Z327

PDF page 649 / P9

RESPIRATORY SURGICAL PROCEDURES
 TRACHEA AND BRONCHI
                                                                                                       Asst   Surg     Anae
PREAMBLE
  1. When bronchoscopy, flexible or rigid, is rendered in conjunction with laryngoscopy or
     oesophagoscopy, only the bronchoscopy is eligible for payment.
    2. Bronchoscopy rendered by the same surgeon immediately following thoracic surgery under the
       same anaesthetic is not eligible for payment.
    3. Bronchoscopy (including intraoperative bronchoscopy) rendered the same day as a major lung
       resection is not eligible for payment if a bronchoscopy has been rendered by the same
       physician to the same patient in the 3-week period preceding the major lung resection.
       ENDOSCOPY
    Bronchoscopy
# Z360 Emergency rigid bronchoscopy for obstructed airway ............               474.65
      Note:
      1.Z360 is eligible for payment only for life-threatening emergency situations where the patient
        is not intubated.
      2.No other bronchoscopy service is eligible for payment with Z360.
      3.Life Threatening Critical Care and Other Critical Care services are not payable in addition to
        Z360 to the same physician for the same patient, same day.
# Z327   - flexible or rigid, with or without bronchial biopsy, suction or
           injection of contrast material............................................... nil 124.90 6
# E846     - rigid bronchoscopy rendered immediately after flexible
             bronchoscopy, to Z327 .............................................. add         95.70
      Note:
      E846 is only eligible for payment when rendered for the treatment of a condition identified by
      the preceding flexible bronchoscopy.
# E632         - with removal of foreign body, to Z327 ........................ add                            68.40
# E633         - with dilatation of stricture, to Z327 ............................. add                       44.55
# E634         - with selective endobronchial blocker or catheter
                 insertion, to Z327 ....................................................... add                52.00
# E635         - with palliative endobronchial tumour resection including
                 laser or cryotherapy, to Z327 ..................................... add                       67.20
# E636         - with broncho-alveolar lavage for diagnosis of malignancy
                 or diagnosis and/or treatment of infection and includes
                 obtaining specimens suitable for differential cellular
                 analysis, to Z327........................................................ add                 50.00
# E637         - with selective brushings of all 18 segmental bronchi for
                 occult carcinoma in situ; specimens labeled as to site, to
                 Z327........................................................................... add           76.45
# E638         - with transbronchial lung biopsy with or without image
                 intensification, to Z327 ............................................... add                  81.90
# E622         - any bronchoscopic procedure for patients under 3 years of
                 age, to Z327............................................................... add               79.40
# E677         - transbronchial needle aspiration (TBNA) of mediastinal
                 and/or hilar lymph nodes, to Z327 ............................. add                          104.00

PDF page 650 / P10

RESPIRATORY SURGICAL PROCEDURES
TRACHEA AND BRONCHI
                                                                                                  Asst         Surg          Anae
# E678         - TBNA of lung mass, to Z327 ...................................... add                         104.00
# E838         - bronchoscopy in a high risk patient with respiratory failure
                 (i.e. severe hypoxemia or hypercapnia), to Z327...... add                                       79.40
      Note:
      E838 is not eligible for payment unless the physician remains with the patient after the
      procedure is completed and until oxygen levels have returned to their pre-intervention level and
      it is apparent the patient will not require assisted ventilation.
# Z342 Limited bronchoscopy with placement of endobronchial
             blocker and/or double lumen tube ...................................... 112.55
# Z359 Repeat bronchoscopy for tracheobronchial toilet when
         performed within one week of another bronchoscopic
         procedure ...........................................................................                   56.65          6
# G050 Endobronchial ultrasound (EBUS), for guided biopsy of hilar
         and/or mediastinal lymph nodes.........................................                                203.05
# E837   - additional biopsy(s) performed by EBUS, to a maximum of
           3, to G050 .................................................................. add                     50.75

Master, record 7120. Record Layout PDF, page 1.

Z32720260401999999990000124900000000000000000000000000000095760000000957600

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.