Z515

PDF page 689 / S7

DIGESTIVE SYSTEM SURGICAL PROCEDURES
 OESOPHAGUS
                                                                            Asst      Surg                           Anae
         For procedures on the oesophagus, the following basic units for assistants and
         anaesthesiologists will apply except if a basic fee is listed.
# S073 Cervical approach....................................................................          6      -         7
# S074 Thoracic approach ...................................................................          10     -        13
# S075 Abdominal approach................................................................             7      -         8
    ENDOSCOPY
# Z515 Oesophagoscopy, with or without biopsy(ies)..........................                                 68.25    4
      Oesophagoscopy-gastroscopy, with or without duodenoscopy
# Z399 - elective ................................................................................    nil    92.50    4
# Z400 - for active bleeding ...............................................................          nil   125.10    4
# E836   - endoscopic mucosal resection (EMR) of very large sessile
           polyp (> 3cm) or lesion (>3 cm) of the upper
           gastrointestinal tract, total excision, to Z399, Z515, or
           Z527............................................................................add              227.65
# E696   - with dilatation of oesophagus......................................add                            30.65
# E702   - with multiple (3 or more) biopsies of specific lesion....add                                      15.10
# E690   - with removal of foreign body(ies) ................................add                             43.85
# E795   - with brushing of oesophagus, stomach, and/or duodenum
            ....................................................................................add          46.30
# E770   - with duodenoscopy and drainage of bile after I.V. CCK
           stimulation...................................................................add                 23.10
# E692   - with laser debulking ....................................................add                      69.70
# E698   - with pneumatic or balloon dilation...............................add                              69.70
# E703   - with snare polypectomy first polyp (> 1 cm)................add                                    50.50
# E799   - each additional polyp, by snare polypectomy (> 1 cm) (to a
           maximum of 2) ............................................................add                     25.25
# E695   - laser palliation of oesophageal tumour, extensive,
           complete obstruction (see General Preamble GP12) add                                             I.C
# E797   - management of uncomplicated upper or lower
           gastrointestinal bleeding, by any technique (e.g. laser,
           injection, diathermy, banding etc.) .............................add                              46.30
# E798   - management of complicated upper gastrointestinal
           bleeding by any technique in haemodynamically unstable
           patients with active bleeding during endoscopy......... add                                       69.70
# E629   - endoscopic placement of stent in duodenum..............add                                       137.05
# E813   - radiofrequency ablation of dysplastic Barrett’s esophagus,
           to Z399, Z515, or Z527 ...............................................add                        215.00

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

Master, record 7245. Record Layout PDF, page 1.

Z51520260401999999990000068250000000000000000000000000000063840000000638400

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.