S484

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 729 / T9

UROGENITAL AND URINARY SURGICAL PROCEDURES
 BLADDER
                                                                                                      Asst    Surg     Anae
    Cystectomy - Complete
# S484 - complete cystectomy, without transplant............................                           6      848.90    10
# S485 - with ureterointestinal transplant..........................................                   8     1053.70    13
# S453 - with ureteroileal conduit......................................................               9     1340.40    15
# S440 - with continent urinary diversion ..........................................                   9     1582.00    15
# E792   - when performed laparoscopically, to S484, S485, S453 or
           S440................................................................... add 25%
# S438 Retroperitoneal lymph node dissection for bladder cancer,
         specimen must include obturator, internal iliac and external
         iliac nodes as a minimum to the level of the iliac bifurcation,
         bilateral...............................................................................      7      675.35    7
# S441 Creation of continent urinary diversion ...................................                     9     1086.45    15
# S471 Excision of urachal cyst or sinus with or without umbilical
          hernia repair .......................................................................        6      317.65    6
# E792   - when performed laparoscopically, to S471 ........ add 25%
    Extrophy - excision of bladder and repair of abdominal wall
# S488 - inclusive of graft .................................................................          6      230.95    6
# S491 Plastic repair of extrophy using bladder and including skin flaps                               6      703.85    6
    REPAIR
# S512 Repair of ruptured bladder......................................................                6      371.40    6
# S513 Cystoplasty, using intestine ....................................................               8      742.80    9
    Plastic repair of bladder neck
# S518 - child ....................................................................................    6      529.60    6
# S519 - adolescent or adult .............................................................             6      468.70    7

Master, record 5516. Record Layout PDF, page 1.

S48420260401999999990000848900000000774600000000000000000159600000001596000

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.