         13
# S347 Second or subsequent stage repair........................................                         9         537.65         13
# E793          - laparoscopic or laparoscopic assisted, to S344. add 25%
# E726          - repeat recurrent inguinal hernia (more than 2 repairs), to
                  S322, S323, S326, S329 or S330.............................. add                       4         257.35
# S342 Epigastric ................................................................................       6         239.20          6
# E727   - hydrocele - extra - applicable to adults only............... add                                         75.05
    SUTURE
# S343 Secondary closure for evisceration - sole operative procedure
         in abdomen.........................................................................             6         350.00          7

Master, record 5423. Record Layout PDF, page 1.

S32920260401999999990000425000000000774600000000000000000111720000001117200

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.