Z354

PDF page 652 / P12

RESPIRATORY SURGICAL PROCEDURES
CHEST WALL AND MEDIASTINUM
                                                                                                       Asst         Surg          Anae
      EXCISION
# M105 Chest wall tumour, resection of 2 or more ribs, with or without
          costal cartilage, or, wide resection of one rib, with or without
          costal cartilage for malignant or suspected malignant chest
          wall tumour ......................................................................... 9 1040.00 13
# E847    - with reconstruction of diaphragm requiring repair with
            mesh or equivalent synthetic material to M105.......... add                             75.00
      Payment rules:
      1.M105 is not eligible for payment when rib resection is required as part of surgical exposure for
        another procedure.
        2.M105 is not eligible for payment for incisional biopsy of chest wall tumour or excisional rib
          biopsy.
        3.Z353 or Z354 are not eligible for payment same day as M105.
        [Commentary:
        See Z353 for incisional biopsy of chest wall tumour and Z354 for excisional biopsy of rib for
        tumour.]
    Chest wall reconstruction
# E640   - after chest wall resection where a significant defect
           (minimum 5 cm in diameter) remains requiring repair with
           synthetic material ....................................................... add                           179.55
# E601         - for each additional rib (more than 3) to a maximum of 3
                 additional.................................................................... add                  57.50
# E602         - with sternal resection ................................................. add                       177.95
# M107 Total sternectomy....................................................................              9         812.25          13
# N284 Excision of first rib and/or cervical rib to include scalenotomy,
          fibrolysis, and/or neurolysis when required ........................                            6         714.00           6
# M106 Mediastinal tumour .................................................................               9        1255.00          13
# E847    - with reconstruction of diaphragm requiring repair with
            mesh or equivalent synthetic material to M106.......... add                                              75.00
# M108 Ligation of thoracic duct - as sole procedure .........................                            6         410.45          6
# E683         - when performed thorascopically, by video-assisted
                 thoracic surgery (VATS), by robotic-assisted surgery, or by
                 uniportal approach, to M106 or M108 ............... add 35%

Master, record 7147. Record Layout PDF, page 1.

Z35420260401999999990000142200000000774600000000000000000111720000001117200

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.