S709

PDF page 744 / V4

FEMALE GENITAL SURGICAL PROCEDURES
VAGINA
                                                                                                        Asst          Surg         Anae
# E862         - when performed laparoscopically, to S760, S813 or S761
                 ........................................................................... add 25%
# S724 Perineorrhaphy (not eligible for payment with delivery or other
         vaginal surgery procedures)...............................................                        8         127.35           8
# S725 Colpocleisis (LeFort or modification) ......................................                        8         300.35           8
# S726 Construction of artificial vagina (see General Preamble GP12)                                       6          I.C             6
    Closure of fistula
# S523 Vesicovaginal..........................................................................             6         848.90           6
# S231 Rectovaginal (any repair)........................................................                   6         338.55           6
# S729 Ureterovaginal ........................................................................             6         560.95           6
# S709 Urethrovaginal ........................................................................             6         374.85           6
    Retropubic Urethropexy
# S549 Primary procedure ..................................................................                6         419.75           6
# S546 Repeat procedure for failed retropubic or vaginal surgery for
          stress incontinence.............................................................                 6         532.00           7
# E862    - when performed laparoscopically, to S549 or S546
            ........................................................................... add 25%
# S815 Tension free vaginal tape mid-urethral sling by any method/
          approach ............................................................................ 6 421.65 6
      Payment rules:
      Cystoscopy (Z606) is not eligible for payment with S815 unless the cystoscopy is rendered for
      suspicion of disease.

Master, record 5634. Record Layout PDF, page 1.

S70920260401999999990000374850000000774600000000000000000095760000000957600

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.