Z607

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 723 / T3

UROGENITAL AND URINARY SURGICAL PROCEDURES
 KIDNEY AND UPPER URINARY TRACT
                                                                                                     Asst    Surg     Anae
    PERCUTANEOUS PROCEDURES
# Z629 Percutaneous nephrostomy....................................................                          164.40    6
# Z623 Insertion of stent .....................................................................              101.95
# Z624 Dilatation of tract.....................................................................              105.25
# Z625 Selective catheterization of calyces (one or more) .................                                   55.35
# Z626 Nephroscopy, percutaneous or retrograde .............................                                 102.85    6
# Z627 Removal of renal calculi..........................................................             6      180.35    7
# E759    - if disintegrated by any method, to Z627..................... add                                 102.85
# E772    - percutaneous removal of staghorn calculus filling renal
            pelvis and extending into calyces .............................. add                             188.15
# Z636 Endoscopic ureterotomy or pyelotomy ...................................   293.00                                7
      [Commentary:
      Z636 is eligible for payment when rendered by percutaneous or retrograde route.]
# Z637 Percutaneous ablation of calyceal diverticulum to include
         dilation of communication with calyx and fulguration .........                                      262.75    6
# Z600 Change of nephrostomy tube .................................................                           44.00
       RENAL TRANSPLANTATION PROCEDURES
      Note:
      Submit on recipient’s claim. These fees do not include immunosuppressive therapy which is on
      a fee-for-service basis.
# E762     - reconstruction or repair of renal artery done in addition
             torenal transplantation procedures ............................ add 307.20
# S435 Kidney transplant ....................................................................         9     1585.10    13
# E769   - team fee (not to be billed when assistant fees are billed)
           ................................................................................... add           260.05
# S434 Kidney re-transplant................................................................           9     1896.35    13
# E771   - team fee (not to be billed when assistant fees are billed)
           ................................................................................... add           350.45
# S436 Donor nephrectomy - unilateral or bilateral (to include renal
           perfusion with hypothermia when rendered by surgeon) ...                            7 700.30                8
# E753    - live donor ................................................................... add   430.35
# E792    - when performed laparoscopically, to S436 ........ add 25%
      Note:
      For nephrological components - see Diagnostic and Therapeutic Procedures.
# Z631 Fine needle aspiration of renal transplant...............................                  45.15
    ENDOSCOPIC PROCEDURES
# S470 Cystoscopy with manipulation and/or removal of calculus and
         retrograde pyelogram if required ........................................                           240.65    6
# Z638 Endoscopic treatment of vesicoureteral reflux by subureteral
         injection of agent, unilateral or bilateral..............................                    6      450.00    6
         Note:
         Z606, Z607, Z611, Z617 and Z628 are not eligible for payment with Z638.

PDF page 724 / T4

UROGENITAL AND URINARY SURGICAL PROCEDURES
KIDNEY AND UPPER URINARY TRACT
                                                                                                    Asst         Surg          Anae
    Cystoscopy and diagnostic Ureteroscopy
# Z628 - above intramural................................................................                        125.70          6
# E819   - diagnostic ureteroscopy of second ureter, to Z628 .... add                                             54.65
# E822   - ureteroscopy to upper third of ureter or renal pelvis, to
           Z628........................................................................... add                    39.60
# E760   - with removal of calculus............................................. add                             174.55
# E761   - intracorporeal lithotripsy by any method .................... add                                     100.75
# E820   - with biopsy of one or more sites in ureter and/or pelvis
           using ureteroscope .................................................... add                             53.35
# E823   - resection and fulgarization of one or more ureteral or renal
           pelvic tumours, to Z628.............................................. add                             250.50
      INCISION
    Ureterotomy, abdominal or vaginal exploratory or for drainage
      With removal of calculus
# S445 - upper 2/3 ............................................................................        6         376.80          7
# S446 - lower 1/3.............................................................................        6         482.40          7
      Where ureter has been previously opened
# S447 - upper 2/3 ............................................................................        6         437.20          6
# S448 - lower 1/3.............................................................................        6         522.50          7
      EXCISION
    Ureterectomy
# S449 - including ureterovesical junction ........................................                    6         477.50          7
# S450 - other e.g. partial .................................................................          6         355.60          7
    REPAIR
# S452 Ureteroileal conduit.................................................................           6         844.95          9
# S454 - with ureterectomy and ileal replacement ...........................                           6         957.85          9
# S457 Ureteroureterostomy...............................................................              6         592.05          8
# E792     - when performed laparoscopically, to S457 ........ add 25%
    Re-implantation
# S451 Ureterovesical anastomosis or re-implantation unilateral .......                                6         525.55          8
      Note:
      Not to be billed in addition to S482.
# S561 Re-implantation of ureter with extensive tapering with or
           without ureterolysis.............................................................           6         743.45          8
# S562 Re-implantation of bifid ureter.................................................                6         747.90          8
# E792     - when performed laparoscopically, to S451, S561 or S562
             ........................................................................... add 25%
# Z638 Endoscopic treatment of vesicoureteral reflux by subureteral
         injection of agent, unilateral or bilateral..............................                     6         450.00          6
         Note:
         Z606, Z607, Z611, Z617 and Z628 are not eligible for payment with Z638.

PDF page 727 / T7

BLADDER
                                                                                                                    Asst   Surg     Anae
      ENDOSCOPY - CYSTOSCOPY
      Diagnostic and Therapeutic Procedures
  # Z606 Diagnostic with or without urethroscopy .................................                 77.00 5
  # Z607 Repeat within 30 days ............................................................        38.05 5
  # E775    - with catheterization of the ureter and collection of the
              ureteral specimen, unilateral...................................... add              16.45
  # E817    - with catheterization of the ureter and retrograde injection
              of opaque media, unilateral........................................ add              16.45
  # E776    - with unilateral brush biopsy of renal pelvis and/or ureter,
              and/or transurethral biopsy of bladder ....................... add                   26.70
  # E818    - with insertion of ureteric stent, unilateral.................... add                 26.70
  # E777    - with cystometrogram (to include urethral pressure profile if
              necessary) ................................................................. add     12.35
  # E783    - with secondary surgical evacuation of bladder clots and
              control of haemorrhage.............................................. add            106.80
  # E784    - with hydrodistention of bladder - general anaesthetic add                            53.45
  # E824    - with bladder biopsy - general anaesthetic.................. add                      53.45
  # E773    - with placement of ureteric stent past obstructing lesion
              (unilateral) .................................................................. add  53.50
        Note:
        1.Only one of E773 or E818 is eligible for payment for the same ureteric obstruction.
        2.Time units and anaesthesia extra units listed on GP97 are not eligible for payment with
          anaesthesia services for Z606C or Z607C.
        3.E003C is not payable for anaesthesia services rendered for Z606 or Z607.
  # E791    - with periurethral injection of bulking agents ............... add                    50.70
        Payment rules:
        1.E791 is not eligible for payment with any procedural fee code other than Z606
        2.E791 is only eligible for payment for one treatment per patient every 16 weeks
  # E781    - with electrocoagulation - tumour(s)............................ add     53.50
  # E782    - with electrocoagulation - Hunner ulcer....................... add       53.50
  # E786                                  - with resection or incision bladder neck, female ......... add                  106.85
  # E787                                  - with resection or incision bladder neck, male ............ add                 279.20
  # E788                                  - with ureteral meatotomy, by any means .................... add                  99.70
  # E789                                  - with removal foreign body or calculus........................ add              106.85
  # E790                                  - with removal of ureteric catheter................................ add            9.45
  # E751    - with insertion of chemotherapeutic agent(s) .............. add                                                58.65
        Note:
        E751 is not eligible for payment with Z603 or Z611.
        Excision of tumour or tumours including base and adjacent muscles and electrocoagulation,
        if necessary
  # Z632 - single tumour 1 to 2 cm diameter .......................................           290.90 6
  # Z633 - single tumour over 2 cm diameter ......................................            468.70 6
  # Z634 - multiple tumours ................................................................. 468.70 6

Master, record 7332. Record Layout PDF, page 1.

Z60720260401999999990000038050000000000000000000000000000079800000000798000

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.