DELETED FEE SCHEDULE CODES:

Location Code Description
GENERAL PREAMBLE B991 Daytime Special visit to Patients Home additional patient seen - See increase to B990
  B993 Special Home visit with sacrifice of office hours "additional patient seen" - See increase to B992
  B995 Evening Special visit to Patents Home "additional patient seen - See increase to B994
  B997 Nights (midnight to 7:00 a.m.) Special Home visit "additional patient seen" - See increase to B996
Diag Rad X118 Intravenous cholangiogram - Obsolete
  X148 Intra-uterine foetal transfusion - radiological control - Obsolete - See G280 in Schedule of Benefits
  X178 Intravenous angiocardiography with quantification - Obsolete - See Nuclear Medicine for current procedures
  X172 - without quantification - Obsolete - See X178 above
Clinical Proc J109 Non-selective intravenous angiocardiography, including quantification - Obsolete - See X178 above
  J015 Peritoneal pneumogram - Obsolete
  J017 Presacral insufflation - Obsolete
Diag Ultrasound J100/J400 Echoencephalography - midline, A-mode
- Obsolete - See J122/J422
Diag & Thera G279 Indirect transfusion - Delegated hospital procedure
  G093 Continuous haemodiafiltration initial and acute
- Replaced by new codes G082/G092
  G095 Slow continuous ultrafiltration initial and acute
- Replaced by new codes G090/G294
Musculoskeletal R365 Electrical stimulation - Obsolete and not performed
  R366 - with muscle stripping of spine - Obsolete - See R365 above
  R367 Repair or replacement of electrodes
- Obsolete - See R365 above
  R442 Surface replacement
- Obsolete - See R241 in Schedule of Benefits
Urogenital S502 With secondary surgical evacuation of bladder clots and control of haemorrhage - Replaced by new code E783
Nervous System E905 Occipital artery - use of graft (autogenous vessel or synthetic) - Obsolete and not perfortmed

 

     REVISIONS TO UNDERWEIGHTED FEES ARE AS FOLLOWS:

Code Description Fee
October 1/92
Fee
February 1/98
B990 Special visits to patients home or equivalent Daytime, Monday to Friday $16.70 $19.24
B992 Emergency call with sacrifice of office hours $33.40 $38.43
B994 Evenings (17:00 h - 24:00 h), Saturdays, Sundays, Holidays $33.40 $38.43
B996 Nights (00:00 h - 07:00 h) $50.20 $57.79
A777 Minor assessment - pronouncement of death $16.25 $24.80
A008 Mini assessment $7.50 $8.51
C777 Visit for pronouncement of death $16.25 $24.80
W777 Visit for pronouncement of death $16.25 $24.80
X105 Palatopharyngeal analysis (cine or videotape) $25.00 (P) $27.95 (P)
X106 Pharynx and oesophagus (cine or videotape) $25.00 (P) $27.95 (P)
X104 Oesophagus, stomach and duodenum - double contrast, including survey film, if taken $32.00 (P) $35.09 (P)
X103 Oesophagus, stomach and duodenum - double contrast, including survey film, if taken, and small bowel $40.30 (P) $44.19 (P)
X113 Colon - air contrast, primary or secondary, including survey films, if taken $34.40 (P) $37.69 (P)
#R081 MOH's Surgery - initial cut, including debulking $201.95 $244.23
#E524 MOH's Surgery - one or more additional cuts
                                              ..... add
$151.10 $214.90
F006 Ontra-articular - closed $72.40 $110.17
#R241 Revision total arthroplasty hip $895.15 $1,200.55
#R513 Arthrodesis - Triple $356.10 $389.98
#R474 Arthrodesis - midtarsal/subtalar $324.50 $341.24
#S233 Percutaneous transhephatic catheter drainage of obstructed bile ducts including daily supervision and including percutaneous cholangeogram and catheterization
-to duodenum if achieved
$243.30 $292.49
#E723 Laparotomy - with repair of lacerated spleen ..... add $172.90 $262.03

 

     REVISIONS TO OVERWEIGHTED FEES ARE AS FOLLOWS:

Code Description Fee
October 1/92
Fee
February 1/98
A905 Limited Consultation $45.40 $40.88
J304 Flow volume loop $13.30 (P) $8.90 (P)
#R849 Haemodialysis - Initial and acute
- See new codes G083/G091 and G085/G295
$802.90 $571.66
G325 Haemodialysis - Medical component
- See new codes G083/G091 and G085/G295
$514.70 $283.39
#G323 Haemodialysis - Medical component
- See new codes G083/G091 and G085/G295
$261.70 $141.69
#G412 - 1st day following transplantation $619.30 $194.34
#R477 Metatarsophalyngeal Arthrodesis $284.25 $227.49
#S532 Urethrotomy - transurethral (visual) $304.70 $152.84
#S538 Urethrotomy - repeat procedure within 6 months by same surgeon $175.60 $88.07
#S741 Tubal occlusion/interruption/removal by any method of approach for the purpose of sterilization $159.10 $143.25
#N123 Sterotaxis - intracranial $1,149.60 $990.71
#N208 Craniotomy for craniofacial repair $980.30 $844.78
L821 Diagnostic examination - small and uncomplicated specimen $26.00 $24.00

 

     INDEPENDENT CONSIDERATION CODES WITH FEES
     ASSIGNED AS FOLLOWS:

Code Description Fee
October 1/92
Fee
February 1/98
#R671 Graft of burn - scalp over 50% I.C. $297.75
#R674 Graft of burn - neck over 50% I.C. $288.85
Z191 Suture of lacerations - more than 15.1 cm - routine I.C. $71.17
#R004 Skin flaps - defect more than 10 cm such as thoracic abdominal flap I.C. $223.37
#R074 Defect more than 10 cm average diameter I.C. $439.68
#R083 Full Thickness Grafts - major over 5 cm I.C. $206.14
R029 Scar revision - greater than 10 cm I.C. $265.16

 

     THE MAXIMUM NUMBER OF SERVICES HAS BEEN
     INCREASED FOR THE FOLLOWING FEE SCHEDULE CODES:

Code Description Max # of ServicesOctober 1/92 Max # of Services February 1/98
X435 MRI - neck - repeat 2 3
X445 MRI - thorax - repeat 2 3
X455 MRI - abdomen - repeat 2 3
X465 MRI - pelvis - repeat 2 3
X475 MRI - extremities - repeat 2 3
X492 MRI - limited spine - repeat 2 3
X495 MRI - intermediate spine - repeat 2 3
X498 MRI - complex spine - repeat 2 3

 

   THE MAXIMUM NUMBER OF SERVICES HAS BEEN
   DECREASED FOR THE FOLLOWING FEE SCHEDULE CODES:

Code Description Max # of ServicesOctober 1/92 Max # of Services February 1/98
J866/J666 - application of SPECT (maximum 1 per examination)                                        ..... add 2 1

     
E140 Basic units for Assistant have been decreased from 4 to 3
  Basic units for Anaesthetic have been decreased from 8 to 6

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