Z527

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 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.

Master, record 7256. Record Layout PDF, page 1.

Z52720260401999999990000082900000000000000000000000000000063840000000638400

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.