Z323

PDF page 647 / P7

RESPIRATORY SURGICAL PROCEDURES
 LARYNX
7                                                                                                       Asst   Surg     Anae
    ENDOSCOPY
    Laryngoscopy
# E600   - using operating microscope - to charges for laryngoscopy
           ................................................................................... add              33.60
      Direct
# Z292 - without biopsy.....................................................................                    61.30    6
# Z293 - with biopsy..........................................................................                  61.30    6
# Z322 - with removal of foreign body ..............................................                           106.45    6
# Z323 - with removal of lesion(s).....................................................                        226.35    6
# E643    - when using laser with microlaryngoscopy for benign
             disease, to Z323 ........................................................ add                     121.65
      Note:
      1.E600 is not eligible for payment in addition to E643.
         2.Z292 rendered in association with gastroscopy, oesophagoscopy, oesophagoscopy-
           gastroscopy, duodenoscopy, and small bowel push enteroscopy services is not eligible for
           payment unless the laryngoscopy service is rendered for suspicion of disease of the larynx.
           Claims for Z292 in these circumstances are assessed by a medical consultant on a manual
           review basis and require the submission of a written explanation.
         3.Z296 is not eligible for payment in addition to Z292 on the same patient on the same date of
           service
         [Commentary:
         Manual review is not required for Z293, Z322 and Z323 rendered in association with
         gastroscopy, oesophagoscopy, oesophagoscopy-gastroscopy, duodenoscopy, and small bowel
         push enteroscopy services.]
# Z343        - with dilatation of larynx, to include bronchoscopy if
                necessary ...........................................................................          202.35    7
      Indirect
# Z324 - with biopsy or removal of foreign body...............................                                  44.70    6

PDF page 690 / S8

DIGESTIVE SYSTEM SURGICAL PROCEDURES
OESOPHAGUS
                                                                                                        Asst         Surg         Anae
         Note:
         1.Z292 rendered in association with oesophagoscopy and oesophagoscopy-gastroscopy
           services is not eligible for payment unless the laryngoscopy service is rendered for suspicion
           of disease of the larynx. Claims for Z292 in these circumstances are assessed by a medical
           consultant on a manual review basis and require the submission of a written explanation.
         2.E836 is only eligible for payment when resection requires submucosal injection and
           piecemeal resection
         3.E836 includes any hemostatic techniques performed at the time of polypectomy
         4.E836 is limited to a maximum of 2 services per patient per day
         [Commentary:
         Manual review is not required for Z293, Z322 and Z323 rendered in association with
         oesophagoscopy and oesophagoscopy-gastroscopy services.]
    INCISION
    Oesophagostomy
      Cervical
# S084 - other than neonatal .............................................................                           212.35
# S085 - neonatal...............................................................................                     304.20
      Intrathoracic oesophageal stent
# S082 - via laparotomy .....................................................................                        410.55          7
# S083 - via oesophagoscope (includes Z515)..................................                                        304.20          6
# S081 Trans-oesophageal division of oesophageal varices...............                                              558.05
# S080 Oesophageal-gastric devascularization (including splenectomy
          and oesophageal division/anastomosis) .............................                                        898.15
    EXCISION
# S087 Intrathoracic diverticulum.........................................................                           507.00
# S086 Cricopharyngeal myotomy, open approach .............................                                          300.00
# Z505 Cricopharyngeal myotomy, when rendered by endoscopy, or in
          association with a surgical procedure during the same
          anaesthetic ..........................................................................          6           37.20          6
# S088 Cricopharyngeal diverticulum ..................................................                               390.05
# S089 Partial oesophageal resection and reconstruction (including
          intestinal transposition)........................................................                        1180.50          17
# S090 Total thoracic oesophageal resection ......................................                       10        1912.30          13
# E730    - with reconstruction ......................................................add                           740.95
# E847    - with reconstruction of diaphragm requiring repair with
            mesh or equivalent synthetic material, to S089 or S090
            ....................................................................................add                   75.00
# E644    - radical mediastinal node dissection following preoperative
            chemotherapy and/or radiotherapy, to S089 or S090 .add                                                   400.00
         Note:
         1.S086 is not eligible for payment with S088.
         2.Z505 is not eligible for payment with S086.
# S093 Enucleation of benign oesophageal tumour ............................                                         584.15

PDF page 693 / S11

Gastroscopy
  # Z527 - may include biopsies, photography and removal of polyps
           less than or equal to 1 cm ..................................................                                    82.90       4
  # Z547 - with removal of foreign body ..............................................                                      99.75       4
  # Z528                                      - subsequent (within three months following previous
                                                 gastroscopy) ...................................................................... 67.85 4
                                          Note:
                                          Z292 rendered in association with gastroscopy services is not eligible for payment unless the
                                          laryngoscopy service is rendered for suspicion of disease of the larynx. Claims for Z292 in
                                          these circumstances are assessed by a medical consultant on a manual review basis and
                                          require the submission of a written explanation.
                                          [Commentary:
                                          Manual review is not required for Z293, Z322 and Z323 rendered in association with
                                          gastroscopy services.]
  # E674    - with snare polypectomy - 1st polyp > 1 cm (maximum 1)
              ................................................................................... add                      142.40
  # E675    - with snare polypectomy each - additional polyp > 1 cm
              (maximum 2) .............................................................. add                                73.50
        Note:
        E674, E675 are payable with Z527, Z547 or Z528.

PDF page 697 / S15

DIGESTIVE SYSTEM SURGICAL PROCEDURES
      INTESTINES (EXCEPT RECTUM)
                                                                                                           Asst      Surg      Anae
      ENDOSCOPY
  # Z560 Duodenoscopy (not to be claimed if Z399 and/or Z400
           performed on same patient within 3 months) .....................                                           92.10     4
  # Z749 Subsequent procedure (within three months following previous
           endoscopic procedure).......................................................                               72.55     4
  # E629   - endoscopic placement of stent in duodenum............. add                                              137.05
  # Z584 Small bowel push enteroscopy ...............................................                   185.15
  # E797     - management of uncomplicated upper or lower
               gastrointestinal bleeding, by any technique (e.g. laser,
               injection, diathermy, banding etc.) to Z584 ................ add                          46.30
  # E798     - management of complicated upper gastrointestinal
               bleeding by any technique in haemodynamically unstable
               patients with active bleeding during endoscopy, to Z584
                ................................................................................... add  69.70
  # Z588 Double Balloon enteroscopy...................................................                   50.00
  # E250     - surgical time, to Z588
                ................................ per 15 minutes or major part thereof                   100.00
        Note:
        1.Z292 rendered in association with duodenoscopy and small bowel push enteroscopy
          services is not eligible for payment unless the laryngoscopy service is rendered for suspicion
          of disease of the larynx. Claims for Z292 in these circumstances are assessed by a medical
          consultant on a manual review basis and require the submission of a written explanation.
        2.Z588 is an all-inclusive fee code. With the exception of E250, no other surgical or procedural
          services are eligible for payment when Z588 is eligible for payment.
        3.Time units are calculated based on the time spent by the physician in direct contact with the
          patient for the purpose of the procedure. Time commences when the physician is first in
          attendance with the patient in the operating/procedure room and ends when the physician is
          no longer in attendance with that patient in the operating/procedure room.
                                          [Commentary:
                                          Manual review is not required for Z293, Z322 and Z323 rendered in association with
                                          duodenoscopy and small bowel push enteroscopy services.]
  # Z512 Endoscopy of ileostomy or colostomy, or reduction of
           obstructed Koch ileostomy .................................................                                36.80     4
  # E747   - to cecum .................................................................... add                        31.15
  # Z514 - with biopsy..........................................................................                      44.55     4
      SIGMOIDOSCOPY
  # Z580 Sigmoidoscopy (using 60 cm. flexible endoscope).................    nil       57.70      5
        Note:
        1.Z580 is not eligible for payment with Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499
          or Z555 same patient same day.
        2.For sigmoidoscopy with rigid scope, see Z535 (Rectum).
        3.Time units and anaesthesia extra units listed on GP97 are not eligible for payment with
          anaesthesia services for Z580C.
        4.E003C is not payable for anaesthesia services rendered for Z580.

Master, record 7116. Record Layout PDF, page 1.

Z32320260401999999990000226350000000000000000000000000000095760000000957600

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.