-5-

Page Fee Code Description Fee

N-New
R-Revised
D-Deleted

J37

#G117

#G118

Introduction of thoracic epidural catheter for analgesia

-        concurrent with anesthesia time units for operative procedure

94.75

56.05

N

N

J37

#G119

Introduction of cervical epidural catheter for analgesia

113.70

N

J38

#G273

Lumbar epidural injection of adrenal steroid or autologous blood

 

R

J43

Diagnostic Hearing Tests

Clarify commentary. See Bulletin 4378, November 21, 2001.

 

R

J45

Preamble

Electromyography and nerve conduction studies preamble

 

R

J47

#Z458

Electroconvulsive therapy - single or multiple

 

D

J47

#G478

Electroconvulsive therapy - single or multiple - inpatient

54.15

N

J47

#G479

Electroconvulsive therapy - single or multiple - outpatient

59.80

N

J48

J890/J690

Level 1 - overnight sleep study - diagnostic study

 

R (2)

J48

J889/J689

Level 1 - overnight sleep study - therapeutic study for CPAP titration

H

376.50

P1

180.50

P2

67.50

N (2)

J48

J894

Sleep Studies - maintenance of wakefulness test - separated from J893 MSLT

H

70.00

P1

51.45

P2

00.00

N

K4

P005

Antenatal preventative healthassessment

40.65

N

K4

P009

Attendance at labour and delivery by physician other than obstetric consultant

338.95

R

K4

E411

Sole Delivery Premium payable in addition to E414

 

R

K4

P011

Attendance at labour when same physician assists or gives anesthesia at C-section or operative delivery and claims separately as assistant or anesthetist

 

D

K5

E414

High risk obstetrical premium

60.85

N

K6

P030

Cervical ripening

57.45

N

K6

P025

Non-stress test for high-risk pregnancy

9.45

N

M4

Preamble

Surgical Procedures

 

R

M5

#E673

Lysis of extensive intra-abdominal adhesions and/or scarring

60.85

N

M9

R010

Malignant melanoma - wide excision

121.65

N

M13

Preamble

Skin Flaps and Grafts

 

N

M13

#E540

Excision of tumour free margin with frozen section - add to first flap or graft

25%

R

 

 

M20

M20

 

 

#R146

#R147

Male mastectomy for adolescent male gynaecomastia, secondary to endocrine or genetic disorders or chemotherapy

-     simple

-     subcutaneous with nipple preservation

 

 

174.00

268.60

 

 

N

N

 

M20

M20

 

#R148

#R149

Male mastectomy for treatment of male breast cancer

-     simple

-     subcutaneous with nipple preservation

 

268.60

268.60

 

N

N

N5

#R209

Arthroplasty - basal thumb - first carpo-metacarpal joint

355.95

N

N7

#R322

Reconstruction - bone - pseudoarthrosis - scaphoid

356.65

R

N11

#N189

Ulnar nerve transposition at elbow

273.75

N

N17

#R298

Simple excision - clavicle or acromion - R416 paid at 85% with R298

 

R

N17

#R416

Rotator cuff exploration - excludes simple excision of clavicle R928 - paid at 85% with R298

 

R

N17

#R490

Excision - joint - acromio/sterno-clavicular meniscectomy

 

D

N19

#F120

Reduction - fractures - scapula - closed reduction with anesthetic

 

D

N19

#F122

Reduction - fractures - sternum - no reduction

 

D

N27, X7

#E926

Spinal duraplasty utilizing autologous tissue

 

R

N28

Z215

Spine-Examination under general anesthetic

 

D

N32, X13

 

 

#N188

#N285

#N177

Pelvis & Hip - Exploration, decompression, division, excision, biopsy, neurolysis, transposition

-    minor nerve

-     major nerve

-     sciatic nerve in buttock

 

 

 

R

R

R

N42

#R552

Revision ankle arthrodesis

496.70

N

Q1

Preamble

Operations on cardiovascular system

 

N

Q3

#E646

Vein patch angioplasty of coronary artery

184.10

N

Q4

#R741

Coronary artery endarterectomy and/or gas endarterectomy

 

R

Q7

Preamble

Operations on the Cardiovascular Systems - Arteries - Excision & Repair

 

R

Q7

#E679

Vein graft harvest remote from bypass site when saphenous vein unavailable

121.65

N

Q8

#R873

Thrombin injection of femoral artery pseudoaneurysm

53.90

N

 


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