-4-

Page Fee Code Description Fee N-New
R-Revised
D-Deleted

A11, xii

K023

Palliative care support

 

R

A12

K028

Sexually transmitted disease (STD) management

50.45

N

A12

K029

Insulin therapy support

50.45

N

A12

K030

Diabetic management assessment

30.00

N

A14

E015

Consultation within 36 hours of an anesthesia

 

D

A14 - 46, xvi

A/CXXX

Complex medical specific re-assessment - for medical specialty groups with medical specific assessment codes

52.10

N (24)

A32

A230

Orthoptic assessment

14.60

N

A35, 36, 37, xvii

A/C/W667

Neurodevelopmental consultation, pediatric

224.65

N (3)

A36

A/C263, A/C264

Revise general assessment and re-assessment descriptors to pediatric medical specific assessment and medical specific re-assessment

 

R (4)

A41, 42, xvii

A/C/W795

Geriatric psychiatric consultation

168.40

N (3)

A41, 42, xvii

A/C/W695

Neurodevelopmental consultation, psychiatric

224.65

N (3)

B3

J811/J611

J813/J613

Myocardial wall motion studies (Note)

 

R (4)

C1

Preamble

Radiation Oncology

 

R

C2

X301

Major treatment planning

 

D

C2

X310

Treatment planning - Level 1 

219.00

N

C2

X311

Treatment planning - Level 2

381.00

N

C2

X312

Treatment planning - Level 3

692.00

N

C3

X313

Treatment planning - Level 4

825.00

N

C4

X333

Metastatic disease with radioactive lymphogram

 

D

E4

#J016

Percutaneous vertebroplasty

148.10

N

E4

#J054

Percutaneous vertebroplasty - each additional - max 3 per patient per day

74.05

N

G4

J165

Transvaginal sonohysterography

H

101.50

P1

74.20

P2

00.00

N

G5

J193/J493, J194/J494, J195/J495, J202/J502

Peripheral vessel assessment

 

R (8)

G7

J149

Note: Diagnostic ultrasound J138/438 and J161/461 rendered same visit as ultrasound guidance J149 is an insured service payable at nil.

 

R

J10

G316, G335

Cardiovascular stress testing - vector analysis T & P components

 

D (2)

J11

 

Continuous ECG monitoring

 

 

 

G650

Level 1:         12 - 47 hr recording - P fee

46.95

R

 

G658

Level 1:         48 - 71 hr recording - P fee

70.45

N

 

G659

Level 1:         72 hr or more recording - P fee

93.95

N

 

G653

Level 2:         12 - 47 hr recording - P fee

33.45

R

 

G656

Level 2:         48 - 71 hr recording - P fee

50.15

N

 

G657

Level 2:         72 hr or more recording - P fee

66.85

N

J13

Preamble

Critical Care - Life threatening emergency situation

 

R

J13

Critical Care

Critical Care - Other resuscitation

 

R

J14 - J16

Critical Care

Critical Care - Per Diem listings Preambles - Intensive Care Area, Comprehensive Care, Neonatal Intensive Care

 

R

J16

#G603

Neonatal low volume intensive care premium

452.50

N

J16

#G604

Neonatal low birth weight  intensive care premium

452.50

N

J24

#G322

Nasogastric intubation under general anesthetic

9.40

N

J35, M4, xlii

Preamble

Brachial plexus block added to that payable as G224 with anesthetic service

 

R

J36

G216

Lumbar epidural block

 

R

J36

G245

Lumbar epidural or intrathecal injection of sclerosing solution

 

R

J37

#G246

#G125

Introduction of lumbar epidural catheter for analgesia

-        concurrent with anesthesia time units for operative procedure

 

R

R

 

#G255

-      with insertion of subcutaneous port

 

D

 

#E833

-      with insertion of subcutaneous port

113.80

N

 


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