Z432

PDF page 113 / GP99

ANAESTHESIA FOR NERVE BLOCK PROCEDURES
When a physician renders an anaesthesia service in support of services performed by another
physician listed in Nerve Blocks for Acute Pain Management, Interventional Pain Injections or the
Peripheral/Other Nerve Block sections of the Schedule the anaesthesia service is only eligible for
payment as one of the following:
   E030C Procedural sedation............................................ 4 basic units
       Note:
       Extra units listed on GP97 are not payable with E030C.
   E031C General anaesthesia or deep sedation............... 4 basic units
          Note:
          Extra units listed on GP97 are not payable with E031C.
          [Commentary:
          Z432C is not eligible for payment for an anaesthesia service in support of a nerve block.]

PDF page 114 / GP100

Ocular Surgery, Cystoscopy, and Examination Under Anaesthesia
               E023C Anaesthesia service for E138, E139, E140, E141, E144, E145,
                        E146, E186, E187, E149, Z432, Z606, or Z607
                         ............................................. 6 basic units, plus time units.
      Colonoscopy and Sigmoidoscopy
   E032C Anaesthesia service for Z491, Z492, Z493, Z494, Z495, Z496,
                Z497, Z498, Z499, Z555 or Z580
                .............................................. 4 basic units, plus time units
        [Commentary:
        1.Deep sedation, general anaesthesia or regional anaesthesia, performed by an
          anaesthesiologist, are examples of anaesthesia that may be rendered for E023C and E032C.
        2.Anaesthesia extra units listed on GP97 are eligible for payment with E023C and E032C.
        3.Local infiltration or topical anaesthesia used as an anaesthetic for any procedure is not
          eligible for payment.]
        Note:
        For the purposes of anaesthesia services the following definitions apply:
        1.Procedural Sedation is a drug-induced depression of consciousness during which patients
          respond purposefully to verbal commands, either alone or accompanied by light tactile
          stimulation. No interventions are required to maintain a patent airway, and spontaneous
          ventilation is adequate. Cardiovascular function is usually maintained.
        2.Deep Sedation is a drug-induced depression of consciousness during which patients cannot
          be easily aroused but respond purposefully following repeated or painful stimulation. The
          ability to independently maintain ventilatory function may be impaired. Patients may require
          assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate.
          Cardiovascular function is usually maintained.
        3.General Anaesthesia is a drug-induced loss of consciousness during which patients are not
          arousable, even by painful stimulation. The ability to independently maintain ventilatory
          function is often impaired. Patients often require assistance in maintaining a patent airway,
          and positive pressure ventilation may be required because of depressed spontaneous
          ventilation or drug-induced depression of neuromuscular function. Cardiovascular function
          may be impaired.
  ANAESTHESIA ADMINISTERED BY SAME PHYSICIAN PERFORMING A PROCEDURE
    1. Except as described in paragraph 2, when a physician administers an anaesthetic, nerve block
       and/or other medication prior to, during, immediately after or otherwise in conjunction with a
       diagnostic, therapeutic or surgical procedure which the physician performs on the same patient,
       the administration of the anaesthetic, nerve block and/or other medication is not eligible for
       payment.

PDF page 420 / J6

Examination under anaesthesia (EUA) (when sole procedure performed)
A. While this may be performed for diagnostic purposes, the specific elements are those for a
   therapeutic procedure.
B. EUA is payable only if sole procedure performed by examining physician. EUA claimed in
   conjunction with any other procedure is payable at nil.
C. Claims for EUA submitted without the applicable diagnostic code are payable at nil.
        Note:
        Despite paragraph b. listed under Basic Units on GP94, no anaesthesia service other than
        E023C is eligible for payment when rendered in support of Z432.
        [Commentary:
        Refer to E023C on GP100 for anaesthesia services rendered in support of Z432.]
  Z432 EUA with or without intubation, and may include removal of
         vaginal foreign body ...........................................................                54.10
  Z430 Provision of anaesthetic services for patients undergoing
         magnetic resonance imaging .............................................                          -             6

Master, record 7184. Record Layout PDF, page 1.

Z43220250401999999990000054100000000000000000000000000000000000000000000000

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.