S754

PDF page 748 / V8

FEMALE GENITAL SURGICAL PROCEDURES
CORPUS UTERI
                                                                                              Asst        Surg          Anae
# S783       - hysterotomy with tubal interruption.....................................        6          257.05         6
# S754 Diagnostic curettage (with or without cauterization, biopsy of
         cervix removal of polyps, or hysterosalpingography) .........                                     97.20          6
# S764 Myomectomy by any technique except hysteroscopic............                             8         406.90          8
    INCISION OR EXCISION
    Hysterectomy - with or without adnexa (unless otherwise specified)
# S757 - abdominal - total or subtotal ...............................................            8       643.35          8
# S816 - vaginal ................................................................................ 8       643.35          8
# S758       - with anterior and posterior vaginal repair and including
               enterocoele and/or vault prolapse repair when rendered...                        8         733.45          8
# S759       - with anterior or posterior vaginal repair and including
               enterocoele and/or vault prolapse repair when rendered...                        8         655.05          8
# E090        - removal of one or both ovaries with moderate or severe
                endometrosis, to S757, S758 or S759 ....................... add                           260.80
# E862        - when hysterectomy is performed laparoscopically, or with
                laparoscopic assistance, abdominal or vaginal, to S757,
                S758, S759 or S816........................................... add 25%
# S710     - with omentectomy for malignancy ......................................                8  820.40 8
# S763     - radical (Wertheim or Schauta) - includes node dissection .                            8 1081.80 8
# S762     - radical trachelectomy - excluding node dissection .............                       8  801.10 8
# E862       - when performed laparoscopically, to S710, S763, S762
               ........................................................................... add 25%
        Note:
        S722, S760, S812, S813, S738, S741, S745, S747, S780, S781 and S782 are not eligible for
        payment when rendered with S757, S816, S758, S759, S710, S763 or S762.
      [Commentary:
      Hysterectomy (S757, S816) for benign conditions should only be performed when less invasive
      treatments have been found to be unsuccessful or are declined by the patient.]
# S776 Staging pelvic lymphadenectomy for carcinoma (laparoscopic
           or open) .............................................................................. 8 462.30 8
# S781 Staging Para-aortic lymphadenectomy for carcinoma
           (laparoscopic or open) (not eligible for payment when
           rendered with Z578 and/or S776).......................................                  8 431.20 8

Master, record 5677. Record Layout PDF, page 1.

S75420260401999999990000097200000000000000000000000000000095760000000957600

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.