S519

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

PDF page 740 / U8

INCISION
# Z712 Biopsy, needle ........................................................................                   91.60         6
# E821    - when performed by transperineal method, to Z712 .........                                            20.00
# Z713 Biopsy, needle with drainage abscess....................................                      6           98.70         6
    EXCISION
    Prostatectomy
# S650 - simple, by retropubic or suprapubic approach, with or
           without removal of bladder stones......................................                6  689.75                     6
# S651 - radical, with or without removal of bladder stones .............                         6 1174.70                    10
# E792     - when performed laparoscopically, to S650 or S651
              ........................................................................... add 25%
      Note:
      1. Prostatectomy (S650, S651) does not include investigative cystoscopy but includes
         vasectomy when rendered.
      2. S651 includes S519 - plastic repair of bladder neck when rendered and/or S636 -
         vesiculectomy when rendered.
# S652 Staging pelvic lymphadenectomy for prostatic cancer
           (laparoscopic or open) must include at a minimum bilateral
           obturator nodes .................................................................. 7 431.20 10
# E792     - when performed laparoscopically, to S652 .........add 25%
      [Commentary:
      A sampling of nodes does not constitute a complete staging lymphadenectomy. When only a
      sampling of nodes is performed, either S312 - laparotomy or Z553 - laparoscopic biopsy, may
      be eligible for payment depending on procedure performed.]

Master, record 5526. Record Layout PDF, page 1.

S51920260401999999990000468700000000774600000000000000000111720000001117200

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.