-5-

Consultations and Visits - Miscellaneous

A008

Mini assessment

$9.90

R

C935

Non-Emergency Hospital In-Patient Services, Special surgical consultation (see General Preamble B3(k))

$111.25

N

Gastrointestinal

#E795

Endoscopy: with brushing of esophagus, stomach, duodenum

$44.95

N

 

Esophagus, Endoscopy:

 

 

#E703

-          with snare polypectomy (>1 cm)

 

R

#E799

-          each additional polyp (>1 cm) (to a maximum of 2)

 

R

#E797

Esophagus: management of uncomplicated bleeding by any technique, (e.g., laser, injection, diathermy, banding etc.) add

$44.95

N

#E798

Esophagus:  management of complicated upper gastrointestinal bleeding by any technique in hemodynamically unstable patients with active bleeding during endoscopy, add

$67.65

N

 

Esophagus, Endoscopy

 

 

#E691

-          with injection of esophageal varices

 

D

#E689

-          with injection of bleeding ulcer

 

D

#E701

-          with or without duodenoscopy - with diathermy or laser

 

D

#E674

Stomach - Endoscopies: - with snare polypectomy - 1st polyp >1cm (maximum 1), add

$138.20

N

#E675

Stomach - Endoscopies: - One or more additional polyps >1cm by snare polypectomy (maximum 2), add. Note:  E674 and E675 are payable with Z527, Z547 or Z528.

$71.35

N

#Z584

Intestines, Endoscopy:  Small bowel push enteroscopy

$179.70

N

#E685

Intestines, Endoscopy: Total excision of very large sessile polyp (>3cm) through colonoscopy, each, and may include fulguration, add. Note:  Z570 payable at nil if claimed with Z685 or Z571 for same polyp.

$221.00

N

#Z561

Biliary Tract: Endoscopic retrograde cholangiopancreatography (ERCP) with cannulation of the common bile duct and/or pancreatic duct

 

R

#Z558

Biliary Tract: ERCP including sphincterotomy and may include removal of 1 or more bile duct stones

 

R

#Z760

Biliary Tract: ERCP through gastrojejunostomy following previous Billiroth II

 

R

#E680

-          with insertion of first endobiliary prosthesis and/or pancreatic stent (maximum 1), add

$79.95

N

#E681

-          with insertion of each additional endobiliary prosthesis and/or pancreatic stent (maximum of 3), add

$42.35

N

#E669

-          with esophagoscopy-gastroscopy may include duodenoscopy, add

Note:  E662, E666, E668, E702, E680, E681, E669, are payable with Z561, Z558 or Z760.

$99.75

N

#Z556

Insertion of endobiliary prosthesis, or pancreatic stent - first one

 

D

#Z557

Insertion of endobiliary prosthesis, or pancreatic stent - each additional (to a maximum of 3)

 

D

Genetics

A225

A genetic consultation is payable at nil if a genetic assessment (K016) orGenetic Care (K222) has previously been performed by the same physician.

$120.80

R

K016

General Preamble:  Genetic Assessment: is a detailed…to make a diagnosis, construct/revise a pedigree, and assess the risks to persons seeking advice. …The assessment and counselling must be rendered personally by the attending physician. This code may be used as a first or follow-up assessment as long as a complete assessment is performed.

 

R

K222

 

General Preamble:  Genetic Care: is a Genetic Assessment, patient or family direct contact, per half-hour (maximum 2 hours). When claimed in respect of the same patient for whom K016 has been or is claimed, the amount payable for K222 is reduced to zero.

 

R

K223

General Preamble:  Clinical Interpretation: is a clinical interpretation by a geneticist of pertinent pedigrees (which must contain a comprehensive ancestral history), and/or cytogenetic, biochemical, or molecular genetic reports, and must be requested in writing…

 

R


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