MSP Billing Codes, Fees & Payment Schedule
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| Code | Description | Anes | Fee |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $60.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
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Code no longer active
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Consult malignant haemopoietic/reproductive/etc. | 0 | $57.89 |
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Code no longer active
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Extensor - repair | 0 | $232.45 |
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Code no longer active
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First additional area. physical therapy. | 0 | $6.75 |
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Code no longer active
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Flexor - repair | 0 | $369.80 |
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Code no longer active
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Gp 2nd medical opinion & form 12 - mental health | 0 | $58.99 |
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Code no longer active
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Home visit - requires therapist to travel to home | 0 | $28.70 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $5.43 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $14.00 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $5.45 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $14.00 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $17.62 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $17.62 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $43.50 |
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Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $60.00 |
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Code no longer active
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Initial visit - incl. evaluation & treatment - | 0 | $25.20 |
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Code no longer active
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Initial visit - nursing home - physical therapy | 0 | $23.85 |
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Code no longer active
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Msd form person with disabilities designation | 0 | $130.00 |
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Code no longer active
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Msd med rprt - persons with persist multi barriers | 0 | $50.00 |
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Code no longer active
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Msd medical report employability form | 0 | $25.00 |
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Code no longer active
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Msd medical report, child | 0 | $25.00 |
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Code no longer active
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Msd monthly nutritional supplement form part b | 0 | $25.00 |
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Code no longer active
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Msd section 3 assessor report | 0 | $75.00 |
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Code no longer active
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Multiple area treatment - second additional area | 0 | $6.75 |
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Code no longer active
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Multiple area treatment - third additional area. | 0 | $6.75 |
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Code no longer active
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Osmv - visual field test and exam visual functions | 0 | $102.00 |
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Code no longer active
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Osmv diabetic driver report-sent out with dmer | 0 | $30.00 |
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Code no longer active
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Osmv diabetic driver report-stand alone (no dmer) | 0 | $75.00 |
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Code no longer active
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Osmv driver's medical examination report (dmer) | 0 | $75.00 |
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Code no longer active
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Osmv examination of visual function (evf) by optom | 0 | $70.00 |
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Code no longer active
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Osmv visual field test (vft) by optom-stand alone | 0 | $42.00 |
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Code no longer active
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Osmv-examinatino of visual function(evf)-by ophth | 0 | $91.51 |
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Code no longer active
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Osmv-vft-visual field test by oph-stand alone test | 0 | $62.10 |
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Code no longer active
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Osmv-vft+evf(visual field+visual function)by ophth | 0 | $153.61 |
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Code no longer active
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Prolonged visit - assessment,treatment,instruction | 0 | $23.60 |
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Code no longer active
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Prolonged visit - cns, assessment,treatment of cns | 0 | $35.90 |
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Code no longer active
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Prolonged visit -min 25 minutes of direct contact | 0 | $23.60 |
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Code no longer active
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Prolonged visit at nursing home, therapy rendered | 0 | $23.60 |
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Code no longer active
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Radiology consult for malignant lesion - w/ biopsy | 0 | $43.58 |
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Code no longer active
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Radiology consult for malignant lesion of skin | 0 | $29.09 |
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Code no longer active
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Sessional - GP visit | 0 | $1,106.00 |
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Code no longer active
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Sessional - GP visit | 0 | $3,842.00 |
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Code no longer active
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Sessional - GP visit | 0 | $14,702.00 |
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Code no longer active
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Sessional - GP visit | 0 | $92.70 |
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Code no longer active
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Spec 2nd med op & form 12, follow up-mental health | 0 | $81.31 |
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Code no longer active
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Spec 2nd med. op. & form 12, intl - mental health | 0 | $177.10 |
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Code no longer active
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Specialist e-mail patient management-follow up | 0 | $10.10 |
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Code no longer active
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Specialist e-mail patient management-follow up | 0 | $60.00 |
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Code no longer active
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Specialist e-mail patient management-follow up | 0 | $40.00 |
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Code no longer active
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Subsequent visit - short evaluation and either | 0 | $17.65 |
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Code no longer active
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Subsequent visit at nursing home-therapy rendered | 0 | $15.65 |
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Code no longer active
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Telehealth radiology consult for malignant lesion | 0 | $57.89 |
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Code no longer active
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Telehealth radiology consult malignant w/biopsy | 0 | $43.58 |
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Code no longer active
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Telehealth radiology consult/malignant lesion skin | 0 | $29.09 |
Abdomen |
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| 08570 | Abdomen x-ray | 0 | $35.32 |
| 08648 | Abdominal b-scan | 0 | $110.10 |
| 08571 | Abdominal multiple x-ray | 0 | $53.41 |
| 08650 | Guidance for biopsy or cyst puncture | 0 | $126.67 |
| 08684 | Prostate scan using rectal probe | 0 | $110.08 |
| 08649 | Renal b scan | 0 | $86.68 |
Abdominal and Perineal Approach |
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| 72666 | Altemeier transperineal excision of rectal procide | 3 | $677.27 |
| 72667 | Division of stricture of rectum | 2 | $252.59 |
| 72664 | Proctectomy, complete - subtotal/total colectomy | 7 | $1,645.83 |
| 72665 | Proctectomy, partial - without anastomosis | 5 | $558.30 |
| 07580 | Rectal tumor excision by posterior parasacral | 5 | $800.00 |
Abdominal Operations |
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| 04208 | Ectopic pregnancy | 5 | $500.91 |
| 04217 | Hemorrhage - post op (intra-abdominal management) | 6 | $458.49 |
| 04228 | Hysterectomy - total | 5 | $736.94 |
| 04709 | Hysterectomy-laparoscopic total/supracerv&/or lavh | 5 | $980.80 |
| 04204 | Hysterotomy - abdominal with/without sterilization | 5 | $358.76 |
| 04707 | Laparoscopic sacrocolpopexy | 5 | $980.80 |
| 04001 | Laparoscopy | 4 | $229.25 |
| 04203 | Myomectomy | 5 | $500.91 |
| 04216 | Neurectomy presacral | 5 | $418.08 |
| 04003 | Oophorectomy/salpingectomy | 5 | $358.76 |
| 04201 | Ovarian cystectomy | 5 | $447.72 |
| 04229 | Removal of complicated pelvic disease | 6 | $754.70 |
| 04230 | Sterilization - abdominal-open | 4 | $356.60 |
| 04206 | Suspension of uterus | 4 | $240.19 |
| 04605 | Vault prolapse | 5 | $748.87 |
Abdominal Operations for Cancer |
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| 04011 | Ca ovary/ fallopian tubes | 6 | $1,011.82 |
| 04218 | Hysterectomy - radical | 6 | $1,102.00 |
| 04029 | Omentectomy/removal of soft-tissue mass | 5 | $358.76 |
| 04219 | Para-aortic lymphadenectomy | 6 | $595.90 |
| 04220 | Para-aortic lymphadenectomy - partial | 5 | $263.91 |
| 04212 | Pelvic lymphadenectomy | 6 | $595.90 |
| 04628 | Removal of extrapelvic soft tissue mass > 10 cm | 5 | $509.44 |
| 04630 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $474.13 |
| 04631 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $711.19 |
| 04632 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $356.60 |
| 04633 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $407.55 |
| 04640 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $474.13 |
| 04641 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $711.19 |
Abdominal Surgery - Miscellaneous |
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| 07603 | Abdominal wound evisceration - resuture | 5 | $406.03 |
| 07597 | Haemorrhage; intra-abdominal management - post ope | 6 | $379.58 |
| 71280 | Indwelling enteral tubes, removal - no anes | 0 | $30.65 |
| 71282 | Indwelling enteral tubes, removal- gen anaes | 2 | $203.93 |
| 71281 | Indwelling enteral tubes,removal-local/regional | 0 | $63.06 |
| 71283 | Indwelling entereal tubes, replacement - extra | 0 | $30.65 |
| 07601 | Intra-abdominal abscess excluding intrahepatic | 5 | $434.19 |
| 07600 | Laparotomy to include biopsy - exploratory | 5 | $405.81 |
| 71292 | Peritonectomy, with or without chemotherapy | 7 | $662.77 |
| 71293 | Peritonectomy, with/without chemotherapy add 15min | 7 | $75.60 |
| 71291 | Resection of soft issue tumour 10cmor >-add 15min | 0 | $76.47 |
| 71290 | Resection of soft tissue tumour 10cm or greater | 8 | $662.77 |
| 72600 | Temp or delayed abdominal closure with vac | 5 | $376.25 |
| 07451 | Thoracic extension of abdominal incision(extra) | 8 | $285.69 |
Ablation |
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| 06114 | Abrasive surgery - full face | 3 | $523.79 |
| 06112 | Abrasive surgery <1/4 of face | 3 | $126.70 |
| 06113 | Abrasive surgery 1/4 to 1/2 of face | 3 | $246.18 |
Acute Pain Management |
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| 01075 | Axillary indwelling catheter - repeat injection | 0 | $60.85 |
| 01076 | Axillary indwelling catheter - supervision | 0 | $40.57 |
| 01007 | Catheter insertion intrapleural for pain mgmt | 0 | $83.54 |
| 01074 | Catheter insertion-axillary for pain mgmt | 0 | $72.55 |
| 01025 | Epidural catheter insertion - lumbar or caudal | 0 | $150.36 |
| 01026 | Epidural catheter insertion - thoracic pain mgmt | 0 | $228.03 |
| 01050 | Epidural indwelling catheter repeat injection - 4 | 0 | $60.85 |
| 01073 | Epidural infusion - supervision | 0 | $40.57 |
| 01019 | Interpleural indwelling catheter repeat injections | 0 | $60.85 |
| 01021 | Intrapleural infusion - supervision | 0 | $40.57 |
| 01187 | Major peripheral nerve block - multiple | 0 | $69.28 |
| 01186 | Major peripheral nerve block - single | 0 | $45.85 |
| 01013 | Pain management - consultation for post-op pain | 0 | $101.03 |
| 01012 | Patient controlled analgesia - supervision | 0 | $40.57 |
| 01011 | Patient controlled analgesia (PCA) - first day | 0 | $21.79 |
Adult and Pediatric Critical Care |
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| 01413 | Comprehensive care (icu) - 1st day | 0 | $507.54 |
| 01423 | Comprehensive care (icu) - 2nd to 7th day (incl.) | 0 | $256.61 |
| 01443 | Comprehensive care (icu) - 31st day onward | 0 | $147.80 |
| 01450 | Comprehensive care (icu) - 31st day onward | 0 | $42.87 |
| 01455 | Comprehensive care (icu) - 31st day onward | 0 | $7.26 |
| 01433 | Comprehensive care (icu) - 8th to 30th day | 0 | $142.11 |
| 01411 | Critical care (icu) - 1st day | 0 | $340.05 |
| 01421 | Critical care (icu) - 2nd to 7th day (incl.) | 0 | $170.52 |
| 01441 | Critical care (icu) - 31st day onward | 0 | $135.47 |
| 01431 | Critical care (icu) - 8th to 30th day | 0 | $117.75 |
| 01412 | Ventilatory support (icu) - 1st day | 0 | $294.96 |
| 01422 | Ventilatory support (icu) - 2nd to 7th day (incl.) | 0 | $161.06 |
| 01442 | Ventilatory support (icu) - 31st day onward | 0 | $110.89 |
| 01432 | Ventilatory support (icu) - 8th to 30th day | 0 | $123.38 |
Airway Surgery |
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| 02422 | Broncho or microlaryngoscopy w f b removal- <3 yrs | 6 | $380.57 |
| 02450 | Broncho or microlaryngoscopy w removal of foreign body | 6 | $255.15 |
| 79080 | Closure of bronchopleural fistula | 10 | $953.71 |
| 02420 | Dilation of trachea | 5 | $152.64 |
| 02421 | Dilation of trachea - repeat within one month | 5 | $152.43 |
| 02430 | Micro-surgery w co2 laser for removal of-1st procedure | 6 | $445.46 |
| 02435 | Microsurgery w c02 laser for ..-subsequent proc | 6 | $445.46 |
| 79085 | Repair of ruptured bronchus | 9 | $964.56 |
| 79065 | Trachael resection | 10 | $964.56 |
| 79075 | Tracheal resection - with hilar release | 10 | $476.11 |
| 79070 | Tracheal resection - with laryngeal release | 10 | $476.11 |
All |
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| 92520 | 1-amphetamine | 0 | $70.92 |
| 92521 | 1-metamphetamine | 0 | $70.92 |
| 92353 | 13c triolein breath test for malabsorption | 0 | $67.91 |
| 91482 | Acetaminophen (quantitative) | 0 | $11.47 |
| 91480 | Acetazolamide | 0 | $46.68 |
| 91985 | Albumin creatinine ratio (acr) | 0 | $11.41 |
| 91484 | Amikacin | 0 | $45.99 |
| 91486 | Amiodarone | 0 | $46.53 |
| 91488 | Amitryptyline | 0 | $24.64 |
| 93065 | Amniotic cell culture - analysis only | 0 | $210.20 |
| 91490 | Amoxapine | 0 | $46.53 |
| 92503 | Amphetamines | 0 | $9.55 |
| 92522 | Anileridine | 0 | $70.92 |
| 90287 | Anti-neutrophil cytoplasmic antibodies (anca) | 0 | $114.26 |
| 90121 | Anti-nuclear antibodies, by multiplex immunoassay | 0 | $38.64 |
| 90288 | Anti-parietal cell antibody (apca), immuno screen | 0 | $23.82 |
| 92523 | Antihistamines | 0 | $70.92 |
| 90281 | Antinuclear antibodies by sensitive eia | 0 | $16.24 |
| 91220 | B-glucosidase, fibroblasts | 0 | $51.38 |
| 91221 | B-glucosidase, white blood cells | 0 | $51.38 |
| 91275 | B-type natriuretic peptide(bnp or nt-probnp) | 0 | $28.14 |
| 91226 | Barbiturates - quantitative | 0 | $35.61 |
| 92505 | Benzodiazepines | 0 | $8.39 |
| 91230 | Beta - 2 - microglobulin | 0 | $20.40 |
| 91231 | Beta-glucuronidase, white blood cells | 0 | $51.25 |
| 91232 | Beta-mannosidase white blood cells | 0 | $51.25 |
| 91235 | Bicarbonate, serum/plasma | 0 | $2.37 |
| 91236 | Bicarbonate, urine | 0 | $1.06 |
| 91241 | Bile acids, total | 0 | $32.36 |
| 91240 | Bile pigments and salts, qualitative, urine | 0 | $2.34 |
| 91245 | Bilirubin total, serum/plasma | 0 | $1.61 |
| 91246 | Bilirubin total, transudate/exudate | 0 | $1.05 |
| 91250 | Bilirubin, direct | 0 | $1.58 |
| 90620 | Biochemical identification - micro-organism | 0 | $9.55 |
| 92515 | Blood methadone | 0 | $46.42 |
| 91255 | Blood, qualitative, gastric | 0 | $2.44 |
| 91260 | Bone gla protein (osteocalcin) | 0 | $17.76 |
| 91270 | Bromides, qualitative, urine | 0 | $10.48 |
| 91265 | Bromides, quantitative | 0 | $16.29 |
| 91280 | C - 1q esterase inhibitors | 0 | $22.86 |
| 91285 | C - 3 complement | 0 | $9.61 |
| 91290 | C - 4 complement | 0 | $9.87 |
| 91295 | C - peptide | 0 | $47.42 |
| 91300 | C - reactive protein | 0 | $10.31 |
| 91310 | Ca 125 | 0 | $22.72 |
| 91305 | Ca 15 - 3 | 0 | $21.25 |
| 91315 | Ca 19 -9 | 0 | $20.88 |
| 91320 | Calcitonin | 0 | $50.63 |
| 91326 | Calcium total, serum/plasma | 0 | $1.55 |
| 91327 | Calcium, 24 hours excretion, feces | 0 | $19.73 |
| 91325 | Calcium, timed urine collection | 0 | $5.48 |
| 91328 | Calcium, urine random | 0 | $1.05 |
| 91330 | Calculus analysis, urine | 0 | $27.86 |
| 91335 | Carbamazepine | 0 | $15.32 |
| 91340 | Carbon monoxide, quantitative | 0 | $17.58 |
| 91345 | Carotene | 0 | $8.90 |
| 91350 | Catecholamines | 0 | $59.27 |
| 91351 | Catecholamines fractions-separation/interpretation | 0 | $40.79 |
| 91352 | Catecholamines, total urine | 0 | $46.45 |
| 91353 | Cells count - examination for faeces | 0 | $5.46 |
| 91360 | Ceruloplasmin | 0 | $10.15 |
| 91370 | Chloride - iontophoresis, sweat | 0 | $77.50 |
| 91365 | Chloride, quantitative, csf/other fluids | 0 | $7.21 |
| 91366 | Chloride, serum/plasma | 0 | $1.49 |
| 91367 | Chloride, timed urine collection | 0 | $10.06 |
| 91368 | Chloride, urine random | 0 | $3.26 |
| 91369 | Chloride, whole blood | 0 | $1.06 |
| 91492 | Chlorpromazine | 0 | $46.53 |
| 91375 | Cholesterol, total | 0 | $6.87 |
| 91380 | Cholinesterase/dibucaine number | 0 | $30.26 |
| 91386 | Chromatography, keto acids | 0 | $36.30 |
| 91387 | Chromatography, reducing substances, urine | 0 | $31.40 |
| 91388 | Chromatography, thin layer (tlc) | 0 | $32.65 |
| 93070 | Chromosomal breakage | 0 | $181.80 |
| 93080 | Chromosome analysis - high resolution | 0 | $123.82 |
| 93081 | Chromosome analysis - high resolution | 0 | $113.56 |
| 91494 | Citrate, urine | 0 | $24.66 |
| 91496 | Clobazam | 0 | $49.73 |
| 91498 | Clomipramine | 0 | $49.82 |
| 91500 | Clonazepam | 0 | $46.53 |
| 92524 | Clonidine | 0 | $70.92 |
| 91502 | Clozapine | 0 | $27.92 |
| 92507 | Cocaine/cocaine metabolite | 0 | $7.10 |
| 91390 | Complement assay | 0 | $19.63 |
| 91395 | Complement, total haemolytic (ch 100) | 0 | $43.71 |
| 92546 | Comprehensive drug analysis | 0 | $119.94 |
| 91400 | Copper, serum | 0 | $49.19 |
| 91401 | Copper, tissue | 0 | $49.77 |
| 91402 | Copper, urine | 0 | $49.78 |
| 91405 | Cortisol | 0 | $13.28 |
| 91406 | Cortisol, late night salivary test | 0 | $77.25 |
| 91415 | Creatine kinase | 0 | $1.88 |
| 91410 | Creatine, timed urine collection | 0 | $12.73 |
| 91420 | Creatinine, random urine | 0 | $5.10 |
| 91421 | Creatinine, serum/plasma | 0 | $1.52 |
| 91422 | Creatinine, timed urine collection | 0 | $5.80 |
| 91425 | Cryofibrinogen | 0 | $17.38 |
| 91440 | Cryoglobulins | 0 | $41.92 |
| 93010 | Crystal identification synovial fluid | 0 | $40.05 |
| 91445 | Csf - albumin | 0 | $20.16 |
| 91450 | Csf - immunoglobulin g | 0 | $20.40 |
| 91504 | Cyanide | 0 | $24.64 |
| 91435 | Cyclic a.m.p., urine | 0 | $45.46 |
| 91434 | Cyclic amp, plasma/serum | 0 | $44.73 |
| 91455 | Cyclosporine | 0 | $23.47 |
| 93045 | Cytogenetic analysis | 0 | $966.29 |
| 93047 | Cytogenetic analysis | 0 | $296.18 |
| 93048 | Cytogenetic analysis | 0 | $400.00 |
| 93049 | Cytogenetic analysis | 0 | $800.00 |
| 93020 | Cytogenetic analysis - bone marrow | 0 | $516.59 |
| 93025 | Cytogenetic analysis - chorionic villus | 0 | $727.15 |
| 93030 | Cytogenetic analysis - cultured amniotic fluid | 0 | $414.61 |
| 93035 | Cytogenetic analysis - cultured tissue | 0 | $414.49 |
| 93040 | Cytogenetic analysis - foetal blood sample | 0 | $392.46 |
| 93015 | Cytogenetic analysis - short term blood | 0 | $301.44 |
| 93051 | Cytogenetic analysis/fluorescence in situ, single | 0 | $192.68 |
| 93052 | Cytogenetic analysis/fluorescence, subtelomeric | 0 | $515.49 |
| 93053 | Cytogenetic analysis/fluorescence,uncultured | 0 | $389.61 |
| 93050 | Cytogenetic analysis/in-situ hybridization | 0 | $466.46 |
| 93095 | Cytologic interpretation - unscreened cytology | 0 | $85.52 |
| 93090 | Cytologic interpretation of pre-screened cytology | 0 | $65.54 |
| 91460 | Dehydroepiandrosterone, serum (dhea) | 0 | $18.55 |
| 91506 | Desipramine | 0 | $24.35 |
| 91508 | Desmethylclobazam | 0 | $46.53 |
| 91510 | Diazepam | 0 | $46.53 |
| 91465 | Digoxin | 0 | $18.97 |
| 91470 | Disaccharides, intestinal | 0 | $62.40 |
| 91512 | Disopyramide | 0 | $46.53 |
| 91475 | Dopamine, quantitative | 0 | $61.91 |
| 91514 | Doxepin | 0 | $46.53 |
| 91599 | Drug assay - multiple (2 or more) | 0 | $53.46 |
| 92152 | Drug assay (multiple) - pyridinium cross links | 0 | $24.67 |
| 93100 | Electron microscopy | 0 | $384.40 |
| 91602 | Electrophoresis, c.s.f. | 0 | $31.21 |
| 91600 | Electrophoresis, protein, qualitative | 0 | $26.54 |
| 91601 | Electrophoresis, protein, quantitative | 0 | $34.58 |
| 91603 | Electrophoresis, qualitative, urine | 0 | $31.35 |
| 91605 | Erythrocyte galactose 1 phosphate transferase | 0 | $70.84 |
| 91610 | Estradiol | 0 | $22.43 |
| 91615 | Estrogens | 0 | $51.66 |
| 92508 | Ethanol | 0 | $6.92 |
| 91620 | Ethosuximide | 0 | $18.47 |
| 91628 | Ethosuximide | 0 | $26.00 |
| 91636 | Fat, balance 3 day, feces | 0 | $92.68 |
| 91631 | Fat, microscopic exam-faeces | 0 | $5.48 |
| 91640 | Fatty acids, nonesterified (free), feces | 0 | $22.79 |
| 91635 | Fecal elastase | 0 | $46.65 |
| 92006 | Fecal immunochemical test (fit)-analysis only | 0 | $11.29 |
| 92007 | Fecal immunochemical test(fit)-collection only | 0 | $6.57 |
| 91630 | Fecal ph | 0 | $3.92 |
| 92525 | Fentanyl | 0 | $70.92 |
| 92518 | Fentanyl, urine screening immunoassay | 0 | $13.10 |
| 91645 | Ferritin, serum | 0 | $10.12 |
| 91650 | Fibrinogen, quantitative, chemical | 0 | $28.68 |
| 93085 | Fine needle aspirate - cytologic examination | 0 | $94.24 |
| 91516 | Fluoxetine | 0 | $46.53 |
| 91518 | Flupenthixol | 0 | $46.53 |
| 91520 | Fluphenazine | 0 | $46.53 |
| 91522 | Fluvoxamine | 0 | $46.53 |
| 91660 | Follicle stimulating hormone (fsh) | 0 | $13.13 |
| 92330 | Free t4 | 0 | $12.12 |
| 92526 | Furosemide | 0 | $70.92 |
| 91523 | Gabapentin | 0 | $24.64 |
| 91665 | Galactocerebrosidase, fibroblasts | 0 | $51.38 |
| 91666 | Galactocerebrosidase, white blood cells | 0 | $51.38 |
| 91670 | Galactose, qualitative, urine | 0 | $17.13 |
| 91675 | Gastric acidity determination, quantitative | 0 | $3.52 |
| 91681 | Gastric analysis, acid | 0 | $0.92 |
| 91682 | Gastric analysis, hollander insulin | 0 | $89.43 |
| 91680 | Gastric analysis, intubation | 0 | $18.15 |
| 91685 | Gastrin | 0 | $63.32 |
| 90811 | Gastrointestinal pathogen multiples(gpmp)& culture | 0 | $105.04 |
| 92545 | Gc/ms confirmation of positive screen | 0 | $67.92 |
| 91524 | Gentamycin | 0 | $26.69 |
| 91720 | Glucose phosphate isomerase | 0 | $14.29 |
| 91705 | Glucose quantitative, csf | 0 | $6.45 |
| 91706 | Glucose quantitative, joint fluid | 0 | $6.45 |
| 91708 | Glucose quantitative, transudate/exudate | 0 | $6.45 |
| 91709 | Glucose quantitative, urine | 0 | $1.06 |
| 91700 | Glucose semiquantitative | 0 | $3.53 |
| 91716 | Glucose tolerance test > 6 hours | 0 | $39.40 |
| 91695 | Glucose tolerance test-gestational protocol | 0 | $15.84 |
| 91715 | Glucose tolerance test, 2 - 5 hours | 0 | $12.94 |
| 91717 | Glucose tolerance test, intravenous | 0 | $38.90 |
| 91690 | Glucose, gestational assessment | 0 | $10.03 |
| 91707 | Glucose, quantitative serum/plasma | 0 | $1.46 |
| 91710 | Glucose, timed urine collection | 0 | $7.13 |
| 91725 | Glutamyl transpeptidase (gtp) | 0 | $1.66 |
| 91730 | Glutathione peroxidase | 0 | $44.32 |
| 91735 | Gold | 0 | $43.91 |
| 91745 | Haemoglobin, a1c | 0 | $5.30 |
| 91526 | Haloperidol | 0 | $24.63 |
| 91740 | Haptoglobin | 0 | $19.77 |
| 91780 | Hdl cholesterol | 0 | $7.85 |
| 91760 | Helicobacter pilori carbon 13 urea breath test | 0 | $36.50 |
| 91761 | Helicobacter pylori stool antigen (hpsa) | 0 | $35.64 |
| 91750 | Hemoglobin, qualitative, urine | 0 | $2.28 |
| 91762 | Heparan sulfamidase, white blood cells | 0 | $93.71 |
| 93110 | Hepatic glucose - 6 phosphatase | 0 | $49.10 |
| 93105 | Hepatic glycogen (tissue) | 0 | $32.52 |
| 91765 | Hepatitis b surface antigen | 0 | $10.40 |
| 91777 | Hexosaminidase white blood cells | 0 | $99.30 |
| 91775 | Hexosaminidase, serum | 0 | $51.38 |
| 91770 | Hexosaminidases | 0 | $51.38 |
| 92080 | Homocysteine - plasma | 0 | $22.97 |
| 91785 | Homocystine, screening test, urine | 0 | $2.28 |
| 91790 | Homovanillic acid (quantitative) urine | 0 | $38.61 |
| 92527 | Hydrocodone | 0 | $70.92 |
| 92528 | Hydromorphone | 0 | $70.92 |
| 91796 | Hydroxyindoleacetic acid, quantitative, urine | 0 | $44.28 |
| 91795 | Hydroxyindoleacetic acid, urine | 0 | $9.28 |
| 90752 | Id microorganisms maldi-tof-ms/non-stool specimen | 0 | $6.84 |
| 90753 | Id microorganisms maldi-tof-ms/stool specimen | 0 | $6.84 |
| 91800 | Iga anti-gliadin antibodies | 0 | $32.58 |
| 91801 | Iga quantitative, secretion | 0 | $20.31 |
| 91802 | Iga quantitative, serum/plasma | 0 | $9.83 |
| 92170 | Ige assay, quantitative (duplicate) | 0 | $13.72 |
| 91805 | Igf - i (somatomedin - c). | 0 | $55.08 |
| 91840 | Igg - quantitative serum | 0 | $9.95 |
| 91163 | Igg anti-deamidated gliadin peptide(anti-dgp)antib | 0 | $18.24 |
| 91814 | Igg blocking antibody | 0 | $20.40 |
| 91803 | Igg quantitative spinal fluid | 0 | $20.06 |
| 91810 | Igg1 | 0 | $24.85 |
| 91811 | Igg2 | 0 | $24.85 |
| 91812 | Igg3 | 0 | $24.85 |
| 91813 | Igg4 | 0 | $24.85 |
| 91845 | Igm - quantitative | 0 | $10.05 |
| 91528 | Imipramine | 0 | $46.53 |
| 91815 | Immune complex detection by c1q binding method | 0 | $44.66 |
| 91820 | Immunofixation, csf | 0 | $105.31 |
| 91821 | Immunofixation, serum/plasma | 0 | $104.12 |
| 91822 | Immunofixation, urine | 0 | $104.12 |
| 91830 | Immunoglobulin + specific protein assays | 0 | $20.40 |
| 91825 | Immunoglobulin d | 0 | $20.40 |
| 91831 | Immunoglobulin, additional assay | 0 | $12.53 |
| 91835 | Immunoreactive trypsin | 0 | $18.80 |
| 91850 | Inclusion bodies, (cytomegalic) urine | 0 | $7.77 |
| 91857 | Insulin tolerance test, per specimen | 0 | $6.29 |
| 91856 | Insulin, additional specimen | 0 | $19.49 |
| 91855 | Insulin, first specimen | 0 | $27.55 |
| 91858 | Interferon beta, neutralizing antibodies | 0 | $205.52 |
| 93075 | Investigation - chromosomal mosaicism | 0 | $114.52 |
| 91860 | Ionized calcium. | 0 | $14.02 |
| 91865 | Iron, total and binding capacity, protein | 0 | $7.56 |
| 91870 | Isoenzymes by electrophoresis | 0 | $25.53 |
| 91882 | Keto acids chromatography - screening tests - urin | 0 | $5.44 |
| 91881 | Keto acids chromatography - total, chemical - urin | 0 | $10.99 |
| 91880 | Keto acids, chromatography - urine | 0 | $36.90 |
| 91885 | Ketogenic steroids - urine | 0 | $39.47 |
| 91890 | Ketosteroids, total neutral - urine | 0 | $50.17 |
| 91900 | Lactate dehydrogenase, csf | 0 | $1.06 |
| 91901 | Lactate dehydrogenase, serum/plasma | 0 | $1.62 |
| 91902 | Lactate dehydrogenase, transudate/exudate | 0 | $1.05 |
| 91895 | Lactate, serum/plasma | 0 | $7.64 |
| 91896 | Lactate, whole blood | 0 | $17.89 |
| 91905 | Lactose, qualitative, urine | 0 | $9.81 |
| 91529 | Lamotrigine | 0 | $24.64 |
| 91910 | Lead | 0 | $130.68 |
| 91912 | Lead, porphyrin screening test, urine | 0 | $6.22 |
| 91911 | Lead, timed urine collection | 0 | $40.68 |
| 91915 | Lecithin sphingomyelin ratio | 0 | $232.26 |
| 91920 | Lhrh stimulation test | 0 | $46.22 |
| 91530 | Lidocaine | 0 | $44.73 |
| 91925 | Light chains, free kappa and lambda | 0 | $78.99 |
| 91930 | Lipase | 0 | $6.62 |
| 91936 | Lipoprotein (a) isoforms | 0 | $25.92 |
| 91940 | Lipoprotein electrophoresis | 0 | $56.04 |
| 91941 | Lipoprotein, sizing | 0 | $25.92 |
| 91935 | Lipoprotein(a) | 0 | $29.61 |
| 91945 | Lithium, serum/plasma | 0 | $14.94 |
| 91946 | Lithium, whole blood | 0 | $11.23 |
| 90286 | Liver autoantibodies (liaa), immunofluorescence | 0 | $23.82 |
| 91532 | Lorazepam | 0 | $46.53 |
| 91534 | Loxapine | 0 | $46.53 |
| 91950 | Luteinizing hormone (lh) | 0 | $12.41 |
| 91955 | Magnesium, fecal | 0 | $25.15 |
| 91956 | Magnesium, red blood cell | 0 | $29.51 |
| 91957 | Magnesium, serum/plasma | 0 | $6.79 |
| 91958 | Magnesium, urine | 0 | $10.06 |
| 91959 | Magnesium, whole blood | 0 | $23.97 |
| 91536 | Maprotiline | 0 | $46.53 |
| 91960 | Melanin, qualitative, urine | 0 | $2.35 |
| 92529 | Meperidine | 0 | $70.92 |
| 92530 | Meprobamate | 0 | $70.92 |
| 91965 | Mercury | 0 | $52.42 |
| 91970 | Metachromatic granules, urine | 0 | $16.13 |
| 91975 | Metanephrines, quantitative | 0 | $155.77 |
| 92513 | Methadone | 0 | $3.50 |
| 92510 | Methadone metabolite | 0 | $6.80 |
| 92532 | Methaqualone | 0 | $70.92 |
| 92533 | Methocarbamol | 0 | $70.92 |
| 91538 | Methotrexate | 0 | $46.53 |
| 91540 | Methotrimeprazine | 0 | $46.53 |
| 92534 | Methylenedioxyamphetamine | 0 | $70.92 |
| 92535 | Methylenedioxymethamphetamine | 0 | $70.92 |
| 91542 | Methylphenidate | 0 | $46.53 |
| 92396 | Microalbumin, semiquantative - by urine dipstick | 0 | $6.68 |
| 91990 | Microscopic examination of feces | 0 | $5.08 |
| 36079 | Midwife consultative care and assessment-phase 1 | 0 | $40.76 |
| 36080 | Midwife consultative care and assessment-phase 2 | 0 | $40.76 |
| 36081 | Midwife consultative care and assessment-phase 3 | 0 | $41.37 |
| 36082 | Midwife consultative care and assessment-phase 4 | 0 | $41.37 |
| 36083 | Midwife consultative care and assessment-phase 5 | 0 | $41.37 |
| 36084 | Midwife consultative care/assessment by phone | 0 | $41.37 |
| 36085 | Midwife consultative care/assessment call-out-day | 0 | $72.41 |
| 36086 | Midwife consultative care/assessment callout-night | 0 | $116.89 |
| 36091 | Midwife consultative care/assessment callout-night | 0 | $10.15 |
| 36092 | Midwife consultative care/assessment callout-night | 0 | $4.06 |
| 36093 | Midwife consultative care/assessment callout-night | 0 | $35.53 |
| 36021 | Midwife phase 1 (1st trimest) 1st visit is in ph 2 | 0 | $268.98 |
| 36010 | Midwife phase 1 (1st trimester) - total care | 0 | $268.98 |
| 36016 | Midwife phase 1 (1st trimester)-trans frm othr 60% | 0 | $161.36 |
| 36014 | Midwife phase 1 (1st trimester)-trans to othr 40% | 0 | $107.58 |
| 36020 | Midwife phase 2 (2nd trimester) - total care | 0 | $268.98 |
| 36026 | Midwife phase 2 (2nd trimester)-trans frm othr 60% | 0 | $161.36 |
| 36024 | Midwife phase 2 (2nd trimester)-trans to othr 40% | 0 | $107.58 |
| 36036 | Midwife phase 3 (3nd trimester)-trans frm othr 60% | 0 | $322.82 |
| 36034 | Midwife phase 3 (3nd trimester)-trans to othr 40% | 0 | $215.22 |
| 36030 | Midwife phase 3 (3rd trimester) - total care | 0 | $538.05 |
| 36031 | Midwife phase 3 (third trimester) phase 3 services | 0 | $538.05 |
| 36046 | Midwife phase 4 - home birth medications | 0 | $50.73 |
| 36047 | Midwife phase 4 - home birth supplies | 0 | $101.45 |
| 36040 | Midwife phase 4 (l & d) - first contact prior 34 w | 0 | $1,075.91 |
| 36045 | Midwife phase 4 home birth: second attendance fees | 0 | $371.35 |
| 36048 | Midwife phase 4 supp care-scheduld c-section in or | 0 | $106.10 |
| 36070 | Midwife phase 4 surgical assist caesarean schedule | 0 | $192.08 |
| 36071 | Midwife phase 4 surgical assistance-caesarean emer | 0 | $260.35 |
| 36076 | Midwife phase 4-caesarean night surcharge | 0 | $185.94 |
| 36075 | Midwife phase 4-caesarean-evening surcharge | 0 | $115.83 |
| 36077 | Midwife phase 4-caesarean-weekend/stat surcharge | 0 | $115.83 |
| 36078 | Midwife phase 4-call out-emergency caesarean sect | 0 | $115.98 |
| 36073 | Midwife phase 4-first surgical assist of the day | 0 | $88.16 |
| 36056 | Midwife phase 5 (post part care) - trnsfr to other | 0 | $645.56 |
| 36054 | Midwife phase 5 (post part care) -trnsfr frm other | 0 | $430.37 |
| 36050 | Midwife phase 5 (post partum care) - total care | 0 | $1,075.91 |
| 36049 | Midwife phase4 supp care-scheduled c-sect recovery | 0 | $106.10 |
| 36064 | Midwife supervision of 11-15 full courses of care | 0 | $12,290.45 |
| 36065 | Midwife supervision of 16-30 full courses of care | 0 | $15,363.06 |
| 36062 | Midwife supervision of 5 full courses of care | 0 | $6,145.22 |
| 36063 | Midwife supervision of 6 - 10 full courses of care | 0 | $9,217.84 |
| 36061 | Midwife supervision of up to 5 births or 4 full cs | 0 | $3,072.61 |
| 36074 | Midwife surgical assistance-fs delivery incentive | 0 | $244.14 |
| 36072 | Midwife-attendance at caesarean as mrp for baby | 0 | $91.44 |
| 36041 | Midwife-phase4 (labour/delivery) trans to (40%) | 0 | $430.37 |
| 36042 | Midwife-phase4 (labour/delivery) transfer (60%) | 0 | $645.56 |
| 91992 | Mitochondrial preparation-muscle | 0 | $90.55 |
| 91995 | Mucopolysaccharides, urine | 0 | $59.55 |
| 93115 | Muscle biopsy enzyme studies | 0 | $195.44 |
| 91022 | Muscle-specific tyrosine kinase antibody (musk ab) | 0 | $245.60 |
| 91544 | N - acetyl procainamide | 0 | $46.53 |
| 92536 | N-acetyl morphine | 0 | $70.92 |
| 91997 | N-acetyl-galactosamine-6-sulfate sulfatase, wbc | 0 | $93.71 |
| 92537 | Naloxone | 0 | $70.92 |
| 91546 | Netilmicin | 0 | $46.53 |
| 91548 | Nitrazepam | 0 | $46.53 |
| 92001 | Nitrogen - 24 hr. excretion - urine | 0 | $6.43 |
| 92000 | Nitrogen, 24 hr. excretion - feces | 0 | $19.79 |
| 91550 | Nortriptyline | 0 | $24.35 |
| 92005 | Occult blood-feces | 0 | $6.02 |
| 91551 | Olanzapine | 0 | $24.64 |
| 92511 | Opiates | 0 | $7.16 |
| 92010 | Organic acids | 0 | $105.41 |
| 92015 | Osmolar concentration, serum | 0 | $49.25 |
| 92016 | Osmolar concentration, urine | 0 | $49.41 |
| 92020 | Oxalate, timed urine collection | 0 | $58.00 |
| 92538 | Oxycodone | 0 | $70.92 |
| 92514 | Oxycodone, screening assay | 0 | $12.82 |
| 92025 | Oxygen capacity or content | 0 | $20.06 |
| 92026 | Oxygen, saturation (photometric) | 0 | $10.93 |
| 92539 | Oxymorphone | 0 | $70.92 |
| 92030 | Parathyroid hormone (intact) | 0 | $17.52 |
| 92031 | Parathyroid hormone (mid molecule/carboxyl termina | 0 | $25.18 |
| 91552 | Paroxetine | 0 | $46.53 |
| 92035 | Pentagastrin test, gastric | 0 | $67.51 |
| 92540 | Pentazocine | 0 | $70.92 |
| 92040 | Peptide hormones | 0 | $25.18 |
| 91554 | Perphenazine | 0 | $46.53 |
| 92045 | Ph, pc02 and p02 | 0 | $36.18 |
| 92050 | Phenothiazine screen | 0 | $7.24 |
| 92541 | Phentermine | 0 | $70.92 |
| 92056 | Phenylalanine, quantitative | 0 | $20.56 |
| 92055 | Phenylalanine, screening test (guthrie) | 0 | $4.04 |
| 92542 | Phenylpropanolamine | 0 | $70.92 |
| 92065 | Phenylpyruvic acid, qualitative, urine | 0 | $2.35 |
| 92060 | Phenytoin | 0 | $17.13 |
| 92072 | Phosphate, timed urine collection | 0 | $3.95 |
| 92070 | Phosphates, random urine | 0 | $2.24 |
| 92071 | Phosphates, serum/plasma | 0 | $1.62 |
| 92075 | Pigments, abnormal (spectroscopic) | 0 | $14.06 |
| 90415 | Plasma preparation | 0 | $16.19 |
| 92085 | Porphobilinogen, qualitative, urine | 0 | $9.70 |
| 92090 | Porphyrins, qualitative, urine | 0 | $7.62 |
| 92095 | Porphyrins, quantitative - blood | 0 | $21.76 |
| 92092 | Porphyrins, quantitative - feces | 0 | $132.71 |
| 92091 | Porphyrins, quantitative - urine | 0 | $56.74 |
| 92100 | Potassium, serum/plasma | 0 | $1.39 |
| 92101 | Potassium, timed urine collection | 0 | $5.57 |
| 92102 | Potassium, urine random | 0 | $2.84 |
| 92103 | Potassium, whole blood | 0 | $1.05 |
| 92105 | Pre albumin | 0 | $20.16 |
| 92110 | Pregnancy test - serum | 0 | $14.74 |
| 92108 | Pregnancy test, immunologic - urine | 0 | $15.50 |
| 92115 | Pregnanediol, urine | 0 | $45.07 |
| 92120 | Pregnanetriol, urine | 0 | $53.20 |
| 92125 | Primidone (mysolene) | 0 | $18.49 |
| 91556 | Procainamide | 0 | $46.53 |
| 92130 | Progesterone, serum/plasma | 0 | $14.86 |
| 92131 | Progesterone, serum/plasma 17-oh | 0 | $41.71 |
| 92135 | Prolactin | 0 | $13.49 |
| 92543 | Propoxyphene | 0 | $70.92 |
| 91558 | Propranolol | 0 | $46.53 |
| 90710 | Prostatic specific antigen (psa) | 0 | $14.35 |
| 92150 | Protease inhibitor | 0 | $32.95 |
| 92397 | Protein creatinine ratio, urine | 0 | $7.67 |
| 92147 | Protein total, joint fluid | 0 | $1.05 |
| 92148 | Protein total, serum or plasma | 0 | $1.60 |
| 92149 | Protein total, transudate/exudate | 0 | $1.05 |
| 92146 | Protein, timed urine collection | 0 | $5.95 |
| 92145 | Proteins, total quantitative, c.s.f. | 0 | $7.14 |
| 92156 | Pryruvate carboxylase, fibroblasts | 0 | $93.71 |
| 92544 | Pseudoephedrine | 0 | $70.92 |
| 92151 | Purine, pyrimidine and creatine disorder screen | 0 | $63.34 |
| 92157 | Pyruvate dehydrogenase, fibroblasts | 0 | $93.71 |
| 92155 | Pyruvates | 0 | $17.98 |
| 92160 | Quantitative beta hcg | 0 | $16.30 |
| 92165 | Quantitative hcg (intact) | 0 | $25.18 |
| 91559 | Quetiapine | 0 | $24.64 |
| 92180 | Quinidine | 0 | $27.36 |
| 92185 | Renin, single determination | 0 | $63.87 |
| 92190 | Renin, two or more determinations | 0 | $98.11 |
| 92195 | Respiratory chain enzymes-muscle | 0 | $274.56 |
| 92197 | Retinol binding protein | 0 | $27.82 |
| 91561 | Risperidone | 0 | $26.46 |
| 92201 | Salicylates, qualitative, gastric | 0 | $2.88 |
| 92200 | Salicylates, qualitative, serum | 0 | $5.24 |
| 92202 | Salicylates, qualitative, urine | 0 | $3.01 |
| 92203 | Salicylates, quantitative, serum | 0 | $9.26 |
| 92204 | Salicylates, quantitative, urine | 0 | $9.77 |
| 92205 | Scc | 0 | $20.40 |
| 92210 | Secretin - pancreozymin test | 0 | $462.10 |
| 92215 | Selenium | 0 | $49.77 |
| 93160 | Semen - examination - complete | 0 | $82.34 |
| 93170 | Seminal examination | 0 | $26.98 |
| 92220 | Seminal fructose | 0 | $7.32 |
| 91560 | Sertraline | 0 | $52.35 |
| 92225 | Serum viscosity | 0 | $23.17 |
| 92267 | Sex hormone binding globulig (shbg) | 0 | $13.56 |
| 92227 | Sirolimus | 0 | $43.01 |
| 91430 | Skin fibroblasts-culturing/biochemical/dna | 0 | $603.88 |
| 92230 | Sodium, random urine | 0 | $2.72 |
| 92231 | Sodium, serum/plasma | 0 | $1.38 |
| 92232 | Sodium, timed urine collection | 0 | $4.60 |
| 92233 | Sodium, whole blood | 0 | $1.05 |
| 92236 | Somatotropin, additional specimen | 0 | $19.36 |
| 92235 | Somatotropin, one specimen | 0 | $30.38 |
| 93060 | Special banding (q-, r-, c-) | 0 | $29.48 |
| 93055 | Special staining (giemsa ii, dapi, sce, nor) | 0 | $30.78 |
| 92240 | Specific protein analysis/preparative ultracentrif | 0 | $141.14 |
| 92250 | Sphingomyelinase, fibroblasts | 0 | $51.38 |
| 92251 | Sphingomyelinase, white blood cells | 0 | $51.38 |
| 91010 | Split base fee (referral facility) | 0 | $7.02 |
| 90810 | Stool examination - amoebae | 0 | $46.93 |
| 92255 | Sulfonamides, quantitative, urine | 0 | $3.77 |
| 36067 | Supervised labour and delivery-conditional midwive | 0 | $131.32 |
| 36066 | Supervision of continuity of care-conditional midw | 0 | $315.15 |
| 36068 | Supervision of in-office competency-based skills | 0 | $15.75 |
| 36069 | Supervision of out-of-office competency-based | 0 | $26.26 |
| 92260 | Sweat test (mucoviscidosis) chemical | 0 | $10.20 |
| 92311 | T3 - free | 0 | $9.35 |
| 92263 | Tacrolimus | 0 | $23.47 |
| 92266 | Testosterone total | 0 | $15.81 |
| 92506 | Tetrahydrocannabinoids (thc) | 0 | $10.92 |
| 92270 | Thallium | 0 | $43.91 |
| 92275 | Theophylline | 0 | $42.33 |
| 92277 | Thiopurine metabolites | 0 | $50.46 |
| 92278 | Thiopurine metabolites | 0 | $54.49 |
| 91562 | Thioridazine | 0 | $48.47 |
| 90545 | Thrombin time | 0 | $8.31 |
| 92280 | Thyroglobulin | 0 | $27.90 |
| 92285 | Thyroglobulin antibodies | 0 | $20.40 |
| 92290 | Thyroid binding globulin | 0 | $20.40 |
| 92305 | Thyroid receptor ab | 0 | $22.48 |
| 92320 | Thyroid releasing hormone (trh) stimulation test | 0 | $55.91 |
| 92325 | Thyroid stimulating hormone, tsh | 0 | $9.90 |
| 92332 | Thyroperoxidase antibodies | 0 | $20.22 |
| 92315 | Thyroxine ratio, t4 or total | 0 | $12.12 |
| 92335 | Tissue iron | 0 | $43.91 |
| 91564 | Tobramycin | 0 | $26.17 |
| 91565 | Topiramate | 0 | $24.64 |
| 92310 | Total t3 | 0 | $12.12 |
| 92340 | Transcobalamine ii | 0 | $20.40 |
| 92345 | Transferrin | 0 | $7.56 |
| 92346 | Transferrin isoelectric focusing(qualitive) | 0 | $90.49 |
| 91566 | Trazodone | 0 | $46.53 |
| 91568 | Trifluoperazine | 0 | $46.53 |
| 92350 | Triglycerides, serum/plasma | 0 | $6.59 |
| 92351 | Triglycerides, transudate/exudate | 0 | $9.05 |
| 91570 | Trimipramine | 0 | $46.53 |
| 92355 | Troponin | 0 | $15.05 |
| 92360 | Trypsin, qualitative, feces | 0 | $2.24 |
| 92361 | Trypsin, quantitative, feces | 0 | $3.96 |
| 92362 | Trypsin, quantitative, gastric | 0 | $3.96 |
| 92365 | Urea, amniotic fluid | 0 | $1.06 |
| 92366 | Urea, csf | 0 | $1.06 |
| 92367 | Urea, nitrogen quantitative, urine | 0 | $7.42 |
| 92368 | Urea, serum/plasma | 0 | $1.57 |
| 92369 | Urea, urine random | 0 | $1.76 |
| 92370 | Urea, whole blood | 0 | $1.06 |
| 92375 | Uric acid, random urine | 0 | $1.06 |
| 92376 | Uric acid, serum/plasma | 0 | $1.70 |
| 92377 | Uric acid, synovial fluid | 0 | $1.58 |
| 92378 | Uric acid, timed urine collection | 0 | $4.56 |
| 92385 | Urinalysis - or any part of (screening) | 0 | $2.05 |
| 92391 | Urinalysis-microscopic exam of centrifuged deposit | 0 | $4.19 |
| 92390 | Urinalysis, macroscopic | 0 | $7.42 |
| 92395 | Urinalysis, microscopic | 0 | $7.17 |
| 92382 | Urinalysis, screening and microscopic | 0 | $5.63 |
| 92550 | Urine, drugs of abuse screen - per analyte | 0 | $6.95 |
| 92400 | Urobilin, qualitative, urine | 0 | $2.35 |
| 92405 | Urobilinogen, qualitative, urine | 0 | $4.09 |
| 92406 | Urobilinogen, timed urine collection | 0 | $13.58 |
| 91572 | Valproic acid | 0 | $16.55 |
| 91573 | Vancomycin | 0 | $15.57 |
| 92420 | Vanillylmandelic acid | 0 | $38.61 |
| 90000 | Venepuncture | 0 | $7.65 |
| 92425 | Very long chain fatty acids | 0 | $91.69 |
| 91576 | Vigabatrin | 0 | $26.68 |
| 92430 | Vitamin a | 0 | $47.86 |
| 92435 | Vitamin b1 | 0 | $54.30 |
| 92450 | Vitamin b12 | 0 | $14.38 |
| 92440 | Vitamin b2 | 0 | $54.30 |
| 92445 | Vitamin b6 | 0 | $54.30 |
| 92455 | Vitamin d (1,25 dihydroxy) | 0 | $94.49 |
| 92460 | Vitamin d (25 hydroxy-cholecalciferol) | 0 | $61.32 |
| 92465 | Vitamin e | 0 | $53.94 |
| 91861 | Voltage-gated calcium channel antibody (vgcc ab) | 0 | $281.78 |
| 92467 | White blood cell preparation for lysosomal enzyme | 0 | $42.36 |
| 92470 | Xylose tolerance | 0 | $106.16 |
| 92475 | Zinc | 0 | $102.44 |
| 91574 | Zopiclone | 0 | $24.64 |
| 91575 | Zuclopenthixol | 0 | $24.64 |
Allergy, patch and photopatch tests |
|||
| 00765 | Annual maximum (scratch or intracutaneous tests) | 0 | $34.40 |
| 00767 | Patch testing (extra) (annual maximum, 80 tests) per test | 0 | $1.96 |
| 00769 | Photopatch test, annual maximum | 0 | $56.69 |
| 00768 | Photopatch test, per test | 0 | $5.66 |
| 00763 | Scratch test - children under 5 years | 0 | $2.32 |
| 00762 | Scratch test, per antigen | 0 | $1.06 |
Anesthesiology |
|||
| 01215 | Anesthesia surcharge - nonoperative - evening | 0 | $66.69 |
| 01216 | Anesthesia surcharge - nonoperative - night | 0 | $91.18 |
| 01217 | Anesthesia surcharge - nonoperative -weekend, stat | 0 | $66.69 |
Anesthestic Intensity / Complexity Levels |
|||
| 01180 | Level 10 - per 15 mins-anaes. intensity / complexity | 10 | $50.00 |
| 01181 | Level 11 - per 15 mins-anaes. intensity / complexity | 11 | $50.00 |
| 01172 | Level 2 - per 15 mins-anaes. intensity / complexity | 2 | $36.64 |
| 01173 | Level 3 - per 15 mins-anaes. intensity / complexity | 3 | $36.75 |
| 01174 | Level 4 - per 15 mins-anaes. intensity / complexity | 4 | $36.75 |
| 01175 | Level 5 - per 15 mins-anaes. intensity / complexity | 5 | $41.87 |
| 01176 | Level 6 - per 15 mins-anaes. intensity / complexity | 6 | $43.75 |
| 01177 | Level 7 - per 15 mins-anaes. intensity / complexity | 7 | $43.75 |
| 01178 | Level 8 - per 15 mins-anaes. intensity / complexity | 8 | $49.82 |
| 01179 | Level 9 - per 15 mins-anaes. intensity / complexity | 9 | $50.00 |
Anesthetic Procedural Fee Modifiers |
|||
| 01192 | Awake intubation, any means, for difficult airway | 0 | $61.13 |
| 01082 | Catheter axillary - insertion during GA | 0 | $24.26 |
| 01084 | Catheter insertion - intrapleural, during GA | 0 | $27.93 |
| 01072 | Epidural catheter - lumbar insertion during GA | 0 | $41.75 |
| 01071 | Epidural catheter - thoracic insertion during GA | 0 | $54.28 |
| 01070 | Hypotension - controlled in neurosurgical anaesth | 0 | $61.13 |
| 01168 | Neonates-anaesthesia - < 42 gest wks and / or 4000 gr | 0 | $122.20 |
| 01169 | Neonates-anaesthesia - < 42 gest wks and / or 4000 gr | 0 | $10.00 |
| 01065 | Patients < one year - anaesthetic modifier | 0 | $61.10 |
| 01164 | Patients 70-79 years of age - anaesthesia | 0 | $20.38 |
| 01165 | Patients 80 years of age and over-anaesthesia | 0 | $41.56 |
| 01059 | Prone position | 0 | $35.50 |
| 01077 | Pulmonary artery catheterization | 0 | $55.60 |
| 01096 | Retrobulbar / peribulbar block with anaesthetic | 0 | $34.04 |
| 01166 | Sitting position - anaesthesia | 0 | $61.13 |
| 01093 | Spinal cord monitoring - interp of ssep during GA | 0 | $40.76 |
Angiography |
|||
| 08626 | Angiogram, thoracic or abdominal, mult non-select | 0 | $137.74 |
| 08627 | Angiogram, thoracic or abdominal, mult selective | 0 | $135.56 |
| 08616 | Angiography cerebral x-ray - bilateral | 0 | $232.60 |
| 08615 | Angiography cerebral x-ray - unilateral | 0 | $135.56 |
| 08618 | Angiography peripheral - bilateral | 0 | $104.61 |
| 08617 | Angiography peripheral - unilateral | 0 | $70.17 |
Angioplasty |
|||
| 77114 | Intraoperative open or percutaneous angioplasty | 3 | $589.40 |
| 77113 | Intraoperative open or percutaneous tibial artery angioplasty | 2 | $697.42 |
Anus Excision |
|||
| 70676 | Abscess - ischiorectal/ intramural - incision | 2 | $389.95 |
| 07687 | Anal fissure, excision | 2 | $115.00 |
| 70675 | Anal seton - removal | 2 | $28.67 |
| 07691 | Anus imperforate simple incision | 2 | $303.06 |
| 71682 | Botox injection for anal fissure | 2 | $252.34 |
| 07675 | Fistula-in-ano - subcutaneous or submucous | 2 | $250.00 |
| 07677 | Fistula-in-ano - multiple or horseshoe | 2 | $451.50 |
| 07676 | Fistula-in-ano - submuscular | 2 | $337.72 |
| 71700 | Fistula-in-ano; closure of congenital anal fistula | 2 | $645.16 |
| 07666 | Fistula-in-ano; second stage; division - sphincter | 2 | $250.00 |
| 71689 | Hemmorhoid(s); office procedure (eg band ligation) | 2 | $80.58 |
| 71690 | Hemorrhoid(s); office procedure-infrared photocoag | 2 | $80.58 |
| 71691 | Hemorrhoid(s); office procedure-infrared photocoag | 0 | $16.82 |
| 07683 | Hemorrhoidectomy | 2 | $268.05 |
| 07678 | Incision and drainage perianal abscess,superficial | 2 | $91.43 |
| 07679 | Incision/drain abscess - ischiorectal, intramural | 2 | $203.01 |
| 71686 | Papillectomy - multiple - extra | 2 | $123.30 |
| 71684 | Papillectomy - single - extra | 2 | $67.87 |
| 71681 | Sphincterotomy with/without fissurectomy | 2 | $303.07 |
Anus Repair |
|||
| 07689 | Anal dilation under general anaesthetic | 2 | $152.67 |
| 70665 | Anoplasty - adult | 2 | $451.50 |
| 07690 | Anoplasty for imperforate anus - peads | 4 | $602.52 |
| 70674 | Destruction - anal lesion | 2 | $75.41 |
| 70680 | Destruction of anal lesion - complicated | 2 | $252.69 |
| 70683 | Eua with or without sigmoidoscopy | 2 | $152.95 |
| 07452 | Extra-peritoneal rectum +/- colostomy - repair | 7 | $962.78 |
| 70668 | Graft - rectal incontinence/prolapse: | 2 | $203.93 |
| 70671 | Imbrication - levator muscle | 2 | $451.50 |
| 70672 | Implantation - artificial sphincter | 4 | $1,009.32 |
| 70666 | Sphincteroplasty - anal - adult | 2 | $451.50 |
| 70670 | Sphincteroplasty - anal - incontinence | 3 | $702.52 |
Appendix |
|||
| 72658 | Appendectomy - laparoscopic | 4 | $480.30 |
| 72659 | Appendectomy - laparoscopic - perforated | 5 | $505.30 |
| 72657 | Appendectomy - perforated | 5 | $505.30 |
| 72656 | Appendectomy - open | 4 | $480.30 |
| 72660 | Appendiceal abscess - incision/drainage | 4 | $434.19 |
Application of Cast (Incl. External Stimulator) |
|||
| 51019 | Cast - below knee | 2 | $23.23 |
| 51024 | Cast - body | 2 | $86.95 |
| 51025 | Cast - cast brace | 2 | $46.49 |
| 51023 | Cast - hip spica - adult | 2 | $86.95 |
| 51022 | Cast - hip spica - child | 2 | $86.95 |
| 51017 | Cast - long arm | 2 | $23.23 |
| 51021 | Cast - long leg | 2 | $23.23 |
| 51020 | Cast - long leg cylinder | 2 | $23.23 |
| 51018 | Cast - shoulder spica | 2 | $86.95 |
| 51016 | Cast: short arm | 2 | $23.23 |
Arterial System |
|||
| 77300 | A-v fistula with bypass graft in limb salvage | 7 | $185.56 |
| 77175 | Abdominal aneurysm, with grafting | 9 | $1,397.15 |
| 07822 | Aneurysm ruptured thoracic | 11 | $1,825.97 |
| 07821 | Aneurysm thoracic | 10 | $1,671.60 |
| 77155 | Aorta and/or iliac bypass graft - bilateral | 9 | $1,400.80 |
| 77150 | Aorta and/or iliac bypass graft - unilateral | 9 | $892.24 |
| 07827 | Aortic dissection repair (thoracic) | 10 | $1,690.88 |
| 07828 | Aortic injury repair (thoracic) | 10 | $1,690.88 |
| 77160 | Aorto-femoral and ilio-femoral bypass, unilateral | 9 | $866.39 |
| 77165 | Aorto-iliac, aorto-femoral, ilio-femoral bypass | 9 | $1,400.80 |
| 77295 | Arm vein graft | 7 | $254.66 |
| 00722 | Arteriography, operative | 0 | $75.51 |
| 77170 | Arteriovenous aneurysm | 9 | $495.27 |
| 77220 | Axillo-femoral bypass graft (autogenous vein) | 7 | $820.89 |
| 77210 | Axillo-femoral bypass graft (synthetic)/unilateral | 7 | $979.23 |
| 77215 | Axillo-femoral bypass graft(synthetic)/bilateral | 7 | $1,269.39 |
| 77260 | Bypass graft (autogenous vein) - femoral | 5 | $859.23 |
| 77265 | Bypass graft (autogenous vein) - popliteal | 5 | $1,072.16 |
| 77270 | Bypass graft/anterior/posterior tibial or peroneal | 5 | $1,115.63 |
| 77130 | Carotid arteries - bypass graft (synthetic) | 8 | $981.24 |
| 07820 | Coarctation of aorta | 9 | $941.63 |
| 77360 | Decompression fasciotomy - subcutaneous | 3 | $334.57 |
| 77125 | Embolectomy - one side | 5 | $446.10 |
| 77120 | Embolectomy - trunk or extremities | 5 | $620.60 |
| 77240 | Femoral bypass graft (synthetic) | 5 | $858.35 |
| 77230 | Femoro-femoral crossover bypass graft (synthetic) | 5 | $930.69 |
| 77235 | Femoro-femoral crossover bypass graft/autogenous | 5 | $930.69 |
| 77245 | Infrainguinal popliteal (endarterectomy) | 5 | $679.59 |
| 77135 | Inominate - neck or thoracic - bypass graft | 5 | $779.13 |
| 77255 | Intraguinal - anterior, post tibial or peroneal | 5 | $742.29 |
| 77250 | Intraguinal - popliteal (synthetic) | 5 | $620.53 |
| 77145 | Ligation of carotid artery - neck or thoracic | 5 | $255.38 |
| 77280 | Non-ipsilateral long saphenous graft - autogenous | 7 | $254.66 |
| 77315 | Profundoplasty - extended | 5 | $750.88 |
| 77310 | Profundoplasty bypass graft (synthetic) | 5 | $553.02 |
| 77112 | Re-dissection of groin (after 21 days), extra | 4 | $132.47 |
| 77110 | Re-exploration of groin for bleeding or haematoma | 4 | $125.47 |
| 77370 | Release of popliteal entrapment syndrome | 3 | $334.57 |
| 77104 | Removal of synthetic graft - with replacement at a different site | 0 | $1,015.99 |
| 77100 | Removal of synthetic graft - without replacement | 0 | $1,354.69 |
| 77102 | Removal of synthetic graft, with replacement at the same site | 0 | $677.35 |
| 77205 | Renal bypass graft (autogenous vein) | 7 | $892.23 |
| 77200 | Renal bypass graft (synthetic) | 7 | $885.59 |
| 77345 | Repair of injury of major vessel in trunk - graft | 9 | $1,168.71 |
| 77340 | Repair of injury of major vessel in trunk - suture | 9 | $876.21 |
| 07829 | Repair of traumatic injury, intrathoracic vessels | 10 | $941.63 |
| 07825 | Resecting aneurysm with other procedure | 10 | $273.08 |
| 77180 | Resection of abdominal aneurysm | 9 | $124.11 |
| 07826 | Resection of aortic arch aneurysm | 10 | $2,395.05 |
| 07818 | Resection of ascending aortic anuerysm | 10 | $1,690.88 |
| 07819 | Resection of descending aortic aneurysm | 10 | $1,690.88 |
| 77185 | Ruptured aneurysm, with grafting | 10 | $1,598.26 |
| 77285 | Short saphenous graft | 7 | $254.66 |
| 77140 | Subclavian - neck or thoracic - bypass graft | 5 | $846.50 |
| 77290 | Superficial femoral vein graft(extra) | 7 | $254.66 |
| 77195 | Superior mesenteric bypass graft (autogenous vein) | 7 | $892.23 |
| 77190 | Superior mesenteric bypass graft (synthetic) | 7 | $892.23 |
| 77350 | Supra renal aortic cross-clamp | 0 | $114.21 |
| 77115 | Thrombectomy with or without angioplasty | 5 | $556.73 |
| 77275 | Vein graft - in situ | 7 | $257.02 |
Arteries Surgical Procedures |
|||
| 77335 | Repair of injury of major vessel in extremity | 6 | $750.88 |
| 77330 | Repair of injury of major vessel in extremity - su | 6 | $583.75 |
Arthrogram |
|||
| 08637 | Arthogram - elbow (excluding injection of contrast | 0 | $34.95 |
| 08631 | Arthogram - wrist (excluding injection of contrast | 0 | $34.95 |
| 08609 | Arthrogram x-ray - ankle | 0 | $34.95 |
| 08607 | Arthrogram x-ray - hip | 0 | $34.95 |
| 08608 | Arthrogram x-ray - knee | 0 | $74.99 |
| 08606 | Arthrogram x-ray - shoulder | 0 | $38.00 |
Biliary Tract |
|||
| 70728 | Anastomosis - intra-hepatic ducts/gi tract | 6 | $1,769.19 |
| 70710 | Atresia - bile ducts - congenital | 5 | $1,522.60 |
| 07781 | Biliary endoscopy - percutaneous | 2 | $202.59 |
| 07780 | Biliary endoscopy - intraoperative | 0 | $202.77 |
| 07782 | Biliary endoscopy -stone removal | 2 | $228.06 |
| 07783 | Biliary endoscopy; with dilation of duct stricture | 2 | $228.06 |
| 70701 | Cholecystectomy - cbd (laparoscopic) | 5 | $1,212.66 |
| 70702 | Cholecystectomy - cbd (open) | 5 | $1,212.66 |
| 07707 | Cholecystectomy - laparoscopic | 5 | $536.09 |
| 07699 | Cholecystectomy - open | 5 | $606.62 |
| 70704 | Cholecystectomy with choledochojejunostomy | 5 | $1,313.92 |
| 70700 | Cholecystectomy; open preceded by cholecystectomy | 5 | $707.84 |
| 70703 | Cholecystectomy/choledochoduodenostomy | 5 | $1,313.82 |
| 70705 | Cholecystectomy/transduodenal sphincterotomy | 5 | $1,313.82 |
| 07706 | Cholecystoenterostomy - direct (loop) | 6 | $1,015.07 |
| 70720 | Cholecystoenterostomy/gastroenterostomy | 5 | $1,218.09 |
| 70721 | Cholecystoenterostomy/roux-en-y | 5 | $1,116.58 |
| 70722 | Cholecystoenterostomy/roux-en-y/gastroenterostomy | 5 | $1,319.59 |
| 70698 | Cholecystostomy - laparoscopic | 5 | $455.06 |
| 07698 | Cholecystostomy - open | 5 | $505.43 |
| 71698 | Cholecystostomy - percutaneous | 2 | $164.85 |
| 07561 | Choledochal stent - placement | 5 | $172.45 |
| 07703 | Choledochoduodenostomy | 6 | $1,116.58 |
| 70725 | Choledochojejunostomy with gastrojejunostomy | 6 | $1,700.00 |
| 07705 | Choledochojejunostomy/anastomosis of extra-hepatic | 6 | $1,218.09 |
| 70726 | Choledochojejunostomy/roux-en-y | 6 | $1,700.00 |
| 70727 | Choledochojejunostomy/roux-en-y/gastrojejunostomy | 6 | $1,700.00 |
| 70695 | Choledochotomy/choledochostomy - laparoscopic | 5 | $900.00 |
| 70694 | Choledochotomy/choledochostomy open | 5 | $850.00 |
| 70696 | Choledochotomy/transduodenal sphincteroplasty | 5 | $950.00 |
| 70715 | Cyst - choledochal | 5 | $1,414.54 |
| 70716 | Cyst - choledochal/ductoplasty | 5 | $1,471.37 |
| 70717 | Cyst; choledochal - excision, multiple anastomoses | 5 | $1,594.00 |
| 07562 | Duodenal biliary stent - replacement | 3 | $172.45 |
| 07769 | Duodenotomy and sphincteroplasty | 5 | $1,014.02 |
| 07554 | Ercp - balloon dilatation | 3 | $434.25 |
| 07519 | Ercp - biliary stenting | 3 | $434.25 |
| 07517 | Ercp - papillotomy/sphincterotomy | 3 | $447.05 |
| 07518 | Ercp - stone extraction | 3 | $530.07 |
| 07556 | Ercp - stone extraction requiring lithotripsy | 3 | $555.62 |
| 70731 | Extra-hepatic biliary duct: primary repair | 5 | $1,421.10 |
| 07560 | Naso-biliary drainage tube - insertion | 3 | $103.49 |
| 70718 | Portal lymphadenectomy | 4 | $764.73 |
| 70711 | Portoenterostomy | 6 | $1,584.89 |
| 07776 | Repair of cholecystenteric fistula | 5 | $1,000.00 |
| 70713 | Tumor/stricture - bile duct - upper | 6 | $2,200.00 |
| 70712 | Tumor/stricture - bile duct - lower | 6 | $1,900.00 |
| 70714 | Tumor/stricture - bile duct - multiple anastomoses | 6 | $2,500.00 |
| 70730 | U-tube hepatico enterostomy | 5 | $1,769.19 |
Bladder |
|||
| 08200 | Bladder fulguration with cystoscopy | 2 | $158.13 |
| 08255 | Closure of fistula - suprapubic, vesico-vaginal, vesico-rectal, or vesico-sigmoid | 5 | $713.74 |
| 08204 | Cystectomy - partial for tumor or diverticulum | 5 | $711.34 |
| 08205 | Cystectomy - partial for tumor or diverticulum | 2 | $285.00 |
| 08203 | Cystolithotomy | 2 | $315.89 |
| 08202 | Cystostomy by trochar-isolated procedure | 2 | $101.96 |
| 08201 | Cystostomy-isolated procedure | 2 | $220.24 |
| 08254 | Litholapaxy and removal of fragments | 2 | $280.41 |
| 08257 | Transurethral removal of foreign body (excluding ureteric stents) | 3 | $252.75 |
| 08251 | Transurethral resection bladder neck,female | 3 | $301.30 |
| 08250 | Transurethral resection bladder, urethral tumor & adjacent muscle & electrocoagulation, as nescessary | 3 | $321.78 |
| 08256 | Transurethral resection external urinary sphincter | 3 | $303.07 |
| 08253 | Y-v vesical neck plasty | 4 | $643.81 |
Blepharoplasty |
|||
| 06126 | Blepharoplasty - complicated | 3 | $392.82 |
| 61026 | Blepharoplasty-complicated-non-cosmetic(bilateral) | 3 | $589.27 |
| 06125 | Eyelids - blepharoplasty - simple | 3 | $261.90 |
| 61025 | Eyelids-blepharoplasty-simple(bilateral) | 3 | $392.82 |
Blood Transfusions |
|||
| 00020 | Blood transfusion administered outside hospital | 0 | $62.51 |
| 00021 | Blood transfusion in hospital | 0 | $37.27 |
| 00023 | Blood transfusion with vein dissection | 0 | $52.84 |
| 00022 | Serum transfusion | 0 | $24.89 |
Bone Mineral Densitometry Using DEXA Technology |
|||
| 08689 | Bone density - second area | 0 | $47.37 |
| 08688 | Bone density - single area | 0 | $69.25 |
| 08696 | Bone density - whole body | 0 | $124.68 |
Bone Survey |
|||
| 08604 | Bone survey - 1st anatomical area | 0 | $35.32 |
| 08605 | Bone survey - additional anatomical area | 0 | $17.80 |
| 08603 | Bone survey - age | 0 | $37.01 |
Breast |
|||
| 70042 | Aspiration - fine needle - additional cyst/ lesion | 2 | $12.07 |
| 07475 | Axillary dissection - partial | 3 | $237.35 |
| 07474 | Axillary dissection (level ii) - complete | 3 | $507.42 |
| 61046 | Biologic tissue for breast reconstruction-extra | 0 | $303.46 |
| 61047 | Biologic tissue for breast reconstruction-extra | 0 | $43.77 |
| 70470 | Biopsy - breast - incisional | 2 | $152.26 |
| 70471 | Biopsy - breast - excisional | 2 | $203.56 |
| 70469 | Biopsy - breast - needle core | 2 | $57.48 |
| 70472 | Biopsy - needle core-stereotactic/ultrasound guide | 2 | $90.89 |
| 70477 | Biopsy breast lesion - each additional | 2 | $110.42 |
| 07497 | Biopsy or segmental resection of non-palpable brea | 2 | $232.60 |
| 70473 | Biopsy-needle core-stereotactic/ultrasound guided | 2 | $128.33 |
| 86048 | Breast sonogram - additional side | 0 | $35.62 |
| 86047 | Breast sonogram - unilateral | 0 | $70.63 |
| 70041 | Fine needle aspiration solid or cystic lesion | 2 | $48.20 |
| 61045 | Immediate breast reconstruction-extra | 0 | $202.31 |
| 83045 | Interventional radiology consultation | 0 | $150.00 |
| 07472 | Mastectomy - total for malignancy | 3 | $474.13 |
| 07473 | Mastectomy - partial for malignancy | 3 | $329.57 |
| 70479 | Mastectomy - radical | 3 | $777.59 |
| 07471 | Mastectomy - simple for benign disease | 3 | $340.96 |
| 70478 | Mastectomy - gynecomastia | 3 | $305.89 |
| 07498 | Mastectomy - skin sparing - unilateral | 3 | $650.00 |
| 70044 | Mastotomy - under general anesthetic | 2 | $203.73 |
| 70043 | Mastotomy with exploration of drainage of abscess | 2 | $81.45 |
| 07470 | Nipple exploration | 2 | $277.88 |
| 07479 | Sentinel lymph node biopsy | 3 | $474.13 |
| 07481 | Sentinel lymph node biopsy | 4 | $450.00 |
| 07482 | Sentinel lymph node biopsy | 4 | $550.00 |
Burns |
|||
| 06081 | Burns surgical excision - first 5% of body surface | 5 | $376.08 |
| 06082 | Burns surgical excision/each additional 5% of body | 5 | $203.93 |
| 06083 | Burns, severe, general care - first hour | 0 | $254.92 |
| 06084 | Burns, severe, general care - subsequent hours | 0 | $203.93 |
| 06080 | Burns; subsequent surg debridement; each 5% body | 5 | $30.37 |
| 06078 | Minor burns; dressing (in hosp care only) | 4 | $57.62 |
| 06079 | Surgical debridement; minor burns, each 5% of body | 5 | $122.35 |
Call-Out Charges |
|||
| 01200 | 1800-2300 call-out charge - evening | 0 | $72.53 |
| 01201 | 2300-0800 call-out charge - night | 0 | $101.86 |
| 01202 | Saturday, sunday, or stat holiday (call placed between 0800 hours and 2300 hours) | 0 | $72.53 |
Cardio-vascular Diagnostic Procedures |
|||
| 00839 | Direct intra-coronary streptokinase thrombolysis | 4 | $361.78 |
| 00814 | Dye dilution studies, extra, by duly qualified specialist | 4 | $55.52 |
| 00814 | Dye dilution studies, extra, by duly qualified specialist | 4 | $55.52 |
| 00813 | Ergonovine provocative testing for coronary artery spasm | 4 | $79.14 |
| 00813 | Ergonovine provocative testing for coronary artery spasm | 4 | $79.14 |
| 00816 | Hydrogen ion study | 2 | $28.96 |
| 00816 | Hydrogen ion study | 2 | $28.96 |
| 00810 | Right heart catheterization, by duly qualified specialist | 4 | $165.44 |
| 00810 | Right heart catheterization, by duly qualified specialist | 4 | $165.44 |
| 00812 | Selective angiocardiogram, extra, by duly qualified specialist | 4 | $55.52 |
| 00812 | Selective angiocardiogram, extra, by duly qualified specialist | 4 | $55.52 |
| 00830 | Trans-septal left heart catheterization | 4 | $235.58 |
Cavity Grafting |
|||
| 06062 | Bone cavity grafting in large bone over 7.5 cm | 4 | $441.02 |
| 06065 | Bone cavity in large bone - cavity grafting | 3 | $311.13 |
| 06064 | Bone cavity in small bone - cavity grafting | 2 | $254.92 |
| 06066 | Cavity grafting; absence of vagina - congenital | 4 | $582.45 |
| 06060 | Skin grafts - cavity grafting - mouth | 3 | $523.79 |
| 06055 | Skin grafts - cavity grafting - eye socket | 3 | $441.02 |
| 06057 | Skin grafts - cavity grafting - nose | 3 | $393.90 |
| 06061 | Skin grafts/cavity grafting - lining pedicle flaps | 3 | $300.67 |
| 06056 | Skin grafts/cavity grafting/eye socket with mucosa | 3 | $675.68 |
Cell-assisted Lipotransfer for soft defects (Aspiration and Injections) |
|||
| 61250 | Lipotransfer - aspiration - volume < 20 ml | 3 | $81.88 |
| 61252 | Lipotransfer - aspiration - volume > 60 ml | 3 | $143.28 |
| 61251 | Lipotransfer - aspiration - volume 21-60 ml | 3 | $102.34 |
| 61260 | Lipotransfer - injection functional area: < 20ml | 3 | $122.81 |
| 61261 | Lipotransfer - injection functional area: > 20 ml | 3 | $184.23 |
| 61271 | Lipotransfer-injection nonfunc area: 21 to 60 ml | 3 | $143.28 |
| 61270 | Lipotransfer-injection nonfunctional area: < 20ml | 3 | $102.34 |
| 61272 | Lipotransfer-injection nonfunctional area: > 60ml | 3 | $184.23 |
Cerebral Procedures |
|||
| 03132 | - two surgeons - neurosurgeon | 8 | $2,019.98 |
| 03094 | Anterior decompressing craniovertebral junction | 8 | $2,947.49 |
| 03125 | Bilateral craniectomies for cranial expansion or delayed treatment of synostosis (patient must be older than 1 year) | 8 | $1,913.31 |
| 03144 | Corpus callosum - section of corpus callosum | 8 | $2,255.16 |
| 03238 | Cortical or deep brain localization with seep or stimulation in an awake patient (extra to craniotomy) | 0 | $471.01 |
| 03147 | Cranial reconstruction for complex deformity in a child | 8 | $2,480.37 |
| 03122 | Craniectomy for osteomyelitis or skull tumor | 7 | $1,061.40 |
| 03123 | Craniectomy osteomyelitis or tumor w/cranioplasty | 7 | $1,493.23 |
| 03121 | Cranioplasty | 7 | $950.12 |
| 03057 | Craniotomy - cortical resection -epilepsy | 8 | $2,149.49 |
| 03055 | Craniotomy - microsurgical-resection-epilepsy-ga | 8 | $2,474.42 |
| 03053 | Craniotomy - neurosurgical component | 8 | $685.59 |
| 03056 | Craniotomy - resection - epilepsy/awake | 8 | $3,249.23 |
| 03239 | Craniotomy and insertion of subdural grid electrodes with or without additional strip electrodes unilateral | 7 | $1,465.22 |
| 03059 | Craniotomy and microsurgical hemispherotomy | 8 | $2,592.93 |
| 03114 | Craniotomy and microsurgical removal of tumour | 8 | $2,909.46 |
| 03136 | Craniotomy for intracranial aneurysm or angioma | 9 | $2,731.29 |
| 03133 | Craniotomy for removal of extra-axial brain tumour using operating microscope | 8 | $2,909.46 |
| 03130 | Craniotomy for removal of extra-axial brain tumour using operating microscope when procedure is prolonged more than 8 hours (to include operative report) | 8 | $4,490.32 |
| 03129 | Craniotomy for tumor | 8 | $1,701.87 |
| 03222 | Craniotomy lasting more than 12 hours | 9 | $5,337.81 |
| 03135 | Craniotomy or laminectomy using operating microscope when procedure is prolonged more than 8 hours (to include operative report) | 9 | $3,924.59 |
| 03066 | Craniotomy-microsurgical resection-extra-axial | 0 | $193.16 |
| 03148 | Forehead reconstruction/extra linear craniectomy | 0 | $285.85 |
| 03058 | Hemispherectomy | 8 | $2,235.64 |
| 03139 | Implantation of stimulator | 3 | $985.00 |
| 03236 | Insertion of subdural strip electrodes - unilateral [epilepsy surgery, to include burrhole(s)] | 8 | $1,099.02 |
| 03140 | Intra-cranial stimulating electrodes | 7 | $2,450.00 |
| 03143 | Lateral canthal - bilateral | 8 | $1,280.35 |
| 03137 | Lateral canthal advancement or similar procedure for coronal synostosis - unilateral | 8 | $1,195.69 |
| 03124 | Linear craniectomy or craniotomy for cranial stenosis - 1st suture | 7 | $1,032.86 |
| 03127 | Linear craniectomy or craniotomy for cranial stenosis - additional sutures to a maximum of 3 - each extra | 7 | $253.50 |
| 03146 | Morcellation of skull for craniosynostosis | 8 | $1,745.53 |
| 03120 | Neurosurgical fee for facial craniotomy reconstruction | 9 | $1,347.34 |
| 03235 | Ntraoperative cortical localization ssep or stimulation studies g.a. (extra to craniotomy) | 0 | $235.48 |
| 03095 | Posterior decompression - no dural repair | 8 | $1,549.63 |
| 03097 | Posterior decompression - with 4th ventricular rep | 8 | $2,124.50 |
| 03096 | Posterior decompression - with dural repair | 8 | $1,874.56 |
| 03241 | Re-opening of craniotomy for removal of subdural grid electrodes unilateral | 6 | $789.19 |
| 03126 | Re-opening or removal of bone flap | 6 | $693.26 |
| 03320 | Removal of skull tumour without craniectomy | 6 | $418.78 |
| 03237 | Removal of subdural strip electrodes - unilateral | 6 | $471.01 |
| 03128 | Stereotactic biopsy for intracranial pathology via frame-based or frameless techniques | 7 | $1,474.65 |
| 03189 | Stereotactic localization during neurosurgery in association with craniotomy and spinal fusion/stabilization procedures extra | 0 | $481.50 |
| 02437 | Transphenoidal removal of pituitary tumour or hypophysectomy - two surgeons - otolaryngologist | 8 | $1,233.76 |
| 03131 | Transsphenoidal removal of pituitary tumour or hypophysectomy - one surgeon | 8 | $2,022.48 |
| 03138 | Unilateral stereotaxic intracranial procedures | 7 | $1,195.69 |
Certificates, etc. |
|||
| 00062 | Adoption-examination | 0 | $77.58 |
| 00064 | Adoption-subsequent exam | 0 | $34.90 |
| 00067 | Mental ill-health - voluntary committal | 0 | $46.54 |
| 00066 | Mental ill-health-documentation | 0 | $46.66 |
| 00065 | Mental ill-health-investigation | 0 | $103.82 |
Cervical - Instrumented Procedures |
|||
| 03354 | Cervical | 6 | $2,836.82 |
| 03358 | Cervical - orif | 7 | $1,008.32 |
| 03341 | Cervical - segmental (includes c1-2 transarticular screws). | 6 | $1,087.67 |
| 03340 | Cervical - simple, single or multiple level (includes gallie fusion).. | 6 | $541.49 |
| 03347 | Cervical - stabilization alone (with neurosurgeon). | 6 | $504.14 |
| 03348 | Cervical - with plates and discectomy | 6 | $1,574.63 |
| 03349 | Cervical - with plates and discectomy | 6 | $1,769.22 |
Ceverical - Decompression Procedures |
|||
| 03362 | Cervical - single level | 6 | $625.53 |
| 03363 | Cervical - two or more levels | 6 | $807.58 |
| 03365 | Vertebral body resection - cervical | 6 | $1,633.84 |
Chemistry |
|||
| 91000 | Primary base fee - chemistry | 0 | $15.62 |
| 91005 | Primary base fee (collecting) - chemistry | 0 | $7.02 |
Chemotherapy |
|||
| 33581 | Cancer chemotherapy, high intensity | 0 | $203.27 |
| 33583 | Cancer chemotherapy, limited | 0 | $68.11 |
| 33582 | Cancer chemotherapy, major | 0 | $119.21 |
| 00578 | High intensity cancer chemotherapy- patients 0-16yr | 0 | $243.26 |
| 00580 | Limited intensity cancer chemotherapy-patients 0-16 years | 0 | $110.56 |
| 00579 | Major intensity cancer chemotherapy-patients 0-16 | 0 | $187.96 |
Chest |
|||
| 08553 | Chest fluoroscopy | 0 | $17.93 |
| 08555 | Chest x-rays - ribs both sides | 0 | $53.41 |
| 08554 | Chest x-rays - ribs one side | 0 | $35.32 |
| 08557 | Chest x-rays - sternum and sterno | 0 | $53.41 |
| 08556 | Chest x-rays - sternum or sterno | 0 | $35.32 |
| 08551 | Chest x-rays - thoracic inlet | 0 | $35.04 |
| 08552 | Chest x-rays - thoracic inlet -additional views | 0 | $17.80 |
| 08550 | Chest x-rays - thoracic viscera | 0 | $35.04 |
Chest Wall Surgery |
|||
| 79125 | Cervical rib resection | 5 | $360.84 |
| 79110 | Closure of pleurostomy re:longterm care of empyema | 6 | $498.07 |
| 79115 | Pectus excavatum and carinatum | 8 | $776.56 |
| 79105 | Rib resection for empyema | 6 | $498.07 |
| 79120 | Thoracoplasty | 6 | $776.56 |
| 79130 | Trans-axillary resection of first rib | 5 | $869.08 |
Chronic Disease Management Incentives |
|||
| 14253 | Gp annual chronic care incentive(encounter)-copd | 0 | $125.78 |
| 14250 | Gp annual chronic care incentive(encounter)-diabet | 0 | $125.78 |
| 14251 | Gp annual chronic care incentive(encounter)-heart | 0 | $125.78 |
| 14252 | Gp annual chronic care incentive(encounter)-hypert | 0 | $50.31 |
Clinical Examinations |
|||
| 02018 | Biomicroscopy | 0 | $31.95 |
| 02010 | Consultation - ophthalmology | 0 | $99.26 |
| 02005 | Emergency visit - ophthalmology | 0 | $89.84 |
| 02028 | Examination for low visual aid | 0 | $49.50 |
| 02048 | Exophthalmometry | 0 | $13.45 |
| 02015 | Eye examination (refraction, opthalmoscopy etc...) | 0 | $50.86 |
| 02009 | Home visit - ophthalmology | 0 | $60.27 |
| 02008 | Hospital visit - ophthalmology | 0 | $48.72 |
| 02038 | Keratometry | 0 | $15.63 |
| 02011 | Limited consultation - ophthalmology | 0 | $48.83 |
| 02017 | Oculo-motor function test | 0 | $34.51 |
| 02007 | Office visit - ophthalmology | 0 | $36.14 |
| 02020 | Ophthalmodynamometry | 0 | $28.61 |
| 02014 | Orthoptic evaluation | 0 | $60.87 |
| 22016 | Pachymetry-extra(when billed with other eye exams) | 0 | $10.21 |
| 02040 | Retinoscopy, keratometry, tonometry, indirect fundoscopy, fundus photography and prosthetic fitting under general anesthetic | 3 | $133.06 |
| 02012 | Special consultation - ophthalmology | 0 | $135.53 |
| 22010 | Telehealth consultation - ophthalmology | 0 | $99.26 |
| 22011 | Telehealth repeat or lmtd consult - ophthalmology | 0 | $48.83 |
| 22008 | Telehealth subseqnt hospital visit - ophthalmology | 0 | $48.72 |
| 22007 | Telehealth subsequent office visit - ophthalmology | 0 | $36.14 |
| 02019 | Tonometry | 0 | $31.95 |
Closure of Fistula (Enterovesical, Colovesical or Colovaginal) |
|||
| 07455 | Emergency resection of obstructed colon | 6 | $1,011.50 |
| 07658 | Exteriorization of bowel | 5 | $602.52 |
| 72654 | Fistula - closure/bowel resection | 5 | $404.35 |
| 72653 | Fistula - enterovesical/colovesical/colovaginal | 5 | $909.89 |
Closure of Loop Enterostomy |
|||
| 07647 | Closure of loop enterostomy with resection | 5 | $631.93 |
| 07646 | Closure of loop enterostomy, large/small intestine | 4 | $509.22 |
| 72652 | Hartman procedure - reconstruction - laparoscopic | 5 | $1,033.43 |
| 72651 | Reconstruction hartmann procedure - open | 5 | $1,010.79 |
Closure of Oesophagostomy or Fistula |
|||
| 07528 | Placement gastroesophageal venous compression ball | 5 | $202.10 |
Community Based GP Hospital Visits |
|||
| 13339 | Com based gp,1st hosp visit of day bonus, extra | 0 | $49.84 |
| 13008 | Community based gp: hospital visit | 0 | $54.20 |
| 13011 | Community based gp: hospital visit | 0 | $64.64 |
| 13012 | Community based gp: hospital visit | 0 | $43.23 |
| 13228 | Community based gp: hospital visit | 0 | $30.09 |
| 13028 | Community based gp: supportive care hosp visit | 0 | $36.01 |
Complete Examinations |
|||
| 12101 | In office (age 0-1)-complete examination | 0 | $76.83 |
| 00101 | In office (age 2-49)-complete examination | 0 | $69.85 |
| 15301 | In office (age 50-59)-complete examination | 0 | $76.83 |
| 16101 | In office (age 60-69)-complete examination | 0 | $80.32 |
| 17101 | In office (age 70-79)-complete examination | 0 | $90.80 |
| 18101 | In office (age 80+)-complete examination | 0 | $104.79 |
| 12201 | Out of office (age 0-1)-complete examination | 0 | $92.20 |
| 13201 | Out of office (age 2-49)-complete examination | 0 | $83.82 |
| 15201 | Out of office (age 50-59)-complete examination | 0 | $92.20 |
| 16201 | Out of office (age 60-69)-complete examination | 0 | $96.39 |
| 17201 | Out of office (age 70-79)-complete examination | 0 | $108.95 |
| 18201 | Out of office (age 80+)-complete examination | 0 | $125.74 |
Computerized Tomography |
|||
| 83090 | Cardiac ct/ct coronary angiography, prof. fee | 0 | $170.21 |
| 83096 | Ct colonography, professional fee (extra) | 0 | $62.20 |
| 08695 | Tomography - body scan double scan or two regions | 0 | $138.54 |
| 08691 | Tomography - head scan with contrast | 0 | $64.08 |
| 08694 | Tomography-body scan one region with contrast | 0 | $101.35 |
| 08693 | Tomography-body scan one region without contrast | 0 | $91.69 |
| 08692 | Tomography-head scan double scan or 2 planes | 0 | $82.76 |
| 08690 | Tomography-head scan without contrast | 0 | $45.95 |
Consultations / Visits |
|||
| 30006 | Clinical immunology & allegy - directive care | 0 | $93.00 |
| 30007 | Clinical immunology and allegy - office visit | 0 | $40.03 |
| 30008 | Clinical immunology and allergy - hospital visit | 0 | $22.50 |
| 30010 | Clinical immunology and allergy consultation | 0 | $190.24 |
| 13109 | Community based gp:acute care hospital admission | 0 | $103.16 |
| 14016 | Community patient conference fee-general practice | 0 | $40.00 |
| 32011 | Complex respiratory medicine assessment | 0 | $69.08 |
| 94012 | Consult - limited/repeat, laboratory medicine | 0 | $82.69 |
| 33010 | Consultation - cardiology | 0 | $171.46 |
| 33620 | Consultation - extended - infectious disease | 0 | $335.29 |
| 33310 | Consultation - gastroenterology | 0 | $178.78 |
| 71010 | Consultation - general surgery - malignancy | 0 | $150.00 |
| 33410 | Consultation - geriatric medicine | 0 | $204.44 |
| 33510 | Consultation - hematology/oncology | 0 | $174.00 |
| 33610 | Consultation - infectious diseases | 0 | $207.09 |
| 94010 | Consultation - laboratory medicine | 0 | $148.82 |
| 01115 | Consultation - repeat / limited - anaesthesia | 0 | $76.14 |
| 01116 | Consultation - repeat or limited - diagnostic / pain mgmt | 0 | $100.86 |
| 07010 | Consultation- general surgery | 0 | $116.00 |
| 33012 | Consultation-limited-cardiology | 0 | $85.73 |
| 33312 | Consultation-limited-gastroenterolody | 0 | $101.14 |
| 33512 | Consultation-limited-hematology/oncology | 0 | $84.24 |
| 33612 | Consultation-limited-infectious diseases | 0 | $109.91 |
| 33710 | Consultation-nephrology | 0 | $173.42 |
| 01015 | Consultation, anaesthesia | 0 | $132.71 |
| 07810 | Consultation, cardio-thoracic | 0 | $193.65 |
| 00210 | Consultation, dermatology | 0 | $79.36 |
| 00214 | Consultation, dermatology - repeat/limited | 0 | $50.56 |
| 00310 | Consultation, int. med. | 0 | $168.39 |
| 07812 | Consultation, limited or repeat, cardio-thoracic | 0 | $65.10 |
| 00312 | Consultation, limited, int. med. | 0 | $81.35 |
| 01016 | Consultation, management of complicated chronic pain | 0 | $201.75 |
| 00410 | Consultation, neurology | 0 | $182.41 |
| 00510 | Consultation, paediatrics | 0 | $241.36 |
| 00610 | Consultation, psychiatry | 0 | $247.37 |
| 00313 | Counselling group - internal med - 1st full hour | 0 | $113.42 |
| 00315 | Counselling group -internal med -2nd hr per 1/2 hr | 0 | $56.67 |
| 33013 | Counselling-group-cardiology - 1st full hour | 0 | $93.55 |
| 33015 | Counselling-group-cardiology - 2nd hr per 1/2 hr | 0 | $46.75 |
| 33315 | Counselling-group-gastro -2nd hr per 1/2 hr | 0 | $52.78 |
| 33313 | Counselling-group-gastroenterology - 1st full hr | 0 | $105.06 |
| 33415 | Counselling-group-geriatric med. 2nd hr per 1/2 hr | 0 | $49.68 |
| 33413 | Counselling-group-geriatric medicine - 1st full hr | 0 | $99.46 |
| 33513 | Counselling-group-hematology - 1st full hour | 0 | $113.76 |
| 33515 | Counselling-group-hematology - 2nd hr per 1/2 hr | 0 | $56.84 |
| 33014 | Counselling-prolonged visit-cardiology | 0 | $60.66 |
| 33314 | Counselling-prolonged visit-gastroenterology | 0 | $54.82 |
| 33414 | Counselling-prolonged visit-geriatric medicine | 0 | $53.21 |
| 33514 | Counselling-prolonged visit-hematology/oncology | 0 | $78.88 |
| 00204 | Directive care - dermatology | 0 | $30.75 |
| 33706 | Directive care - nephrology | 0 | $60.17 |
| 33006 | Directive care-cardiology | 0 | $64.27 |
| 33306 | Directive care-gastroenterology | 0 | $59.43 |
| 33406 | Directive care-geriatric medicine | 0 | $50.00 |
| 33506 | Directive care-hematology/oncology | 0 | $84.20 |
| 33606 | Directive care-infectious disease | 0 | $62.64 |
| 00306 | Directive care, internal medicine | 0 | $72.19 |
| 00406 | Directive care, neurology | 0 | $90.08 |
| 33455 | Discontined - geriatric fee code | 0 | $96.55 |
| 00117 | Ecg interpretation only g.p. | 0 | $10.41 |
| 01810 | Emergency medicine consultation | 0 | $130.28 |
| 07805 | Emergency visit - cardiac surgery | 0 | $99.03 |
| 33005 | Emergency visit - cardiology | 0 | $94.84 |
| 30005 | Emergency visit - clinical immunology and allergy | 0 | $87.57 |
| 00205 | Emergency visit - dermatology | 0 | $105.43 |
| 00305 | Emergency visit - general internal medicine | 0 | $114.98 |
| 94005 | Emergency visit - laboratory medicine | 0 | $127.63 |
| 33705 | Emergency visit - nephrology | 0 | $108.26 |
| 00405 | Emergency visit - neurology | 0 | $94.16 |
| 00605 | Emergency visit - psychiatry | 0 | $144.57 |
| 33405 | Emergency visit when specially called | 0 | $122.15 |
| 33305 | Emergency visit-gastroenterology | 0 | $111.65 |
| 33505 | Emergency visit-hematology & oncology | 0 | $145.13 |
| 33605 | Emergency visit-infectious diseases | 0 | $116.16 |
| 00622 | Emotionally disturbed child - consultation | 0 | $441.73 |
| 00623 | Emotionally disturbed family - consultation | 0 | $441.73 |
| 00624 | Evaluation interview with family member | 0 | $54.58 |
| 00611 | Extended adult psychiatry consultation > 68 minutes | 0 | $324.92 |
| 31050 | Extended consultation-rheumatology-exceed 53 min | 0 | $270.47 |
| 00441 | Face to face acvs consultation - neurology | 0 | $215.58 |
| 00442 | Face to face f/u neurological clin (without tpa) | 0 | $100.19 |
| 00443 | Face to face f/u neurological clinical (with tpa) | 0 | $100.19 |
| 00444 | Face to face follow up acvs relapse intervention | 0 | $80.14 |
| 14015 | Facility patient conference-general practice | 0 | $40.00 |
| 60633 | Family/conjoint telehealth therapy - per 1/2 hr | 0 | $109.17 |
| 60639 | Family/conjoint telehealth therapy - per 1 1/2 hr | 0 | $317.41 |
| 60636 | Family/conjoint telehealth therapy - per 1 hr | 0 | $211.58 |
| 60635 | Family/conjoint telehealth therapy - per 3/4 hr | 0 | $162.48 |
| 60638 | Family/conjoint telehealth thereapy-per 1 1/4 hr | 0 | $264.50 |
| 10003 | Follow-up-specialist patient mgmt | 0 | $24.17 |
| 00206 | For primary systemic diseases with cutaneous manifestations, to include complete history and physical examination, review of x-ray and laboratory findings, and a written report | 0 | $179.96 |
| 14017 | General practice acute care discharge conference | 0 | $40.00 |
| 33401 | Geriatric assessment | 0 | $295.00 |
| 33445 | Geriatric care conference (pat 65+) per 15 min | 0 | $50.00 |
| 33446 | Geriatric care conference (pat 65+) per 15 min | 0 | $72.00 |
| 33447 | Geriatric care conference (pat 65+) per 15 min | 0 | $80.00 |
| 33448 | Geriatric care conference (pat 65+) per 15 min | 0 | $44.00 |
| 00613 | Geriatric consultation (age 75 years or older) | 0 | $374.12 |
| 33450 | Geriatric family conference (pat 65+)-per 15 min | 0 | $43.55 |
| 33402 | Geriatric reassessment | 0 | $118.00 |
| 33403 | Geriatric reassessment | 0 | $295.00 |
| 33404 | Geriatric reassessment | 0 | $118.00 |
| 00311 | Gim - complex consultation - 3 medical conditions | 0 | $277.78 |
| 14019 | Gp advice fee to np-telephone or in person | 0 | $43.23 |
| 14078 | Gp email/text/telephone medical advice relay fee | 0 | $7.04 |
| 14079 | Gp telephone/email management fee | 0 | $15.00 |
| 14018 | Gp urgent telephone conference with a specialist | 0 | $43.23 |
| 14023 | Gp with spec training tele patient mgmt-follow up | 0 | $20.12 |
| 14021 | Gp with specialty training tele advice - urgent | 0 | $60.37 |
| 14022 | Gp with specialty training tele patient mgmt 1 wk | 0 | $43.23 |
| 33715 | Group counselling (each additional 1/2 hour) | 0 | $53.36 |
| 33713 | Group counselling (first hour) | 0 | $106.78 |
| 33613 | Group counselling for groups of two or more patients: first full hour | 0 | $114.64 |
| 33615 | Group counselling for groups of two or more patients: second hour, per 1/2 hour or major portion thereof | 0 | $57.28 |
| 13015 | Hiv/aids primary care mgmt - per 1/2 hr or | 0 | $85.95 |
| 00103 | Home visit - call placed between 0800 and 2300hrs | 0 | $116.09 |
| 01108 | Hospital visit - anaesthesia | 0 | $50.74 |
| 33708 | Hospital visit - nephrology | 0 | $48.32 |
| 01109 | Hospital visit (Sat / Sun / stat) anesthesia | 0 | $88.62 |
| 00615 | Hospital/institution inpatient or home visit | 0 | $247.37 |
| 15310 | In office (age 50-59)-consultation | 0 | $85.40 |
| 13070 | In office assessment in assoc with a wsbc service | 0 | $16.49 |
| 13075 | In office assessment in assoc with an icbc service | 0 | $16.49 |
| 17110 | In office: (age 70-79)-consultation | 0 | $100.91 |
| 18110 | In office: (age 80+)-consultation | 0 | $116.11 |
| 00110 | In office: age 2-49-consultation | 0 | $77.63 |
| 12110 | In office:(age 0-1)-consultation | 0 | $85.40 |
| 16110 | In office:(age 60-69)-consultation | 0 | $89.28 |
| 60632 | Individual telehealth psychiatric treatment, 1 hr | 0 | $211.58 |
| 60630 | Individual telehealth psychiatric treatment, 1/2 h | 0 | $109.17 |
| 60631 | Individual telehealth psychiatric treatment, 3/4 h | 0 | $162.48 |
| 33645 | Infectious disease care mgt of hiv/aids-per 1/2hr | 0 | $102.36 |
| 00314 | Internal medicine prolonged visit for counselling | 0 | $55.38 |
| 94006 | Laboratory medicine, directive care | 0 | $31.44 |
| 94009 | Laboratory medicine, home visit | 0 | $63.89 |
| 94008 | Laboratory medicine, hospital visit | 0 | $32.04 |
| 94007 | Laboratory medicine, office visit | 0 | $32.15 |
| 31060 | Mulitidiscriplinary conference for community pat | 0 | $225.96 |
| 00457 | Neurology complex care - ext visit - per 15 min | 0 | $36.88 |
| 00450 | Neurology complex care-extend consult - per 15 min | 0 | $58.10 |
| 00460 | Neurology ext consult - transfer of care from peds | 0 | $388.18 |
| 01107 | Office visit - anaesthesia | 0 | $56.75 |
| 33707 | Office visit - nephrology | 0 | $49.56 |
| 00113 | On call, on site hospital visit - evening | 0 | $51.93 |
| 00105 | On call, on site hospital visit - night | 0 | $72.17 |
| 00123 | On call, on site hospital visit - sat, sun or hols | 0 | $51.93 |
| 10002 | One week - specialist advice for patient management | 0 | $40.20 |
| 12210 | Out of office (age 0-1)-consultation | 0 | $102.48 |
| 13210 | Out of office (age 2-49)-consultation | 0 | $93.16 |
| 15210 | Out of office (age 50-59)-consultation | 0 | $102.48 |
| 16210 | Out of office (age 60-69)-consultation | 0 | $107.14 |
| 17210 | Out of office (age 70-79)-consultation | 0 | $121.10 |
| 18210 | Out of office (age 80+)-consultation | 0 | $139.76 |
| 30011 | Paediatric clinical immunology and allergy consult | 0 | $190.70 |
| 00645 | Patient mangmnt confer. - 3rd parties, per 1/4 hr | 0 | $54.58 |
| 13005 | Phone call (advice about patient in community care) | 0 | $18.28 |
| 01151 | Pre-anaesthetic evaluation - standard | 0 | $60.85 |
| 07815 | Pre-operative assessment - cardiac surgery | 0 | $193.65 |
| 33714 | Prolonged visit for counselling (max 4 per year) | 0 | $52.15 |
| 33614 | Prolonged visit for counselling (maximum, four per year) | 0 | $55.95 |
| 33412 | Repeat or limited consultation | 0 | $116.43 |
| 33712 | Repeat or limited consultation (nephrology) | 0 | $85.60 |
| 07012 | Repeat or limited consultation- general surgery | 0 | $60.00 |
| 00411 | Repeat or limited consultation, neurology | 0 | $87.21 |
| 30012 | Repeat or ltd clinical immunology and allergy cons | 0 | $94.70 |
| 31055 | Rheumatology immunosuppressant review | 0 | $30.00 |
| 10004 | Spec multidisciplinary conferencing for complex pt | 0 | $46.46 |
| 00116 | Special in-hospital, consultation | 0 | $164.96 |
| 78720 | Specialist advance care planning discussion -extra | 0 | $40.20 |
| 78717 | Specialist discharge care plan for complex patient | 0 | $75.38 |
| 10006 | Specialist e-mail patient management-follow up | 0 | $10.15 |
| 10005 | Specialist email advice for patient management | 0 | $10.15 |
| 78768 | Specialist group medical visits - eight patients | 0 | $24.78 |
| 78771 | Specialist group medical visits - eleven patients | 0 | $19.29 |
| 78765 | Specialist group medical visits - five patients | 0 | $32.91 |
| 78764 | Specialist group medical visits - four patients | 0 | $37.86 |
| 78769 | Specialist group medical visits - nine patients | 0 | $23.27 |
| 78767 | Specialist group medical visits - seven patients | 0 | $26.71 |
| 78766 | Specialist group medical visits - six patients | 0 | $29.28 |
| 78776 | Specialist group medical visits - sixteen patients | 0 | $15.35 |
| 78763 | Specialist group medical visits - three patients | 0 | $47.40 |
| 78772 | Specialist group medical visits - twelve patients | 0 | $18.14 |
| 78775 | Specialist group medical visits -fifteen patients | 0 | $15.83 |
| 78774 | Specialist group medical visits -fourteen patients | 0 | $16.49 |
| 78773 | Specialist group medical visits -thirteen patients | 0 | $16.79 |
| 78781 | Specialist group medical visits- >20 patients | 0 | $13.08 |
| 78778 | Specialist group medical visits-eighteen patients | 0 | $14.48 |
| 78779 | Specialist group medical visits-nineteen patients | 0 | $13.87 |
| 78777 | Specialist group medical visits-seventeen patients | 0 | $14.71 |
| 78780 | Specialist group medical visits-twenty patients | 0 | $13.54 |
| 78770 | Specialist group medical vistis - ten patients | 0 | $22.01 |
| 32307 | Sub f/u off visit, complex pat-3 medical cond gim | 0 | $98.88 |
| 32308 | Sub hosp visit, complex pat-3 medical cond gim | 0 | $67.29 |
| 32312 | Sub hosp visit, complex pat-3 medical cond gim | 0 | $181.82 |
| 32317 | Sub hosp visit, complex pat-3 medical cond gim | 0 | $55.00 |
| 32318 | Sub hosp visit, complex pat-3 medical cond gim | 0 | $34.71 |
| 32367 | Sub hosp visit, complex pat-3 medical cond gim | 0 | $98.88 |
| 33409 | Subsequent home visit | 0 | $140.00 |
| 00409 | Subsequent home visit, neurology | 0 | $41.02 |
| 33408 | Subsequent hospital visit | 0 | $43.00 |
| 00408 | Subsequent hospital visit, neurology | 0 | $83.57 |
| 33407 | Subsequent office visit | 0 | $55.00 |
| 00407 | Subsequent office visit, neurology | 0 | $88.11 |
| 32271 | Telehealth complex consultation-internal medicine | 0 | $277.78 |
| 33421 | Telehealth comprehensive geriatric consult/65yrs | 0 | $295.00 |
| 60622 | Telehealth consult emotionally disturbed child psy | 0 | $441.73 |
| 30071 | Telehealth consult-ped clinical immunology/allergy | 0 | $190.70 |
| 30070 | Telehealth consult/clinical immunology/allergy | 0 | $190.24 |
| 01155 | Telehealth consultation - anesthesia | 0 | $132.71 |
| 78010 | Telehealth consultation - cardiac surgery | 0 | $193.65 |
| 33110 | Telehealth consultation - cardiology | 0 | $171.46 |
| 33360 | Telehealth consultation - gastroenterology | 0 | $178.78 |
| 70070 | Telehealth consultation - general surgery | 0 | $116.00 |
| 33470 | Telehealth consultation - geriatric medicine | 0 | $204.44 |
| 32270 | Telehealth consultation - internal medicine | 0 | $168.39 |
| 60610 | Telehealth consultation psychiatry | 0 | $247.37 |
| 20210 | Telehealth consultation, dermatology | 0 | $79.36 |
| 00470 | Telehealth consultation, neurology | 0 | $182.41 |
| 30076 | Telehealth direct care-clinical immunology/allergy | 0 | $93.00 |
| 33106 | Telehealth directive care - cardiology | 0 | $64.27 |
| 33366 | Telehealth directive care - gastroenterology | 0 | $59.43 |
| 70076 | Telehealth directive care - general surgery | 0 | $30.00 |
| 33476 | Telehealth directive care - geriatric medicine | 0 | $50.00 |
| 32276 | Telehealth directive care - internal medicine | 0 | $72.19 |
| 00476 | Telehealth directive care, neurology | 0 | $90.08 |
| 33128 | Telehealth dual chamber permanent programmable pacemaker testing - professional fee | 0 | $69.36 |
| 33131 | Telehealth dual chamber permanent programmable pacemaker testing - professional fee | 4 | $333.75 |
| 33132 | Telehealth dual chamber permanent programmable pacemaker testing - professional fee | 4 | $483.26 |
| 33133 | Telehealth dual chamber permanent programmable pacemaker testing - professional fee | 4 | $563.36 |
| 33134 | Telehealth dual chamber permanent programmable pacemaker testing - professional fee | 4 | $375.53 |
| 33154 | Telehealth dual chamber permanent programmable pacemaker testing - technical fee | 0 | $46.24 |
| 60624 | Telehealth eval interview with family member, 1/2 | 0 | $54.58 |
| 60613 | Telehealth geriatric consult psychiatry 75 yrs or | 0 | $374.12 |
| 33422 | Telehealth geriatric reassessment | 0 | $118.00 |
| 33423 | Telehealth geriatric reassessment | 0 | $250.00 |
| 33424 | Telehealth geriatric reassessment | 0 | $130.00 |
| 33426 | Telehealth geriatric reassessment | 0 | $72.00 |
| 33427 | Telehealth geriatric reassessment | 0 | $70.00 |
| 33428 | Telehealth geriatric reassessment | 0 | $44.00 |
| 33440 | Telehealth geriatric reassessment | 0 | $250.00 |
| 33442 | Telehealth geriatric reassessment | 0 | $130.00 |
| 60608 | Telehealth hospital in-patient visit - psychiatry | 0 | $55.23 |
| 60645 | Telehealth patient mangement conference psychiatry | 0 | $54.58 |
| 33114 | Telehealth prolonged visit counselling-cardiology | 0 | $60.66 |
| 00471 | Telehealth repeat / limited consultation neurology | 0 | $87.21 |
| 33112 | Telehealth repeat consultation - cardiology | 0 | $85.73 |
| 20214 | Telehealth repeat consultation, dermatology | 0 | $50.56 |
| 70072 | Telehealth repeat or limited consult - gen surgery | 0 | $60.00 |
| 60626 | Telehealth repeat or limited consult emotionally | 0 | $220.85 |
| 60625 | Telehealth repeat or limited consult psychiatry | 0 | $131.12 |
| 32272 | Telehealth repeat or limited consult-internal med | 0 | $81.35 |
| 30072 | Telehealth repeat or limited consult/cln imm/allgy | 0 | $94.70 |
| 33472 | Telehealth repeat or limited consult/geriatric med | 0 | $116.43 |
| 33473 | Telehealth repeat or limited consult/geriatric med | 0 | $295.00 |
| 33474 | Telehealth repeat or limited consult/geriatric med | 0 | $118.00 |
| 78012 | Telehealth repeat or limited consultation - cardiac surgery | 0 | $65.10 |
| 33362 | Telehealth repeat/limited consult-gastroenterology | 0 | $101.14 |
| 60614 | Telehealth repeat/limited geriatric consult psych | 0 | $187.06 |
| 33153 | Telehealth single chamber permanent programmable pacemaker testing - technical fee | 0 | $23.12 |
| 33126 | Telehealth single chamber permanent programmable pacemaker testing - - professional fee | 0 | $46.24 |
| 33108 | Telehealth subsequent hosp visit - cardiology | 0 | $57.46 |
| 33368 | Telehealth subsequent hosp visit-gastroenterology | 0 | $40.95 |
| 30078 | Telehealth subsequent hosp vist/immunology/allergy | 0 | $22.50 |
| 78008 | Telehealth subsequent hospital visit - cardiac surgery | 0 | $24.63 |
| 20208 | Telehealth subsequent hospital visit - dermatology | 0 | $30.75 |
| 70078 | Telehealth subsequent hospital visit - gen surgery | 0 | $29.00 |
| 33478 | Telehealth subsequent hospital visit-geriatric med | 0 | $43.00 |
| 32278 | Telehealth subsequent hospital visit-internal med | 0 | $29.07 |
| 00478 | Telehealth subsequent hospital visit, neurology | 0 | $83.57 |
| 78007 | Telehealth subsequent office visit - cardiac surgery | 0 | $28.85 |
| 33107 | Telehealth subsequent office visit - cardiology | 0 | $64.92 |
| 20207 | Telehealth subsequent office visit - dermatology | 0 | $31.76 |
| 70077 | Telehealth subsequent office visit - general surg | 0 | $28.50 |
| 32277 | Telehealth subsequent office visit - internal med | 0 | $53.73 |
| 60607 | Telehealth subsequent office visit psychiatry | 0 | $55.23 |
| 33477 | Telehealth subsequent office visit-geriatric med | 0 | $55.00 |
| 00477 | Telehealth subsequent office visit, neruology | 0 | $88.11 |
| 30077 | Telehealth subsequent office visit/cln/imm/allergy | 0 | $40.03 |
| 33367 | Telehealth subsequent office vist/gastroenterology | 0 | $67.10 |
| 33730 | Telehealth-consult-nephrology | 0 | $173.42 |
| 33632 | Telehealth-consult-rept/limited-infectious disease | 0 | $109.91 |
| 33635 | Telehealth-consult-rept/limited-infectious disease | 0 | $102.36 |
| 33630 | Telehealth-consultation-infectious diseases | 0 | $207.09 |
| 33636 | Telehealth-directive care-infectious diseases | 0 | $62.64 |
| 33736 | Telehealth-directive care-nephrology | 0 | $60.17 |
| 33732 | Telehealth-repeat consult-nephrology | 0 | $85.60 |
| 33637 | Telehealth-subseq office visit-infectious disease | 0 | $57.98 |
| 33738 | Telehealth-subsequent hospital visit-nephrology | 0 | $48.32 |
| 33737 | Telehealth-subsequent office visit-nephrology | 0 | $49.56 |
| 33638 | Telehealth-subsq hospital visit-infectious disease | 0 | $41.42 |
| 33640 | Telehealth-subsq hospital visit-infectious disease | 0 | $335.29 |
| 13000 | Telephone advice in first nations communities | 0 | $18.28 |
| 10001 | Urgent specialist advice (phone or in person) | 0 | $60.30 |
| 12200 | Visit - out of office (age 0 - 1) | 0 | $41.87 |
| 13200 | Visit - out of office (age 2-49) | 0 | $38.07 |
| 16200 | Visit - out of office (age 60-69) | 0 | $43.87 |
| 17200 | Visit - out of office (age 70-79) | 0 | $49.48 |
| 18200 | Visit - out of office (age 80+) | 0 | $57.09 |
| 12100 | Visit in office (age 0-1) | 0 | $34.90 |
| 00100 | Visit in office (age 2 - 49) | 0 | $31.72 |
| 15300 | Visit in office (age 50-59) | 0 | $34.90 |
| 16100 | Visit in office (age 60-69) | 0 | $36.47 |
| 17100 | Visit in office (age 70-79) | 0 | $41.22 |
| 18100 | Visit in office (age 80+) | 0 | $47.59 |
| 15200 | Visit out of office (age 50-59) | 0 | $41.87 |
| 33009 | Visit-home-cardiology | 0 | $42.80 |
| 33309 | Visit-home-gastroenterology | 0 | $49.22 |
| 33509 | Visit-home-hematology/oncology | 0 | $52.04 |
| 33609 | Visit-home-infectious diseases | 0 | $52.41 |
| 33709 | Visit-home-nephrology | 0 | $48.85 |
| 33008 | Visit-hospital-cardiology | 0 | $57.46 |
| 33308 | Visit-hospital-gastroenterology | 0 | $40.95 |
| 33508 | Visit-hospital-hematology/oncology | 0 | $64.48 |
| 33608 | Visit-hospital-infectious diseases | 0 | $41.42 |
| 33007 | Visit-office-cardiology | 0 | $64.92 |
| 33307 | Visit-office-gastroenterology | 0 | $67.10 |
| 33507 | Visit-office-hematology/oncology | 0 | $56.20 |
| 33607 | Visit-office-infectious diseases | 0 | $57.98 |
| 00112 | Visit, emergency | 0 | $116.09 |
| 00111 | Visit, emergency home | 0 | $117.46 |
| 00209 | Visit, home dermatology | 0 | $63.28 |
| 07809 | Visit, home, cardio-thoracic | 0 | $49.62 |
| 00309 | Visit, home, int. med. | 0 | $51.88 |
| 00609 | Visit, home, psychiatry | 0 | $74.34 |
| 07808 | Visit, hospital, cardio-thoracic | 0 | $24.63 |
| 00208 | Visit, hospital, dermatology | 0 | $30.75 |
| 00308 | Visit, hospital, int. med. | 0 | $29.07 |
| 00608 | Visit, hospital, psychiatry | 0 | $55.23 |
| 07807 | Visit, office, cardio-thoracic | 0 | $28.85 |
| 00207 | Visit, office, dermatology | 0 | $31.76 |
| 00307 | Visit, office, int. med. | 0 | $53.73 |
| 00607 | Visit, office, psychiatry | 0 | $55.23 |
Continuing Care Surcharges |
|||
| 01205 | 1800-2300 surcharge - nonoperative | 0 | $66.69 |
| 01210 | 1800-2300 surcharge - operative @ 44.49% of surgical (or assistant) fee to a maximum of | 0 | $444.47 |
| 01206 | 2300-0800 surcharge - nonoperative | 0 | $91.18 |
| 01211 | 2300-0800 surcharge - operative @ 71.42% of surgical (or assistant) to a maximum of | 0 | $624.17 |
| 01212 | Weekend and stat holiday surcharge - operative @ 44.49% of surgical (or assistant ) fee to a maximum of | 0 | $444.47 |
| 01207 | Weekend and stat/holiday (service rendered between 0800 hours and 2300 hours) - per half hour or major part thereof | 0 | $66.69 |
Cornea and Sclera |
|||
| 22175 | Collagen cross-linking for keratoconus-prof fee | 0 | $404.61 |
| 22176 | Collagen cross-linking for keratoconus-tech fee | 0 | $505.77 |
Counselling - Group |
|||
| 00122 | Group counselling-2nd hour/per half or major part | 0 | $80.50 |
| 00121 | Group counselling-first full hour | 0 | $160.99 |
| 13020 | Telehealth general practitioner assistant | 0 | $43.23 |
| 13036 | Telehealth gp in-office consultation | 0 | $82.43 |
| 13042 | Telehealth gp in-office group counselling - 2nd hr | 0 | $43.50 |
| 13041 | Telehealth gp in-office group counselling/1st hr | 0 | $86.94 |
| 13038 | Telehealth gp in-office individual counselling | 0 | $58.90 |
| 13037 | Telehealth gp in-office visit | 0 | $34.44 |
| 13016 | Telehealth gp out of office consultation | 0 | $109.02 |
| 13021 | Telehealth gp out of office group counsel 1st hour | 0 | $87.46 |
| 13022 | Telehealth gp out of office group counsel 2nd hour | 0 | $43.76 |
| 13018 | Telehealth gp out of office individual counselling | 0 | $75.32 |
| 13017 | Telehealth gp out of office visit | 0 | $41.10 |
Counselling - Individual |
|||
| 12220 | Individual counselling - out of office (age 0 - 1) | 0 | $74.90 |
| 13220 | Individual counselling - out of office (age 2-49) | 0 | $68.09 |
| 16220 | Individual counselling - out of office (age 60-69) | 0 | $78.31 |
| 17220 | Individual counselling - out of office (age 70-79) | 0 | $88.54 |
| 18220 | Individual counselling - out of office (age 80 +) | 0 | $102.15 |
| 19100 | Individual counselling - out of office (age 80 +) | 0 | $185.00 |
| 19101 | Individual counselling - out of office (age 80 +) | 0 | $185.00 |
| 19102 | Individual counselling - out of office (age 80 +) | 0 | $83.00 |
| 19103 | Individual counselling - out of office (age 80 +) | 0 | $55.00 |
| 19104 | Individual counselling - out of office (age 80 +) | 0 | $43.00 |
| 19105 | Individual counselling - out of office (age 80 +) | 0 | $43.00 |
| 12120 | Individual counselling in office (age 0 - 1) | 0 | $62.43 |
| 00120 | Individual counselling in office (age 2-49) | 0 | $56.76 |
| 15320 | Individual counselling in office (age 50-59) | 0 | $62.43 |
| 16120 | Individual counselling in office (age 60 - 69) | 0 | $65.26 |
| 17120 | Individual counselling in office (age 70-79) | 0 | $73.77 |
| 18120 | Individual counselling in office (age 80+) | 0 | $85.12 |
| 15220 | Individual counselling out of office (age 50-59) | 0 | $74.90 |
Criteria for Chemistry Add-Ons |
|||
| 91023 | Acetyl coa: a-glucosaminide-n-acetyl transferase, | 0 | $93.71 |
| 91020 | Acetylcholine receptor antibodies - qualitative | 0 | $101.93 |
| 91021 | Acetylcholine receptor antibodies - quantitative | 0 | $167.50 |
| 91025 | Acid alpha-1 glycoprotein | 0 | $20.40 |
| 91027 | Acid lipase, wite blood cells | 0 | $51.25 |
| 91031 | Acid phosphatase, fractions - each | 0 | $13.66 |
| 91030 | Acid phosphatase, total | 0 | $13.66 |
| 91036 | Acth stimulation test | 0 | $45.24 |
| 91035 | Acth, plasma | 0 | $36.57 |
| 91037 | Acylcarnitine profiling | 0 | $41.28 |
| 91065 | Alanine aminotransferase | 0 | $1.47 |
| 91042 | Albumin - transudate/exudate | 0 | $1.06 |
| 91040 | Albumin, serum/plasma | 0 | $1.55 |
| 91050 | Alcohol | 0 | $20.79 |
| 91055 | Aldolase | 0 | $14.12 |
| 91060 | Aldosterone, plasma/serum | 0 | $170.92 |
| 91061 | Aldosterone, urine | 0 | $170.92 |
| 91070 | Alkaline phosphatase | 0 | $1.57 |
| 91075 | Allergen specific ige assay | 0 | $16.13 |
| 91090 | Alpha fetoglobulin | 0 | $13.03 |
| 91095 | Alpha fetoprotein | 0 | $24.79 |
| 91080 | Alpha-1 antitrypsin | 0 | $20.06 |
| 91096 | Alpha-iduronidase, white blood cells | 0 | $51.25 |
| 91097 | Alpha-mannosidase, white blood cells | 0 | $51.25 |
| 91100 | Aluminum | 0 | $49.19 |
| 91105 | Amino acid, quantitative, chromatography | 0 | $78.42 |
| 91110 | Amino acids-urine, chromatography | 0 | $54.27 |
| 91115 | Ammonia | 0 | $7.41 |
| 91120 | Amniotic fluid examination/written interpretation | 0 | $55.10 |
| 91125 | Amylase cyst | 0 | $13.73 |
| 91126 | Amylase, serum/plasma | 0 | $5.27 |
| 91127 | Amylase, transudate/exudate | 0 | $13.66 |
| 91128 | Amylase, urine | 0 | $7.53 |
| 91135 | Androstenedione, plasma | 0 | $36.09 |
| 91140 | Angiotensin converting enzyme (ace)-serum analysis | 0 | $18.72 |
| 91142 | Anti-diuretic hormone (adh), plasma | 0 | $113.81 |
| 91150 | Anti-endomysium antibodies | 0 | $94.39 |
| 91162 | Anti-tissue transglutaminase antibodies(anti-ttg) | 0 | $13.92 |
| 91155 | Antiglomerular basement membrane antibody | 0 | $25.73 |
| 91165 | Apolipoprotein a - 1 | 0 | $20.40 |
| 91170 | Apolipoprotein b - 100 | 0 | $16.60 |
| 91175 | Apolipoprotein e isoforms | 0 | $33.57 |
| 91180 | Apoprotein e genotyping | 0 | $93.90 |
| 91185 | Arsenic | 0 | $43.40 |
| 91190 | Aryl sulfatase a, fibroblasts | 0 | $51.38 |
| 91191 | Aryl sulfatase a, white blood cells | 0 | $51.38 |
| 91195 | Aryl sulfatase b, fibroblasts | 0 | $51.38 |
| 91196 | Aryl sulfatase b, white blood cells | 0 | $51.38 |
| 91200 | Aryl sulfatase c, fibroblasts | 0 | $51.38 |
| 91201 | Aryl sulfatase c, white blood cells | 0 | $51.38 |
| 91205 | Ascorbic acid (vitamin c) | 0 | $26.76 |
| 91206 | Ascorbic acid (vitamin c) - urine | 0 | $8.28 |
| 91210 | Aspartate aminotransferase | 0 | $1.73 |
| 91215 | B-galactosidase, fibroblasts | 0 | $51.38 |
| 91216 | B-galactosidase, white blood cells | 0 | $51.38 |
Debridement of Soft Tissues |
|||
| 70168 | Active wound mgmt-acute phase after debridement | 0 | $78.57 |
| 70169 | Active wound mgmt/in or acute phase aft debridemnt | 4 | $125.72 |
| 70155 | Debridement of skin and subcutaneous tissue restricted to genitalia and perineum for necrotizing infection (fourniers gangrene) (stand alone procedure) | 5 | $550.00 |
| 70166 | Debridement skin/fascia/muscle/bone; each sub 5% of body surface area | 0 | $144.06 |
| 70165 | Debridement skin/fascia/muscle/bone;up to 1st 5% of body surface area | 4 | $288.10 |
| 70162 | Debridement skin/sub/necrotic fascia / 1st 5% of body surface area | 4 | $261.93 |
| 70163 | Debridement skin/sub/necrotic fascia/each sub 5% of body surface area | 0 | $130.96 |
| 70158 | Debridement skin/subcutaneous tissue,up to 5% body surface area | 3 | $294.65 |
| 70159 | Debridement skin/subcutaneous tissue; each sub 5% of body surface area | 0 | $117.87 |
Diagnostic and Therapeutic |
|||
| 11402 | Aspiration - bursa/synovial sheath, etc. | 2 | $23.23 |
| 11602 | Aspiration - knee joint - bursa/tendon sheath, e | 2 | $23.23 |
| 11302 | Aspiration - bursa/tendon sheath - diagnostic | 2 | $23.23 |
| 11501 | Aspiration - hip joint | 2 | $23.23 |
| 11502 | Aspiration - hip -bursa/tendon sheath, etc. | 2 | $11.63 |
| 00757 | Aspiration other joints | 2 | $12.03 |
| 00760 | Paracentesis abdominal | 2 | $25.88 |
Diagnostic and Therapeutic Procedures |
|||
| 00755 | Artery puncture | 2 | $6.41 |
| 00736 | Bronchial brushing - extra to bronchoscopy | 4 | $67.00 |
| 00700 | Bronchoscopy or bronchofibroscopy | 4 | $122.00 |
| 00702 | Bronchoscopy with biopsy | 4 | $210.00 |
| 01146 | Cryosection / neurolysis - major plexus / nerve root | 0 | $352.86 |
| 01148 | Cryosection / neurolysis - multiple peripheral nerves | 0 | $223.60 |
| 01147 | Cryosection / neurolysis - single peripheral nerve | 0 | $166.87 |
| 01138 | Epidural block - caudal | 0 | $150.36 |
| 01135 | Epidural block - lumbar | 0 | $150.36 |
| 01037 | Epidural blocks - cervical | 0 | $263.12 |
| 01036 | Epidural blocks - thoracic | 0 | $228.03 |
| 01149 | Epidural or subarachnoid neurolysis | 0 | $397.04 |
| 01035 | Gasserian ganglion | 0 | $254.41 |
| 01150 | Gasserian ganglion neurolysis | 0 | $397.04 |
| 00868 | Gastrostomy / gastrojejunostomy - percutaneous | 2 | $276.74 |
| 01160 | IV injection for diagnostic / therapeutic mangagement of pain - guanethid | 0 | $121.52 |
| 01159 | IV injection for diagnostic / therapeutic mangagement of pain - local | 0 | $60.75 |
| 01022 | Nerve plexus | 0 | $135.49 |
| 01141 | Nerve root / facet block - cervical multiple | 0 | $244.17 |
| 01140 | Nerve root / facet block - cervical single | 0 | $183.13 |
| 01145 | Nerve root / facet block - lumbar multiple | 0 | $203.09 |
| 01144 | Nerve root / facet block - lumbar single | 0 | $152.31 |
| 01143 | Nerve root / facet block - thoracic multiple | 0 | $223.60 |
| 01142 | Nerve root / facet block - thoracic single | 0 | $167.72 |
| 00759 | Paracentesis (thoracic)or transtrachial aspiration | 2 | $86.00 |
| 01042 | Paravertebral (lumbar sympathetic) nerve block | 0 | $193.87 |
| 00749 | Parietal pleural including thoracentesis | 2 | $131.00 |
| 00751 | Pericardial puncture | 3 | $252.53 |
| 01125 | Peripheral nerve block - multiple | 0 | $96.97 |
| 01124 | Peripheral nerve block - single | 0 | $64.17 |
| 01034 | Subarachnoid (spinal) block differential spinal | 0 | $213.36 |
| 01032 | Subarachnoid (spinal) block subdural (spinal) | 0 | $160.01 |
| 01044 | Sympathetic nerve (coeliac plexus) block | 0 | $269.84 |
| 01040 | Sympathetic nerve stellate ganglion - block | 0 | $117.92 |
| 00719 | Thoracoscopy | 7 | $331.00 |
| 01156 | Trigger point injection - single | 0 | $60.75 |
| 01157 | Trigger point injections - multiple | 0 | $76.20 |
Diagnostic Examinations |
|||
| 00771 | Retinal examination under anaesthesia | 3 | $20.08 |
| 22051 | Specular microscopy-professional fee | 0 | $20.39 |
| 22052 | Specular microscopy-technical fee | 0 | $57.74 |
| 22050 | Specular microscopy-total fee | 0 | $78.13 |
Diagnostic Procedures |
|||
| 00908 | - procedure and biopsy | 3 | $52.89 |
| 00765 | Annual maximum (scratch or intracutaneous tests) | 0 | $34.40 |
| 07764 | Cholangiography; operative | 0 | $80.86 |
| 33374 | Colonoscopy - removal of polyp | 2 | $283.50 |
| 33373 | Colonoscopy-biopsy | 2 | $235.15 |
| 00780 | Diagnostic schirmer test | 0 | $13.15 |
| 00701 | Direct laryngoscopy | 5 | $37.70 |
| 00866 | Dynamic cavernosometry and avernosography | 2 | $79.05 |
| 00907 | Endoscopic flexible or rigid examination of the nose and nasopharynx - procedure only | 3 | $33.07 |
| 10741 | Endoscopy - upper gi using linear ultrasound | 0 | $256.63 |
| 10740 | Endoscopy - upper gi using radial ultrasound | 0 | $256.63 |
| 10735 | Endoscopy-rectal using (radial/linear) ultrasound | 0 | $153.99 |
| 10744 | Endoscopy-upper gi rad/lin ultrasnd/drainage-extra | 0 | $205.32 |
| 10742 | Endoscopy-upper gi,rad/lin ultrasnd,with biopsy | 0 | $51.33 |
| 10743 | Endoscopy-upper gi,rad/lin ultrasnd,with injection | 0 | $153.99 |
| 02459 | Excision cystic hygroma | 4 | $548.56 |
| 00909 | Flexible fiberoptic nasopharyngolaryngoscopy | 3 | $44.30 |
| 00764 | Intracutaneous test, per test | 0 | $2.15 |
| 00570 | Lumbar puncture in a patient 12 years and younger | 2 | $82.92 |
| 00869 | Manometry - anal - adult | 2 | $101.37 |
| 00717 | Micro-laryngoscopy | 5 | $75.39 |
| 07710 | Pancreatogram w/ or w/o sphincterotomy - extra | 0 | $67.19 |
| 00767 | Patch testing (extra) (annual maximum, 80 tests) per test | 0 | $1.96 |
| 00572 | Pediatric colonoscopy-flex colonoscope 0-16 years | 2 | $364.86 |
| 50542 | Pediatric direct coronary angiography / 7-16 years | 4 | $322.96 |
| 50541 | Pediatric direct coronary angiography 0 -6 years | 4 | $430.62 |
| 00571 | Pediatric esophagogastroduodenoscopy - 0-16 years | 3 | $199.00 |
| 50522 | Pediatric myocardial biopsy for 0-16 yrs age,extra | 0 | $103.08 |
| 50539 | Pediatric percutaneous transluminal 0-6 years | 4 | $816.85 |
| 50540 | Pediatric percutaneous transluminal 7-16 years | 4 | $612.64 |
| 50527 | Pediatric retrograde left heart cath,extra 0-6yrs | 4 | $286.99 |
| 50528 | Pediatric retrograde left heart cath,extra 7-16 yr | 4 | $215.22 |
| 50520 | Pediatric right heart catheter patients 0-6 years | 4 | $358.82 |
| 50521 | Pediatric right heart catheter patients 7-16 years | 4 | $269.10 |
| 50545 | Pediatric therapeutic radiological patients 0-6yrs | 3 | $749.01 |
| 50546 | Pediatric therapeutic radiological patients 7-16yr | 3 | $561.78 |
| 50530 | Pediatric trans-septal left heart cath 0-6 years | 4 | $386.73 |
| 50531 | Pediatric trans-septal left heart cath 7-16 years | 4 | $290.05 |
| 50550 | Percutaneous cardiac stenting 0-18 years | 7 | $1,050.37 |
| 50551 | Percutaneous cardiac stenting-0-18 yr addtl stents | 0 | $221.14 |
| 50555 | Percutaneous transcatheter cardiac occluder 0-18yr | 7 | $1,050.37 |
| 00745 | Peripheral or subcutaneous lymph node biopsy | 2 | $49.15 |
| 00789 | Peritoneal lavage | 2 | $85.74 |
| 02476 | Pharyngoesophageal anastomosis - re-establishment in neck by neck surgeon | 5 | $637.88 |
| 00769 | Photopatch test, annual maximum | 0 | $56.69 |
| 00768 | Photopatch test, per test | 0 | $5.66 |
| 00809 | Retrograde pancreatography | 3 | $216.54 |
| 10762 | Rigid esophagoscopy, including collection of specimens by brushing or washing, - procedural fee | 3 | $74.74 |
| 00763 | Scratch test - children under 5 years | 0 | $2.32 |
| 00762 | Scratch test, per antigen | 0 | $1.06 |
| 00715 | Sigmoidoscopy with biopsy | 2 | $37.98 |
| 00718 | Sigmoidoscopy, flexible and with biopsy | 2 | $77.34 |
| 00947 | Tilt table testing - professional fee | 0 | $178.57 |
| 00948 | Tilt table testing - technical fee | 0 | $111.59 |
| 00944 | Tilt table testing with continuous ecg monitoring and automatic bp recording - total fee | 0 | $290.15 |
| 02407 | Tracheotomy | 5 | $390.00 |
| 10750 | Transnasal esophagogastroduodenoscopy (tgd) | 0 | $89.73 |
| 10708 | Video capsule endoscopy using m2a capsule | 0 | $256.63 |
Diagnostic Procedures Involving Visualization by Instrumentation |
|||
| 00704 | Cystoscopy to include dilation & panendoscopy | 2 | $95.37 |
| 00705 | Cystoscopy with catheterization of ureters | 2 | $111.51 |
| 10700 | Endobronchial cautery--extra | 6 | $77.00 |
| 10702 | Endobronchial cryotheraphy--extra | 6 | $77.00 |
| 10703 | Transbronchial needle aspiration(tbna) | 6 | $70.00 |
Diagnostic Procedures or Endoscopy |
|||
| 11925 | Four channel home polysomnography - prof fee | 0 | $83.61 |
| 11926 | Four channel home polysomnography - technical fee | 0 | $83.86 |
| 11920 | Multiple sleeplatency test (mslt) - technical fee | 0 | $193.51 |
| 11919 | Multiple sleeplatency test (mslt) professional fee | 0 | $83.70 |
| 00910 | Overnight home oximetry - professional fee | 0 | $28.30 |
| 00911 | Overnight home oximetry - technical fee | 0 | $15.62 |
| 11915 | Standard polysomnography - professional fee | 0 | $167.45 |
| 11916 | Standard polysomnography - technical fee | 0 | $387.02 |
Diagnostic Procedures Utilizing Radiological Equipment |
|||
| 00724 | Air insufflation - presacral | 2 | $39.17 |
| 00748 | Bone biopsy, under local/regional anaesthetic | 0 | $63.99 |
| 00730 | Catheterization of bronchi for bronchogram | 4 | $27.48 |
| 00857 | Cholangiogram percutaneous transhepatic | 2 | $113.54 |
| 00732 | Cysto-urethrogram, voiding | 2 | $19.74 |
| 10739 | Endobronchial ultrasound(ebus) | 6 | $387.16 |
| 00729 | Fluoroscopy of chest by internist or pediatrician - procedural fee | 0 | $11.11 |
| 00733 | Intra-osseous venogram | 2 | $59.58 |
| 00811 | Joint injection, aspiration or arthogram | 2 | $53.31 |
| 00734 | Lymphangiography or lymphography - surgical | 0 | $130.97 |
| 00721 | Myelogram diagnostic | 2 | $44.19 |
| 00728 | Orthodiagram diagnostic | 2 | $11.87 |
| 00727 | Salpingogram diagnostic | 2 | $77.95 |
| 00723 | Sialogram or galactograms injection | 2 | $48.85 |
Diagnostic Therapeutic Procedures |
|||
| 10320 | Insertion of permanent pleural drainage catheter | 5 | $235.00 |
| 10321 | Removal permanent pleural drainage catheter | 2 | $72.00 |
Diagnostic Ultrasound |
|||
| 08652 | B scan i.u.d. localization | 0 | $55.31 |
| 08657 | Chorionic villus sampling for ultrasonic guidance | 0 | $110.68 |
| 33094 | Contrast echocardiography (extra) technical fee, per vial of contrast | 0 | $127.45 |
| 08399 | Doppler evaluation of penile blood flow wave from evaluation of dorsal and cavernosal arteries. blood pressure recordings and calculation of penile brachial index | 0 | $47.43 |
| 33091 | Echocardiography - combined two dimensional real time and m-mode | 0 | $144.20 |
| 08638 | Echocardiography (real time) | 0 | $101.86 |
| 04680 | Guided amniocentesis | 0 | $168.11 |
| 33093 | Level iii echocardiographer complex assessment of previous echocardiogram (clinical assessment and review, interpretation and written report of submitted echocardiograms) per patient | 0 | $252.39 |
| 86051 | Obs b scan (14 wks gestation or over)- add fetuses | 0 | $81.91 |
| 08651 | Obs. - b-scan - 14 wks. or more for singles | 0 | $110.08 |
| 08655 | Obs. b-scan - less than 14 wks. | 0 | $82.58 |
| 08653 | Pelvic b scan - non-obstetrical | 0 | $110.08 |
| 33057 | Trans-esophageal echocardiography - procedure fee | 3 | $165.45 |
Dialysis |
|||
| 33758 | Chronic hemodialysis (rounds 6+) | 0 | $52.22 |
| 33759 | Chronic peritoneal dialysis | 0 | $52.22 |
| 33751 | Hemodialysis ( round 2 to 5) | 0 | $199.65 |
| 33750 | Hemodialysis (round 1) | 0 | $531.27 |
| 33761 | Home dialysis | 0 | $63.13 |
| 33723 | Initial peritoneal dialysis (first 2 weeks) | 0 | $397.47 |
Diaphragm - Repair |
|||
| 70604 | Congenital diaphragmatic hernia | 9 | $1,522.60 |
| 07431 | Diaphragmatic injury - repair | 8 | $804.44 |
| 70603 | Diaphragmatic or other hernia - laparoscopic | 6 | $1,212.64 |
| 70602 | Diaphragmatic or other hernia - open | 6 | $1,212.64 |
| 70607 | Imbrication of diaphragm for eventration | 8 | $800.00 |
| 70605 | Repair diaphragmatic hernia or laceration - acute | 8 | $1,215.00 |
| 70606 | Repair diaphragmatic hernia or laceration -chronic | 8 | $1,215.00 |
| 70601 | Repair of para-oesophageal hiatus hernia, transabdominal, with or without fundoplication | 6 | $1,212.64 |
Doppler Studies |
|||
| 08660 | Abdominal duplex- native/ transplant liver/kidney | 0 | $122.55 |
| 08679 | Doppler echocardiography | 0 | $46.73 |
| 08679 | Doppler echocardiography | 0 | $46.73 |
| 08664 | Doppler resting arterial assessment | 0 | $60.19 |
| 08662 | Exercise echocardiography | 0 | $234.46 |
| 08662 | Exercise echocardiography | 0 | $234.46 |
| 08669 | Sympathetic tone response | 0 | $43.96 |
| 08666 | Treadmill stress without monitoring physician | 0 | $72.19 |
| 08665 | Treadmill stress; with monitoring physician | 0 | $106.71 |
| 08668 | Vasospastic assessment | 0 | $72.19 |
Doppler Ultrasound |
|||
| 00468 | Neurlolgy outpatient transcranial doppler ultra sound | 0 | $118.86 |
| 00469 | Neurology outpat trans doppler ultra sound | 0 | $29.71 |
Ear |
|||
| 02223 | - under general anesthesia (operation only) | 2 | $63.76 |
| 02234 | - vertical segment | 4 | $586.86 |
| 02267 | Conchal cartilage graft | 3 | $318.91 |
| 02256 | Endolymphatic shunt (any procedure) | 6 | $867.48 |
| 02260 | Excision of glomus - where extensive dissection is required | 6 | $1,039.57 |
| 02259 | Excision of glomus - by tympanotomy approach | 3 | $676.13 |
| 02255 | Exploratory tympanotomy | 2 | $236.02 |
| 02261 | Exploratory tympanotomy - with chemical control, tac procedure, cryosurgical control, ultrasound | 3 | $389.10 |
| 02269 | Implantable bone conductor | 4 | $469.68 |
| 02268 | Intra-cochlear implant | 4 | $1,383.29 |
| 02241 | Labyrinthectomy-drill out of petrous bone | 4 | $574.07 |
| 02247 | Mastoidectomy - partial, canal wall up (cortical) | 3 | $612.35 |
| 02221 | Microscopic debridement, foreign body removal, or aural polyp removal | 2 | $27.11 |
| 02242 | Microsurgical repair and reconstruction soft tissue atresia, external ear canal complete | 3 | $796.06 |
| 02245 | Microsurgical repair and reconstruction soft tissue stenosis - external ear canal | 3 | $663.38 |
| 02231 | Microsurgical revision and reconstruction, soft tissue stenosis - external ear | 3 | $530.69 |
| 02273 | Microsurgical tympanomastoidectomy - complete, canal wall up | 5 | $1,127.78 |
| 02225 | Middle fossa approach-repair sup canal dehiscence | 5 | $920.76 |
| 02228 | Middle fossa approach-repair sup canal dehiscence | 2 | $103.09 |
| 02229 | Middle fossa approach-repair sup canal dehiscence | 2 | $157.79 |
| 02266 | Myringoplasty - paper patch or synthetic | 2 | $44.65 |
| 02251 | Myringoplasty repair of drum without exploration of middle ear | 3 | $191.35 |
| 02274 | Myringotomy w insertion aerating tube-bilateral | 2 | $127.57 |
| 02254 | Myringotomy with insertion of aerating tube - unilateral (operation only) | 2 | $82.94 |
| 02210 | Paracentesis of the ear drum (operation only) | 2 | $44.65 |
| 02248 | Radical mastoidectomy | 4 | $778.18 |
| 02206 | Removal of ear canal osteoma | 2 | $82.94 |
| 02209 | Removal of obstructing exostosis of ear canal | 3 | $484.78 |
| 02243 | Repair atresia external ear canal, complete, bony | 3 | $1,058.85 |
| 02244 | Repair stenosis external ear canal, bony | 3 | $612.35 |
| 02250 | Stapes - mobilization of | 3 | $357.19 |
| 02249 | Stapes - reconstruction | 3 | $612.35 |
| 02246 | Stapes-reconstruction with laser | 3 | $663.38 |
| 02263 | Trans-tympanic polyneurectomy | 3 | $331.68 |
| 02224 | Transcanal labyrinthotomy transmastoid for posterior semicircular canal occlusion | 4 | $218.88 |
| 02270 | Transmastoid - posterior semicircular canal occlusion or repair of superior canal dehiscence | 4 | $1,383.29 |
| 02233 | Transmastoid facial nerve decompression - vertical and horizontal segment | 4 | $1,127.78 |
| 02271 | Transmastoid microsurgical removal of facial neuroma via extended facial recess approach | 5 | $1,990.13 |
| 02272 | Transmastoid microsurgical removal of middle ear/mastoid tumour | 5 | $1,194.08 |
| 02253 | Tympanomastoidectomy - complete, canal wall down, including tympanoplasty | 3 | $1,033.35 |
| 02264 | Tympanoplasty- with ossicular chain reconstruction | 3 | $676.13 |
| 02276 | Tympanoplasty-lateral graft,homograft tympanic membrane | 3 | $676.13 |
| 02278 | Tympanoplasty-mid ear cholesteotoma-add 15 min | 3 | $50.76 |
| 02277 | Tympanoplasty-mid ear cholesteotoma-first 90 min | 3 | $507.54 |
| 02252 | Tympanoplasty-without ossicular chain reconstruct | 3 | $446.51 |
| 02239 | Tympanotomy-with ossicular chain reconstruction | 3 | $357.19 |
| 02265 | Typanomastoiedectomy - partial, canal wall down | 3 | $612.35 |
| 02238 | Typmanplasty/excsn bony canal stenosis/microscopic | 3 | $832.28 |
Ears |
|||
| 06130 | Auricle - accessory | 3 | $254.92 |
| 06133 | Microtia - total major | 3 | $938.36 |
| 06132 | Microtia - partial | 3 | $377.06 |
| 06134 | Microtia - total minor | 3 | $307.05 |
| 06131 | Otoplasty - outstanding ears(unilateral) | 3 | $317.82 |
| 61031 | Otoplasty-outstanding ears(bilateral) | 3 | $476.72 |
| 06180 | Preauricular sinus - complicated | 3 | $304.33 |
| 06135 | Preauricular sinus - simple | 3 | $254.92 |
Elbow, Proximal Radius and Ulna |
|||
| 53980 | Amputation - elbow | 3 | $406.12 |
| 53981 | Amputation - forearm | 3 | $406.12 |
| 53998 | Amputation - forearm - primary wound care | 3 | $102.26 |
| 53999 | Amputation - forearm - secondary wound management | 3 | $186.72 |
| 53810 | Arthrodesis - elbow joint | 3 | $718.88 |
| 53641 | Arthroplasty - elbow - interposition/distraction | 3 | $924.30 |
| 53642 | Arthroplasty- total elbow | 3 | $991.26 |
| 53643 | Arthroplasty- total elbow - revision | 3 | $1,335.36 |
| 11300 | Arthroscopy - elbow joint | 2 | $268.43 |
| 11332 | Arthroscopy/biopsy- elbow joint | 2 | $296.44 |
| 11315 | Arthrotomy - elbow joint | 2 | $186.72 |
| 53521 | Biceps tendon, distal insertion - elbow | 2 | $569.50 |
| 53520 | Biceps tendon, longhead, tenodesis - elbow | 2 | $270.75 |
| 11330 | Biopsy - needle - elbow joint/ga | 2 | $186.72 |
| 11345 | Biopsy - open - elbow joint | 2 | $242.74 |
| 53653 | Bone grafting - olecranon - elbow | 2 | $149.38 |
| 53652 | Bone grafting - radius and/or ulna - elbow | 2 | $242.74 |
| 53651 | Bone grafting: humerus - elbow | 2 | $242.74 |
| 53385 | Bone tumour - elbow - osteomyelitis-debridement | 2 | $322.10 |
| 53380 | Bone tumour - elbow - osteomyelitis, acute | 2 | $186.72 |
| 53712 | Distal humerus - closed reduction external fixation/percutaneous fixation | 2 | $386.07 |
| 53727 | Distal humerus - open injury, primary wound care | 2 | $102.26 |
| 53728 | Distal humerus - open injury, secondary wound management | 2 | $186.72 |
| 53718 | Distal humerus - open injury, primary wound care | 2 | $102.26 |
| 53719 | Distal humerus - open injury, secondary wound management | 2 | $186.72 |
| 53715 | Distal humerus - orif | 2 | $444.88 |
| 53726 | Distal humerus - orif - bicondylar with or without olecranon osteotomy | 2 | $868.26 |
| 53725 | Distal humerus - orif - unicondylar/osteochondral | 2 | $406.12 |
| 53602 | Distal humerus - repair - elbow | 2 | $718.88 |
| 53722 | Distal humerus-closed reduction external fixation | 2 | $354.78 |
| 53711 | Distal humerus: closed reduction, with ga, cast/traction | 2 | $186.72 |
| 53721 | Distal humerus: closed reduction, with ga, cast/traction/ and/or percutaneous fixation | 2 | $186.72 |
| 53370 | Elbow - bone tumour, benign | 2 | $270.75 |
| 53360 | Elbow arthrotomy - open synovectomy | 2 | $406.12 |
| 53365 | Elbow excision benign soft tissue tumor,subfacial | 2 | $270.75 |
| 53505 | Elbow instability- chronic | 2 | $676.86 |
| 53752 | Elbow joint - closed reduction, with ga | 2 | $242.74 |
| 53751 | Elbow joint - closed reduction, without ga | 2 | $149.38 |
| 53755 | Elbow joint - open reduction | 2 | $298.77 |
| 53225 | Elbow joint arthrotomy i and d | 2 | $186.72 |
| 53310 | Elbow, excision - debridement, synovectomy-total | 2 | $642.00 |
| 53305 | Elbow, excision -removal loose body | 2 | $333.85 |
| 53355 | Elbow, excision -therapeutic - bursa/ganglion | 2 | $214.73 |
| 53260 | Elbow, fasciotomy, compartment syndrome | 2 | $214.73 |
| 53269 | Elbow, incision - fasciotomy, secondary wound | 2 | $186.72 |
| 53255 | Elbow, incision-decompression,neurolysis | 2 | $406.12 |
| 53215 | Elbow, proximal radius- abscess i&d under ga | 2 | $186.72 |
| 53220 | Elbow, proximal radius/ulna - hematoma under ga | 2 | $242.74 |
| 53210 | Elbow, proximal radius/ulna - i & d | 2 | $186.72 |
| 53250 | Elbow,proximal radius/ulna- decompression/neuroly | 2 | $242.74 |
| 53540 | Epicondylitis - fascial stripping - elbow | 2 | $214.73 |
| 53606 | Epiphysiodesis - repair/revision - elbow | 2 | $270.75 |
| 53702 | Humeral epicondyle - closed reduction percutaneous fixation | 2 | $270.75 |
| 53701 | Humeral epicondyle - closed reduction, with ga, cast | 2 | $242.74 |
| 53708 | Humeral epicondyle - open injury, primary wound care | 2 | $102.26 |
| 53709 | Humeral epicondyle - open injury, secondary wound management | 2 | $186.72 |
| 53705 | Humeral epicondyle - orif | 2 | $270.75 |
| 53601 | Humeral shaft - repair - elbow | 2 | $711.89 |
| 53410 | Injection of bursa/tendon sheath - elbow | 0 | $11.63 |
| 53405 | Injection of joint - elbow | 0 | $11.63 |
| 53415 | Int fixation device(s)-elbow-removal with ga | 2 | $214.73 |
| 53420 | Int fixation device(s)-elbow-removal/without ga | 2 | $70.02 |
| 53800 | Manipulation - under ga - elbow joint | 2 | $93.37 |
| 53738 | Olecranon - open injury, primary wound care | 2 | $102.26 |
| 53739 | Olecranon - open injury, secondary wound management | 2 | $186.72 |
| 53735 | Olecranon - orif | 2 | $416.76 |
| 53644 | Osteocapsular arthroplasty | 4 | $924.49 |
| 53607 | Physeal bar excision/harvest - elbow | 2 | $448.14 |
| 53386 | Radial head resection - elbow | 2 | $242.74 |
| 53742 | Radial head/neck - closed reduction percutaneous fixation | 2 | $270.75 |
| 53741 | Radial head/neck - closed reduction, with ga, cast | 2 | $242.74 |
| 53748 | Radial head/neck - open injury, primary wound care | 2 | $102.26 |
| 53749 | Radial head/neck - open injury, secondary wound management | 2 | $186.72 |
| 53745 | Radial head/neck - orif | 2 | $406.12 |
| 53605 | Radius and ulna shafts - repair/revision - elbow | 2 | $718.88 |
| 53779 | Radius or ulna shaft/monteggia - open injury, secondary wound management | 2 | $186.72 |
| 53772 | Radius or ulna shaft/monteggia - closed reduction external fixation | 2 | $270.75 |
| 53778 | Radius or ulna shaft/monteggia - open injury, primary wound care | 2 | $102.26 |
| 53775 | Radius or ulna shaft/monteggia - orif | 2 | $416.76 |
| 53771 | Radius or ulna shaft/monteggia-closed reduction, with ga, cast | 2 | $270.75 |
| 53603 | Radius shaft -repair - elbow | 2 | $595.16 |
| 53761 | Radius/ulna shaft - closed reduction, without ga, cast | 2 | $93.37 |
| 53768 | Radius/ulna shaft - open injury, primary wound care | 2 | $102.26 |
| 53765 | Radius/ulna shaft - orif | 2 | $541.49 |
| 53762 | Radius/ulna shaft- closed reduction, with ga, cast | 2 | $298.77 |
| 53769 | Radius/ulna shaft-open injury, secondary wound management | 2 | $186.72 |
| 53510 | Recurrent dislocation - radial head - elbow | 2 | $569.50 |
| 53530 | Tendon transfer - major - elbow | 2 | $718.88 |
| 53531 | Tendon transfer- minor - elbow | 2 | $434.15 |
| 53515 | Triceps tendon - acute - elbow | 2 | $352.44 |
| 53516 | Triceps tendon, fascial reconstruction - elbow | 2 | $406.12 |
| 53604 | Ulna shaft - repair - elbow | 2 | $520.94 |
Electrodiagnosis |
|||
| 00905 | Daily measurements of nerve conduction thresholds in facial palsy | 0 | $6.35 |
| 00906 | Daily measurements of nerve conduction thresholds in facial palsy - maximum per course | 0 | $44.15 |
| 00927 | Decamethonium test - for attendance at, and follow-up observation if necessary | 0 | $34.34 |
| 00900 | Electrodiagnosis, extensive examination (sched. a) | 0 | $121.85 |
| 00901 | Electrodiagnosis, limited examination (sched. b) | 0 | $81.49 |
| 00902 | Electrodiagnosis, short examination (sched c) | 0 | $40.61 |
| 00922 | Electrodiagnostic component of the decamethoniumedrophonium test for myasthenia gravis, inclusive of tetanic stimulation tests | 0 | $57.26 |
| 00914 | Insertion of sphenoidal electrodes, , temporal lobe epilepsy, e.e.g.: recording | 0 | $43.61 |
| 00915 | Intra-carotid injection of sodium amytal, speech localization test | 2 | $98.01 |
| 00926 | Seizure activation with intravenous activating agents associated with insertion of sphenoidal and/or orbital electrodes | 2 | $147.86 |
| 00923 | Technical fee for electrodiagnostic testing | 0 | $20.39 |
Electrophysiological Mapping and Ablation |
|||
| 33085 | Catheter ablation - AV node | 4 | $948.58 |
| 33084 | Catheter ablation for atrial fibrillation | 6 | $1,718.60 |
| 33086 | Catheter ablation of SVT | 4 | $1,450.76 |
| 33087 | Catheter ablation of VT | 4 | $1,718.60 |
| 33089 | Catheter ablation-assistant fee(per hour) | 0 | $139.50 |
| 33088 | Repeat diagnostic EP study | 4 | $334.78 |
Emergency Care |
|||
| 00084 | Accompanying patients | 0 | $223.06 |
| 00083 | Crisis intervention | 0 | $106.13 |
| 00082 | Critical care monitoring | 0 | $63.67 |
| 00081 | Emergency bedside care | 0 | $106.12 |
Endo-Urology |
|||
| 08168 | Nephroscopy & stone removal-includes lithopaxy | 4 | $618.92 |
| 08155 | Ureteral stent-internal-insertion,includes c&p & | 3 | $128.46 |
| 08146 | Ureteroscopy basket manipulation ureteral calculus | 3 | $513.90 |
Endocrine System - Adrenal |
|||
| 71705 | Adrenalectomy - bilateral - open | 8 | $1,600.00 |
| 71704 | Adrenalectomy - unilateral - open | 8 | $804.44 |
| 71703 | Adrenalectomy for pheochromocytoma - open | 8 | $1,019.18 |
| 72703 | Adrenalectomy for pheochromocytoma-laparoscopic | 8 | $1,273.97 |
| 72705 | Adrenalectomy; any approach-bilateral-laparoscopic | 8 | $1,800.00 |
| 72704 | Adrenalectomy;any approach-unilateral-laparoscopic | 8 | $1,005.57 |
Endocrine System - Carotid Body |
|||
| 71706 | Carotid body tumor - excision | 6 | $1,014.37 |
| 71707 | Carotid body tumor with excision of carotid artery | 8 | $1,217.37 |
Endocrine System - Pancreas |
|||
| 71718 | Ampulla of vater - excision | 6 | $1,062.67 |
| 07733 | Anastomosis of pancreatic pseudocyst, roux-en-y- | 5 | $1,015.07 |
| 71710 | Biopsy - pancreas - open | 6 | $100.00 |
| 00826 | Biopsy of pancreas - percutaneous | 2 | $101.44 |
| 71713 | Pancreatectomy - distal subtotal - open | 7 | $1,300.00 |
| 71715 | Pancreatectomy - pancreaticojejunostomy | 7 | $1,500.00 |
| 71719 | Pancreatectomy - proximal/subtotal | 8 | $3,045.21 |
| 71720 | Pancreatectomy - pyloric sparing | 8 | $3,045.21 |
| 71721 | Pancreatectomy - regional | 9 | $3,449.82 |
| 71722 | Pancreatectomy - total | 8 | $2,500.00 |
| 71725 | Pancreatectomy - total | 8 | $1,469.94 |
| 71714 | Pancreatectomy - with splenic preservation - open | 7 | $1,600.00 |
| 71717 | Pancreatectomy -distal/near total | 7 | $2,400.00 |
| 71716 | Pancreatectomy -splenic preservation/pancreatic | 7 | $1,700.00 |
| 72713 | Pancreatectomy, distal subtotal-laparoscopic | 7 | $1,520.85 |
| 72714 | Pancreatectomy, with splenic preserv-laparoscopic | 7 | $1,277.23 |
| 71712 | Pancreatic lesion - excision - limited | 6 | $1,000.00 |
| 07758 | Pancreatic pseudocyst - laparoscopic | 5 | $1,000.00 |
| 07756 | Pancreatic pseudocyst - open | 5 | $1,000.00 |
| 07732 | Pancreatic pseudocyst - drainage, transduodenal | 5 | $1,015.07 |
| 07711 | Pancreatic pseudocyst internal drainage | 5 | $964.32 |
| 72711 | Pancreatic pseudocyst internal drainage-laparoscop | 5 | $1,114.48 |
| 07714 | Pancreaticojejunostomy; side-to-side anastomosis | 6 | $1,400.00 |
| 71708 | Pancreatitis - acute - drainage | 2 | $1,000.00 |
| 71709 | Resectional debridement - pancreas | 8 | $1,300.00 |
Endocrine System - Parathyroid |
|||
| 71748 | Parathyroid autotransplantation | 0 | $101.96 |
| 72572 | Parathyroid autotransplantation | 5 | $873.38 |
| 71746 | Parathyroidectomy - re-exploration | 4 | $1,217.10 |
| 71747 | Parathyroidectomy - mediastinal exploration | 6 | $1,217.17 |
| 07744 | Parathyroidectomy - subtotal parathyroidectomy | 4 | $1,014.37 |
| 07745 | Parathyroidectomy or exploration of parathyroids | 4 | $900.00 |
Endocrine System - Thyroid |
|||
| 07740 | Biopsy of thyroid - open | 4 | $354.83 |
| 70740 | Cyst - thyroglossal - infected | 3 | $203.93 |
| 70742 | Lobectomy - total thyroid | 4 | $587.84 |
| 07771 | Picking operation; metastatic neck nodes | 5 | $1,100.00 |
| 70748 | Substernal thyroid - sternal split | 0 | $163.48 |
| 70747 | Thyroid tissue - remaining - removal | 4 | $694.84 |
| 70745 | Thyroidectomy - subtotal - bilateral | 4 | $706.81 |
| 07743 | Thyroidectomy - total or complete | 4 | $1,014.42 |
| 07741 | Thyroidectomy; subtotal unilateral (local excision | 4 | $450.00 |
| 70743 | Thyroidectomy; total; unilateral inc'l isthmus | 4 | $728.04 |
Endoscopic Retrograde Cholangiopancreatography (ERCP) |
|||
| 33341 | With fulguration+coagulation-1 or more with 33335 | 3 | $447.05 |
| 33342 | With fulguration+coagulation-1 or more with 33335 | 3 | $530.07 |
| 33343 | With fulguration+coagulation-1 or more with 33335 | 3 | $434.25 |
| 33344 | With fulguration+coagulation-1 or more with 33335 | 3 | $434.25 |
| 33345 | With fulguration+coagulation-1 or more with 33335 | 3 | $555.62 |
| 33346 | With fulguration+coagulation-1 or more with 33335 | 3 | $103.49 |
| 33347 | With fulguration+coagulation-1 or more with 33335 | 3 | $172.45 |
Endoscopy / Hydrocephalus |
|||
| 03037 | Removal of ventricular shunt (operation only) | 6 | $288.15 |
| 03038 | Stereotactic localiz w intracran shunt proc-extra | 6 | $380.65 |
Epididymis |
|||
| 08347 | Avulsion penile skin and scrotum - repair | 2 | $405.11 |
| 08342 | Epididymectomy - unilateral | 2 | $279.07 |
| 08340 | Epididymis-abscess,incision,complete care | 2 | $195.36 |
| 08343 | Epididymovasostomy or re-anastomosis of vas,unilateral | 2 | $778.03 |
| 08353 | Plastic repair of exotrophy & of bladder with skin | 5 | $1,329.95 |
| 08341 | Spermatocele or hydrocele - excision | 2 | $252.90 |
| 08350 | Urethro-vesical neck plasty for congenital incontinence | 4 | $1,032.76 |
| 08346 | Varicocele resection | 2 | $392.06 |
| 08344 | Vas cannulation, unilateral or bilateral | 2 | $126.41 |
| 08345 | Vasectomy, bilateral | 2 | $101.51 |
Evoked Response Procedures |
|||
| 00985 | Brainstem auditory evoked response | 0 | $48.66 |
| 00987 | Somatosensory evoked response - upper and lower | 0 | $64.10 |
| 00986 | Somatosensory evoked response - upper extremity | 0 | $37.08 |
| 00988 | Visual evoked response | 0 | $71.89 |
Examination by Certified Hematologist and Oncologist |
|||
| 33538 | Plasmapheresis-therapeutic | 0 | $199.65 |
Examination Under Anesthesia When Done as Independent Procedure |
|||
| 00771 | Retinal examination under anaesthesia | 3 | $20.08 |
| 00771 | Retinal examination under anaesthesia | 3 | $20.08 |
Examinations |
|||
| 33025 | Cardioversion | 2 | $88.90 |
| 33028 | Dual chamber permanent programmable pacemaker testing - professional fee | 0 | $69.36 |
| 33054 | Dual chamber permanent programmable pacemaker testing - techncial fee | 0 | $46.24 |
| 33017 | Ecg and interpretation-home-(cardiology) | 0 | $34.10 |
| 33016 | Ecg and interpretation-office(cardiology) | 0 | $24.52 |
| 33018 | Ecg interpretation only-(cardiology) | 0 | $8.58 |
| 33020 | Ecg interpretation only-(cardiology) | 0 | $62.41 |
| 33034 | Graded exercise test | 0 | $77.66 |
| 33035 | Graded exercise test - professional fee | 0 | $46.06 |
| 33036 | Graded exercise test - technical fee | 0 | $31.58 |
| 33031 | Left ventricular pacing lead insertion-extra | 4 | $456.79 |
| 33049 | Scanning of 24 hr ECG - level 1 | 0 | $54.16 |
| 33065 | Scanning of 24 hr ECG - level 4 | 0 | $13.57 |
| 33047 | Scanning of 24 hr ECG - professional fee | 0 | $66.13 |
| 33048 | Scanning of 24 hr ECG - technical fee | 0 | $24.81 |
| 33063 | Scanning of 24 hr ECG -level 2 | 0 | $40.61 |
| 33026 | Single chamber permanent programmable pacemaker testing - professional fee | 0 | $46.24 |
| 33053 | Single chamber permanent programmable pacemaker testing - technical fee | 0 | $23.12 |
| 33030 | Temporary right ventricular pacemaker catheter placement, using external battery pack - cardiologist or other qualified physician | 4 | $176.07 |
Excision of Rectal Tumour (Transanal Approach) |
|||
| 72671 | Excision of rectal tumour greater than 5 cm | 2 | $455.09 |
| 72669 | Excision of rectal tumour, 0 to 2.5 cm | 2 | $253.59 |
| 72673 | Transanal endo. micro. resection of rectal tumour | 6 | $917.67 |
| 72683 | Transanal endo. micro. resection of rectal tumour | 5 | $981.74 |
| 72684 | Transanal endo. micro. resection of rectal tumour | 5 | $421.25 |
| 72670 | Tumor - rectal - excision - 2.6 to 5 cm. | 2 | $304.52 |
| 72672 | Tumor - rectal - malignant - electrodesiccation | 2 | $252.68 |
Extra-cranial Vascular Procedures |
|||
| 03142 | Application of silverstone clamps (operation only) | 5 | $561.66 |
| 03141 | Cerebral re-vascularization procedure with extracranial-intracranial anastomosis | 9 | $2,222.19 |
Extracranial |
|||
| 08676 | Carotid imaging - duplex scanning of neck vessels | 0 | $122.38 |
| 08677 | Periorbital assessments | 0 | $44.83 |
| 08678 | Subclavian or vertebral assessment | 0 | $61.42 |
Eye Bank Services |
|||
| 00051 | Corneal tissue processing | 0 | $375.66 |
| 00050 | Eye bank services | 0 | $138.67 |
Facility Visits |
|||
| 00109 | Acute care hospital admission visit | 0 | $81.61 |
| 00108 | Hospital visit | 0 | $31.93 |
| 13334 | Ltc facility visit-first visit of day bonus,extra | 0 | $49.84 |
| 00115 | Nursing home visit - 1 patient when specially call | 0 | $116.45 |
| 00128 | Supportive care hospital visit | 0 | $27.52 |
| 00127 | Terminal care facility visit | 0 | $54.20 |
| 00114 | Visit nursing home one or multiple patients | 0 | $36.54 |
Femur, Knee Joint, Tibia and Fibula |
|||
| 56322 | Abrasion debridement, extra - first 15 min. | 2 | $143.81 |
| 56323 | Abrasion debridement,extra-each additional 15 min. | 0 | $71.91 |
| 56330 | Abrasion/debridement - knee | 2 | $287.62 |
| 56980 | Amputation - below the knee | 3 | $518.18 |
| 56998 | Amputation: below knee - open - prim. wound care | 3 | $102.26 |
| 56999 | Amputation: below knee - open - sec. wound mana | 3 | $186.72 |
| 56810 | Arthrodesis - knee joint | 3 | $802.93 |
| 56321 | Arthroplasty - knee - arthroscopic | 2 | $287.62 |
| 56661 | Arthroplasty - knee joint | 4 | $802.93 |
| 11600 | Arthroscopy - knee joint | 2 | $214.73 |
| 11632 | Arthroscopy/biopsy - knee joint | 2 | $214.73 |
| 11615 | Arthrotomy - knee joint | 3 | $242.74 |
| 56225 | Arthrotomy - knee joint | 3 | $186.72 |
| 56356 | Arthrotomy - removal of loose body - knee | 3 | $242.74 |
| 56357 | Arthrotomy knee - pinning/drilling | 3 | $352.44 |
| 11630 | Biopsy - needle - knee joint/ga | 2 | $186.72 |
| 11645 | Biopsy - open - knee joint | 2 | $242.74 |
| 56653 | Bone grafting - epiphysiodesis | 3 | $298.77 |
| 56654 | Bone grafting - physeal bar excision | 3 | $508.83 |
| 56652 | Bone grafting - tibia | 3 | $270.75 |
| 56370 | Bone tumour - benign - knee | 3 | $270.75 |
| 56250 | Decompression - knee joint | 2 | $214.73 |
| 56260 | Fasciotomy, compartment syndrome - knee joint | 3 | $235.21 |
| 56651 | Femur - bone grafting | 3 | $270.75 |
| 56210 | Femur, knee joint/tibia/fibula - i & d/ga | 2 | $186.72 |
| 56215 | Femur/knee joint/tibia/fibula - abscess i & d/ga | 2 | $186.72 |
| 56769 | Fibular shaft fracture - open - prim. wound care | 2 | $186.72 |
| 56702 | Frac./disloc. femur (supracond) - closed w/ ga | 2 | $214.73 |
| 56701 | Frac./disloc. femur (supracond) -closed w/o ga | 2 | $121.36 |
| 56704 | Frac./disloc. femur (supracond)- closed w/ im nail | 5 | $774.90 |
| 56708 | Frac./disloc. femur (supracond)- prim. wound care | 2 | $102.26 |
| 56709 | Frac./disloc. femur (supracond)- sec. wound care | 2 | $186.72 |
| 56703 | Frac./disloc. femur (supracond)-closed, extern fix | 2 | $354.78 |
| 56705 | Frac./disloc. femur (supracondylar) - orif | 4 | $774.90 |
| 56711 | Frac./disloc. femur cond./intracond-closed w/o ga | 2 | $93.37 |
| 56712 | Frac./disloc. femur cond./intracond.-closed w/ ga | 2 | $186.72 |
| 56713 | Frac./disloc. femur cond/intracond-closed ex fix | 2 | $354.78 |
| 56718 | Frac/disloc femur con/intracond-op prim wound care | 2 | $102.26 |
| 56719 | Frac/disloc femur cond/intracond-op sec wound care | 2 | $186.72 |
| 56716 | Frac/disloc femur cond/intracond-orif-bicondylar | 4 | $1,115.69 |
| 56715 | Frac/disloc femur cond/intracond-orif-unicondylar | 4 | $774.90 |
| 56353 | Ganglion/cyst - knee | 2 | $214.73 |
| 56220 | Hematoma - femur/knee joint/tibia/fibula | 2 | $298.77 |
| 56410 | Injection - bursa/tendon sheath - knee | 0 | $23.23 |
| 56405 | Injection of joint - knee | 0 | $23.23 |
| 56306 | Knee - pinning/drilling osteochondral fragment | 2 | $410.88 |
| 56415 | Knee - removal of int fixation device(s)/ga | 2 | $242.74 |
| 56420 | Knee - removal of internal fixation device(s) | 2 | $70.02 |
| 56269 | Knee joint - secondary wound closure | 2 | $186.72 |
| 56280 | Knee liberation/major release | 3 | $770.24 |
| 56528 | Knee ligament - open injury - primary wound care | 2 | $102.26 |
| 56529 | Knee ligament - open injury - secondary wound care | 2 | $186.72 |
| 56505 | Knee ligament instability - one repair | 3 | $616.34 |
| 56510 | Knee ligament instability - posterior cruciate | 3 | $746.91 |
| 56520 | Knee ligament instability - three ligaments | 3 | $835.59 |
| 56515 | Knee ligament instability - two ligaments | 3 | $718.62 |
| 56335 | Lateral/medial release - endoscopic knee | 2 | $287.62 |
| 56800 | Manipulation - knee joint w/ ga | 2 | $93.37 |
| 56666 | Meniscal allograft transplant | 5 | $1,301.86 |
| 56325 | Meniscal repair | 2 | $410.88 |
| 56362 | Meniscal repair - knee | 3 | $352.44 |
| 56361 | Menisectomy - knee | 3 | $242.74 |
| 56320 | Menisectomy - knee | 2 | $287.62 |
| 56355 | Open excision - knee - bursa/prepatellar | 2 | $214.73 |
| 56380 | Osteomyelitis acute - knee - decompression | 3 | $186.72 |
| 56385 | Osteomyelitis/debridement - knee. | 3 | $214.73 |
| 56601 | Osteotomy distal femur - non-union/malunion | 3 | $802.93 |
| 56604 | Osteotomy fibula -non-union/malunion | 3 | $270.75 |
| 56602 | Osteotomy proximal tibia - non-union/malunion | 3 | $569.50 |
| 56603 | Osteotomy tibia/shaft/fibula - non-union/malunion | 3 | $746.91 |
| 56728 | Patellar dislocation - open - primary wound care | 2 | $102.26 |
| 56729 | Patellar dislocation - open -sec. wound management | 2 | $186.72 |
| 56725 | Patellar dislocation - open reduction & repair | 2 | $242.74 |
| 56738 | Patellar fracture - open - primary wound care | 2 | $102.26 |
| 56739 | Patellar fracture - open - sec. wound management | 2 | $186.72 |
| 56735 | Patellar fracture - orif | 2 | $462.14 |
| 56542 | Patellar tendon repair | 2 | $480.90 |
| 56390 | Patellectomy | 3 | $326.77 |
| 56734 | Patellectomy - patella fracture | 2 | $326.77 |
| 56354 | Popliteal cyst - knee | 2 | $298.77 |
| 56285 | Quadriceps plasty - knee | 3 | $625.53 |
| 56530 | Recur. sublux./disloc. patella-extensor realignmen | 3 | $434.15 |
| 56531 | Recurr. sublux./disloc. patella-lateral release | 2 | $242.74 |
| 56541 | Recurr. sublux./disloc. quad. tendon rupt.-chronic | 2 | $490.15 |
| 56540 | Recurr. sublux./disloc. quad. tendon rupture,acute | 2 | $345.45 |
| 56305 | Removal symptomatic loose body - knee | 2 | $287.62 |
| 56315 | Resection 'plica' | 2 | $287.62 |
| 56290 | Retinacular release - lateral/medial knee - open | 2 | $242.74 |
| 56665 | Revision - patellar component | 3 | $406.12 |
| 56664 | Revision - total knee | 4 | $1,104.00 |
| 56525 | Revision of knee ligament reconstruction | 3 | $718.88 |
| 56275 | Soft tissue release - knee - major | 3 | $487.81 |
| 56270 | Soft tissue release - knee - minor | 2 | $345.45 |
| 56365 | Soft tissue tumour - benign - knee | 3 | $326.77 |
| 56360 | Synovectomy - knee, total | 3 | $464.48 |
| 56310 | Synovectomy knee, total | 2 | $487.92 |
| 56545 | Tendon transfer, transplant - patella | 2 | $326.77 |
| 56742 | Tibial plateau fracture - closed red, extern fix | 2 | $382.78 |
| 56741 | Tibial plateau fracture - closed red. w/ ga | 2 | $186.72 |
| 56748 | Tibial plateau fracture - open - prim. wound care | 2 | $102.26 |
| 56749 | Tibial plateau fracture - open - sec. wound manage | 2 | $186.72 |
| 56746 | Tibial plateau fracture - orif - bicondylar | 3 | $924.30 |
| 56745 | Tibial plateau fracture - orif - unicondylar | 3 | $653.54 |
| 56753 | Tibial shaft fracture - closed red. extern fix | 2 | $354.78 |
| 56752 | Tibial shaft fracture - closed red. w/ ga | 2 | $214.73 |
| 56751 | Tibial shaft fracture - closed red. w/o ga | 2 | $93.37 |
| 56754 | Tibial shaft fracture - closed reduction im nail | 3 | $686.20 |
| 56758 | Tibial shaft fracture - open - prim. wound care | 2 | $102.26 |
| 56759 | Tibial shaft fracture - open - sec. wound manag. | 2 | $186.72 |
| 56755 | Tibial shaft fractures - orif | 3 | $569.50 |
| 56662 | Total knee replacement | 4 | $802.93 |
| 56663 | Total knee, removal prosthesis, includes prostalac | 4 | $490.15 |
Fitting of Contact Lenses |
|||
| 22059 | Contact lens - keratoconus - unilateral | 0 | $266.12 |
| 02058 | Contact lens bandage - aphakia - unilateral | 0 | $266.12 |
| 22056 | Contact lens bandage - unilateral | 0 | $79.83 |
Fluroscopy |
|||
| 08629 | Fluoroscopy with clinical procedures | 0 | $40.86 |
| 08575 | Video fluroscopy - 50% added to 08572 & 08573 | 0 | $43.03 |
Fractures |
|||
| 61222 | Crif phalangeal or metacarpal fracture (mid/prxml) | 2 | $227.73 |
| 06222 | Finger fracture - phalanx | 2 | $126.70 |
| 06224 | Fracture - distal phalanges, first | 2 | $150.64 |
| 06225 | Fracture - distal phalanges, each additional | 2 | $126.70 |
| 06223 | Fracture - metacarpal | 2 | $126.70 |
| 61224 | Open (compound) hand fractures primary wound mgmt | 2 | $41.11 |
| 61225 | Open (compound)hand fractures-secondary wound mgmt | 2 | $82.15 |
| 61223 | Orif phalangeal or metacarpal fracture (mid/prxml) | 2 | $340.00 |
Fractures & Dislocations |
|||
| 01850 | Clavicle fracture: closed - adult | 2 | $105.60 |
| 01851 | Fibula fracture, shaft or malleolus - no reduction | 0 | $91.34 |
| 01861 | Patella dislocation - closed | 2 | $66.05 |
| 01860 | Tmj dislocation - closed reduction | 3 | $68.95 |
| 01862 | Toe dislocation - closed | 2 | $49.54 |
| 01870 | Toe dislocation - closed | 0 | $27.70 |
| 01871 | Toe dislocation - closed | 0 | $27.70 |
Free Skin Grafts (including mucosa) |
|||
|
Code no longer active
|
Finger, phalanx multiple skin graft free | 2 | $291.77 |
|
Code no longer active
|
Free skin graft; full thickness - toe pulp graft | 2 | $247.86 |
| 61351 | Full-thickness graft-arms, legs,scalp (2 to 19cm) | 2 | $289.29 |
| 61352 | Full-thickness graft-axilla,cheeks,chin, etc (2 to | 2 | $355.27 |
| 61353 | Full-thickness graft-ears,eyelids,lips and nose (2 | 2 | $395.89 |
| 61350 | Full-thickness graft-trunk (2 to 19 cm) | 2 | $228.39 |
| 61354 | Graft (pinch,split or full thickness)-open area-up | 2 | $310.00 |
|
Code no longer active
|
Skin graft - finger tip - full thickness | 2 | $247.86 |
| 06053 | Skin graft; functional areas: head & neck > 65 cm | 3 | $648.00 |
| 06054 | Skin grafts - head and neck - in excess of 195 sq | 3 | $1,033.97 |
|
Code no longer active
|
Skin grafts - full thickness - free - sole or palm | 2 | $291.77 |
| 06052 | Skin grafts - head and neck - 65 sq. cm or less | 3 | $440.00 |
| 06048 | Skin grafts - split thickness - free - 650 sq. cm | 2 | $648.00 |
| 06047 | Skin grafts - split thickness - free - 65 sq. cm | 2 | $432.00 |
| 06058 | Skin grafts; functional areas; major joints, late | 2 | $523.79 |
| 06046 | Split thickness free skin graft; < 6.5 sq. cm. | 2 | $300.00 |
| 06049 | Split thickness free skin grafts; each 6.5 > 650 | 3 | $8.00 |
Functional Neurosurgery / Pain |
|||
| 03276 | Dual channel neural stimulator implant test -prof | 0 | $69.11 |
| 03277 | Dual channel neural stimulator implant test tech | 0 | $46.08 |
| 03274 | Single channel nerual stimulator implant test prof | 0 | $46.08 |
| 03275 | Single channel neural stimulator implant test-tech | 0 | $23.04 |
Gall Bladder |
|||
| 08584 | Biliary calculi, removal, radiological | 0 | $64.67 |
| 08581 | Cholangiogram intravenous x-ray | 0 | $76.37 |
| 08582 | Cholangiogram operative x-ray | 0 | $57.41 |
| 08583 | Cholangiogram, direct post-operative | 0 | $61.91 |
Gastrointestinal Reconstruction |
|||
| 71547 | Ligation/stapling - oesophageal perforation | 6 | $1,200.00 |
| 71546 | Transection of oesophagus with repair | 6 | $830.20 |
Gastrointestinal Tracts |
|||
| 08576 | Colon or double contrast air studies | 0 | $96.96 |
| 08579 | Glucagon assisted contrast study | 0 | $37.85 |
| 08577 | Hypotonic duodenography | 0 | $86.03 |
| 08572 | Oesophagus only -x-ray | 0 | $60.23 |
| 08573 | Oesophagus, stomach and duodenum -x-ray | 0 | $86.03 |
| 08578 | Pancreatography | 0 | $52.63 |
| 08574 | Small bowel | 0 | $86.03 |
Genito-Urinary System |
|||
| 08595 | Cystogram or retrogradeurethrogram | 0 | $52.88 |
| 08596 | Hystero-salpingogram x-ray | 0 | $86.03 |
| 08594 | Intravenous pyelogram / voiding cystourethrogram | 0 | $104.61 |
| 08590 | Kub x-ray | 0 | $35.32 |
| 08597 | Pelvimetry x-ray | 0 | $72.97 |
| 08591 | Pyelogram x-ray intravenous | 0 | $79.56 |
| 08593 | Pyelogram x-ray retrograde or antegrade | 0 | $52.88 |
| 08599 | Voiding cystourethrogram x-ray | 0 | $87.41 |
GP For Me Attachment Fees |
|||
| 14075 | Gp attachment complex care management fee | 0 | $316.95 |
| 14077 | Gp attachment patient conference fee | 0 | $43.23 |
| 14076 | Gp attachment telephone management fee | 0 | $20.12 |
| 14074 | Gp unattached complex/high needs patient attachmen | 0 | $200.00 |
GPSC Annual Bonuses |
|||
| 14033 | Annual complex care management fee | 0 | $316.95 |
| 14041 | Annual complex care management fee | 0 | $15.00 |
| 14050 | Gp annual chronic care bonus - diabetes mellitus | 0 | $125.78 |
| 14051 | Gp annual chronic care bonus - heart failure | 0 | $125.78 |
| 14052 | Gp annual chronic care bonus - hypertension | 0 | $50.31 |
| 14053 | Incentive for gp annual chronic care bonus copd | 0 | $125.78 |
Group Medical Visits |
|||
| 13770 | General practice group medical visit - 10 patients | 0 | $12.06 |
| 13771 | General practice group medical visit - 11 patients | 0 | $10.56 |
| 13772 | General practice group medical visit - 12 patients | 0 | $9.93 |
| 13773 | General practice group medical visit - 13 patients | 0 | $9.20 |
| 13774 | General practice group medical visit - 14 patients | 0 | $9.03 |
| 13775 | General practice group medical visit - 15 patients | 0 | $8.66 |
| 13776 | General practice group medical visit - 16 patients | 0 | $8.41 |
| 13777 | General practice group medical visit - 17 patients | 0 | $8.06 |
| 13778 | General practice group medical visit - 18 patients | 0 | $7.88 |
| 13779 | General practice group medical visit - 19 patients | 0 | $7.60 |
| 13780 | General practice group medical visit - 20 patients | 0 | $7.41 |
| 13763 | General practice group medical visit - 3 patients | 0 | $25.95 |
| 13764 | General practice group medical visit - 4 patients | 0 | $20.95 |
| 13765 | General practice group medical visit - 5 patients | 0 | $18.01 |
| 13766 | General practice group medical visit - 6 patients | 0 | $16.03 |
| 13767 | General practice group medical visit - 7 patients | 0 | $14.62 |
| 13768 | General practice group medical visit - 8 patients | 0 | $13.57 |
| 13769 | General practice group medical visit - 9 patients | 0 | $12.71 |
| 13781 | General practice group medical visit- >20 patients | 0 | $7.14 |
| 14002 | General practice group medical visit- >20 patients | 0 | $50.00 |
Gynecological |
|||
| 00787 | Amniocentesis, transabdominal | 2 | $87.80 |
| 00784 | Cervical punch biopsy | 2 | $19.23 |
| 00794 | Chorionic villus sampling | 2 | $120.73 |
| 00807 | Diagnostic hysteroscopy | 2 | $152.83 |
| 00808 | Diagnostic hysteroscopy with biopsy(s) | 2 | $203.77 |
| 00819 | Diagnostic vaginoscopy under ga | 2 | $152.83 |
| 00785 | Endometrial biopsy | 2 | $44.57 |
| 00776 | Fetal scalp sampling | 0 | $100.09 |
| 00790 | Foetal heart monitoring - interpretation only | 0 | $17.61 |
| 00783 | Huhners test | 0 | $44.57 |
| 00775 | Hydrotubation | 0 | $44.57 |
| 00815 | Laparoscopic biopsies/lysis of adhesions | 4 | $62.32 |
| 00782 | Needle aspiration of pouch of douglas | 2 | $35.33 |
| 00786 | Pelvic exam with aspiration pouch of douglas | 2 | $47.09 |
Gynecology & Pregnancy |
|||
| 00118 | Caesarean section-attendance | 0 | $91.09 |
| 14109 | Delivery - attendance - emerg c/s | 0 | $490.12 |
| 14104 | Delivery and post-natal care (1-14 days in-hosp) | 0 | $588.41 |
| 14008 | Full service gp-bonus with post natal care | 0 | $77.23 |
| 14005 | Full service gp-bonus with transfer higher care | 0 | $156.34 |
| 14009 | Full service gp-obstet delivery bonus-w c section | 0 | $312.70 |
| 14004 | Full service gp-obstet delivery bonus-w delivery | 0 | $375.40 |
| 14540 | Insertion intrauterine contraceptive device | 2 | $43.28 |
| 14105 | Management of labour and transfer to higher level | 0 | $245.04 |
| 14010 | Maternity network incentive | 0 | $2,100.00 |
| 14545 | Medical abortion | 0 | $165.47 |
| 14199 | Mngmnt of prlngd 2nd stg labour - per 30 mins | 0 | $85.47 |
| 00119 | Newborn care, routine, in hospital | 0 | $93.11 |
| 14108 | Post-natal care after elective c-section | 0 | $121.06 |
| 14094 | Post-natal office visit | 0 | $31.81 |
| 15120 | Pregnancy test, immunologic, urine | 0 | $11.72 |
| 14091 | Prenatal visit - subsequent examination | 0 | $31.81 |
| 14090 | Prenatal visit- complete examination | 0 | $84.95 |
| 14560 | Routine pelvic exam including pap | 0 | $31.72 |
Hand and Wrist |
|||
| 06218 | Amputation - transmetacarpal | 2 | $254.92 |
| 06219 | Amputation - finger | 2 | $254.92 |
| 54810 | Arthrodesis - wrist - limited or total | 2 | $658.20 |
| 54635 | Arthroplasty - total wrist - revision | 3 | $952.30 |
| 54631 | Arthroplasty - ulna - distal excision | 2 | $242.74 |
| 54633 | Arthroplasty- silastic wrist | 2 | $541.49 |
| 11400 | Arthroscopy - wrist joint | 2 | $287.62 |
| 11432 | Arthroscopy/biopsy - wrist /hand joint(s) | 2 | $186.72 |
| 11415 | Arthrotomy - wrist joint - isolated procedure | 2 | $186.72 |
| 11416 | Arthrotomy - mp/pip/dip joints | 2 | $186.72 |
| 11430 | Biopsy - needle - wrist joint/ga | 2 | $186.72 |
| 11445 | Biopsy - open - hand/wrist | 2 | $242.74 |
| 54651 | Bone grafting - distal radius/ulna | 2 | $242.74 |
| 54652 | Bone grafting - metacarpal/phalanx | 2 | $121.36 |
| 54372 | Bone tumor - benign - carpals/distal radius | 2 | $324.44 |
| 54603 | Carpal bone (scaphoid) - repair/revision | 2 | $541.49 |
| 54715 | Carpal bone fracture(scaphoid) - open reduction | 2 | $434.15 |
| 54505 | Carpal instability - acute | 2 | $597.51 |
| 54510 | Carpal instability: chronic | 2 | $658.20 |
| 54387 | Carpectomy - proximal row | 2 | $541.49 |
| 54728 | Carpus - primary wound care | 2 | $51.13 |
| 54722 | Carpus - closed reduction/percutaneous fixation | 2 | $298.77 |
| 54725 | Carpus - orif | 2 | $597.51 |
| 54729 | Carpus - secondary wound management | 2 | $93.37 |
| 54721 | Carpus-dislocation-w/wo fracture-closed reduction | 2 | $252.09 |
| 54310 | Debridement/ synovectomy, total | 2 | $324.44 |
| 54515 | Distal radio-ulnar instability - chronic | 2 | $487.81 |
| 54351 | Excision - open - meniscus/radiocarpal | 2 | $324.44 |
| 54315 | Excision triangular fibro cartilage complex (tfcc) | 2 | $324.44 |
| 54350 | Foreign body removal - hand/wrist/ga | 2 | $214.73 |
| 54410 | Injection bursa, tendon sheath, other peri articular structures | 0 | $23.23 |
| 54405 | Injection joint | 0 | $23.23 |
| 54632 | Joint replacement - total wrist | 2 | $718.88 |
| 54800 | Manipulation - hand/wrist joint under ga | 2 | $93.37 |
| 54380 | Osteomyelitis, acute - carpals, distal/radius | 2 | $186.72 |
| 54385 | Osteomyelitis/debridement - carpals/distal radius | 2 | $322.10 |
| 54601 | Osteotomy - distal radius | 2 | $658.20 |
| 54602 | Osteotomy - distal ulna | 2 | $326.77 |
| 54604 | Osteotomy - epiphysiodesis/epiphysioplasty/radius/ | 2 | $406.12 |
| 54708 | Radius - primary wound care | 2 | $51.13 |
| 54702 | Radius - closed reduction/ga | 2 | $298.77 |
| 54703 | Radius - external/percutaneous fixation. | 2 | $326.77 |
| 54701 | Radius - fracture/dislocation-closed reduction | 2 | $252.09 |
| 54705 | Radius - orif | 2 | $518.18 |
| 54709 | Radius - secondary wound management | 2 | $93.37 |
| 54415 | Removal of internal fixation device(s), with ga | 2 | $214.73 |
| 54420 | Removal of internal fixation device(s), without ga | 2 | $46.68 |
| 54305 | Removal of loose body - hand/wrist | 2 | $242.74 |
| 54386 | Styloid - radial/ulnar - excision | 2 | $214.73 |
| 54634 | Wrist prosthesis - removal | 2 | $270.75 |
Head and Neck |
|||
| 08659 | B scan brain | 0 | $105.25 |
| 08642 | B scan soft tissues of neck | 0 | $68.77 |
| 08513 | Dacryocystogram x-ray | 0 | $34.94 |
| 08511 | Eye x-ray for foreign body | 0 | $35.32 |
| 08512 | Eye x-ray localization procedure | 0 | $52.88 |
| 08504 | Facial bones x-ray | 0 | $35.32 |
| 08515 | Laryngogram (excluding procedural fee) | 0 | $52.89 |
| 02458 | Local excision tongue under ga | 3 | $165.83 |
| 08508 | Mandible temporo mandibular joint x-ray | 0 | $35.32 |
| 08507 | Mandible x-ray | 0 | $35.32 |
| 08506 | Mastoids x-ray | 0 | $53.41 |
| 08505 | Nasal bones - x-ray | 0 | $35.32 |
| 08514 | Nasopharynx and/or neck, soft tissue | 0 | $22.93 |
| 08641 | Ophthalmic b-scan | 0 | $101.17 |
| 08518 | Pre-mri view(s) of orbits to rule out metallic fb | 0 | $24.29 |
| 08509 | Salivary gland area x-ray | 0 | $35.32 |
| 08510 | Sialography | 0 | $55.11 |
| 08503 | Sinuses para-nasal x-ray diagnostic | 0 | $35.32 |
| 08500 | Skull x-ray routine | 0 | $53.41 |
| 08501 | Skull x-ray special studies | 0 | $35.32 |
| 02457 | Tongue tie, under g.a. | 3 | $82.94 |
Heart |
|||
| 78030 | Aicd and single ventricular lead | 8 | $578.55 |
| 78031 | Aicd and single ventricular lead - each additional | 0 | $210.39 |
| 07839 | Aortic valvulotomy | 9 | $822.92 |
| 07835 | Blalock or Pott's procedure for Tetralogy of Fallot | 9 | $822.92 |
| 07836 | Blalock-Hanlon procedure | 9 | $822.92 |
| 07846 | Cardiac massage for cardiac arrest | 11 | $418.95 |
| 07833 | Cardiotomy | 9 | $597.73 |
| 78043 | Debridement chest wall with 78041 - extra | 9 | $52.92 |
| 07953 | Double lead endocardial pacemaker | 4 | $541.77 |
| 07952 | Electronic monitoring of pacing and pacemaker function | 0 | $96.22 |
| 07852 | Gore-tex modified aorto-pulmonary shunt | 9 | $941.63 |
| 07844 | Implantation / replacement of pulse generator for cardia pacing | 4 | $250.28 |
| 07843 | Implantation of endocardial pacemaker (ventricular) | 4 | $414.25 |
| 78042 | Laser lead extraction - additional leads - extra | 9 | $529.26 |
| 78041 | Laser lead extraction - first lead | 9 | $1,409.88 |
| 07837 | Mitral commissurotomy (closed) | 9 | $822.92 |
| 07834 | Patent ductus arteriosus | 9 | $822.92 |
| 07832 | Pericardectomy | 9 | $822.92 |
| 07831 | Pericardiotomy | 9 | $822.92 |
| 07851 | Phrenic nerve stimulation | 8 | $473.55 |
| 07830 | Pulmonary artery - banding | 9 | $822.92 |
| 07838 | Pulmonary valvulotomy (closed) | 9 | $822.92 |
| 07845 | Repair, replacement, adjustment of electrode | 4 | $253.15 |
| 78045 | Thoracotomy post cardiac surgery for hemorrhage | 8 | $751.07 |
| 78044 | Wide debridement chest wall with 78041 - extra | 9 | $105.87 |
Hematology and Blood Bank |
|||
| 90025 | Abo other groups | 0 | $33.11 |
| 90020 | Abo typing | 0 | $16.09 |
| 90027 | Activated protein c resistance (apcr | 0 | $42.44 |
| 90030 | Alpha 2 antiplasmin assay | 0 | $45.48 |
| 90029 | Alpha-thalassemia,molecular testing for com defect | 0 | $67.80 |
| 90038 | Anti saccharomyces cerevisiae (asca) lga | 0 | $25.47 |
| 90039 | Anti saccharomyces cerevisiae (asca)lgg | 0 | $20.56 |
| 90035 | Anti-dna | 0 | $28.41 |
| 90040 | Anti-thrombin iii/coagulation proteins - bychromog | 0 | $33.49 |
| 90042 | Anti-xa heparin assay | 0 | $94.12 |
| 91145 | Anticardiolipin ab, igg | 0 | $24.47 |
| 91146 | Anticardiolipin ab, igm | 0 | $24.47 |
| 90080 | Antiglobulin coombs test - direct | 0 | $24.55 |
| 91160 | Antimyeloperoxidase antibody | 0 | $17.75 |
| 90047 | Beta 2 glycoprotein i antibodies igg/igm isotype | 0 | $47.26 |
| 90046 | Beta 2 glycoprotein i(b2gpi)antibody screen | 0 | $44.65 |
| 90465 | Blood film review | 0 | $17.99 |
| 91355 | Cell count - csf and other body fluids | 0 | $28.77 |
| 91356 | Cell differential - csf and other body fluids | 0 | $11.70 |
| 90050 | Circulating anticoagulant - incubated - 1+ plasma | 0 | $57.43 |
| 90055 | Circulating inhibitor screen - unincubated-simple | 0 | $30.54 |
| 90060 | Clot retraction | 0 | $6.19 |
| 90063 | Coagulation factor/clotting assay | 0 | $45.51 |
| 90070 | Cold agglutinins - quantitative | 0 | $27.40 |
| 90065 | Cold agglutinins - qualitative | 0 | $14.30 |
| 90072 | Collagen binding assay | 0 | $52.51 |
| 90300 | Coombs - indirect | 0 | $15.05 |
| 90068 | Cyclic citrullinated peptide antibodies | 0 | $29.48 |
| 90073 | Dilute russell viper venom time | 0 | $14.01 |
| 90085 | Donath-landsteiner | 0 | $15.00 |
| 90550 | Dpg assay 2-3 | 0 | $34.23 |
| 90120 | Ena (extractable nuclear antigens)) | 0 | $24.99 |
| 90090 | Eosinophil count | 0 | $10.62 |
| 90095 | Erythropoietin (epo) assay | 0 | $29.51 |
| 90105 | Estimation - lymphocyte -rosette formation | 0 | $70.55 |
| 90100 | Estimation- b lymphocytes | 0 | $96.31 |
| 90110 | Euglobulin lysis time | 0 | $16.30 |
| 90045 | Examination - bone marrow | 0 | $225.85 |
| 90115 | Examination - eosinophils/secretions/excretions | 0 | $54.08 |
| 90123 | Factor ii assay - quantitative only | 0 | $53.52 |
| 90145 | Factor ix assay | 0 | $58.08 |
| 90125 | Factor v | 0 | $52.04 |
| 90127 | Factor v leiden/pgm - 1st gene | 0 | $76.92 |
| 90128 | Factor v leiden/pgm - 2nd gene | 0 | $48.53 |
| 90130 | Factor vii assay | 0 | $51.21 |
| 90135 | Factor viii c assay | 0 | $51.58 |
| 90140 | Factor viii:c inhibitor assay (bethesda titre) | 0 | $89.64 |
| 90155 | Factor x assay | 0 | $51.21 |
| 90150 | Factor xi | 0 | $51.21 |
| 90160 | Factor xii assay | 0 | $51.21 |
| 90165 | Factor xiii screen | 0 | $16.27 |
| 90175 | Fetal haemoglobin | 0 | $18.51 |
| 90170 | Fibrin/fibrinogen degradation/including d - dimer | 0 | $23.27 |
| 90180 | Foetal cell stain | 0 | $19.03 |
| 90185 | Glucose-6-phosphate dehydrogenase | 0 | $42.91 |
| 90190 | Glucose-6-phosphate dehydrogenase assay | 0 | $59.02 |
| 90210 | Haematology special stains - routine | 0 | $28.76 |
| 90205 | Haematology profile | 0 | $10.96 |
| 90215 | Haematology special stains - complex | 0 | $42.56 |
| 90235 | Haemoglobin - other methods | 0 | $1.55 |
| 90220 | Haemoglobin a2 quantification | 0 | $14.14 |
| 90225 | Haemoglobin-cyanmethaemoglobin | 0 | $3.22 |
| 90245 | Haemoglobin-h inclusion bodies | 0 | $67.80 |
| 90200 | Ham test | 0 | $27.74 |
| 90240 | Hemoglobin electrophoresis | 0 | $29.84 |
| 90265 | Hla - single antigen | 0 | $40.58 |
| 90285 | Immunofluorescent staining - add. autoantibodies | 0 | $27.03 |
| 90280 | Immunofluorescent staining - first autoantibody | 0 | $20.44 |
| 90290 | Immunophenotyping by flow cytometry- peripheral | 0 | $223.42 |
| 90295 | Immunophenotyping/flow cytometry - each additional | 0 | $34.42 |
| 90310 | Ivy template - bleeding time | 0 | $26.63 |
| 90315 | Latex test (rheumatoid factor) | 0 | $8.41 |
| 90320 | Leucocyte alkaline phosphatase | 0 | $42.35 |
| 90325 | Lymphocyte stimulation test | 0 | $106.30 |
| 90330 | Lymphocyte stimulation test - each additional | 0 | $32.16 |
| 90335 | Malaria/other parasites | 0 | $61.82 |
| 90340 | Marrow films -interpretation | 0 | $163.79 |
| 90345 | Marrow/peripheral blood stem cells | 0 | $104.80 |
| 90350 | Mixed leukocyte culture - donor/recipient | 0 | $112.77 |
| 90355 | Mixed leukocyte culture - each additional | 0 | $129.35 |
| 90357 | Neutrophil oxidative burst assay | 0 | $112.77 |
| 90360 | Nitro blue tetrazolium test | 0 | $30.44 |
| 90365 | Oxygen disassociation curve | 0 | $77.96 |
| 90375 | Partial thromboplastin time - substitution test | 0 | $42.77 |
| 90377 | Phospholipid neutralization test - confirm lupus | 0 | $42.25 |
| 90380 | Plasma haemoglobin | 0 | $16.88 |
| 90385 | Plasminogen assay | 0 | $45.87 |
| 90390 | Platelet antibodies | 0 | $34.46 |
| 90400 | Platelet estimation - film | 0 | $4.64 |
| 90405 | Platelet function aggregation | 0 | $21.93 |
| 90410 | Preparation of packed cells, per unit | 0 | $16.22 |
| 90420 | Protein c activity | 0 | $51.33 |
| 90425 | Protein c antigen | 0 | $56.18 |
| 90427 | Protein s activity (clot based) | 0 | $38.31 |
| 90430 | Protein s free antigen | 0 | $43.51 |
| 90435 | Protein s total antigen | 0 | $40.50 |
| 91130 | Proteinase 3 antineutrophil cytoplasmic antibody | 0 | $18.90 |
| 90440 | Prothrombin time/inr | 0 | $12.07 |
| 90445 | Pyruvic kinase assay | 0 | $75.52 |
| 90450 | Pyruvic kinase test | 0 | $13.30 |
| 90455 | Raji cell assay | 0 | $50.59 |
| 90460 | Rbc antibody detection, albumin or enzyme tubes | 0 | $6.89 |
| 90480 | Red cell fragility incubated | 0 | $57.13 |
| 90475 | Red cell fragility screening test | 0 | $17.77 |
| 90485 | Reptilase time | 0 | $40.88 |
| 90490 | Reticulocyte count and/or heinz bodies | 0 | $11.54 |
| 90495 | Rh (d) typing | 0 | $10.38 |
| 90500 | Rh genotype | 0 | $41.21 |
| 90505 | Ristocetin co-factor assay | 0 | $77.57 |
| 90510 | Saline tubes (per tube) | 0 | $7.59 |
| 90512 | Secretion smear for eosinophils | 0 | $7.41 |
| 90515 | Sedimentation rate | 0 | $10.61 |
| 90520 | Serum haptoglobin | 0 | $20.42 |
| 90525 | Sickle cell identification | 0 | $76.41 |
| 90305 | Slide agglutination - infectious mononucleosis | 0 | $17.10 |
| 90530 | Stypven prothrombin time | 0 | $27.95 |
| 90535 | Sugar water test (p.n.h.) | 0 | $10.72 |
| 90540 | Thalassemia/hemoglobinopathy investigation | 0 | $65.46 |
| 90370 | Thromboplastin test, partial | 0 | $6.57 |
| 90560 | Von willebrand factor - multimer analysis | 0 | $88.77 |
| 90555 | Von willebrand factor antigen | 0 | $107.66 |
| 90565 | White blood cells agglutinins | 0 | $71.34 |
Hernia - Repair |
|||
| 71612 | Bilateral primary inguinal or femoral hernias > ag | 2 | $606.63 |
| 71613 | Bilateral primary inguinal or femoral hernias > ag | 4 | $667.08 |
| 71614 | Hernia - initial incisional - repair - reducible | 2 | $596.65 |
| 71619 | Hernia - umbilical - repair - reducible | 2 | $343.80 |
| 71621 | Hernia repair with resection of bowel | 5 | $758.16 |
| 71622 | Hernia repair, bowel resection, separate incision | 5 | $809.05 |
| 71623 | Hernia-laparoscopic initial ventral or incision | 5 | $697.44 |
| 07610 | Hernia, epigastric | 4 | $343.80 |
| 71624 | Hernia, laparoscopic recurrent ventral or incision | 6 | $761.21 |
| 07596 | Hernia; incisional; repair following laparotomy | 2 | $125.00 |
| 71615 | Hernia; initial incisional repair, incarcerated | 3 | $596.65 |
| 71616 | Hernia; initial incisional repair, prosthetic mesh | 3 | $596.65 |
| 71618 | Hernia; repair recurrent incisional, incarcerated | 3 | $609.16 |
| 71617 | Hernia; repair recurrent incisional, reducible | 2 | $608.86 |
| 71620 | Hernia; repair umbilical incarcerated/strangulated | 3 | $343.80 |
| 71625 | Myofascial abdominal wall advancement flaps for | 7 | $866.70 |
| 71600 | Repair inguinal or femoral hernia < 6 months | 2 | $406.03 |
| 71608 | Repair inguinal or femoral hernia; > age 12 incarc | 3 | $411.85 |
| 71607 | Repair inguinal or femoral hernia; > age 12-laparo | 4 | $404.42 |
| 71606 | Repair inguinal or femoral hernia;> age 12 - open | 2 | $364.12 |
| 71603 | Repair inguinal or femoral hernia;age 6 mths to 12 | 2 | $379.23 |
| 71604 | Repair inguinal or femoral hernia;age 6 mths to 12 | 2 | $606.64 |
| 71605 | Repair inguinal or femoral hernia;age 6 mths to 12 | 3 | $433.34 |
| 71601 | Repair inquinal or femoral hernia < 6 months bilat | 2 | $707.68 |
| 71602 | Repair inquinal or femoral hernia < 6 months-incar | 3 | $507.54 |
| 71609 | Repair recurrent inguinal or femoral hernia;any ag | 2 | $455.15 |
| 71610 | Repair recurrent inguinal or femoral hernia;any ag | 4 | $505.52 |
| 71611 | Repair recurrent inguinal or femoral hernia;any ag | 3 | $514.78 |
Hydrocephalus |
|||
| 03240 | Implantation of totally implantable ventricular access device (e.g.: ommaya reservoir) - (operation only) | 6 | $467.81 |
| 03184 | Lumbar peritoneal shunt for hydrocephalus | 5 | $1,011.31 |
| 03182 | Revision-shunt/ventricular obstruction | 6 | $1,011.31 |
| 03181 | Shunt procedure for ventricular obstruction | 6 | $1,011.31 |
| 03188 | Ventriculostomy or insertion of external ventricular drain (operation only) | 6 | $339.44 |
Hyperbaric Chamber |
|||
| 00026 | Hyperbaric chamber-phys in chamber- addtnl 15 min | 0 | $42.02 |
| 00025 | Hyperbaric chamber-phys in chamber-1st 1/2 hr | 7 | $81.83 |
| 00027 | Hyperbaric chamber-phys outside chamber-1st 1/2 hr | 5 | $55.73 |
| 00028 | Hyperbaric chamber-phys outside chamber-add 15 min | 0 | $29.59 |
Hysteroscopy - Surgical |
|||
| 04224 | Endometrial ablation | 2 | $455.19 |
| 04222 | Hysteroscopic div of intrauterine adhesions-comp | 2 | $350.88 |
| 04221 | Hysteroscopic div of intrauterine adhesions-simple | 2 | $210.53 |
| 04225 | Hysteroscopic division of uterine septum | 2 | $344.52 |
| 04226 | Hysteroscopic tubal occlusion (bilateral) | 0 | $195.31 |
| 04223 | Resection of myoma | 2 | $455.19 |
Immunization Skin Tests |
|||
| 10028 | Hpv vaccine (human papiloma virus) | 0 | $5.45 |
| 10015 | Immunization - patient < 19 yrs - flu (influenza) | 0 | $5.45 |
| 10016 | Immunization - patient < 19 yrs - ha (hepatitis a) | 0 | $5.45 |
| 10026 | Immunization - patient < 19 yrs - var (varicella) | 0 | $5.45 |
| 10019 | Immunization - patient < 19 yrs-ipv | 0 | $5.45 |
| 10012 | Immunization-patient < 19 yrs - td | 0 | $5.45 |
| 10010 | Immunization-patient < 19 yrs-dtap-p | 0 | $5.45 |
| 10011 | Immunization-patient < 19 yrs-dtap-p-hib | 0 | $5.45 |
| 10018 | Immunization-patient < 19 yrs-hib | 0 | $5.45 |
| 10021 | Immunization-patient < 19 yrs-men-c-acyw135(mening | 0 | $5.45 |
| 10022 | Immunization-patient < 19 yrs-mmr(measles,mumps, | 0 | $5.45 |
| 10030 | Immunization-patient < 19 yrs-mmr/v | 0 | $5.45 |
| 10024 | Immunization-patient < 19 yrs-pneu-p-23 | 0 | $5.45 |
| 10025 | Immunization-patient < 19 yrs-rab (rabies) | 0 | $5.45 |
| 10014 | Immunization-patient < 19 yrs-tdap | 0 | $5.45 |
| 10013 | Immunization-patient < 19 yrs-tdp | 0 | $5.45 |
| 10027 | Immunization-patient < 19yrs-infanrix hexa | 0 | $5.45 |
| 10029 | Immunization-patient <19 yrs - rotavirus,oral | 0 | $5.45 |
| 10017 | Immunization-patient <19 yrs-hb(hepatitis b) | 0 | $5.45 |
| 10020 | Immunization-patient <19 yrs-men-c-c(meningococcal | 0 | $5.45 |
| 10023 | Immunization-patient <19 yrs-pneu-c-13 pneumococal | 0 | $5.45 |
| 00034 | Injection subcutaneous | 0 | $11.41 |
| 00030 | Skin tests-diagnostic | 0 | $8.96 |
| 00031 | Smallpox-vaccination | 0 | $8.64 |
Inestines - Excision |
|||
| 72635 | Anterior resection - rectosigmoid-carcinoma - open | 6 | $1,515.90 |
| 72755 | Anterior resection of rectosigmoid - laparoscopic | 6 | $1,617.81 |
| 72601 | Caecostomy tube for decompression-lap. (extra) | 5 | $377.50 |
| 72641 | Caecostomy/tube - decompression | 5 | $404.20 |
| 72760 | Colectomy - total, abdominal - laparoscopic | 6 | $1,409.05 |
| 72769 | Colectomy and hemiproctectomy - laparoscopic | 6 | $1,360.51 |
| 07569 | Colectomy and hemiproctectomy - open | 6 | $1,088.40 |
| 07640 | Colectomy,total,abdominal,without proctectomy/open | 6 | $1,314.24 |
| 07570 | Colo-colostomy or entero-colostomy - open | 6 | $802.82 |
| 72770 | Colo-colostomy or entero-colostomy-laparoscopic | 6 | $1,003.53 |
| 72788 | Colostomy of ileostomy - end - laparoscopic | 5 | $589.60 |
| 72646 | Colostomy or ileostomy - multiple biopsies | 5 | $134.49 |
| 07588 | Colostomy or ileostomy - loop - end - open | 5 | $505.63 |
| 72715 | Colostomy or ileostomy - loop - laparoscopic | 5 | $511.75 |
| 07645 | Colostomy or ileostomy - loop - open | 5 | $505.38 |
| 72645 | Continent ileostomy - open | 6 | $1,004.22 |
| 72745 | Continent ileostomy (koch procedure) laparoscopic | 6 | $1,255.27 |
| 07643 | Enteroenterostomy | 5 | $606.44 |
| 72631 | Hemicolectomy - left - laparoscopic | 6 | $1,096.80 |
| 72625 | Hemicolectomy - right - laparoscopic | 6 | $1,033.43 |
| 72624 | Hemicolectomy - right - open | 6 | $884.86 |
| 72621 | Mobilization - splenic flexure | 6 | $95.79 |
| 72721 | Mobilization of splenic flexure - lap (extra) | 6 | $119.74 |
| 72640 | Partial right colectomy (caecum) - open | 6 | $884.71 |
| 72740 | Partial right colectomy - laparoscopic | 6 | $985.67 |
| 72636 | Proctectomy - abdominal/transanal | 7 | $1,125.66 |
| 07567 | Proctectomy with rectal mucosectomy - open | 6 | $1,750.00 |
| 72767 | Proctectomy with rectal mucosectomy-laparoscopic | 6 | $1,936.03 |
| 07641 | Proctocolectomy total with perineal excision-open | 7 | $1,645.83 |
| 07566 | Rectal mucosectomy, ileoanal anastomosis | 6 | $837.43 |
| 72623 | Resection - colon - limited - laparoscopic | 6 | $984.85 |
| 72622 | Resection - colon - limited - open | 6 | $859.52 |
| 72736 | Resection of small intestine with anastomosis | 5 | $754.18 |
| 72620 | Resection of small intestine-with enterostomy/open | 5 | $813.78 |
| 72720 | Resection small intestine/enterostomy-laparoscopic | 5 | $1,017.22 |
| 07649 | Revision of colostomy, ileostomy - radical | 5 | $505.42 |
| 07648 | Revision of colostomy, ileostomy - simple incision | 4 | $450.00 |
| 72644 | Revision of colostomy, ileostomy - with repair | 5 | $657.12 |
| 72633 | Sigmoid resection - laparoscopic | 6 | $1,141.81 |
| 72632 | Sigmoid resection - open | 6 | $1,011.14 |
| 72734 | Sigmoid resection-with end colostomy-laparoscopic | 6 | $1,078.87 |
| 72634 | Sigmoid resection/end colostomy - open | 6 | $960.56 |
| 07636 | Small intestine resection/with anastomosis - open | 5 | $632.10 |
| 72765 | Take-down of pelvic pouch - laparoscopic | 5 | $1,520.89 |
| 07565 | Takedown pelvic pouch to include ileostomy - open | 5 | $1,218.09 |
| 07589 | Total proctocolectomy synchronous abdominal portio | 7 | $1,317.10 |
| 72741 | Total proctocolectomy-single surgeon/laparoscopic | 7 | $2,057.30 |
| 72789 | Total proctocoloectomy - syn.abd.portion | 7 | $1,646.40 |
Inestines - Incision |
|||
| 71651 | Corretion of malrotation - laparoscopic | 5 | $586.02 |
| 07634 | Enterotomy or colotomy (single); for exploration | 5 | $487.38 |
| 71650 | Hernia repair - correction - malrotation | 5 | $505.61 |
| 07654 | Intestinal obstruction, plication/insertion - tube | 5 | $570.04 |
| 72650 | Intestinal obstruction, resection of bands-lap | 5 | $627.62 |
| 07650 | Intestinal obstruction; resection of bands | 5 | $550.00 |
| 07635 | Multiple colotomy with operative sigmoidoscopy | 5 | $639.86 |
| 70648 | Tube or needle catheter jejunostomy | 4 | $507.00 |
| 07651 | Volvulus reduction, intussusception by laparotomy | 5 | $526.23 |
Injections |
|||
| 00018 | Blood transfusion, autologous ascitic infusion | 0 | $48.07 |
| 00013 | Injection, intra-arterial | 0 | $16.08 |
| 00015 | Injection, intra-articular - all other joints | 0 | $17.05 |
| 00014 | Injection, intra-articular - hip | 0 | $25.65 |
| 00010 | Injection, intramuscular | 0 | $11.41 |
| 00016 | Injection, intrathecal | 0 | $33.86 |
| 00011 | Injection, intravenous | 0 | $12.81 |
| 00024 | Vein dissection for i.v. therapy | 0 | $36.96 |
Interventional Cardiology Procedures |
|||
| 33076 | Percutaneous balloon valvuloplasty for aortic stenosis (composite fee) | 9 | $611.78 |
| 33075 | Percutaneous balloon valvuloplasty for congenital or rheumatic mitral stenosis (composite fee) | 9 | $917.67 |
| 33071 | Percutaneous endovascular aortic or pulmonary heart valve replacement | 9 | $1,147.10 |
| 33072 | Percutaneous left atrial appendage closure | 7 | $900.00 |
| 33073 | Percutaneous transcatheter cardiac occluder device closure of asd for patients over 18 years of age composite fee | 7 | $713.74 |
| 33074 | Percutaneous transcatheter cardiac occluder device closure of pfo - for patients over 18 years of age - composite fee | 7 | $560.80 |
Interventional Radiology |
|||
| 83000 | Interventional radiology consultation | 0 | $103.35 |
| 08630 | Percutaneous transluminal angioplasty | 0 | $318.46 |
| 83070 | Telehealth interventional radiology consultation | 0 | $103.35 |
Intestinal Stricturoplasty |
|||
| 72648 | Intestinal stricturoplasty - multiple | 5 | $909.55 |
| 72647 | Intestinal stricturoplasty - single | 5 | $606.54 |
Intestines |
|||
| 70661 | Lysis of intra-abd adhesions-lap-add 15min extra | 0 | $76.47 |
| 70660 | Lysis of intra-abd adhesions-lap-first 30 min ex | 7 | $152.95 |
| 70650 | Lysis of intra-abdom adhesions-first 30 min extra | 7 | $152.95 |
| 70651 | Lysis of intra-abdominal adhesions-add. 15 min | 0 | $76.47 |
Joints - Interphalangeal or Metacarpophalangeal |
|||
| 06229 | Arthrodesis of metacarpophalangeal/interphalangeal | 2 | $344.75 |
| 06228 | Arthroplasty of metacarpophalangeal/interphalangea | 2 | $344.75 |
| 06231 | Hand joints - rheumatoid - reconstruction | 3 | $992.21 |
| 06235 | Intrinsic release - joints | 2 | $254.92 |
| 06236 | Metacarpo/interphalangeal joint - closed reduction | 2 | $125.35 |
| 06237 | Metacarpo/interphalangeal joint - open reduction | 2 | $254.92 |
| 06232 | Prosthesis - finger joint - first joint | 2 | $259.64 |
| 06233 | Prosthesis - finger joint - subsequent joints | 2 | $147.59 |
| 06234 | Synovectomy - rheumatoid disease | 2 | $351.20 |
Kidney and Perinephrium |
|||
| 08123 | Extra-corporeal shock wave lithotripsy (eswl) | 4 | $222.55 |
| 81110 | Laparoscopic nephrourecterectomy | 6 | $1,879.95 |
| 81104 | Laparoscopic partial nephrectomy | 5 | $1,950.06 |
| 81114 | Laparoscopic pyeloplasty, with or without insertion of ureteral stent, includes management of aberrant vessels and nephropexy, cystoscopy or retrograde pyelogram | 7 | $1,352.04 |
| 81105 | Laparoscopic radical nephrectomy | 7 | $1,529.46 |
| 08105 | Nephrectomy | 5 | $1,248.95 |
| 08106 | Nephrectomy - ectopic kidney | 5 | $875.87 |
| 08104 | Nephrectomy - partial | 5 | $1,350.91 |
| 08109 | Nephrectomy - radical with gland dissection | 6 | $1,274.43 |
| 08108 | Nephrectomy - thoraco-abdominal | 8 | $1,325.42 |
| 08110 | Nephro-ureterectomy to include bladder cuff | 6 | $1,503.98 |
| 08117 | Nephrolithotomy and/or pyelolithotomy | 5 | $778.42 |
| 08119 | Nephrolithotomy or pyelolithotomy w renal cooling with or without x-ray control with or without nephroscopy | 6 | $739.23 |
| 08118 | Nephrolithotomy or pyelolithotomy w x-ray control with or without nephroscopy | 5 | $843.15 |
| 08112 | Open renal biopsy (as an independent procedure) | 5 | $316.22 |
| 08100 | Perinephric abscess - drainage | 5 | $484.34 |
| 08114 | Pyeloplasty includes nephropexy & mgmt of aberrant vessels & nephropexy | 5 | $866.47 |
| 08116 | Ruptured or lacerated kidney-repair or removal | 6 | $1,264.25 |
| 08113 | Symphysiotomy and nephropexy or nephrectomy in horseshoe kidney | 5 | $434.81 |
Laboratory / Diagnostic Examinations |
|||
| 22023 | 10 or 24 hour tension curve - diurnal | 0 | $35.27 |
| 22047 | Anterior segment gonioscopy | 2 | $15.01 |
| 02035 | Color vision assessment | 0 | $41.04 |
| 02036 | Colour vision assessment (professional) | 0 | $26.91 |
| 02037 | Colour vision assessment (technical) | 0 | $14.14 |
| 02043 | Comprehensive quantitative perimetry examination | 0 | $63.32 |
| 22075 | Computerized corneal topography | 0 | $58.70 |
| 22076 | Computerized corneal topography - professional fee | 0 | $15.92 |
| 22077 | Computerized corneal topography - technical fee | 0 | $42.78 |
| 22067 | Computerized retinal nerve fibre layer photography | 0 | $55.54 |
| 02047 | Dacryocystogram | 0 | $62.57 |
| 02034 | Dark adaptation, per eye | 0 | $21.39 |
| 02031 | Electro -retinogram - professional fee | 0 | $34.98 |
| 02032 | Electro- retinogram - technical fee | 0 | $59.20 |
| 02044 | Electro-oculogram | 0 | $76.33 |
| 02045 | Electro-oculogram - professional fee | 0 | $26.91 |
| 02030 | Electro-retinogram | 0 | $94.19 |
| 02026 | Fluorescein angiography of retina - prof fee | 0 | $26.90 |
| 02027 | Fluorescein angiography of retina - tech fee | 0 | $80.07 |
| 02025 | Fluorescein angiography of retina with interpret. | 0 | $106.96 |
| 02039 | Fundus photography | 0 | $13.40 |
| 02067 | Manual retinal nerve fibre layer photography | 0 | $65.18 |
| 22046 | Posterior segment contact lens exam | 2 | $11.20 |
| 02049 | Potentiometry | 0 | $31.31 |
| 22068 | Professional fee -computerized retinal nerve fibre | 0 | $12.52 |
| 02042 | Quantitative perimetry examination | 0 | $45.70 |
| 02068 | Ret nerve fibre and neuro-retinal assess. - prof | 0 | $12.52 |
| 02069 | Ret nerve fibre and neuro-retinal assess. - tech | 0 | $52.65 |
| 22069 | Technical fee - computerized retinal nerve fibre | 0 | $43.02 |
| 02041 | Visual field examination (limited) | 0 | $32.59 |
Laboratory Services |
|||
| 15132 | Candida culture (in physicians office) | 0 | $6.67 |
| 93120 | E.c.g. tracing, without interpretation (technical) | 0 | $16.97 |
| 30015 | Eosinophils - secretion smear | 0 | $7.29 |
| 15133 | Examination of eosinophils/secretions/excretions | 0 | $7.14 |
| 15136 | Fungus, direct examination, koh preparation | 0 | $8.39 |
| 15100 | Glucose - semiquantitative | 0 | $3.70 |
| 15137 | Haemoglobin - cyanmethaemoglobin | 0 | $3.12 |
| 15000 | Haemoglobin -other methods (in physicians office) | 0 | $1.62 |
| 00012 | Injection, venepuncture | 0 | $5.99 |
| 15110 | Occult blood - feces | 0 | $5.37 |
| 15134 | Pinworm ova-examination | 0 | $5.85 |
| 15138 | Sedimentation rate (in physicians office) | 0 | $2.51 |
| 15139 | Sperm, seminal examination for presence or absence | 0 | $14.78 |
| 15140 | Stained smear (in physicians office) | 0 | $7.40 |
| 15141 | Trichomonas and / or candida, direct examination | 0 | $5.69 |
| 15142 | Trichomonas and / or candida, direct examination | 0 | $5.69 |
| 15130 | Urinalysis - screening | 0 | $2.19 |
| 15131 | Urinalysis - micro exam of centrifuged deposit | 0 | $4.15 |
| 15142 | Urinalysis-complete diagnostic, semi-quant & micro | 0 | $5.65 |
| 15143 | White cell count only | 0 | $6.48 |
Laparoscopic Operations |
|||
| 04040 | Cautery of endometriosis | 4 | $76.07 |
| 04664 | Ectopic pregnancy - removal via scope. | 4 | $342.55 |
| 04047 | Excision of extensive peritoneal endometriosis | 6 | $428.14 |
| 04662 | Laparoscopy - removal of foreign body | 4 | $155.00 |
| 04042 | Oophorectomy and/or salpingectomy-bilateral | 5 | $365.56 |
| 04041 | Oophorectomy and/or salpingectomy-unilateral | 5 | $184.68 |
| 04043 | Ovarian cystectomy - unilateral | 5 | $293.25 |
| 04044 | Ovarian cystectomy-bilateral | 5 | $546.59 |
| 04046 | Presacral neurectomy | 4 | $210.57 |
| 04048 | Removal of complicated pelvic disease-laparoscopic | 6 | $548.82 |
| 04035 | Salpingolysis via laparoscope - bilateral | 4 | $174.37 |
| 04034 | Salpingolysis via laparoscopy - unilateral | 4 | $90.48 |
| 04037 | Salpingostomy via laparoscopy - bilateral | 4 | $374.55 |
| 04036 | Salpingostomy via laparoscopy - unilateral | 4 | $189.23 |
| 04660 | Tubal interruption (sterilization ) | 4 | $92.00 |
| 04045 | Ventral suspension of uterus | 4 | $151.29 |
Laryngeal Endoscopy and Surgery |
|||
| 02412 | Biopsy of larynx and/or cauterization | 5 | $127.57 |
| 02419 | Direct or indirect laryngoscopy with foreign body removal | 5 | $153.09 |
| 02423 | Micro-laryngoscopy - with removal of non-pedunculated malignancy or extensive submucosal lesion | 5 | $445.46 |
| 02429 | Micro-laryngoscopy & removal of tumor from larynx or trachea | 5 | $204.12 |
| 02428 | Micro-laryngoscopy w biopsy of larynx and/or cauterization | 5 | $178.61 |
Laser Vaporization |
|||
| 04620 | Cervical neoplasia | 2 | $200.00 |
| 04623 | Extensive vulvar and/or vaginal condyl. under g.a. | 2 | $254.72 |
| 04621 | Vaginal neoplasia with or without g.a. | 2 | $200.00 |
| 04622 | Vulvar condylomata | 2 | $200.00 |
| 04624 | Vulvar intraepithelial lesion diffuse w/ perianal | 2 | $407.55 |
| 04625 | Vulvar intraepithelial lesion/diffuse multifocal | 2 | $407.55 |
Leg |
|||
| 06169 | Treatment of lymphoedema, using the thompson procedure - lower extremity leg | 4 | $591.48 |
| 06167 | Treatment of lymphoedema, using the thompson procedure- upper extremity forearm | 4 | $353.91 |
| 06168 | Treatment of lymphoedema, using the thompson procedure-arm | 4 | $235.39 |
| 06170 | Treatment of lymphoedema, using the thompson procedure-thigh | 4 | $591.48 |
Lesions and Scars |
|||
| 61319 | Excision of lesion(in hosp),tumour-free margin-ext | 0 | $101.89 |
| 61316 | Lesions & scars-eyelids, ears, lips, etc. < 2cm | 0 | $178.30 |
| 61318 | Lesions & scars-eyelids, ears, lips, etc. >4 cm | 0 | $290.38 |
| 61317 | Lesions & scars-eyelids, ears, lips, etc. 2-4 cm | 0 | $213.97 |
| 61313 | Lesions & scars-face, scalp, neck, etc. < 5cm | 0 | $169.13 |
| 61315 | Lesions & scars-face, scalp, neck, etc. > 10cm | 0 | $275.10 |
| 61314 | Lesions & scars-face, scalp, neck, etc. 5-10 cm | 0 | $224.15 |
| 61311 | Lesions & scars-trunk, arms & legs - 5-10cm | 0 | $157.92 |
| 61312 | Lesions & scars-trunk, arms & legs- > 10cm | 0 | $234.35 |
| 61310 | Lesions & scars-trunk, arms & legs-< 5cm | 0 | $122.27 |
Level I emergency care |
|||
| 01811 | Day-level i emergency care | 0 | $35.37 |
| 01821 | Evening-level i emergency care | 0 | $42.28 |
| 01831 | Night -level i emergency care | 0 | $64.67 |
| 01841 | Sat, sun, or stat hol - level i emergency care | 0 | $52.00 |
Level II emergency care |
|||
| 01812 | Day- level ii emergency care | 0 | $76.00 |
| 01822 | Evening- level ii emergency care | 0 | $88.53 |
| 01832 | Night- level ii emergency care | 0 | $122.78 |
| 01842 | Sat, sun or stat hol- level ii emergency care | 0 | $108.00 |
Level III emergency care |
|||
| 01813 | Day - level iii emergency care | 0 | $96.14 |
| 01823 | Evening - level iii emergency care | 0 | $110.25 |
| 01833 | Night - level iii emergency care | 0 | $163.63 |
| 01843 | Sat, sun or stat hol - level iii emergency care | 0 | $135.00 |
Liver Excision |
|||
| 07410 | Hepatectomy - caudate lobectomy | 8 | $2,100.00 |
| 07409 | Hepatectomy - extended left lobectomy | 8 | $2,200.00 |
| 07411 | Hepatectomy - extended right lobectomy | 8 | $2,300.00 |
| 07405 | Hepatectomy - segmental resection - one or more | 8 | $1,200.00 |
| 07407 | Hepatectomy - total left lobectomy | 8 | $2,000.00 |
| 07408 | Hepatectomy - total right lobectomy | 8 | $2,000.00 |
| 07406 | Hepatectomy - two or more segments | 8 | $1,600.00 |
| 72795 | Lap. hepatectomy, segmental resection-one or more, | 8 | $1,261.93 |
| 72794 | Lap. non-anatomic sub-segmental excision-liver mas | 7 | $1,141.96 |
| 72796 | Lap. seg. resection liver:2 or more segments,bilat | 8 | $1,800.00 |
| 72797 | Laparoscopic total left lobectomy | 8 | $2,500.00 |
| 72798 | Laparoscopic total right lobectomy | 8 | $2,500.00 |
| 07404 | Liver mass - subsegmental excision | 7 | $1,000.00 |
Liver Incision |
|||
| 07402 | Hepatotamy - abscess/cyst - single | 6 | $434.19 |
| 07403 | Hepatotamy - multiple, including marsupialization | 6 | $653.95 |
| 71380 | Open or laparoscopic liver tumour non-resectional | 7 | $900.00 |
Liver Repair |
|||
| 07441 | Hepatic artery ligation | 8 | $1,015.07 |
| 07442 | Hepatic lobectomy for trauma | 9 | $2,500.00 |
| 07412 | Hepatorrhaphy - simple | 8 | $609.04 |
| 07413 | Hepatorrhaphy - with packing | 8 | $644.63 |
| 07440 | Liver - resectional debridement | 8 | $1,268.85 |
Lower Extremity |
|||
| 08534 | Ankle x-ray | 0 | $35.32 |
| 08531 | Femur x-ray | 0 | $35.32 |
| 08533 | Fibula and tibia x-ray | 0 | $35.32 |
| 08535 | Foot x-ray | 0 | $35.32 |
| 08530 | Hip x-ray | 0 | $35.32 |
| 08532 | Knee x-ray | 0 | $35.32 |
| 08536 | Leg length x-ray | 0 | $41.59 |
| 08537 | Lower extremity, requested add. x-ray | 0 | $17.80 |
Lung Surgery |
|||
| 79036 | Additional wedge resection of lung | 0 | $78.32 |
| 79020 | Bronchoplasty (extra to lobectomy) | 9 | $247.44 |
| 79050 | Decortication of lung | 8 | $1,193.92 |
| 79040 | Drainage of abscess lung | 8 | $511.76 |
| 79060 | Intrathoracic tumor - without lung involvement | 8 | $1,028.29 |
| 79015 | Lobectomy | 8 | $1,364.74 |
| 79055 | Pleurectomy | 8 | $765.70 |
| 79025 | Pneumonectomy - lung | 9 | $1,482.88 |
| 79030 | Segmental resection - lung | 8 | $1,364.74 |
| 79035 | Thoracotomy - including wedge resection | 8 | $765.70 |
| 79045 | Thoracotomy w/wo biopsy or removal foreign body | 8 | $774.42 |
Lymphatic System |
|||
| 07368 | Laparoscopic splenectomy | 6 | $809.21 |
Lymphoedema - Leg |
|||
| 06128 | Lymphoedema - lower limb | 3 | $1,046.58 |
| 06127 | Lymphoedema - entire leg | 3 | $700.04 |
Major Flap Procedures |
|||
| 61152 | Abdominal panniculectomy where medically indicated, secondary to chronic subpanus intertrigo, which has been unresponsive to a reasonable period of medical treatment | 4 | $910.00 |
| 06110 | Cheeks -facial paralysis - dynamic slings with local functional muscle transfer (unilateral) | 3 | $785.69 |
| 06111 | Cheeks- facial paralysis static slings (unilateral | 3 | $650.54 |
| 06129 | Combined complete repair as above and rhytidectomy unilateral | 3 | $945.41 |
| 06120 | Complete repair for facial paralysis, plication of paralyzed muscles, meloplasty, and resection of overactive muscles bilateral | 3 | $838.07 |
| 06151 | Decubitus ulcers - excision and treatment of bone, rotation flaps, and skin grafts to secondary defect | 4 | $866.70 |
| 61158 | Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving major muscles | 5 | $955.00 |
| 61157 | Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving medium muscles | 5 | $630.91 |
| 61156 | Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving small muscles | 5 | $444.79 |
| 06159 | Tram flap reconstruction of mastectomy defect | 5 | $1,021.77 |
Major Head and Neck Surgery |
|||
| 02600 | Complete temporal bone resection, ent fee | 8 | $2,412.31 |
| 02282 | Composite resection of tongue, mandible, radical neck dissection and tracheostomy | 7 | $1,926.37 |
| 02281 | Conservative radical neck dissection | 6 | $1,255.22 |
| 02431 | Hemilaryngectomy | 6 | $1,447.59 |
| 02411 | Laryngectomy, total | 6 | $1,659.94 |
| 02473 | Laryngo-pharyngo-oesophagectomy - primary excision | 6 | $1,900.00 |
| 02280 | Otolaryngological component of cranio facial resection for tumour of ethmoid or frontal sinus or orbit (in conjunction with a neurosurgeon (- see also fee code 03065) | 8 | $2,412.31 |
| 02470 | Radical neck dissection | 6 | $1,056.28 |
| 02449 | Rigid oesophagoscopy for removal of foreign body | 4 | $191.35 |
| 02471 | Subtotal parotidectomy w facial nerve dissection | 4 | $842.01 |
| 02432 | Supraglottic laryngectomy | 6 | $1,575.30 |
| 02477 | Suprahyoid dissection - contralateral | 5 | $484.78 |
| 02601 | Temporal bone resection for neoplasm, subtotal and lateral, to include mastoidectomy and excision of external auditory canal | 8 | $1,506.13 |
| 02472 | Total parotidectomy - with nerve dissection for malignancy or deep lobe tumour | 4 | $969.55 |
| 02474 | Transoral maxillectomy with skin graft | 5 | $1,056.25 |
| 02479 | Transpalatal ethmoidectomy/maxillectomy/sphenoide | 6 | $1,320.23 |
Major Surgery of Head and Neck |
|||
| 02275 | Glossectomy - subtotal | 6 | $1,056.22 |
| 02478 | Glossectomy - partial for carcinoma | 6 | $369.96 |
| 02480 | Resection mandible, floor of mouth suprahyoid dissection and tracheostomy - malignancy | 7 | $1,320.23 |
| 02279 | Resection-base of tongue &/or tonsil/soft palate | 6 | $1,926.37 |
Mammography |
|||
| 08611 | Mammography - bilateral | 0 | $145.91 |
| 08610 | Mammography - unilateral | 0 | $104.11 |
Maxillo-facial |
|||
| 06309 | Mandibular osteotomy - internal fixation/bilateral | 6 | $1,183.97 |
| 06308 | Mandibular osteotomy/internal fixation/unilateral | 6 | $823.07 |
| 06303 | Maxillo-facial osteotomy; le fort iii extracranial | 7 | $2,476.77 |
| 06302 | Maxillo-facial osteotomy; le fort iii intracranial | 8 | $2,907.70 |
| 06306 | Osteotomies, mandibular maxillo-facial - bilateral | 6 | $968.51 |
| 06305 | Osteotomies, mandibular maxillo-facial/unilateral | 6 | $806.91 |
| 06304 | Osteotomies, maxillo-facial - malar maxilliary | 6 | $1,291.71 |
| 06301 | Osteotomies, maxillo-facial le fort ii - pyramidal | 6 | $1,399.45 |
| 06300 | Osteotomies, maxillo-facial; le fort 1, horizontal | 6 | $1,130.11 |
| 06307 | Osteotomies, pre-maxillary set back | 6 | $806.91 |
| 06314 | Osteotomy - canthopexy | 3 | $564.52 |
| 06312 | Osteotomy - intracranial correction hypertelorism | 8 | $3,769.56 |
| 06311 | Osteotomy - orbital advancement | 8 | $3,123.16 |
| 06310 | Osteotomy - orbital advancement - unilateral | 8 | $2,799.96 |
| 06313 | Osteotomy - orbital expansion | 8 | $3,015.43 |
| 61381 | Plastic surgery portion | 8 | $2,073.65 |
Maxillo-facial, Cerebral Procedures |
|||
| 03080 | Bilat orbital advancement-hypertelorism team-neurosurgery portion | 8 | $2,235.25 |
| 03082 | Bilateral orbital advancement-team proc-neurosurgery portion | 8 | $2,773.64 |
| 61380 | Plastic surgery portion | 8 | $2,235.25 |
| 61382 | Plastic surgery portion | 8 | $2,773.64 |
| 03081 | Unilateral orbital advancement-team proc-neurosurgery portion | 8 | $2,073.65 |
Mental Health Planning & Management |
|||
| 14044 | Gp mental health management fee age 2-49 | 0 | $56.76 |
| 14045 | Gp mental health management fee age 50-59 | 0 | $62.43 |
| 14046 | Gp mental health management fee age 60-69 | 0 | $65.26 |
| 14047 | Gp mental health management fee age 70-79 | 0 | $73.77 |
| 14048 | Gp mental health management fee age 80+ | 0 | $85.12 |
| 14043 | Gp mental health planning fee | 0 | $100.62 |
Micro-Surgical Operations |
|||
| 04617 | Micro salpingostomy - bilateral | 5 | $800.77 |
| 04616 | Micro salpingostomy -unilateral | 5 | $616.67 |
| 04602 | Salpingolysis - unilateral/bilateral | 5 | $447.72 |
| 04627 | Tubo-cornual anastomosis - bilateral (micro) | 5 | $1,159.11 |
| 04626 | Tubo-cornual anastomosis - unilateral (micro) | 5 | $892.33 |
Microbiology |
|||
| 90600 | Acid fast organisms - culture | 0 | $24.13 |
| 90605 | Anaerobic culture investigation | 0 | $11.77 |
| 90765 | Anti-streptolysin | 0 | $11.73 |
| 90615 | Antibiotic susceptibility test - semi-quantitative | 0 | $11.61 |
| 90750 | Biochemical identification - micro-organism/stool | 0 | $14.42 |
| 90625 | Blood culture - aerobic/anaerobic media | 0 | $36.08 |
| 90630 | C. difficile toxin - immunological | 0 | $16.64 |
| 90656 | C. difficile toxin, real time pcr | 0 | $48.91 |
| 90640 | Candida culture | 0 | $6.81 |
| 90736 | Cervical culture | 0 | $15.44 |
| 90645 | Chlamydia antigen | 0 | $16.84 |
| 90647 | Chlamydia antigen | 0 | $18.54 |
| 90648 | Chlamydia antigen | 0 | $16.80 |
| 90649 | Chlamydia antigen | 0 | $31.47 |
| 90650 | Chlamydia culture | 0 | $42.84 |
| 90651 | Chlamydia trachomatis using naat - urine | 0 | $25.18 |
| 90652 | Chlamydia trachomatis using naat -urogenital swab | 0 | $24.09 |
| 90655 | Clostridium difficile toxin - tissue culture | 0 | $18.09 |
| 90739 | Combined vagino-anorectal or vaginal culture | 0 | $15.40 |
| 90660 | Diphtheria antibodies | 0 | $21.14 |
| 90665 | Fungus culture | 0 | $21.41 |
| 90670 | Fungus direct examination koh preparation | 0 | $13.76 |
| 90741 | Genital culture - other site | 0 | $25.28 |
| 90653 | Gonorrhea by naat-urine | 0 | $4.76 |
| 90654 | Gonorrhea by naat-urogenital swab | 0 | $4.76 |
| 90685 | Hepatitis a - igm antibody (anti-hav-igm) | 0 | $18.42 |
| 90690 | Hepatitis b core antibody (anti-hbc) | 0 | $10.85 |
| 90675 | Hepatitis b e antigen | 0 | $14.87 |
| 90700 | Hepatitis b surface antibody (anti-hbs) | 0 | $11.08 |
| 90751 | Molecular identification, stool isolate | 0 | $14.90 |
| 90715 | Rotavirus antigen | 0 | $16.87 |
| 90720 | Routine culture | 0 | $15.30 |
| 90725 | Serological identification -micro-organism | 0 | $15.94 |
| 90610 | Serum bactericidal test | 0 | $66.41 |
| 90730 | Smear - inclusion bodies | 0 | $12.38 |
| 90825 | Smear/section - electron microscopy | 0 | $27.79 |
| 90740 | Stained smear | 0 | $16.71 |
| 90745 | Stool culture | 0 | $16.90 |
| 90755 | Streptococcal enzyme slide test | 0 | $12.52 |
| 90760 | Streptococci - rapid test | 0 | $13.02 |
| 90770 | Tetanus antibodies | 0 | $21.14 |
| 90775 | Throat or nose culture | 0 | $18.18 |
| 90780 | Throat or nose culture - additional | 0 | $18.18 |
| 90785 | Trichomonas and/or candida, direct examination | 0 | $11.63 |
| 90784 | Trichomonas antigen test | 0 | $18.75 |
| 90738 | Uretheral culture | 0 | $21.17 |
| 90790 | Urine colony count culture | 0 | $19.57 |
| 90791 | Urine colony count culture | 0 | $125.00 |
| 90737 | Vaginal culture | 0 | $15.40 |
Microsurgery |
|||
| 61210 | Certified plastic surgeon assist, over 1 hr-extra | 0 | $50.58 |
| 06214 | Intrafascicular nerve graft - digital or palmar | 2 | $533.59 |
| 06215 | Intrafascicular nerve graft - major nerve | 4 | $1,600.00 |
| 06213 | Microfascicular neurorraphy - major nerve | 2 | $614.93 |
| 06212 | Microfascicular neurorraphy - digital or palmar | 2 | $288.08 |
| 06210 | Microneural surgery; neurolysis - external | 2 | $288.08 |
| 06211 | Microneural surgery; neurolysis - intraneural | 2 | $438.94 |
| 06217 | Microreimplantation - digit or extremity | 4 | $3,108.88 |
| 06259 | Microsurgical removal neoplasm, digital/palmar | 2 | $336.04 |
| 03207 | Microsurgical removal of neoplasm/major peripheral nerve | 3 | $815.19 |
| 06216 | Microvascular surgery - artery or vein | 6 | $675.48 |
| 06220 | Microvascular surgical free flap | 5 | $3,108.09 |
Minor Procedures |
|||
| 13623 | Excision tumour skin/subcututaneous/small scar | 0 | $90.04 |
| 14541 | Removal of intrauterine device (iud) | 0 | $31.72 |
| 13624 | Removal scars (5 cm or more) per cm over 5 c | 0 | $8.62 |
Miscellaneous |
|||
| 10900 | Abdominal aortic aneurysm repair using endovascular stent graft second operator | 0 | $509.83 |
| 00043 | Anticoagulation therapy | 0 | $7.00 |
| 08620 | Aortography (aortography plus peripheral angiograp | 0 | $180.25 |
| 51040 | Aspiration - joint | 0 | $23.23 |
| 13013 | Assessment for induction of opioid agonist treatmt | 0 | $43.23 |
| 08602 | Body section radiography | 0 | $50.37 |
| 06221 | Bone graft - inlay bone grafting of metacarpal or phalanx | 2 | $354.92 |
| 00424 | Botulinum toxin injections | 2 | $118.82 |
| 51036 | Compartment pressure monitoring - extra | 2 | $92.97 |
| 02519 | Complex laryngeal disorder conference | 0 | $30.35 |
| 03145 | Cranioplasty using autologous bone graft | 7 | $1,341.20 |
| 33255 | Diabetes injection medication start (insulin or glucagon-like-peptide receptor agonist) | 0 | $41.78 |
| 00841 | Direct angiography coronary | 4 | $198.57 |
| 00839 | Direct intra-coronary streptokinase thrombolysis | 4 | $361.78 |
| 00480 | Dmt (disease modifying treatment) management | 0 | $152.77 |
| 08658 | Extremity b scan | 0 | $59.60 |
| 61361 | Eyebrow ptosis repair-simple skin excision-bilater | 0 | $392.82 |
| 61360 | Eyebrow ptosis repair-simple skin excision-unilate | 0 | $261.90 |
| 81194 | First surgical assist of the day-urology | 0 | $76.47 |
| 15039 | Fp point of care (poc) testing for opioid agonist treatment | 0 | $12.89 |
| 06182 | Ganglia of tendon sheath or joint | 2 | $182.27 |
| 00040 | Gavage stomach | 0 | $26.38 |
| 15040 | Gp(poc)testing for amphetamines,ipioids,oxycondone | 0 | $12.89 |
| 08644 | Guided pericardiocentesis | 0 | $110.08 |
| 51037 | Harvesting of iliac crest autograft - extra | 2 | $93.37 |
| 51038 | Harvesting of skin graft - extra | 2 | $102.68 |
| 51039 | Harvesting of skin graft - extra | 0 | $23.23 |
| 33655 | Home parenteral antibiotic management fee | 0 | $18.78 |
| 51067 | Ilizarov instrumentation extension/revision -frame | 3 | $214.73 |
| 51065 | Ilizarov instrumentation, simple | 3 | $1,092.35 |
| 51066 | Ilizarov instrumentation; complex, multiple | 4 | $1,498.46 |
| 03221 | Implantation of vagal nerve stimulator to include electrodes and stimulator | 4 | $531.34 |
| 33256 | Insulin pump start | 0 | $83.55 |
| 08628 | Interpretation of a submitted film | 0 | $51.57 |
| 03100 | Intra-operative ultrasound during neurosurgery | 0 | $40.87 |
| 33066 | Intracardiac electrophysiological mapping - initial study | 4 | $776.20 |
| 00750 | Lumbar puncture in a patient 13 years of age and over | 2 | $55.28 |
| 00039 | Management of maintenance opioid agonist treatment (oat) for opioid use disorder | 0 | $23.67 |
| 13014 | Management of oat induction for opioid use disordr | 0 | $20.21 |
| 00042 | Mileage | 0 | $2.78 |
| 03211 | Muscle biopsy | 2 | $55.80 |
| 00462 | Neurological interpretation and written report of submitted x-ray films (including ct scan, tcd, mri) per case | 0 | $52.48 |
| 03065 | Neurosurgical component of cranial facial resection for tumour of ethmoid, frontal sinus or orbit, as a combined procedure with ent | 7 | $1,639.46 |
| 03224 | Neurosurgical component of microsurgical removal of cerebellar pontine angle tumour | 8 | $1,885.07 |
| 03227 | Neurosurgical interpretation and written report of submitted x-ray films (including ct scan, mri) | 0 | $59.43 |
| 33068 | Oesophageal or intra-atrial-physiological study | 4 | $116.03 |
| 51030 | Orthopaedic interpretation and written report of submitted x-ray films - including ct scan and mri | 0 | $39.38 |
| 00545 | Pediatric case conference | 0 | $78.64 |
| 50571 | Percutaneous transcatheter cardiac occluder 0-18yr | 0 | $34.21 |
| 50572 | Percutaneous transcatheter cardiac occluder 0-18yr | 0 | $34.21 |
| 50573 | Percutaneous transcatheter cardiac occluder 0-18yr | 0 | $105.51 |
| 00840 | Percutaneous transluminal coronary angioplasty | 4 | $376.64 |
| 03217 | Percutaneous ventricular puncture (operation only) | 2 | $129.36 |
| 08670 | Peripheral venous - deep venous system | 0 | $44.83 |
| 03216 | Puncture of ventricular shunt for csf aspiration (operation only) | 2 | $36.20 |
| 08633 | Radiology assistant fee - each 15 min after 1 hour | 0 | $28.26 |
| 08632 | Radiology assistant fee - first hour or fraction | 0 | $112.91 |
| 03225 | Removal of vagal nerve stimulator and electrodes | 4 | $391.52 |
| 03230 | Repeat neurosurgery | 0 | $3,892.38 |
| 03223 | Replacement of stimulator component of vagal nerve stimulator | 3 | $221.49 |
| 51035 | Skeletal traction - application | 2 | $93.37 |
| 77400 | Synthetic av graft for hemodialysis | 4 | $707.49 |
| 51110 | Telehealth Consultation - Orthopedics | 0 | $111.54 |
| 51107 | Telehealth Office Visit - Orthopedics | 0 | $51.46 |
| 51112 | Telehealth Repeat/Limited Consultation - Orthopedics | 0 | $59.52 |
| 51115 | Telehealth Special Consultation - Orthopedics | 0 | $160.37 |
| 06085 | Tissue expansion - major areas | 3 | $559.83 |
| 06086 | Tissue expansion - minor areas | 2 | $351.98 |
| 10087 | Trauma team leader - initial assessment | 0 | $301.88 |
| 00041 | Ultrasound, treatment | 0 | $8.68 |
| 78072 | Veno-Arterial (V-A) ECMO insertion - central | 10 | $815.71 |
| 78071 | Veno-Arterial (V-A) ECMO insertion - peripheral | 10 | $611.78 |
| 78073 | Veno-Veno (V-V) ECMO insertion - peripheral | 10 | $407.86 |
| 08601 | X-ray sinus/fistula with contrast media/injection | 0 | $66.48 |
Miscellaneous Anesthetic Procedural Fees |
|||
| 01111 | Acute upper airway obstruction - emergency anaes. | 0 | $83.73 |
| 01005 | Anaesthesia for MRI or CT scan - per 15 minutes | 0 | $37.30 |
| 01105 | Anesthesia for cataract surgery - per 1 min | 0 | $2.00 |
| 01112 | Attendance for anaes. or neonatal resuscitation | 0 | $36.64 |
| 01102 | Catheter insertion - epidural - during labour | 0 | $127.43 |
| 01110 | Dental procedures - anaesthesia - per 15 min | 0 | $36.64 |
| 01106 | Electroconvulsive therapy (ECT) - anaesthesia | 0 | $41.90 |
| 01195 | Minimum anesthetic procdeural fee, per case | 0 | $105.04 |
| 01158 | Trigger point injections - epidural blood patch | 0 | $181.82 |
Miscellaneous Surgery |
|||
| 79135 | Chest wall tumour with rib resection | 6 | $1,016.71 |
| 32031 | Closed drainage of chest, operation only. | 4 | $137.00 |
| 00046 | Hyperbaric chamber - additional charge per hour | 0 | $28.44 |
| 79095 | Mediastinal cyst or tumour | 8 | $1,065.18 |
| 79100 | Mediastinum - thymectomy | 8 | $795.73 |
| 79140 | Scalenotomy - anterior | 3 | $200.86 |
| 00744 | Thyroid biopsy | 2 | $73.65 |
Miscellaneous Visits |
|||
| 13503 | Hysician witness to video conference maid assessment patient encounter | 0 | $43.24 |
| 13502 | Maid assessment fee assessor | 0 | $43.24 |
| 13501 | Maid assessment fee assessor prescriber | 0 | $43.24 |
| 13504 | Maid event preparation and procedure | 0 | $283.85 |
| 13505 | Maid medication pick-up and return | 0 | $126.72 |
| 13536 | Maid medication pick-up and return | 0 | $85.40 |
| 13537 | Maid medication pick-up and return | 0 | $34.90 |
| 13538 | Maid medication pick-up and return | 0 | $62.43 |
Mouth |
|||
| 06138 | Cleft lip - bilateral | 4 | $1,061.16 |
| 06139 | Cleft lip - unilateral | 4 | $558.04 |
| 06144 | Cleft lip, bilateral - incomplete | 4 | $750.90 |
| 06145 | Cleft palate | 6 | $553.74 |
| 06137 | Full lip thickness transfer by rotation flap | 4 | $548.93 |
| 06181 | Lip adhesion for cleft palate | 3 | $393.22 |
| 06147 | Palatal cleft - bone graft | 4 | $612.99 |
| 06143 | Pharyngeal flap push back | 6 | $750.90 |
| 06142 | Pharyngoplasty, pharyngeal flap | 6 | $542.97 |
| 06136 | Plastic repair abbe operation | 4 | $641.12 |
Mouth, Head and Neck |
|||
| 07796 | Excision neurogenic neoplasm neck | 5 | $1,115.70 |
| 07790 | Lesion - benign - floor of mouth | 3 | $152.81 |
| 07789 | Lesion - tongue | 3 | $319.30 |
| 07725 | Maxillectomy | 5 | $1,014.37 |
| 07726 | Maxillectomy with exenteration of orbit and skin g | 5 | $1,051.77 |
| 07749 | Partial maxillectomy for malignancy - fenestration | 5 | $811.46 |
| 07500 | Resection of mandible | 5 | $402.23 |
| 06140 | Wedge resection - lip vermilion | 3 | $200.57 |
| 06141 | Wedge resection of lip sulcus | 3 | $250.72 |
Musculoskeletal Oncology |
|||
| 51053 | Malignant bone tumour - limb | 6 | $1,083.01 |
| 51056 | Malignant girdle tumour - pelvis/sacrum | 6 | $1,624.50 |
| 51055 | Malignant girdle tumour - scapula | 6 | $1,083.01 |
| 51052 | Malignant subfascial soft tissue tumour - complex | 6 | $1,279.05 |
| 51051 | Malignant subfascial soft tissue tumour -simple | 5 | $597.51 |
| 51058 | Malignant tumor/rotation plasty - resection | 6 | $2,175.33 |
| 51057 | Shoulder/pelvis/sacrum - reconstruction | 6 | $1,092.35 |
| 51054 | Skeletal defect - reconstruction | 6 | $1,092.35 |
Needle Biopsy Procedures |
|||
| 00743 | Breast lesion, non-palpable localizing | 2 | $125.53 |
| 00740 | Liver biopsy | 2 | $109.61 |
| 00739 | Percutaneous lung or mediastinal biopsy | 2 | $111.09 |
| 00747 | Prostate biopsy | 2 | $32.47 |
| 00742 | Renal biopsy | 2 | $111.09 |
| 00741 | Splenic biopsy | 2 | $109.61 |
Neonatal Intensive Care |
|||
| 01511 | Neonatal icu - level a - day 1 | 0 | $636.75 |
| 01531 | Neonatal icu - level a - day 11 onward | 0 | $169.83 |
| 01521 | Neonatal icu - level a - day 2 - 10 | 0 | $254.68 |
| 01512 | Neonatal icu - level b - day 1 | 0 | $466.99 |
| 01532 | Neonatal icu - level b - day 11 onward | 0 | $126.18 |
| 01522 | Neonatal icu - level b - day 2 - 10 | 0 | $169.83 |
| 01513 | Neonatal icu - level c - day 1 | 0 | $403.28 |
| 01533 | Neonatal icu - level c - day 11 onward | 0 | $104.16 |
| 01523 | Neonatal icu - level c - day 2 - 10 | 0 | $124.63 |
Nerves |
|||
| 06256 | Nerve repair - palmar | 2 | $254.92 |
| 06156 | Neuroma transplant | 2 | $254.92 |
| 06257 | Peripheral nerve suture: major | 3 | $403.31 |
| 06255 | Peripheral nerve suture: minor | 2 | $254.92 |
Nose and Sinuses |
|||
| 02325 | Antral lavage - bilateral | 3 | $50.35 |
| 02324 | Antral lavage - unilateral | 3 | $33.58 |
| 02303 | Cauterization of septum - electric | 3 | $38.25 |
| 02327 | Choanal atresia ; definitive repair of - bilateral | 4 | $676.13 |
| 02329 | Choanal atresia perforation of - bilateral | 4 | $229.62 |
| 02326 | Choanal atresia; definitive repair of - unilateral | 3 | $484.78 |
| 02328 | Choanal atresia; perforation of - unilateral | 3 | $165.83 |
| 02354 | Complete rhinoplasty with s.m.r. to include nasal hump removal, nasal refracture, and reconstruction of nasal tip, without skin grafting | 3 | $612.35 |
| 02355 | Complete rhinoplasty with smr to include nasal hump removal, nasal refracture and external reconstruction of nasal tip without skin grafting | 3 | $776.17 |
| 02299 | Cryosurgical treatment of turbinates - bilateral | 3 | $191.35 |
| 02298 | Cryosurgical treatment of turbinates - unilateral | 3 | $153.09 |
| 02345 | Drainage of abscess or haematoma of septum | 3 | $114.81 |
| 02318 | Electrocoagulation of turbinates - both sides | 3 | $76.53 |
| 02317 | Electrocoagulation of turbinates - one side | 3 | $51.03 |
| 25310 | Endoscop trans-nasal repair csf leak frm ant skull base | 8 | $976.07 |
| 25305 | Endoscopic ligation - sphenopalatine artery | 6 | $418.55 |
| 25301 | Endoscopic stereotactic resection of intranasal or sinus tumour - additional payment after 7 hours operating time | 0 | $261.58 |
| 25300 | Endoscopic stereotactic resection of intranasal or sinus tumour - up to 7 hours operating time | 6 | $1,046.36 |
| 02362 | Ethmoidotomy -intranasal - anterior - unilateral | 3 | $191.35 |
| 02363 | Ethmoidotomy-intranasal-anterior- bilateral | 3 | $318.91 |
| 02361 | Ethmoidotomy-intranasal-posterior-bilateral | 3 | $548.56 |
| 02360 | Ethmoidotomy-intranasal-posterior-unilateral | 3 | $357.19 |
| 02347 | External osteoplastic frontal flap operation | 4 | $931.30 |
| 02315 | External radical fronto - ethmoidectomy | 4 | $586.86 |
| 02353 | External reconstruction of nasal tip, ala and columella (such as for cleft lip or open trauma) | 3 | $563.88 |
| 25100 | Laser photocoagulation of hht lesions nasal cavity | 6 | $446.09 |
| 02336 | Laser revision of choanal stenosis | 4 | $132.68 |
| 02333 | Lat rhinotomy/medial maxillectomy for exis tumour | 3 | $625.11 |
| 02332 | Lateral rhinotomy and excision of tumour - benign | 3 | $586.86 |
| 02337 | Ligation of anterior and posterior ethmoid arterie | 6 | $318.91 |
| 02342 | Maxillectomy with exenteration of ethmoid | 5 | $803.71 |
| 02365 | Nasal fracture - reduction and splinting | 3 | $127.57 |
| 02364 | Nasal fracture - simple reduction | 3 | $63.76 |
| 06124 | Nasal fracture - wire plate fixation - open reduct | 3 | $533.27 |
| 06123 | Nasal fracture- comminuted nasal fractures transosseous wire plate fixation | 3 | $307.05 |
| 02351 | Nasal refracture requiring lateral osteotomies | 3 | $357.19 |
| 02308 | Naso-antral window - double | 3 | $178.61 |
| 02307 | Naso-antral window - single | 3 | $114.81 |
| 02349 | Operative closure of nasal septal perforation | 3 | $510.30 |
| 02348 | Operative closure of oral nasal fistula | 3 | $357.19 |
| 02339 | Palatal fenestration | 3 | $257.82 |
| 02341 | Posterior nasal packing - (operation only) | 3 | $63.76 |
| 02346 | Posterior nasal packing-- with trans-oral gauze pack, under local, topical, or general anesthesiology (operation only) | 3 | $99.49 |
| 25315 | Primary frontal sinusotomy | 3 | $232.29 |
| 02309 | Radical antrostomy | 3 | $318.91 |
| 02310 | Radical antrostomy with closure of alveolar fistul | 4 | $459.27 |
| 02352 | Reconstruction of nasal tip, ala and columella | 3 | $420.98 |
| 02338 | Removal of angiofibroma - nasal pharynx | 6 | $739.92 |
| 02301 | Removal of foreign body from nose - complicated w anesthetic | 3 | $63.76 |
| 02323 | Removal of nasal polypi- bilateral | 3 | $165.83 |
| 02322 | Removal of nasal polypi- unilateral | 3 | $102.06 |
| 02358 | Revision endoscopic frontal sinusotomy, with or without c arm | 3 | $464.38 |
| 02359 | Revision endoscopic intranasal spheno-ethmoidotomy (anterior, middle and posterior cells including sphenoid) | 3 | $530.69 |
| 06117 | Rhinophyma | 3 | $335.05 |
| 06116 | Rhinoplasty - composite graft | 3 | $331.03 |
| 06115 | Rhinoplasty - forehead, 2 operations | 3 | $917.68 |
| 06109 | Rhinoplasty - removal of hump | 3 | $238.09 |
| 06119 | Rhinoplasty; bone graft nose, non-autologous | 3 | $493.41 |
| 06118 | Rhinoplasty; bone graft to nose - autologous | 3 | $601.15 |
| 02343 | Septal reconstruction | 3 | $382.72 |
| 02321 | Sinus sphenoidotomy (intranasal) | 3 | $267.90 |
| 02357 | Sinus surgery- functional - endoscopic - <14 years | 0 | $318.93 |
| 02306 | Submucous resection of septum | 3 | $165.83 |
| 02331 | Submucous turbinectomy - bilateral | 3 | $255.15 |
| 02330 | Submucous turbinectomy - unilateral | 3 | $165.83 |
| 02334 | Transantral ethmoidectomy | 3 | $484.78 |
| 02335 | Transantral ligation, internal maxillary artery | 6 | $510.30 |
| 02319 | Trephining frontal sinus | 3 | $255.15 |
| 02305 | Turbinectomy - bilateral | 3 | $140.31 |
| 02304 | Turbinectomy - unilateral | 3 | $95.67 |
Obstetrical Procedures |
|||
| 04024 | 4th degree laceration - repair | 3 | $290.53 |
| 04018 | Breech vaginal birth | 4 | $585.77 |
| 04025 | C-section - high risk | 6 | $651.28 |
| 04106 | Caesarean hysterectomy | 8 | $928.39 |
| 04050 | Caesarean section - elective | 5 | $500.99 |
| 04052 | Caesarean section - emergency | 6 | $561.10 |
| 04093 | Caesarean section multiple births, each additional | 0 | $82.15 |
| 04023 | Cervical /vaginal lacerations | 3 | $240.44 |
| 04000 | Complicated vaginal delivery | 4 | $375.70 |
| 04116 | Curettage for post-partum haemorrhage (> 20 weeks) | 3 | $254.72 |
| 04049 | External cephalic version | 0 | $152.83 |
| 04118 | Induc. or stim. of labour by oxytocin - 1st hour | 0 | $41.98 |
| 04119 | Induc. or stim. of labour by oxytocin - subs. hrs | 0 | $28.93 |
| 04141 | Induc. or stim. of labour by oxytocin - subs. hrs | 4 | $320.00 |
| 04142 | Induc. or stim. of labour by oxytocin - subs. hrs | 3 | $140.00 |
| 04190 | Induc. or stim. of labour by oxytocin - subs. hrs | 0 | $84.95 |
| 04191 | Induc. or stim. of labour by oxytocin - subs. hrs | 0 | $31.81 |
| 04194 | Induc. or stim. of labour by oxytocin - subs. hrs | 0 | $31.81 |
| 04080 | Insertion of multiple osmotic dilators with block | 0 | $152.83 |
| 04039 | Management of complicated labour by obstetrician | 0 | $667.15 |
| 04014 | Midcavity forceps - delivery | 4 | $450.87 |
| 04017 | Midcavity rotation - surgical delivery | 4 | $551.03 |
| 04092 | Multiple natural births - each additional child | 0 | $161.31 |
| 04038 | Repeat intrapartum assess by consultant at request | 0 | $222.21 |
| 04026 | Retained placenta - manual removal | 3 | $240.44 |
| 04022 | Sphincter repair - external | 3 | $240.44 |
| 04107 | Supervision of labour and vaginal delivery | 5 | $200.27 |
| 04110 | Therapeutic abortion (vaginal) 14 - 18 weeks | 2 | $250.41 |
| 04111 | Therapeutic abortion (vaginal) less than 14 weeks | 2 | $203.77 |
| 04114 | Therapeutic abortion by d&e, 18 wks and over | 3 | $356.60 |
Obstetrics and Gynecology |
|||
| 86056 | Obs b scan < 14 wks/nuchal translucency-add fetus | 0 | $95.22 |
| 86055 | Obs.b-scan <14 wks/nuchal translucency-singles | 0 | $126.97 |
Oesophageal Surgery |
|||
| 71541 | Cardiospasm - with fundoplication - open | 6 | $940.05 |
| 71542 | Cardiospasm with fundoplication - laparoscopic | 6 | $1,175.07 |
| 70502 | Cricopharyngeal myotomy - cervical approach | 4 | $469.34 |
| 07536 | Direct ligation of oesophageal varices | 7 | $736.52 |
| 70545 | Diverticulectomy of hypopharynx/oesophagus-cervica | 6 | $536.76 |
| 70544 | Diverticulectomy of hypopharynx/oesophagus-thoraci | 8 | $653.95 |
| 71534 | Division of tracheo-oesophageal fistula | 8 | $804.44 |
| 33327 | Endoscopic repositioning of gastric feeding tube | 3 | $14.25 |
| 33329 | Esophageal dilation or dilation of pathological | 3 | $109.02 |
| 33328 | Esophageal dilation, blind bouginage | 3 | $57.25 |
| 70532 | Excision - oesophageal lesion - laparoscopic/ tho | 8 | $777.59 |
| 70530 | Excision oesophageal lesion - cervical approach | 6 | $536.76 |
| 70531 | Excision oesophageal lesion thoracic/abdominal | 8 | $777.59 |
| 33325 | Gastric polypectomy | 5 | $161.47 |
| 71544 | Gastrointestinal reconstruction - colon interposit | 6 | $1,673.20 |
| 71543 | Gastrointestinal reconstruction - with stomach | 6 | $1,430.50 |
| 71549 | Oesophageal wound - transthoracic/transabdominal | 8 | $1,522.60 |
| 71548 | Oesophageal wound or injury - cervical approach | 6 | $1,268.85 |
| 70504 | Oesophagectomy w/ colon interposition - 2nd surg | 0 | $650.00 |
| 70534 | Oesophagectomy w/ colon interposition - prim. surg | 8 | $2,030.14 |
| 70505 | Oesophagectomy w/ thoracotomy - 2nd surgeon | 0 | $650.00 |
| 70535 | Oesophagectomy w/ thoracotomy - primary surgeon | 8 | $2,283.91 |
| 70533 | Oesophagectomy w/o thoracotomy - primary surgeon | 8 | $2,030.14 |
| 70503 | Oesophagectomy w/o thoracotomy - secondary surgeon | 0 | $650.00 |
| 70536 | Oesophagectomy w/thoracotomy&colon inter.-1st surg | 8 | $2,283.91 |
| 70506 | Oesophagectomy w/thoracotomy&colon inter.-2nd surg | 0 | $650.00 |
| 70542 | Oesophagectomy,total or partial,w/o reconstruction | 6 | $1,073.50 |
| 71536 | Oesophagogastric fundoplasty - open | 6 | $736.52 |
| 71538 | Oesophagogastric fundoplasty - with gastroplasty | 8 | $1,218.09 |
| 71535 | Oesophagogastric fundoplasty - laparoscopic | 6 | $920.65 |
| 71537 | Oesophagogastric fundoplasty with fundic patch | 8 | $791.86 |
| 71533 | Oesophagoplasty - w/ tracheo-oesophageal fistula | 8 | $2,250.00 |
| 71532 | Oesophagoplasty - w/o tracheo-oesophageal fistula | 8 | $2,000.00 |
| 71530 | Oesophagostomy - cervical | 5 | $531.36 |
| 71551 | Oesophagostomy or fistula closure - transthoracic | 8 | $1,522.60 |
| 71550 | Oesophagostomy/fistula closure-cervical approach | 6 | $1,268.85 |
| 70500 | Oesophagotomy:cerv. approach w/ rem. foreign body | 5 | $536.76 |
| 70501 | Oesophagotomy:thora. approach w/ rem. foreign body | 8 | $637.58 |
| 70540 | Part. oesophagectomy thoraco-abdom. or abdominal | 8 | $1,430.50 |
| 70541 | Part. oesophagectomy throacoabdominal - 1st surg | 8 | $1,673.20 |
| 70509 | Part. oesophagectomy w/colon inter. - 2nd surg | 0 | $650.00 |
| 70539 | Part. oesophagectomy w/colon inter. - prim. surg | 8 | $1,864.78 |
| 70511 | Part.oesophagectomy thoracoabdominal - 2nd surg. | 0 | $650.00 |
| 70538 | Partial oesophagectomy - distal 2/3 | 8 | $1,634.89 |
| 33326 | Percutaneous endoscopically placed feeding tube | 3 | $73.78 |
| 71540 | Plastic operation: cardiospasm - laparoscopic | 6 | $840.72 |
| 71539 | Plastic operation: cardiospasm -thoracic approach | 8 | $672.58 |
| 33321 | Removal of foreign material causing obstruction | 4 | $101.91 |
| 71531 | Repair tracheo-oesophagal fistula-cervical appr. | 6 | $2,000.00 |
| 33322 | Therapeutic injection(s), sclerosis, band ligation | 3 | $116.68 |
| 33324 | Thermal coagulation - heater probe and laser | 3 | $42.60 |
| 33323 | Transendoscopic tube, stent or catheter | 3 | $101.86 |
Open Heart Surgery |
|||
| 07917 | 1st assist at open heart surgery, > $1033.00 | 0 | $395.75 |
| 07915 | 1st assistant at open heart surgery, <= $1033.00 | 0 | $275.83 |
| 07916 | 2nd & 3rd assistant at open heart surgery, <= $1033.00 | 0 | $161.32 |
| 07918 | 2nd & 3rd assists at open heart surgery, > $1033.00 | 0 | $247.53 |
| 07899 | Anomalous pulmonary drainage, total | 10 | $1,974.73 |
| 07860 | Aortic valve - aortic root reconstruction with mechanical valved conduit, Homograph, or Xenograph root | 10 | $3,166.64 |
| 07857 | Aortic valve - commissurotomy | 9 | $1,422.02 |
| 07858 | Aortic valve - plication | 9 | $1,422.02 |
| 07859 | Aortic valve - replacement | 9 | $1,587.14 |
| 07900 | Aorticopulmonary window | 10 | $1,587.14 |
| 07870 | Atrial septum defect - multiple | 9 | $1,422.02 |
| 07872 | Atrial septum defect - multiple plus partial anomalous pulmonary drainage | 10 | $1,587.14 |
| 07871 | Atrial septum defect - multiple plus pulmonary stenosis | 10 | $1,422.02 |
| 07869 | Atrial septum defect - primum | 9 | $1,587.14 |
| 07868 | Atrial septum defect - secundum - patch | 9 | $1,422.02 |
| 07867 | Atrial septum defect - secundum - suture | 9 | $1,422.02 |
| 07910 | Complete cox-maze procedure | 9 | $1,819.71 |
| 07909 | Coronary artery bypass graft - each additional artery | 0 | $273.64 |
| 07908 | Coronary artery bypass graft - one artery | 9 | $1,440.05 |
| 07912 | Endocardial mapping | 0 | $382.12 |
| 07990 | Harvest of arterial conduit | 0 | $178.45 |
| 07962 | Left atrial lesion sets only | 9 | $1,357.73 |
| 78051 | Mitral or aortic valve replacement or CABG (extra) | 0 | $373.70 |
| 07853 | Mitral valve - commissurotomy | 9 | $1,422.02 |
| 07854 | Mitral valve - plication | 9 | $1,422.02 |
| 07855 | Mitral valve - replacement | 9 | $1,587.14 |
| 07856 | Mitral valve - simple repair | 9 | $1,587.14 |
| 78056 | Mitral valve complex repair | 9 | $1,983.95 |
| 07864 | Multiple valve replacement - 2 valves | 10 | $2,395.05 |
| 07865 | Multiple valve replacement - 3 values | 10 | $2,768.96 |
| 07866 | Multiple valve replacement - valved external conduit | 10 | $2,203.98 |
| 07913 | Pericardiectomy with bypass | 9 | $1,422.02 |
| 07906 | Pulmonary embolectomy with bypass | 11 | $1,422.02 |
| 07887 | Pulmonary valve - arterioplasty with bypass | 9 | $1,587.14 |
| 07902 | Pulmonary valve - atrioventricular communis | 10 | $2,395.05 |
| 07885 | Pulmonary valve - infundibulectomy | 9 | $1,587.14 |
| 07905 | Pulmonary valve - intracardiac tumours | 9 | $1,587.14 |
| 07886 | Pulmonary valve - patch | 9 | $1,587.14 |
| 07901 | Pulmonary valve - ruptured sinus of valsalva | 10 | $1,587.14 |
| 07889 | Pulmonary valve - Tetralogy of Fallot | 10 | $1,587.14 |
| 07890 | Pulmonary valve - Tetralogy of Fallot + outflow patch | 10 | $1,825.97 |
| 07893 | Pulmonary valve - Tetralogy of Fallot with previous anastomosis shunt | 10 | $1,825.97 |
| 07898 | Pulmonary valve - transposition | 10 | $1,974.73 |
| 07884 | Pulmonary valve - valvulotomy | 9 | $1,422.02 |
| 07963 | Pulmonary vein isolation only | 9 | $611.78 |
| 07914 | Recurrent open heart surgery after 21 days - extra | 0 | $773.63 |
| 07824 | Resecting aneurysm of the ventricle | 10 | $1,587.14 |
| 07881 | Subaortic stenosis - fibrous ring | 9 | $1,422.02 |
| 07882 | Subaortic stenosis - muscular hypertrophy | 9 | $1,587.14 |
| 07920 | Time, after four hours of continuous surgical assistance for one patient, each 15 minute period or fraction thereof | 0 | $21.66 |
| 07863 | Tricuspid valve - annuloplasty | 9 | $1,422.02 |
| 07861 | Tricuspid valve - commissurotomy | 9 | $1,422.02 |
| 07862 | Tricuspid valve - replacement | 9 | $1,587.14 |
| 07911 | Ventricular arrhythmia surgery | 9 | $2,209.66 |
| 07875 | Ventricular septal defect - multiple | 9 | $1,527.12 |
| 07879 | Ventricular septal defect - multiple + aortic regurgitation | 10 | $1,527.12 |
| 07878 | Ventricular septal defect - multiple + corrected transposition | 10 | $1,527.12 |
| 07876 | Ventricular septal defect - multiple + patent ductus | 9 | $1,527.12 |
| 07877 | Ventricular septal defect - multiple + pulmonary hypertension | 10 | $1,527.12 |
| 07874 | Ventricular septal defect - simple | 9 | $1,527.12 |
Operations on the Vagina |
|||
| 04402 | Abscess pelvic colpotomy drainage | 2 | $151.30 |
| 04404 | Cyst vaginal inclusion | 2 | $200.00 |
| 04405 | Cyst vaginal other than inclusion | 2 | $200.00 |
| 04233 | Oophorectomy/ovarian cystectomy - vag - bilateral | 0 | $223.39 |
| 04232 | Oophorectomy/ovarian cystectomy - vag - unilateral | 0 | $113.61 |
| 04410 | Post-op haemorrhage, vaginal management w/ ga | 5 | $200.00 |
| 04406 | Septum vaginal removal | 2 | $200.00 |
| 04202 | Vaginal hysterectomy | 4 | $736.94 |
| 04411 | Vaginectomy - total | 4 | $611.32 |
| 04033 | Vaginectomy-partial | 4 | $458.49 |
| 04408 | Vault prolapse (vaginal approach) | 4 | $536.63 |
Operations on the Vulva |
|||
| 04301 | Bartholins cyst/abscess marsupialization | 2 | $200.00 |
| 04317 | Biopsy - vulva - < 2 cm | 2 | $35.66 |
| 04032 | Biopsy - vulva (greater than or equal to 2cm) | 2 | $112.08 |
| 04303 | Hydrocele canal of nuck excision | 2 | $254.72 |
| 04300 | Hymen incision | 2 | $200.00 |
| 04312 | Labia minora resection | 2 | $254.72 |
| 04309 | Labium varicocele | 2 | $200.00 |
| 04322 | Lymphadenectomy - inguinal/femoral - bilateral | 4 | $701.26 |
| 04320 | Lymphadenectomy - inguinal/femoral - unilateral | 4 | $400.76 |
| 04304 | Urethral caruncle - cautery or excision in hosp | 2 | $62.32 |
| 04306 | Venereal warts under g.a., hospital | 2 | $200.00 |
| 04305 | Venereal warts, cautery or excision | 0 | $50.94 |
| 04311 | Vulvar atresia or enlargement of vaginal introitus | 2 | $200.00 |
| 04318 | Vulvectomy - radical | 3 | $901.73 |
| 04307 | Vulvectomy - simple | 3 | $388.42 |
| 04316 | Vulvovaginoplasty | 2 | $254.72 |
Orbit |
|||
| 06153 | Bone graft orbit, autologous | 4 | $612.99 |
| 06154 | Bone graft orbit, non-autologous implant | 4 | $462.17 |
Osteomyelitis |
|||
| 06087 | Incision subperiosteal abscess | 2 | $254.92 |
Other GPSC Fees |
|||
| 14086 | Gp assigned inpatient care network | 0 | $2,100.00 |
| 14088 | Gp unassigned inpatient care fee | 0 | $150.00 |
| 14063 | Palliative care planning fee-general practice | 0 | $100.62 |
| 14066 | Personal health risk assessment | 0 | $50.31 |
| 14067 | Personal health risk assessment | 0 | $18.22 |
Other Procedures |
|||
| 04699 | Fern test | 0 | $15.28 |
| 04401 | Fistula recto-vaginal repair | 3 | $662.27 |
| 04085 | Trial of forceps/vacuum delivery | 4 | $211.95 |
Other Wounds |
|||
| 61057 | Nipple areolar reconstruction and tattooing | 2 | $457.84 |
| 06238 | Repair of complicated fingertip injury | 2 | $201.05 |
| 06027 | Repair of torn (split) earlobe (simple) (operation only) | 3 | $118.31 |
Ova & Parasites |
|||
| 90805 | Parasite - macroscopic/microscopic exam | 0 | $42.96 |
| 90795 | Pinworm ova - examination | 0 | $43.94 |
| 90800 | Stool examination - concentration method | 0 | $46.93 |
Patient Activated Cardiac Event Recorders |
|||
| 33092 | Event/unmonitored loop recorder-technical fee | 0 | $43.51 |
| 33062 | Event/unmonitored loop recorders (first strip) - professional fee | 0 | $36.21 |
| 33069 | Event/unmonitored loop recorders-each additional | 0 | $18.10 |
Pediatric Intestine Procedures |
|||
| 07655 | Excision of meckel's diverticulum | 4 | $505.22 |
| 07447 | Mesenteric injury - repair of | 6 | $572.71 |
Pediatric Procedures |
|||
| 07466 | Anal stricture - child | 2 | $450.49 |
| 07552 | Aortopexy for tracheomalacia | 9 | $1,015.07 |
| 07653 | Atresia; small bowel; excision or bypass | 6 | $1,522.60 |
| 07700 | Cloacal anomalies; primary surgeon, total correct | 6 | $2,150.54 |
| 07614 | Omphalocele or gastroschesis - temporary repair | 7 | $402.23 |
| 07615 | Omphalocele or gastroschesis - permanent repair | 7 | $613.07 |
| 07571 | Pena posterior sagittal anal proctoplasty | 6 | $1,150.14 |
| 72662 | Proctectomy, complete - synchronous abdominal - pediatric | 7 | $1,314.90 |
| 72751 | Red of volvulus, intussuspection; hernia(lap) | 5 | $657.80 |
| 07692 | Repair major ano-rectal anomalies, sacral approach | 7 | $1,522.60 |
| 07697 | Sacrococcygeal teratoma- excision | 6 | $1,522.60 |
Pelvis, Hip and Femur |
|||
| 55215 | Abscess - pelvis/hip/femur -incision/drainage/ga | 2 | $186.72 |
| 55741 | Acetabulum - fracture- closed reduction | 2 | $186.72 |
| 55745 | Acetabulum - orif - one approach | 5 | $1,307.07 |
| 55746 | Acetabulum - two/extensile approach | 6 | $1,848.57 |
| 55983 | Amputation - above knee | 4 | $653.54 |
| 55980 | Amputation - hemicorpectomy | 6 | $2,446.08 |
| 55981 | Amputation - hemipelvectomy | 6 | $1,363.10 |
| 55982 | Amputation - hip disarticulation | 6 | $1,036.32 |
| 55984 | Amputation - knee disarticulation | 4 | $653.54 |
| 55999 | Amputation - secondary wound management-above knee | 4 | $186.72 |
| 55810 | Arthrodesis - hip joint | 6 | $1,227.71 |
| 55661 | Arthroplasty - resection - hip | 5 | $490.15 |
| 11500 | Arthroscopy - hip joint | 3 | $518.18 |
| 11532 | Arthroscopy/biopsy - hip | 3 | $518.18 |
| 11515 | Arthrotomy - hip joint | 3 | $298.77 |
| 55360 | Arthrotomy - hip - open synovectomy - total | 3 | $569.50 |
| 55225 | Arthrotomy - hip joint - i and d | 3 | $322.10 |
| 11545 | Arthrotomy/biopsy - hip | 3 | $242.74 |
| 11546 | Biopsy - hip - soft tissue/bone | 2 | $242.74 |
| 11530 | Biopsy - needle- hip/ga | 2 | $186.72 |
| 55651 | Bone grafting - femur | 4 | $270.75 |
| 55652 | Bone grafting - epiphysiodesis, greater trochanter | 4 | $326.77 |
| 55370 | Bone tumour, benign - hip | 3 | $434.15 |
| 55310 | Debridement/synovectomy - hip - total | 3 | $597.51 |
| 55725 | Dislocation - congenital - open reduction -hip | 2 | $714.22 |
| 55721 | Dislocation- congenital- hip- closed reduction/ga | 2 | $270.75 |
| 55355 | Excision - open - hip - bursa/trochanteric | 2 | $214.73 |
| 55755 | Femoral neck/subcapital - orif | 5 | $830.94 |
| 55758 | Femoral neck/subcapital - primary wound care | 2 | $102.26 |
| 55760 | Femoral neck/subcapital - scfe insitu fixation | 5 | $518.18 |
| 55751 | Femoral neck/subcapital -fracture-closed reduction | 5 | $518.18 |
| 55780 | Femur/shaft - cast/traction - closed reduction | 2 | $121.36 |
| 55783 | Femur/shaft - closed reduction, im nail | 5 | $774.90 |
| 55781 | Femur/shaft - closed reduction/ga | 2 | $214.73 |
| 55782 | Femur/shaft - external skeletal fixation | 4 | $354.78 |
| 55785 | Femur/shaft - orif | 5 | $774.90 |
| 55788 | Femur/shaft - primary wound care | 2 | $102.26 |
| 55789 | Femur/shaft - secondary wound management | 2 | $186.72 |
| 55759 | Frac. femoral neck or subcapital: open -sec. wound | 2 | $186.72 |
| 55701 | Fracture-pelvis-closed reduction-skeletal traction | 3 | $93.37 |
| 55220 | Hematoma - pelvis/hip/femur - drainage under ga | 2 | $298.77 |
| 55662 | Hemi-arthroplasty - hip | 5 | $567.62 |
| 55371 | Heterotopic bone resection | 3 | $515.94 |
| 55736 | Hip - orif | 5 | $952.30 |
| 55738 | Hip - primary wound care | 2 | $102.26 |
| 55739 | Hip - secondary wound management | 2 | $186.72 |
| 55711 | Hip - dislocation - traumatic | 2 | $93.37 |
| 55731 | Hip - fracture/dislocation - reduction | 2 | $93.37 |
| 55761 | Hip - intertrochanteric - reduction | 5 | $653.54 |
| 55735 | Hip - open reduction | 4 | $490.15 |
| 55732 | Hip - reduction/ga | 2 | $186.72 |
| 55727 | Hip disloc. open reduction fem & pelvic osteotomy | 4 | $1,318.75 |
| 55726 | Hip disloc.open reduction fem or pelvic osteotomy | 4 | $1,047.97 |
| 55768 | Hip fracture intertrochanteric primary wound care | 2 | $102.26 |
| 55769 | Hip-intertrochanteric - secondary wound management | 2 | $186.72 |
| 55771 | Hip: subtrochanteric - internal fixation | 5 | $891.61 |
| 55410 | Injection of bursa/tendon sheath - hip | 0 | $11.63 |
| 55405 | Injection of joint - hip | 0 | $11.63 |
| 55415 | Int fixation device(s) - removal - hip/ga | 3 | $242.74 |
| 55420 | Int fixation device(s) - removal - hip/without g | 3 | $70.02 |
| 55305 | Loose body - hip - removal | 3 | $378.11 |
| 55275 | Major release - two or more - hip | 3 | $406.12 |
| 55800 | Manipulation - hip joint under ga | 2 | $93.37 |
| 55270 | Minor release - hip - one tendon | 2 | $298.77 |
| 55632 | Nonunion or malunion - acetabulum | 4 | $1,848.57 |
| 55635 | Nonunion or malunion - femoral lengthening, open | 4 | $896.29 |
| 55636 | Nonunion or malunion - femoral shortening, closed | 4 | $896.29 |
| 55633 | Nonunion or malunion - proximal femur | 4 | $896.29 |
| 55634 | Nonunion or malunion - shaft femur | 4 | $774.90 |
| 55998 | Open injury, primary wound care | 4 | $102.26 |
| 55380 | Osteomyelitis, acute - hip - decompression | 3 | $186.72 |
| 55385 | Osteomyelitis, debridement - hip | 3 | $322.10 |
| 55605 | Osteotomy - femoral shaft - adult | 4 | $774.90 |
| 55606 | Osteotomy - femoral shaft - paediatric | 4 | $774.90 |
| 55603 | Osteotomy - proximal femur - adult | 4 | $746.91 |
| 55604 | Osteotomy - proximal femur - paediatric | 4 | $746.91 |
| 55607 | Osteotomy - multiple for osteogenesis imperfecta | 6 | $891.61 |
| 55602 | Osteotomy - pelvis - paediatric | 6 | $597.51 |
| 55601 | Osteotomy - pelvis - adult | 6 | $746.91 |
| 55702 | Pelvis - closed reduction - external fixation | 4 | $494.83 |
| 55705 | Pelvis - external fixation/orif | 5 | $1,092.35 |
| 55707 | Pelvis -orif - anterior and posterior | 5 | $1,171.69 |
| 55706 | Pelvis -orif- anterior or posterior | 5 | $765.57 |
| 55631 | Pelvis: non-union or malunion | 4 | $1,363.10 |
| 55210 | Pelvis/hip/femur- incision/drainage/ga | 2 | $186.72 |
| 55675 | Proximal femoral replacement | 6 | $1,633.84 |
| 55715 | Reduction - hip - open | 4 | $490.15 |
| 55712 | Reduction - hip/ga | 2 | $186.72 |
| 55674 | Revision - femur and acetabulum,includes prostalac | 6 | $1,307.07 |
| 55673 | Revision - femur or acetabulum | 6 | $989.64 |
| 55671 | Revision total hip arthroplasty: components | 5 | $802.93 |
| 55985 | Revision,amputation, below knee | 3 | $518.18 |
| 55255 | Soft tissue release - hip- percutaneous | 2 | $270.75 |
| 55505 | Soft tissue repair - hip instability | 3 | $653.54 |
| 55365 | Soft tissue tumour - benign -hip - subfascial | 3 | $406.12 |
| 55778 | Subtrochanteric - primary wound care | 2 | $102.26 |
| 55779 | Subtrochanteric - secondary wound management | 2 | $186.72 |
| 55515 | Tendon avulsion repair - hip | 3 | $326.77 |
| 55510 | Tendon-muscle transfer - hip | 3 | $658.20 |
| 55672 | Total hip arthroplasty- exchg of modular component | 5 | $434.15 |
| 55663 | Total hip prosthesis | 5 | $802.93 |
Penis |
|||
| 08312 | Circumcision-excludes clamp or bell technique | 2 | $204.77 |
| 08306 | Clitoral recession | 2 | $252.82 |
| 08297 | Deep dissection of intercrural region, with ligation of deep dorsal and cavernosal veins with or without ligation of crural veins (venous ligation for impotence) | 2 | $404.57 |
| 08301 | Dorsal slit, isolated procedure | 2 | $101.69 |
| 08309 | Femoral and inguinal glands,excision-bilateral | 4 | $1,325.53 |
| 08308 | Femoral and inguinal glands,excision-unilateral | 4 | $917.67 |
| 08296 | Insertion of semi rigid or self contained inflatable prosthesis following traumatic or surgical injury | 3 | $611.78 |
| 08307 | Peyronies plaque, excision-with replacement graft | 2 | $796.60 |
| 08300 | Priapism: sapheno-cavernous shunt | 2 | $569.16 |
| 08299 | Radical amputation of penis | 2 | $606.84 |
| 08363 | Revision of penile prosthesis (includes removal, correction of any mechanical failure, and replacement) | 3 | $862.64 |
| 08305 | Simple amputation of penis | 2 | $462.03 |
Percutaneous Coronary Interventions |
|||
| 00890 | Aortogram abdominal | 2 | $116.28 |
| 00897 | Aortogram thoracic | 2 | $167.15 |
| 00892 | Arteriogram - carotid percutaneous, unilateral | 3 | $114.91 |
| 00891 | Arteriogram - carotid percutaneous; bilateral | 3 | $172.79 |
| 00894 | Arteriogram - cerebral | 3 | $193.71 |
| 00893 | Arteriogram - femoral or axillary | 2 | $88.98 |
| 00896 | Arteriography pulmonary | 3 | $141.15 |
| 00898 | Balloon septostomy | 7 | $338.65 |
| 00845 | Cardiology assist for first hour or fraction | 0 | $171.21 |
| 00846 | Cardiology assist-after one hour, each 15 min | 0 | $42.81 |
| 00885 | Digital angiography - peripheral injection | 2 | $46.99 |
| 00919 | Impedance plethysmography - professional fee | 0 | $6.89 |
| 00920 | Impedance plethysmography - technical fee | 0 | $34.55 |
| 00842 | Percutaneous coronary intervention for additional vessel(s), per vessel | 0 | $189.01 |
| 00880 | Portal pressures - hepatic vein wedge pressure | 0 | $65.89 |
| 00881 | Portal pressures - percutaneous, splenic | 2 | $52.73 |
| 00871 | Pulse tracing - intravascular, including both arterial and venous | 0 | $55.52 |
| 00871 | Pulse tracing - intravascular, including both arterial and venous | 0 | $55.52 |
| 00843 | Selective arteriography of abdominal branch | 2 | $100.98 |
| 00847 | Selective arteriography of thoracic aortic branch | 2 | $163.73 |
| 00856 | Selective cath. of vena cava or iliac - others | 2 | $60.04 |
| 00855 | Selective catheterization, vena cava or iliac -1st | 2 | $90.31 |
| 11917 | Two-night polysomnography - professional fee | 0 | $251.10 |
| 11918 | Two-night polysomnography - technical fee | 0 | $774.04 |
| 00854 | Venacavogram - inferior | 2 | $116.28 |
| 00853 | Venacavogram - superior | 2 | $24.26 |
| 00889 | Ventriculogram through previous ventricular access | 3 | $128.22 |
| 00888 | Ventriculogram, with no ventricular access device | 3 | $256.42 |
Percutaneous Radiofrequency Neurotomies |
|||
| 34101 | Cervical - first branch | 0 | $240.00 |
| 34102 | Cervical - second branch | 0 | $120.00 |
| 34103 | Cervical - third branch | 0 | $60.00 |
| 34107 | Lumbar - first branch | 0 | $200.00 |
| 34108 | Lumbar - secon branch | 0 | $100.00 |
| 34109 | Lumbar - third branch | 0 | $50.00 |
| 34111 | Sacral - bilateral | 0 | $550.00 |
| 34110 | Sacral - unilateral | 0 | $330.00 |
| 34104 | Thoracic - first branch | 0 | $200.00 |
| 34105 | Thoracic - second branch | 0 | $100.00 |
| 34106 | Thoracic - third branch | 0 | $50.00 |
Peripheral Nerve |
|||
| 03045 | Brachial plexus exploration for neurolysis, primary repair or tumour removal | 3 | $1,500.00 |
| 03196 | Exploration, mobilization and transposition | 2 | $281.48 |
| 03204 | Hypoglossal facial anastomosis | 4 | $681.78 |
| 03205 | Nerve graft | 3 | $431.81 |
| 03048 | Nerve graft done in addition to brachial plexus exploration, extra per graft | 0 | $194.02 |
| 03198 | Neurectomy of major peripheral nerve | 2 | $222.43 |
| 03049 | Neurotization in brachial plexus surgery, extra | 0 | $452.71 |
| 03047 | Ntraoperative diagnostic monitoring in brachial plexus surgery, extra | 0 | $213.42 |
| 06258 | Peripheral nerve/neurolysis - exploration | 2 | $256.65 |
| 03046 | Post traumatic delayed or repeat exploration in brachial plexus surgery, extra | 3 | $550.00 |
| 03200 | Secondary suture including transposition | 3 | $575.24 |
| 03201 | Secondary suture of major nerve | 3 | $437.73 |
Plastic Operations for Genital Prolapse |
|||
| 04703 | Augmented anterior compartment vaginal prolapse | 2 | $415.99 |
| 04704 | Augmented posterior compartment vaginal prolapse | 2 | $415.99 |
| 04424 | Complete repair of prolapse | 3 | $590.76 |
| 04227 | Cystocoele/urethrocoele repair | 2 | $407.55 |
| 04422 | Enterocele repair | 2 | $461.51 |
| 04427 | Leforts operation | 2 | $458.49 |
| 04429 | Perineal laceration repair of old 3rd degree | 2 | $458.49 |
| 04421 | Rectocele repair | 2 | $407.55 |
| 04705 | Removal of trans-vaginal placed synthetic mesh | 2 | $611.32 |
| 04701 | Repeat urinary incontinence procedure | 4 | $420.25 |
| 04432 | Repeat vaginal plastic procedure - extra | 2 | $152.83 |
| 04702 | Transection or removal of suburethral mesh sling | 4 | $417.12 |
| 04706 | Vaginal vault suspension-apical support procedure | 2 | $405.64 |
Procedures |
|||
| 13621 | - additional lesions removed at the same sitting (maximum per sitting, five) each (operation only) | 0 | $33.39 |
| 13601 | Biopsy - facial area (operation only) | 2 | $52.24 |
| 13600 | Biopsy of skin or mucosa (operation only) | 2 | $52.24 |
| 33752 | Blood dialysis - fee for cut down by surgeon to be charged in addition to items 33750 or 33751 | 0 | $134.31 |
| 00343 | Cardiac screening | 0 | $4.67 |
| 00344 | Cardiac screening- professional fee | 0 | $2.34 |
| 00345 | Cardiac screening-technical fee | 0 | $2.34 |
| 00322 | Cardioangiogram internist part | 0 | $46.76 |
| 00190 | Electrosurg./cryotherapy for removal of warts etc. | 0 | $31.72 |
| 13650 | Enucleation or excision of ext thrombotic haemorrh | 2 | $52.44 |
| 13620 | Excision of tumour of skin or subcutaneous tissue or small scar under local anesthetic - up to 5 cm (operation only) | 2 | $66.76 |
| 13612 | Extensive laceration greater than 5cm | 2 | $13.40 |
| 33033 | Generator placement and venous cutdown | 4 | $263.32 |
| 10710 | In-office anoscopy | 0 | $7.96 |
| 00017 | Insertion of central venous pressure catheter | 0 | $23.88 |
| 13622 | Localized carcinoma of skin proven histopath. | 2 | $73.75 |
| 00753 | Marrow aspiration | 2 | $43.77 |
| 13660 | Metatarsal bone - closed reduction | 2 | $53.11 |
| 13701 | Metatarsal bone - closed reduction | 0 | $50.00 |
| 13702 | Metatarsal bone - closed reduction | 0 | $40.00 |
| 13706 | Metatarsal bone - closed reduction | 0 | $20.12 |
| 13707 | Metatarsal bone - closed reduction | 0 | $7.04 |
| 13708 | Metatarsal bone - closed reduction | 0 | $43.23 |
| 13610 | Minor laceration or foreign body - no anaesthesia | 0 | $35.84 |
| 13611 | Minor laceration/foreign body requiring anaes. | 2 | $66.76 |
| 13631 | Nail removal - simple | 2 | $35.75 |
| 13632 | Nail removal with destruction of nail bed | 2 | $72.34 |
| 13605 | Opening superficial abscess, including furuncle - operation only | 2 | $44.76 |
| 33032 | Pacemaker standby and/or placement of the endocardial catheter (operation only) | 4 | $80.66 |
| 13630 | Paronychia | 2 | $35.75 |
| 33756 | Pd tube reinsertion (10 days after initial) | 0 | $52.22 |
| 33790 | Renal transplant patient-care of | 0 | $1,182.14 |
| 33037 | Replacement transfusion - hepatic failure to include two weeks' care after transfusion | 0 | $287.85 |
| 13633 | Wedge excision of one nail | 2 | $63.83 |
Professional Fees |
|||
| 51010 | Consultation - orthopaedics | 0 | $111.54 |
| 51012 | Consultation - repeat/limited - orthopaedics | 0 | $59.52 |
| 51015 | Consultation - special - orthopaedics | 0 | $160.37 |
| 51008 | Hospital visit - orthopaedics | 0 | $30.70 |
| 51007 | Office visit - orthopaedics | 0 | $51.46 |
| 51009 | Pavlic harness-case management | 0 | $46.07 |
Prostate |
|||
| 08317 | Anti-incontinence procedure (artificial spincter) | 4 | $771.28 |
| 08319 | Balloon dilation of prostate-includes cystoscopy | 2 | $227.26 |
| 81311 | Holmium laser enucleation of prostate (holep) | 5 | $948.67 |
| 81305 | Laparoscopic radical prostatectomy | 7 | $2,080.06 |
| 81310 | Laparoscopic radical prostatectomy with plnd | 7 | $2,396.16 |
| 08311 | Prostatectomy- perineal, suprapubic, retropubic and transurethral approaches | 5 | $474.92 |
| 08314 | Prostatectomy- radical perineal retropubic prostate seminal vesiculectomy | 7 | $1,380.84 |
| 08318 | Prostatectomy, radical, to include lymphadenectomy | 7 | $1,410.23 |
Psychiatric Treatment |
|||
| 00641 | Electroconvulsive therapy | 0 | $91.17 |
| 00671 | Group phychotherapy-11 patients-per patient | 0 | $19.82 |
| 00672 | Group pshchotherapy-12 patients-per patient | 0 | $18.61 |
| 00668 | Group psychotherapy - eight patients - per patient | 0 | $25.46 |
| 00665 | Group psychotherapy - five patients - per patient | 0 | $33.78 |
| 00664 | Group psychotherapy - four patients - per patient | 0 | $38.86 |
| 00669 | Group psychotherapy - nine patients - per patient | 0 | $23.88 |
| 00667 | Group psychotherapy - seven patients - per patient | 0 | $27.42 |
| 00666 | Group psychotherapy - six patients - per patient | 0 | $30.05 |
| 00670 | Group psychotherapy - ten patients - per patient | 0 | $22.60 |
| 00663 | Group psychotherapy - three patients - per patient | 0 | $48.65 |
| 00681 | Group psychotherapy->20 patients-per patient | 0 | $13.42 |
| 00673 | Group psychotherapy-13 patients-per patient | 0 | $17.25 |
| 00674 | Group psychotherapy-14 patients-per patient | 0 | $16.92 |
| 00675 | Group psychotherapy-15 patients-per patient | 0 | $16.25 |
| 00676 | Group psychotherapy-16 patients-per patient | 0 | $15.76 |
| 00677 | Group psychotherapy-17 patients-per patient | 0 | $15.10 |
| 00678 | Group psychotherapy-18 patients-per patient | 0 | $14.87 |
| 00679 | Group psychotherapy-19 patients-per patient | 0 | $14.23 |
| 00680 | Group psychotherapy-20 patients-per patient | 0 | $13.88 |
| 00639 | Psychotherapy family per 1 1/2 hr | 0 | $317.41 |
| 00638 | Psychotherapy family per 1 1/4 hr | 0 | $264.50 |
| 00633 | Psychotherapy family per 1/2 hr | 0 | $109.17 |
| 00635 | Psychotherapy family per 3/4 hr | 0 | $162.48 |
| 00636 | Psychotherapy family per hour | 0 | $211.58 |
| 00630 | Psychotherapy indiv. (off.,out-patient) per 1/2 hr | 0 | $109.17 |
| 00631 | Psychotherapy indiv. (off.,out-patient) per 3/4 hr | 0 | $162.48 |
| 00632 | Psychotherapy indiv. (off.,out-patient) per hour | 0 | $211.58 |
| 00652 | Psychotherapy indiv.(hosp or institut) per 1 hr | 0 | $211.58 |
| 00650 | Psychotherapy indiv.(hosp or institut) per 1/2 hr | 0 | $109.17 |
| 00651 | Psychotherapy indiv.(hosp or institut) per 3/4 hr | 0 | $162.48 |
Pulmonary Investigative and Function Studies |
|||
| 00972 | Co2/o2 responsiveness of resp. centres - prof | 0 | $20.00 |
| 00973 | Co2/o2 responsiveness of resp. centres - tech | 0 | $11.11 |
| 00942 | Diffusion studies - carbon monoxide/professional | 0 | $16.00 |
| 00943 | Diffusion studies with carbon monoxide - technical | 0 | $12.87 |
| 00954 | Exercise in a steady state - professional fee | 0 | $93.00 |
| 00955 | Exercise in a steady state - technical fee | 0 | $59.06 |
| 00956 | Exercise in a steady state, aa gradients - prof | 0 | $109.46 |
| 00957 | Exercise in a steady state, aa gradients - tech | 0 | $70.32 |
| 00958 | Exercise induced asthma - professional fee | 0 | $22.35 |
| 00958 | Exercise induced asthma - professional fee | 0 | $22.35 |
| 00959 | Exercise induced asthma - technical fee | 0 | $32.95 |
| 00959 | Exercise induced asthma - technical fee | 0 | $32.95 |
| 00940 | Flow volume logs - before and after bronch - prof | 0 | $15.00 |
| 00937 | Flow volume logs, w/o bronchodilators - prof fee | 0 | $12.00 |
| 00938 | Flow volume loops - w/o bronchodilators - tech fee | 0 | $18.20 |
| 00968 | Inhalation challenge - professional fee | 0 | $40.00 |
| 00969 | Inhalation challenge - technical fee | 0 | $36.41 |
| 00974 | Inspiratory & expiratory muscle strength - prof | 0 | $14.00 |
| 00975 | Inspiratory & expiratory muscle strength - tech | 0 | $12.72 |
| 00931 | Lung volumes - professional fee | 0 | $15.00 |
| 00932 | Lung volumes - technical fee | 0 | $14.18 |
| 11961 | Oximetry at rest, with/without oxygen - tech fee | 0 | $5.10 |
| 11960 | Oximetry at rest, with/without oxygen-prof fee | 0 | $5.00 |
| 11962 | Oximetry rest/exercise with/without oxygen-prof fe | 0 | $12.00 |
| 11963 | Oximetry rest/exercise with/without oxygen-tech fe | 0 | $15.94 |
| 00930 | Peak expiratory flow rate | 0 | $5.57 |
| 00930 | Peak expiratory flow rate | 0 | $5.57 |
| 00964 | Plethsysomography and airway resistance - prof | 0 | $14.00 |
| 00965 | Plethsysomography and airway resistance - tech | 0 | $26.92 |
| 00970 | Precipitin tests - professional fee | 0 | $11.16 |
| 00970 | Precipitin tests - professional fee | 0 | $11.16 |
| 00971 | Precipitin tests - technical fee | 0 | $27.05 |
| 00971 | Precipitin tests - technical fee | 0 | $27.05 |
| 00950 | Progressive exercise test - professional fee | 0 | $25.00 |
| 00951 | Progressive exercise test - technical fee | 0 | $32.59 |
| 00946 | Pulmonary function studies - detailed - technical | 0 | $40.29 |
| 00945 | Pulmonary function studies - detailed/professional | 0 | $42.50 |
| 00929 | Simple screening spirometry as above but before and after bronchodilators | 0 | $19.00 |
| 00928 | Simple screening spirometry with fvc, fev(i), and fev(i)/fvc ratio using a portable apparatus without bronchodilators | 0 | $13.00 |
| 00941 | Spirometry-flow volume loops-before & after bronch | 0 | $26.92 |
| 00934 | Spirometry, forced expiratory, w/o bronch - tech | 0 | $11.11 |
| 00933 | Spirometry, forced expiratory, w/o bronch. - prof | 0 | $12.00 |
| 00935 | Spirometry,forced expiratory,before and after-prof | 0 | $13.50 |
| 00936 | Spirometry,forced expiratory,before and after-tech | 0 | $14.18 |
| 11964 | Sputum induction - professional fee | 0 | $20.57 |
| 11965 | Sputum induction - technical fee | 0 | $44.36 |
Puncture Procedure for Obtaining Body Fluids |
|||
| 00761 | Bursa or cyst - puncture procedure | 2 | $14.65 |
| 00752 | Cisternal puncture | 2 | $38.41 |
Rectum Endoscopy |
|||
| 10733 | Colonoscopy - control bleeding | 2 | $303.99 |
| 10731 | Colonoscopy - flexible - diagnostic | 2 | $231.61 |
| 10732 | Colonoscopy - removal of foreign body | 2 | $272.07 |
| 10730 | Colonoscopy,flexible-transabdominal via colotomy | 4 | $240.14 |
| 10714 | Proctosigmoidoscopy, rigid - diagnostic | 2 | $35.40 |
| 07465 | Sigmoidoscopy - ablation of tumor/other lesion | 2 | $169.75 |
| 07462 | Sigmoidoscopy - control bleeding | 2 | $181.00 |
| 07460 | Sigmoidoscopy - decompression - volvulus | 2 | $228.83 |
| 07463 | Sigmoidoscopy - decompression volvulus, any method | 2 | $228.83 |
| 07464 | Sigmoidoscopy - polyp removal | 2 | $251.02 |
| 07461 | Sigmoidoscopy - removal of foreign body | 2 | $181.00 |
| 00716 | Sigmoidoscopy; flexible; diagnostic | 2 | $76.09 |
Rectum - Excision |
|||
| 07662 | Abdomino-perineal resection (single surgeon)-open | 7 | $1,718.82 |
| 07663 | Abdomino-perineal resection (synchronous abdominal | 7 | $1,314.61 |
| 72762 | Abdomino-perineal resection-single surgeon | 7 | $1,820.21 |
| 72763 | Abdomino-perineal resection-synchronous | 7 | $1,407.07 |
| 07664 | Proctectomy,combined with abdom resection/perineal | 7 | $505.57 |
Rectum - Incision and Excision |
|||
| 07665 | Anorectal wall, biopsy - anal approach | 2 | $150.98 |
| 07660 | Pelvic abscess - transrectal drainage | 2 | $303.15 |
Rectum Repair |
|||
| 07672 | Complete rectal prolapse | 5 | $698.70 |
Referred Cases |
|||
| 02515 | Allergy consultation - otolaryngology | 0 | $145.14 |
| 00590 | Antenatal consultation-pediatrics | 0 | $141.41 |
| 00597 | Antenatal follow-up visit-pediatrics | 0 | $37.28 |
| 03101 | Avulsion supra or intra-orbital nerve | 3 | $225.93 |
| 01728 | Biofeedback | 0 | $21.33 |
| 33520 | Complex consultation-hematology/oncology | 0 | $270.00 |
| 00552 | Complex subsequent office visit >12 mins | 0 | $103.20 |
| 02517 | Consult, management of complex laryngeal disorder | 0 | $137.56 |
| 32210 | Consultation | 0 | $206.36 |
| 02510 | Consultation - otolaryngology | 0 | $77.84 |
| 01400 | Consultation - critical care | 0 | $322.21 |
| 33210 | Consultation - endocrinology | 0 | $219.37 |
| 79010 | Consultation - thoracic surgery | 0 | $145.41 |
| 77010 | Consultation - vascular surgery | 0 | $145.69 |
| 00511 | Consultation for complex condition - child | 0 | $452.52 |
| 33212 | Consultation-limited-endocrinology | 0 | $105.32 |
| 33910 | Consultation-occupational medicine | 0 | $167.40 |
| 31010 | Consultation-rheumatology | 0 | $223.09 |
| 06012 | Consultation, limited or repeat, plastic surgery | 0 | $48.27 |
| 04012 | Consultation, limited, 0b&g | 0 | $77.25 |
| 03011 | Consultation, limited, neurosurgery | 0 | $90.17 |
| 00512 | Consultation, limited, paediatrics | 0 | $103.39 |
| 32012 | Consultation, limited, respirology | 0 | $123.59 |
| 03010 | Consultation, neurosurgery | 0 | $172.86 |
| 04010 | Consultation, ob&g | 0 | $140.70 |
| 06010 | Consultation, plastic surgery | 0 | $98.50 |
| 08012 | Consultation, repeat or limited, urology | 0 | $54.44 |
| 32010 | Consultation, respirology | 0 | $229.31 |
| 02512 | Consultation, special for dizziness | 0 | $166.27 |
| 08010 | Consultation, urology | 0 | $89.01 |
| 02511 | Consultation: with pure tone audiogram | 0 | $93.45 |
| 33214 | Counselling - prolonged visit-endocrinology | 0 | $71.74 |
| 33213 | Counselling-group-endocrinology- 1st full hour | 0 | $146.86 |
| 33215 | Counselling-group-endocrinology-2nd hr per 1/2 hr | 0 | $73.38 |
| 03232 | Cranial nerve with graft/microsurgical anastomosis | 0 | $733.22 |
| 03233 | Cranial nerve without graft - microsurgical | 0 | $449.18 |
| 03102 | Decompression gasserian ganglion | 8 | $1,195.79 |
| 00488 | Detailed cognitive assessment | 0 | $50.92 |
| 00491 | Detailed cognitive assessment | 0 | $65.50 |
| 00492 | Detailed cognitive assessment | 0 | $65.50 |
| 00487 | Detailed cognitive assessment by behavioral neurol | 0 | $50.92 |
| 00585 | Diabetic ketoacidosis(dka)-1st day management | 0 | $461.81 |
| 01469 | Direction of care/end of life assessment | 0 | $247.51 |
| 32206 | Directive care | 0 | $85.64 |
| 32207 | Directive care | 0 | $80.00 |
| 01706 | Directive care - physical medicine | 0 | $95.74 |
| 07006 | Directive care - general surgery | 0 | $30.00 |
| 33206 | Directive care - endocrinology | 0 | $61.14 |
| 77006 | Directive care - vascular surgery | 0 | $30.90 |
| 31006 | Directive care-rheumatology | 0 | $104.90 |
| 00506 | Directive care, paediatrics | 0 | $104.16 |
| 32006 | Directive care, respirology | 0 | $75.08 |
| 07005 | Emergency visit - general surgery | 0 | $116.00 |
| 02505 | Emergency visit - otolaryngology | 0 | $122.35 |
| 03005 | Emergency visit - neurosurgery | 0 | $112.94 |
| 00505 | Emergency visit - pediatrics | 0 | $127.35 |
| 06005 | Emergency visit - plastic surgery | 0 | $104.23 |
| 32005 | Emergency visit - respirology | 0 | $104.18 |
| 31005 | Emergency visit - rheumatology | 0 | $97.21 |
| 79005 | Emergency visit - thoracic surgery | 0 | $99.54 |
| 08005 | Emergency visit - urology | 0 | $122.90 |
| 77005 | Emergency visit - vascular surgery | 0 | $89.07 |
| 33205 | Emergency visit when specially called | 0 | $148.86 |
| 04005 | Emergency visit-obstetrics & gynecology | 0 | $127.37 |
| 01705 | Emergency visit-physical medicine and rehab | 0 | $107.90 |
| 00626 | Emotionally disturbed child - repeat consultation | 0 | $220.85 |
| 00627 | Emotionally disturbed family - repeat consultation | 0 | $220.85 |
| 00550 | Extended consultation-exceeding 53 minutes | 0 | $331.08 |
| 00551 | Extended consultation-exceeding 68 minutes | 0 | $393.05 |
| 00554 | Extended subsequent office visit, exceeding 38 minutes | 0 | $230.94 |
| 00553 | Extened subsequent office visit, exceeding 23 mins | 0 | $158.48 |
| 00485 | Face to face assessment for ms-1st full half hour | 0 | $201.37 |
| 00486 | Face to face assessment for ms-each add'l 1/2 hour | 0 | $100.19 |
| 01710 | Formal consultation, physical medicine | 0 | $208.53 |
| 71017 | General surgery - visit for malignancy | 0 | $65.00 |
| 01731 | Graded exercise test - professional | 0 | $49.73 |
| 01730 | Graded exercise test - technical | 0 | $34.07 |
| 01732 | Graded exercise test - total | 0 | $83.79 |
| 01715 | Group counselling - physical med & rehab - 2nd hr, per 1/2 hr | 0 | $72.05 |
| 00513 | Group counselling, 1st full hour - paediatrics | 0 | $125.40 |
| 00515 | Group counselling, 2nd hour, 1/2 hour or major portion thereof - paediatrics | 0 | $62.69 |
| 01713 | Group counselling, physical med & rehab - 1st hr | 0 | $144.18 |
| 31008 | Hospital visit (subsequent)-rheumatology | 0 | $51.57 |
| 33260 | Initial virtual consultation, with patient or rep. | 0 | $123.27 |
| 02513 | Malignancy management-consultation | 0 | $108.85 |
| 03250 | Microelectrode recording (mer) | 0 | $3,127.23 |
| 31007 | Office visit(subsequent)-rheumatology | 0 | $90.10 |
| 03104 | Percutaneous rhizotomy 5th nerve | 3 | $1,024.33 |
| 01714 | Physical medicine, prolonged visit for counselling | 0 | $80.91 |
| 71008 | Post op visit in hosp (1-14 days) | 0 | $28.00 |
| 03106 | Posterior fossa exploration w/ rhizotomy 5th nerve | 8 | $1,722.07 |
| 71015 | Pre-operative assessment - general surgery | 0 | $116.00 |
| 03315 | Pre-operative assessment - neurosurgery | 0 | $172.86 |
| 51005 | Pre-operative assessment - orthopedics | 0 | $111.54 |
| 02215 | Pre-operative assessment - otolaryngology | 0 | $77.84 |
| 66015 | Pre-operative assessment - plastic surgery | 0 | $98.50 |
| 77015 | Pre-operative assessment - vascular surgery | 0 | $136.64 |
| 03103 | Preganglionic rhizotomy 5th nerve | 3 | $1,037.96 |
| 33241 | Premium for patients 75 years and over, billed in addition to 33207, 33209, 33277, 33267, g33250, gy33255, or gy33256 | 0 | $14.76 |
| 33240 | Premium for patients 75 years and over, billed in addition to 33210, 33212, 33270, 33272, g33260 or g33262 | 0 | $55.00 |
| 00514 | Prolonged counselling visit, paediatrics | 0 | $90.32 |
| 31014 | Prolonged visit for counselling-rheumatology | 0 | $49.06 |
| 32014 | Prolonged visit for counselling, respirology | 0 | $84.10 |
| 01721 | Rehabilitation, family conference | 0 | $90.66 |
| 00625 | Repeat consultation - psychiatry | 0 | $131.12 |
| 00614 | Repeat geriatric consultation | 0 | $187.06 |
| 33522 | Repeat or limited consult, complex-hemato/oncolo | 0 | $152.00 |
| 33526 | Repeat or limited consult, complex-hemato/oncolo | 0 | $110.00 |
| 32212 | Repeat or limited consultation | 0 | $90.68 |
| 02514 | Repeat or limited consultation - otolaryngology | 0 | $45.81 |
| 01402 | Repeat or limited consultation - critical care | 0 | $152.26 |
| 33912 | Repeat or limited consultation - occupational medicine | 0 | $84.22 |
| 79012 | Repeat or limited consultation - thoracic surgery | 0 | $65.45 |
| 77012 | Repeat or limited consultation - vascular surgery | 0 | $89.54 |
| 31012 | Repeat or limited consultation-rheumatology | 0 | $143.00 |
| 01712 | Repeat or limited consultation, physical medicine | 0 | $110.93 |
| 33262 | Repeat or limited virtual consultation | 0 | $61.64 |
| 31015 | Rheumatology management of complex joint(s) | 0 | $25.29 |
| 33209 | Subsequent home visit | 0 | $67.18 |
| 02509 | Subsequent home visit - otolaryngology | 0 | $48.92 |
| 79009 | Subsequent home visit - thoracic surgery | 0 | $49.89 |
| 77009 | Subsequent home visit - vascular surgery | 0 | $44.63 |
| 07009 | Subsequent home visit- general surgery | 0 | $50.00 |
| 00509 | Subsequent home visit, paediatrics | 0 | $153.94 |
| 33208 | Subsequent hospital visit | 0 | $37.65 |
| 32208 | Subsequent hospital visit | 0 | $50.38 |
| 01408 | Subsequent hospital visit - critical care | 0 | $159.47 |
| 07008 | Subsequent hospital visit - general surgery | 0 | $29.25 |
| 02508 | Subsequent hospital visit - otolaryngology | 0 | $24.41 |
| 79008 | Subsequent hospital visit - thoracic surgery | 0 | $24.75 |
| 77008 | Subsequent hospital visit - vascular surgery | 0 | $30.90 |
| 00508 | Subsequent hospital visit, paediatrics | 0 | $104.16 |
| 33207 | Subsequent office visit | 0 | $63.84 |
| 02507 | Subsequent office visit - otolaryngology | 0 | $36.97 |
| 07007 | Subsequent office visit - general surgery | 0 | $28.50 |
| 79007 | Subsequent office visit - thoracic surgery | 0 | $29.03 |
| 77007 | Subsequent office visit - vascular surgery | 0 | $42.87 |
| 33907 | Subsequent office visit-occupational medicine | 0 | $52.16 |
| 33527 | Subsequent office visit, complex-hemato/oncolo | 0 | $101.00 |
| 00507 | Subsequent office visit, paediatrics | 0 | $91.04 |
| 33267 | Subsequent virtual office visit | 0 | $39.86 |
| 06009 | Subsequent visit, home, plastic surgery | 0 | $80.00 |
| 06008 | Subsequent visit, hospital, plastic surgery | 0 | $36.71 |
| 32008 | Subsequent visit, hospital, respirology | 0 | $68.07 |
| 06007 | Subsequent visit, office, plastic surgery | 0 | $25.43 |
| 32007 | Subsequent visit, office, respirology | 0 | $76.09 |
| 33540 | Telehealth complex consultation | 0 | $270.00 |
| 50511 | Telehealth complex consultation, paediatrics | 0 | $452.52 |
| 50515 | Telehealth consult-pediatrics-extended > 53 mins | 0 | $331.08 |
| 50516 | Telehealth consult-pediatrics-extended >68 mins | 0 | $393.05 |
| 32370 | Telehealth consultation | 0 | $206.36 |
| 01470 | Telehealth consultation - critical care | 0 | $322.21 |
| 33270 | Telehealth consultation - endocrinology | 0 | $219.37 |
| 03310 | Telehealth consultation - neurosurgery | 0 | $172.86 |
| 04070 | Telehealth consultation - obstetrics & gynecology | 0 | $140.70 |
| 31110 | Telehealth consultation - rheumatology | 0 | $223.09 |
| 08070 | Telehealth consultation - urology | 0 | $89.01 |
| 70080 | Telehealth consultation general surgery-malignancy | 0 | $150.00 |
| 33570 | Telehealth consultation-hematology/oncology | 0 | $174.00 |
| 33572 | Telehealth consultation-limited-hematology/oncolog | 0 | $84.24 |
| 50510 | Telehealth consultation, paediatrics | 0 | $241.36 |
| 32376 | Telehealth directive care | 0 | $85.64 |
| 32377 | Telehealth directive care | 0 | $80.00 |
| 33276 | Telehealth directive care - endocrinology | 0 | $61.14 |
| 50506 | Telehealth directive care - paediatrics | 0 | $104.16 |
| 01776 | Telehealth directive care - physical medicine | 0 | $95.74 |
| 31106 | Telehealth directive care - rheumatology | 0 | $104.90 |
| 01770 | Telehealth formal consultation - physical medicine | 0 | $208.53 |
| 66010 | Telehealth major consultation, plastic surgery | 0 | $98.50 |
| 01777 | Telehealth office visit - physical medicine | 0 | $106.60 |
| 50514 | Telehealth prolonged visit for counselling paediat | 0 | $90.32 |
| 66012 | Telehealth repeat or limited consult plastic surg | 0 | $48.27 |
| 31112 | Telehealth repeat or limited consult- rheumatology | 0 | $143.00 |
| 33272 | Telehealth repeat or limited consult-endocrinology | 0 | $105.32 |
| 01772 | Telehealth repeat or limited consult-physical med | 0 | $110.93 |
| 50512 | Telehealth repeat or limited consult, paediatrics | 0 | $103.39 |
| 04072 | Telehealth repeat or limited consult/obs & gyn | 0 | $77.25 |
| 32372 | Telehealth repeat or limited consultation | 0 | $90.68 |
| 33542 | Telehealth repeat or limited consultation, complex patient | 0 | $152.00 |
| 33547 | Telehealth repeat or limited consultation, complex patient | 0 | $101.00 |
| 08072 | Telehealth repeat or limited consultation/urology | 0 | $54.44 |
| 03312 | Telehealth repeat/limited consult - neurosurgery | 0 | $90.17 |
| 01472 | Telehealth repeat/limited consult-critical care | 0 | $152.26 |
| 32378 | Telehealth subsequent hospital visit | 0 | $50.38 |
| 04078 | Telehealth subsequent hospital visit - obs/gyn | 0 | $48.22 |
| 50508 | Telehealth subsequent hospital visit - paediatrics | 0 | $104.16 |
| 08078 | Telehealth subsequent hospital visit - urology | 0 | $42.86 |
| 03318 | Telehealth subsequent hospital visit -neurosurgery | 0 | $29.63 |
| 66008 | Telehealth subsequent hospital visit -plastic surg | 0 | $36.71 |
| 31108 | Telehealth subsequent hospital visit -rheumatology | 0 | $51.57 |
| 33278 | Telehealth subsequent hospital visit-endocrinology | 0 | $37.65 |
| 01778 | Telehealth subsequent hospital visit-physical med | 0 | $71.52 |
| 33277 | Telehealth subsequent office visit - endocrinology | 0 | $63.84 |
| 03317 | Telehealth subsequent office visit - neurosurgery | 0 | $47.16 |
| 04077 | Telehealth subsequent office visit - obs & gyn | 0 | $48.22 |
| 50507 | Telehealth subsequent office visit - paediatrics | 0 | $91.04 |
| 31107 | Telehealth subsequent office visit - rheumatology | 0 | $90.10 |
| 08077 | Telehealth subsequent office visit - urology | 0 | $38.98 |
| 66007 | Telehealth subsequent office visit plastic surgery | 0 | $25.43 |
| 33577 | Telehealth subsequent visit - hematology/oncology | 0 | $56.20 |
| 70087 | Telehealth visit general surgery-for malignancy | 0 | $65.00 |
| 50517 | Telehealth-complex office visit-pediatrics >12 min | 0 | $103.20 |
| 50518 | Telehealth-complex office visit-pediatrics >23 min | 0 | $158.48 |
| 50519 | Telehealth-complex office visit-pediatrics >38 min | 0 | $230.94 |
| 33250 | Virtual communication with patient, or representative/family, for medically pertinent matters | 0 | $10.44 |
| 03009 | Visit, home, neurosurgery | 0 | $54.82 |
| 04009 | Visit, home, ob&g | 0 | $116.08 |
| 01709 | Visit, home, physical medicine | 0 | $150.00 |
| 08009 | Visit, home, urology | 0 | $59.66 |
| 03008 | Visit, hospital, neurosurgery | 0 | $29.63 |
| 04008 | Visit, hospital, ob&g | 0 | $48.22 |
| 01708 | Visit, hospital, physical medicine | 0 | $71.52 |
| 08008 | Visit, hospital, urology | 0 | $42.86 |
| 03007 | Visit, office, neurosurgery | 0 | $47.16 |
| 04007 | Visit, office, ob&g | 0 | $48.22 |
| 01707 | Visit, office, physical medicine | 0 | $106.60 |
| 08007 | Visit, office, urology | 0 | $38.98 |
Regional Mandibulo-Facial |
|||
| 06272 | Alveolar fracture - additional teeth | 3 | $79.71 |
| 06271 | Alveolar fracture - one tooth extraction | 3 | $128.20 |
| 06293 | Bone graft jaw, autologous | 4 | $541.89 |
| 06294 | Bone graft jaw, non-autologous | 4 | $499.88 |
| 06250 | Face, fracture le forte - horizontal | 6 | $968.21 |
| 06251 | Face, fracture le forte - pyramidal | 6 | $1,070.17 |
| 06252 | Face, fracture le forte/cranio-facial dysjunction | 6 | $1,213.31 |
| 06273 | Fracture-alveolus; arch bar fixation | 3 | $409.62 |
| 06241 | Gunning splints impression | 6 | $457.87 |
| 06240 | Interdental and intermaxillary wiring | 6 | $445.96 |
| 06243 | Mandible -open reduction - bilateral | 6 | $866.25 |
| 06242 | Mandible -open reduction - unilateral | 6 | $662.31 |
| 06245 | Mandible -open reduction and wiring - bilateral | 6 | $968.21 |
| 06244 | Mandible -open reduction and wiring - unilateral | 6 | $764.28 |
| 06291 | Mandibular resection; tumours; enucleation | 4 | $606.54 |
| 06292 | Mandibular resection; tumours; with bone graft | 4 | $860.78 |
| 06265 | Maxillary fracture zygomatic - arch - temporal | 3 | $356.42 |
| 06261 | Maxillary fracture zygomatic - open reduction and | 4 | $637.40 |
| 06262 | Maxillary fracture zygomatic - reduction | 4 | $457.93 |
| 06260 | Maxillary fracture zygomatic - temporal elevation | 3 | $328.22 |
| 06270 | Orbital floor fracture - open reduction | 4 | $743.98 |
| 06246 | Removal of sutures, intra-oral splints, under ga | 4 | $301.47 |
| 06282 | Temporo-mandibular arthroplasty | 3 | $726.12 |
| 06281 | Temporo-mandibular joint; condylectomy | 3 | $510.65 |
| 06280 | Temporo-mandibular joint; meniscectomy | 3 | $446.25 |
| 06253 | Wire suspension, craniomaxillary | 6 | $1,111.81 |
| 06266 | Zygomatic arch/open reduction/interosseous wiring | 4 | $446.25 |
Remote Monitoring Cardiac Devices |
|||
| 33176 | Remote mon of dual chamber implant card dev-prof | 0 | $69.36 |
| 33177 | Remote mon of dual chamber implant card dev-tech | 0 | $46.24 |
| 33174 | Remote mon of single chamber implant card dev-prof | 0 | $46.24 |
| 33175 | Remote mon of single chamber implant card dev-tech | 0 | $23.12 |
Removal of Tumours or Scars |
|||
| 70127 | Closure/radical resection requiring a free split | 0 | $101.15 |
| 70124 | Local tissue shift-eyebrow,eyelid,lip nose-single | 3 | $295.14 |
| 70122 | Multiple flap for lesion greater than 2 cm | 2 | $571.97 |
| 70123 | Multiple flap lesion >2 cm w/free skin graft | 2 | $650.54 |
| 70126 | Radical resect malign skin/soft tissue tumour =>10 | 2 | $452.56 |
| 70125 | Radical resect malign skin/soft tissue tumour 5-10 | 2 | $261.90 |
| 70119 | Single flap <2 cm diameter for repair defect (op) | 2 | $158.38 |
| 70121 | Single flap for lesion >2 cm w/free skin graft sec | 2 | $408.56 |
| 70120 | Single flap for lesion greater than 2 cm | 2 | $324.74 |
| 70116 | Tumour removal or scar revision (2-5 cm)op only | 2 | $127.72 |
| 70117 | Tumour removal or scar revision (5.1-10 | 2 | $261.90 |
| 70118 | Tumour removal or scar revision greater than 10 cm | 2 | $452.56 |
Renal Access |
|||
| 77403 | Arm revascularization with dril | 5 | $707.73 |
| 77402 | Brachiobasilic arteriovenous fistula,vein transpot | 5 | $707.74 |
| 77395 | Creation of internal arterio-venous fistu | 4 | $414.93 |
| 07366 | Laparotomy and staging of lymphoma | 6 | $909.86 |
| 07365 | Limb perfusion - isolated | 5 | $938.97 |
| 77380 | Peritoneal catheter insertion | 3 | $190.68 |
| 77385 | Peritoneal catheter removal | 3 | $132.26 |
| 07363 | Radical femoral, inguinal and iliac dissection | 5 | $536.76 |
| 77396 | Revision of av fistula | 5 | $505.58 |
| 07360 | Splenectomy | 6 | $808.57 |
| 07361 | Tb glands - radical removal | 4 | $269.03 |
| 77405 | Thrombectomy of arterio-venous fistula | 3 | $349.01 |
Repeat Surgery |
|||
| 77043 | Re-dissection of artery/vein | 0 | $777.63 |
Respiratory System |
|||
| 07925 | Artificial pneumothorax | 4 | $26.60 |
| 07924 | Decompression traumatic pneumothorax | 4 | $38.20 |
| 07949 | Laser therapy - intra-tracheal / intra-bronchial tumor | 7 | $454.93 |
Resuscitation |
|||
| 01095 | Catheter placement - intra-arterial - isolated procedure | 0 | $34.46 |
| 01094 | Catheter placement - pulmonary artery not associated with an anaesthetic | 0 | $167.09 |
| 01091 | Intubation requested by attending physician | 0 | $176.01 |
| 01090 | Neonatal resuscitation by anaesthetist - per 15 mins | 0 | $83.73 |
| 01088 | Resuscitation by anaesthetist - per 15 mins | 0 | $83.73 |
Retinal Procedures |
|||
| 02182 | - non-magnetic extraction - isolated procedure | 4 | $750.18 |
| 22197 | Additional gas (c3f8 or sf6) or air injection | 5 | $99.69 |
| 02091 | Anterior chamber paracentesis | 4 | $134.23 |
| 02198 | Anterior vitrectomy | 4 | $349.55 |
| 22195 | Buckle material or sponge - removal | 5 | $173.65 |
| 02194 | Buckling procedure | 5 | $807.76 |
| 02195 | Cryopexy or diathermy for retinal tear or other retinal disorder | 5 | $226.99 |
| 22199 | Fluid/gas exchange and silicone injection if required with posterior vitrectomy | 5 | $67.23 |
| 02181 | Foreign body intraocular - magnetic extraction - isolated procedure | 4 | $620.22 |
| 22202 | Intra ocular lens removal/lensectomy when done with a posterior vitrectomy | 5 | $56.01 |
| 02092 | Intravitreal biopsy (microbiology, cytology) or intraocular tumour needle biopsy | 4 | $215.18 |
| 02090 | Intravitreal injection of vitreous paracentesis | 4 | $134.43 |
| 22200 | Panretinal endolaser greater than 200 burns when done with a posterior vitrectomy | 5 | $207.26 |
| 22196 | Pneumatic retinopexy with air/gas - isolated proc. | 5 | $387.65 |
| 02199 | Posterior vitrectomy with 2 or 3 port infusion cutting device. includes membrane peel and/or dissection | 5 | $910.84 |
| 22203 | Removal of intra-ocular foreign body at the time of posterior vitrectomy | 5 | $224.07 |
| 22198 | Repair of scleral laceration and cryopexy and/or gas injection with scleral buckle isolated procedure | 5 | $981.42 |
| 22201 | Scleral buckle done with posterior vitrectomy | 5 | $56.01 |
Salivary Gland and Ducts |
|||
| 07515 | Abscess - partoid/submaxillary/sublingual | 3 | $202.59 |
| 00844 | Biopsy of salivary gland, fine or core needle | 3 | $54.02 |
| 07516 | Excision or marsupialization of salivary cyst | 3 | $203.56 |
| 07522 | Local excision of parotid tumor | 3 | $203.62 |
| 07526 | Salivary duct - dilation | 3 | $152.38 |
Salivary Glands and Ducts |
|||
| 02455 | Excision of submandibular gland | 4 | $318.91 |
| 02456 | Fistula - salivary -plastic to stenson's duct | 4 | $420.98 |
| 02453 | Sialolithotomy - complicated in gland | 3 | $191.35 |
| 02452 | Sialolithotomy - simple in duct | 3 | $63.76 |
Scanning and Localization Procedures |
|||
| 09829 | Adrenal imaging | 0 | $445.93 |
| 09832 | Blood pool joint scan | 0 | $166.13 |
| 09833 | Bone marrow scan | 0 | $171.06 |
| 09834 | Bone scan | 0 | $232.50 |
| 09871 | Brain scan-regional cerebral blood flow | 0 | $358.49 |
| 09867 | Brain scan, static | 0 | $205.81 |
| 09805 | Carbon-14 glycinecholate breath analysis | 0 | $117.28 |
| 95000 | Cardiac 1st pass | 0 | $91.09 |
| 09864 | Cardiac scan, static | 0 | $152.89 |
| 95005 | Cardiac shunt | 0 | $103.07 |
| 09886 | Cisternography | 0 | $341.60 |
| 09813 | Cns shunt | 0 | $175.65 |
| 09897 | Coronary admin of radio particles - transcatheter | 0 | $28.75 |
| 09898 | Coronary perfusion with radio particles, per radionuclide | 0 | $197.92 |
| 09848 | G.f.r. (in-vitro) | 0 | $127.35 |
| 09804 | G.i. bleeding-red cell label | 0 | $336.24 |
| 09838 | Gallium scan | 0 | $282.91 |
| 09839 | Gallium scan-each repeat/no add radionuclide | 0 | $102.59 |
| 09879 | Gastric emptying - liquid | 0 | $286.11 |
| 09808 | Gastric emptying (solid) | 0 | $249.44 |
| 09895 | Gastro-oesophageal reflux | 0 | $249.44 |
| 09859 | Gastrointestinal blood loss study | 0 | $119.62 |
| 09858 | Gastrointestinal protein loss study | 0 | $152.89 |
| 95015 | Iodine 131 whole body scan | 0 | $242.01 |
| 95020 | Joint scan | 0 | $242.01 |
| 09814 | Lacrimal duct scan | 0 | $147.93 |
| 09851 | Liver and spleen scan, static | 0 | $227.25 |
| 95025 | Liver clearance - hida /pharmaceutical | 0 | $397.70 |
| 09878 | Liver clearance of hida (biliary scan) | 0 | $270.35 |
| 09850 | Liver scan, static | 0 | $164.61 |
| 09896 | Lumbar administration of radionuclide | 0 | $33.11 |
| 95030 | Lung quantification | 0 | $256.86 |
| 09868 | Lung scan, static | 0 | $227.02 |
| 09816 | Lymphoscintigraphy | 0 | $298.30 |
| 09807 | M.i.b.g. imaging | 0 | $967.45 |
| 09853 | Meckel's localization (ectopic gastric mucosa) | 0 | $341.13 |
| 09870 | Ocular tumor localization | 0 | $185.72 |
| 09802 | Oesophageal motility - orally admin radioisotope | 0 | $206.07 |
| 09869 | Pancreas scan, static | 0 | $296.86 |
| 09806 | Parathyroid imaging | 0 | $413.66 |
| 09866 | Perfusion study, addition to major scan | 0 | $45.63 |
| 09865 | Perfusion study, done alone | 0 | $120.05 |
| 09835 | Plasma volume e (with plasma label), total blood volume, and red-cell mass by calculation | 0 | $36.15 |
| 09849 | Platelet survival | 0 | $305.56 |
| 09840 | Radioiron, clearance | 0 | $153.11 |
| 09843 | Radioiron, combined study at one time of above three | 0 | $297.32 |
| 09842 | Radioiron, red cell utilization | 0 | $152.89 |
| 09841 | Radioiron, turnover | 0 | $149.09 |
| 09863 | Radionuclide cardiac ventriculography | 0 | $263.25 |
| 95040 | Radionuclide cardiac ventriculography with stress | 0 | $387.62 |
| 09809 | Radionuclide venogram alone | 0 | $197.63 |
| 95045 | Rbc liver scan | 0 | $290.26 |
| 09817 | Receptor imaging-isolated procedure | 0 | $265.54 |
| 09837 | Red cell mass (with rbc label) and plasma volume (with plasma label) combined study | 0 | $159.43 |
| 09836 | Red cell mass determination (with red cell label), to include whole blood and plasma volume by calculation | 0 | $238.34 |
| 09844 | Red cell survival | 0 | $233.43 |
| 95060 | Renal imaging/ without pharmaceuticals | 0 | $308.58 |
| 95055 | Renal imaging/pharmaceuticals | 0 | $340.66 |
| 09877 | Repeat of major scan,no additional radionuclide | 0 | $704.11 |
| 95062 | Rest myocardial perfusion | 0 | $269.76 |
| 09818 | Salivary gland study | 0 | $181.68 |
| 09819 | Sechat | 0 | $261.40 |
| 09873 | Spleen scan, static | 0 | $152.89 |
| 95063 | Stress myocardial perfusion | 0 | $278.70 |
| 09824 | Testicular imaging | 0 | $173.34 |
| 95053 | Thallium body imaging | 0 | $423.37 |
| 09854 | Thallium myocardial scan | 0 | $416.43 |
| 09823 | Thyroid scan (iodine-123) | 0 | $187.36 |
| 09825 | Thyroid scan (perechnetate) | 0 | $74.93 |
| 09821 | Thyroid uptake, double determination | 0 | $68.77 |
| 09820 | Thyroid uptake, single determination | 0 | $45.47 |
| 09876 | Transfer of radionuclide from csf to blood | 0 | $75.54 |
| 09826 | Tumor imaging with metabolic/biological agent | 0 | $1,408.23 |
| 09855 | Ventilation lung scan | 0 | $234.79 |
| 09857 | Vitamin b12 absorption study with intrinsic factor | 0 | $160.76 |
| 09860 | Vitamin b12 absorption study, two radionuclides | 0 | $92.14 |
| 09856 | Vitamin b12 absorption without intrinsic factor | 0 | $133.84 |
| 09852 | Vitamin b12 absorption/blood radio determination | 0 | $73.63 |
| 09828 | Voiding cystography | 0 | $186.77 |
| 95065 | White blood cells- labeled/radioisotope | 0 | $780.13 |
Second Surgeon or Operator |
|||
| 70021 | Certified general surgeon assist(extra) | 0 | $31.77 |
| 07702 | Cloacal anomaly - total correction second surgeon | 0 | $507.54 |
| 07593 | Pena posterior sagittal anoproctoplasty 2nd surgeo | 0 | $339.13 |
| 77030 | Second operator: synchronous combined bypass graft | 0 | $300.19 |
| 77025 | Synchronous combined bypass graft - extremities | 0 | $300.19 |
Shoulder Girdle, Clavicle and Humerus |
|||
| 52215 | Abscess, i and d, under ga | 2 | $186.72 |
| 52356 | Acromionectomy, acromioplasty with or without resection of coraco-acromial ligament | 2 | $350.12 |
| 52330 | Acromioplasty - endoscopic | 2 | $410.88 |
| 52981 | Amputation - forequarter | 5 | $924.30 |
| 52982 | Amputation - humeral shaft | 3 | $541.49 |
| 52998 | Amputation - primary wound care - open injury | 3 | $102.26 |
| 52999 | Amputation - secondary wound management - open | 3 | $186.72 |
| 52980 | Amputation - shoulder disarticulation | 4 | $774.90 |
| 52811 | Arthrodesis - scapula-thoracic joint | 4 | $746.91 |
| 52810 | Arthrodesis - shoulder joint | 4 | $952.30 |
| 52335 | Arthroscopic clavicle excision-medial/lateral/extr | 0 | $106.57 |
| 11232 | Arthroscopy - biopsy- shoulder | 2 | $242.74 |
| 11200 | Arthroscopy- shoulder joint | 2 | $298.77 |
| 11215 | Arthrotomy - shoulder joint/bursa | 2 | $186.72 |
| 52360 | Arthrotomy - shoulder: synovectomy, capsulectomy | 2 | $406.12 |
| 52365 | Benign soft tissue tumour (sub-fascial) | 2 | $406.12 |
| 11245 | Biopsy - open | 2 | $242.74 |
| 11230 | Biopsy - needle - shoulder joint/ga | 2 | $186.72 |
| 52652 | Bone grafting - clavicle | 2 | $149.38 |
| 52651 | Bone grafting - proximal humerus | 2 | $242.74 |
| 52370 | Bone tumour - benign | 2 | $406.12 |
| 52210 | Bursa, i and d, under ga | 2 | $186.72 |
| 52602 | Clavicle - repair/revision | 2 | $513.60 |
| 52357 | Clavicle excision lateral/medial - open | 2 | $214.73 |
| 52708 | Clavicle/acromion/coracoid - primary wound care | 2 | $102.26 |
| 52709 | Clavicle/acromion/coracoid - secondary wound manag | 2 | $186.72 |
| 52310 | Debridement, synovectomy - total or subtotal | 2 | $410.88 |
| 52306 | Excision - endoscopic - drilling osteochondral defect, with or without loose body | 2 | $287.62 |
| 52305 | Excision - endoscopic - removal of loose body | 2 | $287.62 |
| 52355 | Excision of bursa - subacromial - open | 2 | $214.73 |
| 52725 | Glenohumeral - open reduction | 2 | $406.12 |
| 52722 | Glenohumeral - closed reduction with ga | 2 | $242.74 |
| 52721 | Glenohumeral - closed reduction without ga | 2 | $93.37 |
| 52220 | Hematoma, drainage under ga, when sole procedure | 2 | $242.74 |
| 52603 | Hemi-arthroplasty - shoulder | 4 | $620.86 |
| 52748 | Humerus - shaft - open injury primary wound care | 2 | $102.26 |
| 52741 | Humerus - shaft -closed reduction with ga | 2 | $242.74 |
| 52742 | Humerus - shaft-closed reduction-external fixation | 2 | $354.78 |
| 52749 | Humerus - shaft-open secondary wound management | 2 | $186.72 |
| 52745 | Humerus- shaft - orif/intramedullary nailing | 2 | $569.50 |
| 52410 | Injection - bursa,tendon sheath, other peri articular structures- shoulder/clavicle | 0 | $11.63 |
| 52405 | Injection of joint - shoulder/clavicle/humerus | 0 | $11.63 |
| 52415 | Int fixation device(s) - removal - ga | 2 | $242.74 |
| 52420 | Int fixation device(s), removal - without ga | 2 | $70.02 |
| 52320 | Labrum tear- excision | 2 | $242.74 |
| 52255 | Major release (shoulder contracture) | 2 | $541.49 |
| 52800 | Manipulation under ga - shoulder joint | 2 | $93.37 |
| 52519 | Open or arthroscopic slap/biceps tenodesis or bankart repair, and rotator cuff reconstruction, complex | 3 | $1,033.99 |
| 52517 | Open or arthroscopic slap/biceps tenodesis repair | 3 | $630.18 |
| 52518 | Open or arthroscopic slap/biceps tenodesis repair and anterior or posterior glenohumeral stabilization and/or bankart repair (isolated procedure) | 3 | $914.94 |
| 52520 | Open or arthroscopic slap/biceps tenodesis repair, and bankart repair including tendon transfer, and rotator cuff repair | 3 | $1,349.06 |
| 52521 | Open or arthroscopic slap/biceps tenodesis repair, and bankart repair and tendon transfer, and rotator cuff repair, and anterior glenohumeral stabilization and/or posterior glenohumeral stabilization | 3 | $1,578.96 |
| 52705 | Orif - clavicle/acromion/coracoid | 2 | $436.58 |
| 52380 | Osteomyelitis - acute, decompression | 2 | $186.72 |
| 52385 | Osteomyelitis - debridement with/without reconstruction | 3 | $322.10 |
| 52307 | Pinning - osteochondral fragment | 2 | $350.12 |
| 52731 | Proximal humerus - closed reduction with ga | 2 | $186.72 |
| 52739 | Proximal humerus - open injury -secondary wound | 2 | $186.72 |
| 52738 | Proximal humerus - open injury-primary wound care | 2 | $102.26 |
| 52736 | Proximal humerus - orif - three or more parts | 2 | $654.53 |
| 52735 | Proximal humerus - orif - two part | 2 | $541.49 |
| 52601 | Proximal humerus - repair/revision | 3 | $718.88 |
| 52737 | Proximal humerus- hemiprosthesis/wiring-fracture | 3 | $802.93 |
| 52732 | Proximal humerus-closed red. with ga traction/pin | 2 | $186.72 |
| 52506 | Rotator cuff reconstruction - complex | 4 | $718.88 |
| 52505 | Rotator cuff repair - simple | 3 | $434.15 |
| 52715 | Scapula - fracture/dislocation - orif | 3 | $924.30 |
| 52718 | Scapula - open injury, primary wound care | 2 | $102.26 |
| 52719 | Scapula - open injury, secondary wound management | 2 | $186.72 |
| 52315 | Shoulder abrasion | 2 | $350.12 |
| 52607 | Shoulder arthroplasty - total - revision | 5 | $1,335.36 |
| 52606 | Shoulder arthroplasty/hemiarthroplasty- total -rev | 5 | $802.93 |
| 52525 | Shoulder instability - inferior capsular shift | 3 | $569.50 |
| 52541 | Shoulder instability - posterior - soft tissue | 3 | $597.51 |
| 52540 | Shoulder instability - posterior-glenoid osteotomy | 3 | $718.88 |
| 52526 | Shoulder instability -bankart | 3 | $630.18 |
| 52535 | Shoulder instability-anterior repairs | 3 | $459.80 |
| 52225 | Shoulder joint arthrotomy, i and d | 2 | $186.72 |
| 52605 | Shoulder prosthesis - removal | 3 | $462.14 |
| 52604 | Shoulder prosthesis - total | 5 | $991.26 |
| 52555 | Shoulder/clavicle/humerus tendon transfer | 3 | $513.50 |
| 52250 | Soft tissue release - muscle, tendon | 2 | $380.44 |
| 52515 | Stabilization - acromioclavicular joint - acute | 2 | $270.75 |
| 52516 | Stabilization - acromioclavicular joint - chronic | 2 | $406.12 |
| 52545 | Stabilization - shoulder instability -revision, | 3 | $718.88 |
| 52325 | Stabilization procedure | 2 | $569.50 |
| 52710 | Sterno-clavicular joint stabilization | 2 | $513.60 |
| 52550 | Tendon repair, proximal biceps, pectoralis major | 3 | $434.15 |
Skin and Subcutaneous Tissues |
|||
| 06042 | Abscess - mid palmer/thenar/dorsal | 2 | $254.92 |
| 06197 | Acute tenosynovitis - finger | 2 | $290.00 |
| 06198 | Acute tenosynovitis - ulnar or radial bursa | 2 | $290.00 |
| 61291 | Biopsy, not sutured | 0 | $89.10 |
| 61292 | Biopsy,not sutured,multiples sm sitting,max4(extra | 0 | $25.02 |
Skin Flaps and Grafts |
|||
| 61329 | Advancement flap - defects more than 10 cm | 2 | $393.85 |
| 61325 | Advancement flap-face, neck or scalp (2.1 to 5 cm) | 2 | $234.35 |
| 61327 | Advancement flap-face, neck or scalp(5.1 to 10 cm) | 2 | $355.27 |
| 61324 | Advancement flap-nose,lids,lips or scalp-up to 2cm | 2 | $185.44 |
| 61326 | Advancement flap-other areas (2.1 to 5 cm) | 2 | $182.38 |
| 61328 | Advancement flap-other areas (5.1 to 10cm) | 2 | $233.47 |
| 61320 | Excision of malignant lesions-10-50cm - extra | 2 | $61.13 |
| 61321 | Excision of malignant lesions-51-100cm-extra | 2 | $132.45 |
| 61322 | Excision of malignant lesions-over 100cm-extra | 2 | $183.40 |
| 61333 | Flaps - arms, legs and scalp - defect up to 6 cm | 2 | $305.76 |
| 61334 | Flaps - arms,legs and scalp-defect 6 cm to 19 cm | 2 | $346.00 |
| 61331 | Flaps - trunk - defect 40 cm to 100 cm | 2 | $324.82 |
| 61332 | Flaps - trunk - defect greater than 100 cm | 2 | $423.66 |
| 61330 | Flaps - trunk - defect up to 40 cm | 2 | $243.61 |
| 06033 | Flaps from a distance - first stage -per operation | 4 | $353.91 |
| 06031 | Flaps from a distance -uper extremity-2nd stage | 2 | $471.50 |
| 06034 | Flaps from a distance-minor 2nd stage per operatio | 3 | $235.39 |
| 06030 | Flaps from a distance-upper extremity-init stage | 2 | $591.47 |
| 06035 | Flaps from a distance, delaying a flap(oper only) | 3 | $163.48 |
| 61335 | Flaps-arms,legs and scalp-defect > 19 cm | 2 | $458.84 |
| 61341 | Flaps-ears,eyelids,lips and nose-defect > 19 cm | 2 | $509.26 |
| 61340 | Flaps-ears,eyelids,lips and nose-defect 6 cm to | 2 | $457.92 |
| 61339 | Flaps-ears,eyelids,lips and nose-defect upto 6 cm | 2 | $347.03 |
| 61338 | Flaps-other area(axilla,cheeks,face,etc)-defect>19 | 2 | $469.01 |
| 61337 | Flaps-other area(axilla,cheeks,face,etc)6cm-19cm | 2 | $346.78 |
| 61336 | Flaps-other areas(axilla,cheeks,face,etc)upto 6cm | 2 | $305.76 |
| 06148 | Hair bearing scalp vacular island flap to eyebrow | 3 | $483.98 |
| 06177 | Neurovascular pedicle | 3 | $744.43 |
| 61342 | Revision of graft - less than 2 cm | 2 | $203.01 |
| 61343 | Revision of graft - between 2 and 5 cm | 2 | $243.61 |
| 61344 | Revision of graft - greater than 5 cm | 2 | $284.22 |
| 06026 | Skin graft; arterial island flap | 2 | $353.91 |
| 06032 | Skin grafts; flaps from a distance, lower,initial | 2 | $710.26 |
| 06171 | Syndactyly local flap - first cleft | 2 | $254.92 |
| 06172 | Syndactyly with skin graft - first cleft | 2 | $453.55 |
Skin Grafts |
|||
| 20226 | Derm-full thcknss grfts-eyelid,nose,lips,ear | 2 | $310.50 |
| 20227 | Derm-full thcknss grfts-finger,more than 1 phalanx | 2 | $296.52 |
| 20228 | Dermatology-full thickness grafts-sole or palm | 2 | $296.52 |
| 20225 | Dermatology-skin grafts-eyebrw,eyelid,lip,ear,nose | 2 | $296.52 |
| 20223 | Dermatology-skin grafts-multiple | 2 | $569.41 |
| 20222 | Dermatology-skin grafts-single | 2 | $315.48 |
| 20221 | Dermatology-skin grafts-single or multiple < 2cm | 2 | $203.96 |
| 20224 | Dermatology-with free skin graft to secndry defect | 2 | $647.63 |
|
Code no longer active
|
Skin graft; eyebrow/eyelid/lip/ear/nose; two stage | 3 | $466.13 |
|
Code no longer active
|
Skin grafts - multiple with free skin graft | 2 | $643.13 |
|
Code no longer active
|
Skin grafts - multiple | 2 | $565.45 |
|
Code no longer active
|
Skin grafts/single with free skin graft secondary | 2 | $403.90 |
Skin Grafts (including mucosa) |
|||
| 06015 | Removal of extensive scars per cm over 5 cm | 2 | $8.44 |
| 06051 | Skin grafts - functional areas - finger tip | 2 | $310.00 |
| 06050 | Skin grafts - regions of major joints and hands | 2 | $440.00 |
Skull Base Procedures |
|||
| 02622 | Infra-temporal fossa approach to skull base - otolaryngology fee | 8 | $2,224.40 |
| 02623 | Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours | 8 | $2,582.14 |
| 02878 | Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours | 0 | $29.92 |
| 02879 | Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours | 0 | $40.00 |
| 02880 | Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours | 0 | $20.00 |
| 02881 | Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours | 0 | $12.50 |
| 02612 | Middle cranial fossa approach - petrosectomy | 8 | $1,929.76 |
| 02610 | Middle cranial fossa approach without petrosectomy - for trauma, neoplasm resection, nerve section/decompression | 8 | $1,440.32 |
| 02613 | Middle cranial fossa approach- petrosectomy - procedure lasting longer than 8 hours | 8 | $2,412.08 |
| 02618 | Repair of csf leak following skull base approach with mastoid obliteration - to include exposure, dissection and closure with microscope | 8 | $1,400.00 |
| 02614 | Retrolabyrinthine approach for neurosurgical access - exposure, closure with microscope | 8 | $2,206.00 |
| 02262 | Translabyrinthine approach for neurosurgical access exposure, closure with microscope | 8 | $2,429.48 |
Special Examinations |
|||
| 00418 | Activating agent by electro encephalographic | 0 | $22.50 |
| 02520 | Audiogram - pure tone (ac and bc) | 0 | $15.44 |
| 02521 | Audiogram - speech (srt, pb, mcl) | 0 | $16.85 |
| 02527 | Bithermal test | 0 | $24.10 |
| 02536 | Brain stem evoked response audiometry | 0 | $47.21 |
| 02539 | Brain stem evoked response audiometry w/ electrocochleography | 0 | $68.22 |
| 02526 | Cold calorics test | 0 | $11.11 |
| 00419 | Electroclinical detailed interpretation of seizure | 0 | $405.04 |
| 02541 | Electrocochleography | 0 | $51.42 |
| 00417 | Electrocorticography | 0 | $229.48 |
| 00421 | Electrocorticography in awake craniotomy | 0 | $494.52 |
| 00426 | Electroencephalogram - sleep only | 0 | $157.85 |
| 00427 | Electroencephalogram - sleep only - interpretation | 0 | $42.56 |
| 00428 | Electroencephalogram - sleep only - technical fee | 0 | $115.31 |
| 00440 | Electroencephalogram - sleep only - technical fee | 0 | $119.95 |
| 00413 | Electroencephalogram - technical fee | 0 | $78.63 |
| 00415 | Electroencephalogram and interpretation | 0 | $127.80 |
| 00416 | Electroencephalogram interpretation neurologist | 0 | $49.18 |
| 02528 | Electronystagmography - e.n.g. | 0 | $47.54 |
| 02540 | Flexible nasopharyngoscopy with video fluoroscopy | 3 | $62.83 |
| 40444 | Follow up telestroke acvs relapse intervention | 0 | $80.14 |
| 40442 | Follow up telestroke neurological clinical | 0 | $100.19 |
| 40443 | Follow up telestroke neurological clinical monitor | 0 | $100.19 |
| 02534 | Free field audiometry | 0 | $24.10 |
| 02530 | Functional tests - stenger | 0 | $24.10 |
| 02525 | Impedance test | 0 | $9.04 |
| 02531 | Impedance test,including contralateral reflex | 0 | $17.79 |
| 02538 | Laryngostroboscopy | 0 | $84.80 |
| 02535 | Maxillary sinus endoscopy via canine fossa w/ or w/out biospy | 3 | $116.87 |
| 02542 | Measurement of autoacoustic emissions | 0 | $32.14 |
| 02532 | Pi-pb test | 0 | $6.24 |
| 02533 | Play audiometry | 0 | $24.10 |
| 00420 | Short study of electroclinical interp. of seizures | 0 | $208.56 |
| 40441 | Telestroke consultation | 0 | $215.58 |
Special Procedures |
|||
| 00540 | 24 hour intra-esophageal ph study in children | 0 | $245.54 |
| 00532 | Electrocardiogram and interpretation children (under 2 years) | 0 | $57.24 |
| 00533 | Electrocardiogram - interpretation (under 2 years) | 0 | $13.43 |
| 00534 | Electrocardiogram - technical fee (under 2 years) | 0 | $43.81 |
| 00528 | Electrocardiogram and interpretation home (paed.) | 0 | $48.57 |
| 00527 | Electrocardiogram and interpretation office (paed.) | 0 | $34.94 |
| 00529 | Electrocardiogram professional (paed.) | 0 | $12.23 |
| 00523 | Exchange transfusion - procedural fee | 0 | $458.60 |
| 00535 | Graded exercise test, paed - professional fee | 0 | $62.91 |
| 00530 | Graded exercise test, paed. - technical fee | 0 | $43.12 |
| 00531 | Graded exercise test, paed. - total fee | 0 | $106.05 |
| 00525 | Insertion of intra-arterial infusion line, infants | 0 | $95.69 |
| 00526 | Insertion of intravenous infusion line, under 5 | 0 | $57.24 |
| 00541 | Pediatric urethral catheterization in child <5 years | 0 | $19.91 |
| 00539 | Rectal suction biopsy in children | 0 | $106.34 |
Special Therapy |
|||
| 00237 | Additional surgical professional fee billable when either of the above two procedures are performed under general anesthesia | 0 | $56.08 |
| 00218 | Curettage and electrosurgery of skin carcinoma proven histopathologically (operation only) | 0 | $61.38 |
| 00219 | For each additional lesion to a maximum of two additional lesions per day (operation only) | 0 | $30.69 |
| 00228 | Photo epilation of facial hair - per 1/4 hr | 0 | $28.43 |
| 00223 | Psoralen ultra violet a treatment - partial body | 0 | $20.33 |
| 00222 | Psoralen ultra violet a treatment - whole body | 0 | $20.33 |
| 00236 | Pulsed laser - face/neck > 50cm2 or eye shields | 3 | $101.87 |
| 00235 | Pulsed laser- face/neck: < 50cm2 | 3 | $67.92 |
| 00217 | Treatment of skin disorders and lesions other than: ultraviolet, x-ray, grenz ray: such as cryosurgery, electrosurgery, etc., - extra (operation only) | 0 | $14.81 |
| 00224 | Ultra violet b treatment, whole or partial body - - includes office visit | 0 | $20.33 |
| 00019 | Venesection for polycythaemia or phlebotomy | 0 | $31.65 |
Spinal |
|||
| 03170 | - in conjunction with orthopaedic surgeon (operation only) | 0 | $649.23 |
| 03173 | - in conjunction with orthopaedic surgeon (operation only) | 0 | $649.23 |
| 03179 | - thoracic or general surgeon | 8 | $470.49 |
| 03305 | - using laminotomy electrode (operation only) | 5 | $951.90 |
| 03369 | Abscess or hematoma, extraspinal, under ga (operation only). | 4 | $186.72 |
| 03164 | Anterior cervical discectomy and fusion - multiple level | 6 | $1,936.16 |
| 03163 | Anterior cervical discectomy and fusion - one level | 6 | $1,429.88 |
| 03152 | Bischoff's or longitudinal myelotomy | 5 | $936.10 |
| 03177 | Cordotomy | 5 | $791.17 |
| 03368 | Discogram (operation only) | 2 | $92.97 |
| 03172 | Fracture of spine with cord injury - open reduction and fusion | 7 | $937.07 |
| 03169 | Fracture of spine without cord injury - open reduction and fusion | 7 | $686.74 |
| 03303 | Implantation of pulse generator or receiver for chronic pain stimulation (operation only) | 3 | $605.71 |
| 03304 | Implantation of spinal stimulator (complete system), to include implantation of pulse generator/receiver - using percutaneous electrode (operation only) | 3 | $851.71 |
| 03165 | Insertion of intracranial pressure monitoring device - operation only | 6 | $296.11 |
| 03215 | Insertion of spinal subarachnoid catheter (operation only) | 2 | $46.62 |
| 03220 | Insertion of spinal subarachnoid catheter access device-reservoir/pump in anterior chest wall or abdominal wall (operation only) | 3 | $626.46 |
| 03219 | Insertion of spinal subarachnoid device reservoir in paraspinal region (operation only) | 3 | $391.54 |
| 03158 | Laminectomy for lumbar disc - one level | 5 | $670.94 |
| 03157 | Laminectomy for cervical disc - multiple levels | 6 | $2,204.84 |
| 03156 | Laminectomy for cervical disc - one level | 6 | $2,003.94 |
| 03168 | Laminectomy for intradural spinal cord or extra-medullary tumour or vascular malformation by micro-surgical technique | 7 | $2,213.98 |
| 03159 | Laminectomy for lumbar disc - multiple levels | 5 | $1,333.43 |
| 03153 | Laminectomy with drez lesion for pain | 6 | $1,408.69 |
| 03150 | Laminectomy, 03153, 03155 for selective posterior rhizotomy | 5 | $1,256.01 |
| 03301 | Laminotomy for insertion of spinal stimulator electrode for chronic pain (operation only) | 5 | $472.93 |
| 03183 | Microsurgical repair of meningomyelocele | 6 | $1,754.52 |
| 03108 | Operative facet rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic | 4 | $450.00 |
| 03178 | Operative microsurgical rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic | 5 | $932.43 |
| 03176 | Percutaneous cordotomy | 4 | $984.04 |
| 03361 | Percutaneous discectomy | 3 | $270.75 |
| 03302 | Percutaneous fluoroscopically controlled insertion of spinal stimulator electrode for chronic pain (operation only) | 2 | $353.75 |
| 03185 | Postero-lateral microsurgical thoracic discectomy | 8 | $1,915.56 |
| 03367 | Removal of spinal instrumentation | 5 | $863.50 |
| 03307 | Removal of spinal/brain stimulator system | 3 | $400.79 |
| 03166 | Removal of thoracic disc | 8 | $2,349.45 |
| 03175 | Repair of meningocoele or encephalocoele | 6 | $1,001.39 |
| 03231 | Repair of spinal csf leak or pseudomeningocoele | 5 | $698.96 |
| 03218 | Replacement of spinal subarachnoid catheter access device with infusion pump for spinal subarachnoid infusion (operation only) | 3 | $462.00 |
| 03306 | Revision of spinal/cranial stimulator pulse generator | 3 | $605.71 |
| 03151 | Stereotaxic surgery | 5 | $791.17 |
| 03174 | Trans-thoracic or trans-abdominal removal of thoracic disc; team procedure - neurosurgeon | 8 | $1,239.79 |
Spine and Pelvis |
|||
| 08548 | Myelogram and/or posterior fossa positive contrast | 0 | $104.61 |
| 08544 | Pelvis x-ray | 0 | $35.32 |
| 08547 | Pelvis x-ray and additional views | 0 | $42.28 |
| 08545 | Sacro-iliac joint x-ray | 0 | $35.32 |
| 08546 | Scoliosis film | 0 | $46.22 |
| 08540 | Spine and pelvis x-ray - cervical | 0 | $42.28 |
| 08542 | Spine and pelvis x-ray - lumbar | 0 | $53.41 |
| 08543 | Spine and pelvis x-ray - sacrum and coccyx | 0 | $35.32 |
| 08541 | Spine and pelvis x-ray - thoracic | 0 | $35.32 |
| 08549 | Spine, x-ray requested additional | 0 | $33.26 |
Stomach |
|||
| 07633 | Closure of gastrojejunocolic fistula | 5 | $1,140.06 |
| 70649 | Fistula - gastrocolic | 5 | $786.78 |
| 70628 | Gastrectomy - reconstruction - roux-en-y - open | 6 | $1,700.00 |
| 70627 | Gastrectomy - total - open | 6 | $1,700.00 |
| 07623 | Gastrectomy revision after previous gastrectomy | 7 | $1,217.37 |
| 70629 | Gastrectomy with formation/intestinal pouch - open | 6 | $1,700.00 |
| 72729 | Gastrectomy, total: with pouch - laparoscopic | 6 | $2,000.00 |
| 72728 | Gastrectomy, total: with roux-en-y reconstruction | 6 | $2,000.00 |
| 72727 | Gastrectomy,total:oesophagoenterostomy-laparoscop | 6 | $2,000.00 |
| 70645 | Gastric restrict procedure/revision/reversal/open | 7 | $1,617.25 |
| 70642 | Gastric restrictive procedure | 7 | $1,015.07 |
| 72743 | Gastric restrictive procedure - laparoscopic | 7 | $1,415.75 |
| 70643 | Gastric restrictive procedure/bypass - open | 7 | $1,600.00 |
| 70644 | Gastric restrictive procedure/small bowel reconstr | 7 | $929.80 |
| 72737 | Gastrojejunostomy - laparoscopic | 5 | $634.10 |
| 07627 | Gastrojejunostomy - open | 5 | $558.30 |
| 70646 | Gastrostomy - closure - surgical | 4 | $402.23 |
| 07630 | Gastrostomy - open | 5 | $456.79 |
| 70641 | Gastrotomy - laparoscopic | 6 | $750.00 |
| 07632 | Gastrotomy, open | 6 | $750.00 |
| 72739 | Laparoscopic vertical sleeve gastrectomy | 7 | $1,105.07 |
| 70626 | Limited/wedge excision malignant tum-stomach-open | 6 | $653.95 |
| 33394 | Peg procedure-assistant's fee | 0 | $112.47 |
| 07626 | Pyloroplasty | 5 | $402.23 |
| 72723 | Revision gastrectomy/after prv gastrectomy lap | 7 | $1,521.68 |
| 72775 | Revision/reversal of gastric restrictive procedure | 7 | $1,700.00 |
| 70637 | Tube change - gastrostomy | 2 | $45.46 |
Stomach Excision |
|||
| 72626 | Hemicolectomy - left - open | 6 | $960.62 |
| 72726 | Limited/wedge excision - malignant tumour stomach | 6 | $817.44 |
| 72725 | Limited/wedge excision - ulcer or benign tumour | 6 | $715.27 |
| 70625 | Limited/wedge excision-ulcer or benign tum stomach | 6 | $572.21 |
Stomach Incision |
|||
| 70620 | Gastrotomy | 5 | $505.35 |
| 70621 | Gastrotomy with suture repair of bleeding ulcer | 6 | $674.39 |
| 70622 | Gastrotomy-suture repair oesophagogastric lacer. | 6 | $702.47 |
| 70624 | Pyloromyotomy, cutting of pyloric muscle | 5 | $505.35 |
Stomach Partial Gastrectomy (Distal) |
|||
| 70635 | Gastrectomy - proximal - open | 6 | $1,202.67 |
| 07624 | Gastrectomy emergency for continued haemorrhage | 7 | $1,200.00 |
| 70632 | Gastrectomy partial/distal reconstruction-roux-en | 6 | $1,200.00 |
| 70630 | Gastrectomy partial/distal with gastroduodenostomy | 6 | $1,100.00 |
| 70631 | Gastrectomy partial/distal/gastrojejunostomy-open | 6 | $1,100.00 |
| 70633 | Gastrectomy, partial, distal-intestinal pouch-open | 6 | $1,300.00 |
| 72733 | Gastrectomy, partial, with pouch - laparoscopic | 6 | $1,379.45 |
| 72730 | Gastrectomy,partial,distal(billroth i)laparoscopic | 6 | $1,226.17 |
| 72731 | Gastrectomy,partial,distal(billroth ii)laparoscope | 6 | $1,226.17 |
| 72732 | Gastrectomy,partial,distal/roux-en-y-laparoscopic | 6 | $1,277.23 |
| 07628 | Gastrojejunostomy or pyloroplasty | 5 | $636.64 |
| 72735 | Proximal gastrectomy - laparoscopic | 6 | $1,503.32 |
| 07578 | Vagotomy - highly selective | 5 | $636.64 |
| 70634 | Vagotomy (extra) | 0 | $63.86 |
Superficial Issues |
|||
| 07041 | Abdomen aspiration/chest | 2 | $76.01 |
| 07027 | Abscess - deep - general anaesthetic | 2 | $203.59 |
| 07059 | Abscess - deep - local/regional anesthesia | 2 | $81.46 |
| 07061 | Abscess - deep, post operative wound infection under general anesthesia | 2 | $203.37 |
| 70084 | Abscess - pilonidal cyst/sinus - incision/drainage | 2 | $101.36 |
| 06028 | Abscess - web space operation only | 2 | $254.92 |
| 06029 | Abscess - web space under general anaesthetic | 2 | $290.00 |
| 07045 | Anterior closed space abscess - op only | 2 | $101.44 |
| 70023 | Exc biopsy of lymph gland for susp malig - neck | 3 | $203.62 |
| 70025 | Exc biopsy of lymph glands for susp malig - groin | 2 | $203.37 |
| 70024 | Exc biopsy of lymph glands for susp malig -axilla | 2 | $237.34 |
| 07053 | Exc of nail bed, complete, w/shortening of phalanx | 2 | $137.99 |
| 06166 | Excision of axillary sweat gland for hyperhydrosis | 4 | $325.14 |
| 07055 | Ganglia - wrist | 2 | $202.23 |
| 07072 | Hydradenitis suppurativa excision - axillary | 2 | $250.00 |
| 07075 | Hydradenitis suppurativa excision - inguinal | 2 | $250.00 |
| 07076 | Hydradenitis suppurativa excision - perianal | 2 | $250.00 |
| 07082 | Hydradenitis suppurativa excision - perineal | 2 | $250.00 |
| 07685 | Pilonidal cysts or sinus - excision or marsupialization | 2 | $277.43 |
| 06063 | Removal of foreign body requiring ga | 2 | $250.72 |
| 06018 | Removal of tumor - more than 10 cm | 2 | $447.40 |
| 06016 | Removal of tumor or scar under ga, up to 5 cm | 2 | $126.26 |
| 06017 | Removal of tumour; 5 cm to 10 cm | 2 | $258.91 |
| 07028 | Sural nerve - biopsy of | 2 | $177.27 |
| 07025 | Temporal artery biopsy | 2 | $140.69 |
| 07073 | Tenotomy congenital torticollis | 3 | $304.16 |
| 07074 | Tenotomy resection of tendon | 3 | $257.99 |
Supervision of Labour Epidural Analgesia |
|||
| 01047 | Medical supervision / labour epidural analgesia / day | 0 | $9.57 |
| 01048 | Medical supervision of labour epidural analgesia - evening / weekends / stat holidays, per 5 mins | 0 | $14.38 |
| 01049 | Medical supervision of labour epidural analgesia - night, per 5 mins | 0 | $19.16 |
Surgical Assistance |
|||
| 70019 | Certified surgical assist | 0 | $256.63 |
| 70020 | Certified surgical assist - time from 1-3 hours | 0 | $32.23 |
Surgical Assistant |
|||
| 51194 | First surgical assist of the day-orthopedics | 0 | $76.71 |
Surgical Assistant Or Second Operator |
|||
| 13052 | Anaes. evaluation - non-certified anaesthetist | 0 | $55.93 |
| 13194 | Gp first surgical assist of the day | 0 | $89.09 |
| 00193 | Non-cvt cert. surgical assist @ open heart surgery | 0 | $30.89 |
| 00196 | Surgical assist $317.01 to 529.00 inclusive | 0 | $189.24 |
| 00198 | Surgical assist time after 3 hrs - per 15 mins | 0 | $28.52 |
| 00195 | Surgical assist-less than $317.00 inclusive | 0 | $134.22 |
| 00197 | Surgical assistance - operations over $529.00 | 0 | $261.76 |
Surgical Fee Modifiers |
|||
| 07003 | Bmi surgical surcharge @ 25% of surgical fee to a maximum of | 0 | $2,008.00 |
| 04718 | Care of complex antepartum patient prior to trnsfr | 0 | $280.53 |
| 04711 | Gynecological certified surg assist,time 1-3 hours | 0 | $26.92 |
| 04710 | Gynecological certified surgical assist-up to 1 hr | 0 | $257.92 |
| 04712 | Gynecological surgical assistant(cert/second) >3hr | 0 | $28.15 |
| 04719 | Gynecology surgical surcharge patient 75yr + older | 0 | $85.00 |
| 04713 | Laparoscopic hysterectomy second surgical assistnt | 0 | $246.10 |
| 04716 | Obstetrical surcharge therapeutic abortion,14-18wk | 0 | $61.48 |
| 04715 | Obstetrical surcharge trerapeutic abortion >18 wks | 0 | $81.97 |
| 04717 | Prenatal office visit -complex obstetrical patient | 0 | $46.89 |
| 04708 | Prolonged laparoscopic surgery, per 15 min (extra) | 0 | $71.72 |
| 04714 | Prolonged surgery-open procedure, per 15 min(extra | 0 | $71.72 |
| 07001 | Surgical surcharge (age 75+) | 0 | $85.00 |
Surgical Fees - Cataract / Lens |
|||
| 22191 | Cataract - capsulotomy (needling or discission) - isolated procedure | 0 | $208.26 |
| 02188 | Cataract linear extraction, congenital, traumatic | 0 | $279.16 |
| 22188 | Pediatric cataract extraction-ages 0-7 years | 0 | $1,122.62 |
| 22189 | Pediatric cataract extraction-ages 8-16 years | 0 | $748.41 |
| 02190 | Primary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period - extra | 0 | $73.47 |
| 02192 | Secondary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period | 0 | $481.75 |
| 02196 | Surgical repositioning of implant lens | 0 | $225.87 |
Surgical Fees - Cornea and Sclera |
|||
| 02167 | Cautery or cryotherapy of corneal ulcer | 3 | $31.83 |
| 22172 | Complicated pterygium excision (re-operation) or cancer excision, with mucous membrane graft | 4 | $604.99 |
| 02172 | Gunderson-type flap | 3 | $294.05 |
| 02168 | Keratoplasty - complicated re-operation | 4 | $956.76 |
| 02173 | Keratoplasty - lamellar | 3 | $850.60 |
| 02175 | Keratoplasty - penetrating | 4 | $851.47 |
| 22171 | Pterygium excision with mucous membrane graft | 4 | $420.13 |
| 02171 | Pterygium or limbus tumour excision | 3 | $126.95 |
| 02169 | Suture of cornea/sclera (complicated) | 4 | $701.33 |
| 02174 | Suture of cornea/sclera (simple) | 4 | $309.98 |
| 22169 | Suture removal at slit lamp following keratoplasty | 4 | $22.15 |
Surgical Fees - Eye Muscles |
|||
| 22166 | Adjustable suture fee - extra to strabismus | 0 | $176.44 |
| 22167 | Prism adaptation and/or amblyopia therapy | 0 | $138.39 |
| 02161 | Strabismus (1 or 2 muscles) | 3 | $374.20 |
| 02162 | Strabismus (3 or more muscles) | 3 | $529.31 |
| 22165 | Strabismus (5 or more muscles) | 4 | $764.54 |
| 02163 | Strabismus (complicated re-operation) | 4 | $588.12 |
Surgical Fees - Eyelids |
|||
| 02150 | Chalazion removal | 3 | $78.90 |
| 02148 | Cryotherapy of eyelids for trichiasis or tumour | 3 | $117.64 |
| 02154 | Ectropion/entropian - complicated | 3 | $334.98 |
| 02153 | Ectropion/entropian - ziegler or simple procedure | 3 | $56.35 |
| 02156 | Excision of tumour of eyelid margin or conjunctiva benign (operation only) | 3 | $88.57 |
| 02157 | Eyelid tumour - benign - excision | 3 | $38.32 |
| 02158 | Fasanella-servat procedure | 3 | $265.00 |
| 02100 | Graded muellerectomy with levator recession under local anesthesiology | 3 | $470.48 |
| 02166 | Lid elevation & scleral graft | 3 | $470.48 |
| 02104 | Major lid reconstruction (one or two stage) | 3 | $882.17 |
| 02149 | Meibomian gland evacuation | 0 | $22.36 |
| 02106 | Microscopic repair of trichiasis including muscular graft or mucosal membrane graft | 3 | $582.57 |
| 02103 | Minor lid repair (operation only) | 3 | $88.57 |
| 02159 | Ptosis repair - frontalis sling using autologous material | 3 | $547.30 |
| 02155 | Ptosis repair - frontalis sling using synthetic material | 3 | $294.05 |
| 02160 | Ptosis repair (levator resection) | 3 | $537.77 |
| 02107 | Repair of eyelid margin defect, requiring layered closure | 3 | $352.88 |
| 02152 | Tarsorrhaphy | 3 | $116.92 |
| 02147 | Trichiasis - electric | 3 | $64.38 |
| 02146 | Trichiasis - epilation (forceps) | 3 | $22.36 |
| 02105 | Two-stage reconstruction with micrographic tumour excision | 3 | $1,470.29 |
Surgical Fees - Glaucoma / Iris / Anterior Chamber |
|||
| 22187 | Glaucoma - complicated trabeculectomy | 4 | $939.34 |
| 22185 | Glaucoma - cycloablative procedures | 4 | $309.98 |
| 02184 | Glaucoma - cyclodialysis | 4 | $334.98 |
| 02187 | Glaucoma - filtering procedure, microscopic | 4 | $644.24 |
| 02178 | Glaucoma - filtering procedure, non-microscopic | 4 | $598.26 |
| 02180 | Glaucoma - goniotomy | 4 | $543.84 |
| 02183 | Glaucoma - goniotomy repeat within 3 months | 4 | $225.87 |
| 02177 | Glaucoma - peripheral iridectomy(isolated proced.) | 4 | $345.26 |
| 02189 | Iridocyclectomy via scleral flap dissection | 4 | $631.00 |
| 22070 | Molteno implant (includes phase 1 and phase 2) | 5 | $1,072.16 |
| 02176 | Sclerotomy - posterior with or without insufflation of gas - isolated procedure | 4 | $131.46 |
| 02197 | Surgical evacuation of a hyphema | 4 | $518.72 |
Surgical Fees - Lacrimal Apparatus |
|||
| 02112 | Dacryocystectomy (complex) | 4 | $1,058.61 |
| 02126 | Dacryocystorhinostomy | 3 | $560.17 |
| 02119 | Dacryocystostomy (la) | 3 | $35.29 |
| 02122 | Duct probing - under local anesthesia (operation only) | 3 | $25.54 |
| 22121 | Duct probing under ga - unilateral or bilateral | 3 | $176.44 |
| 02129 | Insertion of lester jones tube | 3 | $423.43 |
| 02123 | Insertion of quickert tube | 3 | $206.18 |
| 02111 | Lacrimal gland micro-dissection | 6 | $1,119.48 |
| 02120 | Punctum dilation and syringing sac | 3 | $25.54 |
| 02127 | Repair of canaliculi | 3 | $494.00 |
| 02118 | Two or three snip procedure | 3 | $47.95 |
Surgical Fees - Laser Procedures |
|||
| 22115 | Capsulotomy - yag laser, per eye | 4 | $106.44 |
| 02072 | Laser interferometry | 4 | $32.49 |
| 22113 | Laser iridotomy per eye | 4 | $117.64 |
| 22114 | Laser trabeculoplasty per eye | 4 | $128.40 |
| 02116 | Panretinal photocoagulation - > 700 burns max. | 4 | $524.72 |
| 22125 | Photodynamic thrpy for age-rltd wet macular degene - professional fee | 0 | $279.77 |
| 22118 | Post-laser follow-up | 0 | $33.20 |
| 22116 | Retinal photocoagulation - left | 4 | $128.40 |
| 22117 | Retinal photocoagulation - right | 4 | $128.40 |
| 00094 | Yag laser tray service fee | 0 | $65.66 |
Surgical Fees - Orbit |
|||
| 02144 | Aspiration needle biopsy of orbit under scan | 3 | $135.62 |
| 22136 | Biopsy or excision of anterior orbital tumour | 4 | $352.88 |
| 02133 | Enucleation or evisceration | 4 | $529.70 |
| 02134 | Orbit - enucleation with complicated implant | 4 | $776.31 |
| 02135 | Orbit - exenteration of | 4 | $1,008.31 |
| 22142 | Orbital decompression - (2 wall) | 6 | $980.91 |
| 22141 | Orbital decompression - (1 wall) | 6 | $635.16 |
| 22143 | Orbital decompression - (3 wall) | 6 | $1,411.49 |
| 02145 | Orbital exenteration with en bloc resection of bony orbital walls - ophthalmologist | 7 | $1,679.65 |
| 22140 | Orbital exploration (posterior route) - to biopsy posterior orbital tumour or to fenestrate optic nerve sheath | 6 | $1,129.17 |
| 02101 | Orbitotomy - posterior, microdissection | 7 | $1,764.34 |
| 22138 | Posterior orbitotomy for removal of posterior orbital tumour not involving the orbital apex or optic nerve | 6 | $1,411.49 |
| 02132 | Retrobulbar injection | 2 | $90.93 |
Surgical Fees - Special Therapy |
|||
| 02108 | Beta radiation | 0 | $20.74 |
| 02073 | Botulinum toxin injection for blepharospasm | 0 | $136.66 |
| 02075 | Botulinum toxin injection for entropion | 0 | $74.69 |
| 02076 | Botulinum toxin injection for strabismus | 0 | $207.99 |
| 02110 | Radioactive plaque | 5 | $1,002.34 |
| 02109 | Subconjunctival injection | 0 | $22.36 |
Surgical Procedures |
|||
| 77177 | Abdominal aortic aneurysm repair | 9 | $1,397.15 |
| 77354 | Percutaneous endovascular aortic /trunk-suture | 9 | $845.95 |
| 77353 | Percutaneous endovascular aortic valve - graft | 6 | $724.93 |
| 77352 | Percutaneous endovascular aortic valve implant | 6 | $563.58 |
| 77355 | Percutaneous endovascular aortic/trunk-graft | 9 | $1,128.31 |
Surgical Procedures and Repairs |
|||
| 20231 | Biopsy, not sutured | 0 | $26.85 |
| 20232 | Biopsy, not sutured, multiple same sitting extra | 0 | $13.42 |
| 20310 | Biopsy, not sutured, multiple same sitting extra | 0 | $78.71 |
| 20314 | Biopsy, not sutured, multiple same sitting extra | 0 | $40.65 |
| 06069 | Excision of tumor or small scar - face | 2 | $88.03 |
| 06041 | Full thickness free skin grafts; eyelid/nose/lip | 2 | $349.88 |
| 06146 | Lip shave - vermillionectomy | 3 | $399.13 |
| 00225 | Mohs microscopically controlled excision-initial cut, including debulking | 0 | $346.71 |
| 00226 | Mohs microscopically controlled excision-one or more additional cuts, extra | 0 | $300.32 |
| 00227 | Mohs microscopically controlled excision-special overhead and technical component, extra | 0 | $323.29 |
| 06024 | Skin graft; eyebrow/eyelid, lip, ear, nose single | 3 | $291.77 |
| 06020 | Skin grafts - single | 2 | $321.04 |
| 06019 | Skin grafts - single or multiple flaps < 2cm | 2 | $156.57 |
Suture of Lacerations and Minor Traumatic Wounds |
|||
| 61308 | Coordination of anesthetic svcs-for laceration ext | 2 | $203.77 |
| 61305 | Wounds-10.1 to 15cm-face(bleeders &/or layered clo | 2 | $356.60 |
| 61304 | Wounds-10.1 to 15cm-other than face, simple closur | 2 | $285.29 |
| 61307 | Wounds-15.1cm or more-face(bleeders &/or layered | 2 | $407.55 |
| 61306 | Wounds-15.1cm or more-other than face, simple clos | 2 | $305.66 |
| 61303 | Wounds-5.1 to 10cm-face(bleeders &/or layered clos | 2 | $254.72 |
| 61302 | Wounds-5.1 to 10cm-other than face, simple closure | 2 | $244.52 |
| 61301 | Wounds-up to 5cm-face(bleeders &/or layered closur | 2 | $203.77 |
| 61300 | Wounds-up to 5cm-other than face, simple closure | 2 | $137.54 |
Sympathectomy |
|||
| 77422 | Cervical sympathectomy - unilateral | 5 | $501.87 |
| 77430 | Lumbar sympathectomy - bilateral (extra) | 0 | $248.26 |
| 77420 | Lumbar sympathectomy - unilateral | 4 | $371.15 |
| 77428 | Lumbar sympathectomy - unilateral (extra) | 3 | $124.12 |
| 77426 | Lumbo-dorsal sympathectomy & splanchnic neurectomy | 7 | $458.38 |
| 77424 | Preganglionic sympathectomy; upper dorsal region | 7 | $458.38 |
Tattooing Surgery (for haemangiomata, vitiligo, lentigines, etc.) |
|||
| 06200 | Tattooing surgery facial area - < 1/4 of face | 3 | $114.69 |
| 06201 | Tattooing surgery facial area - 1/4 to 1/2 face | 3 | $235.39 |
| 06202 | Tattooing surgery facial area - full face | 4 | $353.91 |
| 06205 | Tattooing surgery non-facial area - < 6.5 sq. cm | 2 | $59.75 |
| 06206 | Tattooing surgery non-facial area - < 65 sq. cm | 2 | $118.31 |
| 06207 | Tattooing surgery non-facial area - < 650 sq. cm | 2 | $235.39 |
Telehealth |
|||
| 13338 | Community based gp,1st fac visit of day bonus,extr | 0 | $49.84 |
| 13236 | Telehealth GP Consultation (age 0-1) | 0 | $85.40 |
| 13436 | Telehealth GP Consultation (age 2-49) | 0 | $77.63 |
| 13536 | Telehealth GP Consultation (age 50-59) | 0 | $84.87 |
| 13636 | Telehealth GP Consultation (age 60-69) | 0 | $89.28 |
| 13736 | Telehealth GP Consultation (age 70-79) | 0 | $100.91 |
| 13836 | Telehealth GP Consultation (age 80+) | 0 | $116.11 |
| 13238 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 0-1) | 0 | $62.43 |
| 13438 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 2-49) | 0 | $56.76 |
| 13538 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 50-59) | 0 | $62.05 |
| 13638 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 60-69) | 0 | $65.26 |
| 13738 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 70-79) | 0 | $73.77 |
| 13838 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 80+) | 0 | $85.12 |
| 13237 | Telehealth GP Visit (age 0-1) | 0 | $34.90 |
| 13437 | Telehealth GP Visit (age 2-49) | 0 | $31.72 |
| 13537 | Telehealth GP Visit (age 50-59) | 0 | $31.72 |
| 13637 | Telehealth GP Visit (age 60-69) | 0 | $36.47 |
| 13737 | Telehealth GP Visit (age 70-79) | 0 | $41.22 |
| 13837 | Telehealth GP Visit (age 80+) | 0 | $47.59 |
Telehealth Service with Direct Interactive Video Link With the Patient |
|||
| 94070 | Telehealth consult - laboratory medicine | 0 | $148.82 |
| 79210 | Telehealth consultation - thoracic surgery | 0 | $145.41 |
| 32110 | Telehealth consultation-respirology | 0 | $229.31 |
| 94076 | Telehealth directive care - laboratory medicine | 0 | $31.44 |
| 79212 | Telehealth repeat or limited consult - thoracic | 0 | $65.45 |
| 94072 | Telehealth repeat or limited consult-lab medicine | 0 | $82.69 |
| 79208 | Telehealth subsequent hosp visit thoracic surgery | 0 | $24.75 |
| 94078 | Telehealth subsequent hospital visit-lab medicine | 0 | $32.04 |
| 94077 | Telehealth subsequent office visit - lab medicine | 0 | $32.15 |
| 79207 | Telehealth subsequent office visit thoracic surg | 0 | $29.03 |
| 32108 | Telehealth subsequent visit, hospital-respirology | 0 | $68.07 |
| 32107 | Telehealth subsequent visit, office-respirology | 0 | $76.09 |
| 32112 | Telehealth-consultation-limited-respirology | 0 | $123.59 |
| 32106 | Telehealth-directive care-respirology | 0 | $75.08 |
| 32114 | Telehealth-prolonged visit/counselling-respirology | 0 | $84.10 |
Tenotomy |
|||
| 06176 | Digital transplant | 5 | $952.71 |
| 61368 | Extensor - primary or secondary repair - first ten | 2 | $237.02 |
| 61369 | Extensor - second to sixth tendon repair (extra) | 2 | $118.51 |
| 61371 | Extensor - twelfth and over tendon repair (extra) | 2 | $29.62 |
| 61370 | Extensor -seventh to eleventh tendon repair(extra) | 2 | $59.24 |
| 61364 | Flexor - second to sixth tendon repair (extra) | 2 | $188.53 |
| 61365 | Flexor - seventh to eleventh tendon repair (extra) | 2 | $94.27 |
| 61366 | Flexor - twelfth and over tendon repair (extra) | 2 | $47.14 |
| 61363 | Flexor-primary or secondary repair - first tendon | 2 | $377.06 |
| 61230 | Needle aponeurectomy - dupuytren's diseasec | 0 | $151.13 |
| 06193 | Palmar fasciectomy - extensive | 2 | $433.71 |
| 06194 | Palmar fasciectomy - with skin grafting | 2 | $561.51 |
| 06175 | Pollicization | 4 | $1,150.59 |
| 06195 | Silastic rod prior to tendon grafting | 3 | $462.17 |
| 06185 | Tendon graft | 2 | $705.63 |
| 06203 | Tendon transfer hand and wrist | 2 | $448.72 |
| 06204 | Tendon transfer hand and wrist - each additional | 2 | $163.48 |
| 06188 | Tenolysis | 2 | $392.14 |
| 06189 | Tenolysis - each additional | 2 | $145.44 |
| 06186 | Tenoplasty - one tendon | 2 | $231.62 |
| 06187 | Tenoplasty - two or more tendons | 2 | $377.06 |
Testis |
|||
| 08323 | Exploration scrotal contents - unilateral | 2 | $243.25 |
| 08324 | Explore undescended testicle, without orchidopexy | 2 | $262.17 |
| 08354 | Lymphadenectomy-retroperitoneal, post chemotherapy | 4 | $2,319.68 |
| 08330 | Orchidectomy - inguinal approach | 2 | $341.58 |
| 08329 | Orchidectomy - simple | 2 | $242.52 |
| 08322 | Orchidopexy - one or two stages | 2 | $389.50 |
| 08325 | Reduction of torsion of testis and spermatic cord repair - bilateral | 2 | $407.86 |
| 08349 | Retroperitoneal lymphadenectomy for ca of testis | 4 | $2,039.27 |
| 08326 | Testicle - ruptured -repair | 2 | $406.85 |
| 08328 | Testis - recurrent undescended | 2 | $509.23 |
| 08327 | Testis-biopsy | 2 | $151.50 |
Therapeutic Procedures |
|||
| 09880 | Hyperthyroidism or cardiac disease, iodine therapy | 0 | $392.02 |
| 09890 | Joint injection with isotope-therapeutic | 0 | $759.17 |
| 09884 | Metastatic carcinoma of bone, treatment | 0 | $300.25 |
| 09881 | Polycythaemia vera with p32 | 0 | $231.35 |
| 09883 | Prostate cancer-charge per course of treatment | 0 | $467.28 |
| 09882 | Thyroid cancer-charge per course of treatment | 0 | $509.49 |
Therapeutic Procedures Utilizing Radiological Equipment |
|||
| 00982 | Angioplasty, percutaneous transluminal | 2 | $405.54 |
| 00977 | Antegrade pyelogram | 2 | $106.23 |
| 00738 | Biliary calculi - removal by burhenne technique | 4 | $206.05 |
| 10913 | Cerebral arterial balloon occlusion tolerance test | 5 | $798.88 |
| 10905 | Cerebral intra-arterial thrombolysis | 5 | $1,312.16 |
| 10917 | Complex diagnostic neuroangiography after 4 hours | 0 | $293.72 |
| 10916 | Complex diagnostic neuroangiography for the assess | 5 | $1,174.82 |
| 00997 | Detachable balloon embolization | 3 | $1,312.16 |
| 10922 | Embolization mgmtof epistaxis w/o vascular lesion | 3 | $628.08 |
| 00995 | Embolization of brain and spinal cord avm's | 3 | $2,098.46 |
| 00998 | Embolization of head, neck and spinal vascular | 3 | $1,618.27 |
| 00981 | Embolization, therapeutic radiological | 3 | $425.44 |
| 10915 | Endovascular obliteration of aneurysms using gugli | 7 | $1,997.22 |
| 00984 | Exchange of previously inserted cath. or dilator | 2 | $126.89 |
| 00994 | Extra-corp. shock wave biliary lithotripsy | 4 | $167.11 |
| 00989 | Extra-corporeal shock wave lithotripsy | 4 | $136.64 |
| 10907 | Image-guide percutaneous vertebroplasty-each add. | 4 | $84.25 |
| 10906 | Image-guided percutaneous vertebroplasty-1st level | 4 | $365.04 |
| 10920 | Intracorporeal stent placement-extra | 0 | $129.56 |
| 10919 | Intravascular stent placement-extra | 0 | $129.56 |
| 00983 | Percutaneous abdominal abscess drainage | 2 | $277.00 |
| 10914 | Percutaneous balloon angioplasty for cerebral | 9 | $1,026.79 |
| 10903 | Percutaneous hemodialysis graft thrombolysis | 2 | $589.66 |
| 10908 | Percutaneous image-guid tumour ablation-1st lesion | 3 | $530.20 |
| 10901 | Percutaneous image-guided catheter directed thromb | 2 | $589.66 |
| 10909 | Percutaneous intravascular/intracorporeal medical | 3 | $393.12 |
| 00978 | Percutaneous nephrostomy, procedural fee | 2 | $301.15 |
| 00979 | Percutaneous nephrostomy, with dilatation | 2 | $401.45 |
| 10918 | Percutaneous sclerotherapy of head and neck vascul | 6 | $469.94 |
| 10904 | Percutaneous transcatheter arterial chemo-emboliz | 3 | $589.66 |
| 10902 | Peripherally inserted image-guided central venous | 2 | $112.32 |
| 00746 | Reduction of intussusception using hydrostatic | 4 | $97.49 |
| 10911 | Selective salpingography/fallopian tube recanaliza | 2 | $393.12 |
| 00980 | Transhepatic biliary drainage, radiological | 3 | $425.44 |
| 10921 | Transjugular intrahepatic porto-systemic shunt(tip | 8 | $1,113.42 |
| 10912 | Transjugular liver/renal biopsy | 2 | $393.12 |
| 00921 | Varicocele +/or uterine artery embolization unilat | 3 | $464.98 |
| 00925 | Varicocele and/or uterine artery embolization | 3 | $674.52 |
Thoracic Procedures |
|||
| 10761 | Esophagogastroduodenoscopy (egd) | 3 | $89.73 |
| 10763 | Initial esophageal, gastric or duodenal biopsy | 3 | $29.06 |
| 00710 | Mediastinoscopy or anterior mediastinotomy | 4 | $196.39 |
| 10764 | Multiple biopsies for differential diagnoses | 3 | $43.58 |
| 00818 | Oesophageal ph study - professional fee | 0 | $41.00 |
| 00817 | Oesophageal ph study - technical fee | 0 | $13.00 |
| 00797 | Oesophageal, motility test | 0 | $176.15 |
| 00798 | Oesophageal, motility test - professional fee | 0 | $101.79 |
| 00788 | Oesophageal, motility test - technical fee | 0 | $74.35 |
Thoracolumbar Decompression Procedures |
|||
| 03372 | Posterior lumbar interspinous/interlaminar stabilization/instrumentation - multiple level | 0 | $403.00 |
| 03371 | Posterior lumbar interspinous/interlaminar stabilization/instrumentation - single level | 0 | $201.50 |
| 03366 | Thoracolumbar | 8 | $1,904.58 |
| 03374 | Thoracolumbar spinal fusion (6+ hours) - multiple level | 0 | $604.50 |
| 03373 | Thoracolumbar spinal fusion (6+ hours) - single level | 0 | $403.00 |
| 03364 | Thoracolumbar- includes decompression | 8 | $1,442.43 |
Thoracolumbar - Instrumented Procedures |
|||
| 03359 | Orif with segmental fixation alone. | 7 | $1,307.07 |
| 03360 | Orif with segmental fixation and decompression. | 7 | $1,577.82 |
| 03356 | Posterior instrumentation and fusion - adult | 7 | $1,769.22 |
| 03357 | Posterior instrumentation and fusion - pediatric | 7 | $1,442.43 |
| 03352 | Thoracolumbar | 8 | $1,442.43 |
| 03350 | Thoracolumbar - approach and stabilization alone (with neurosurgeon). | 8 | $952.30 |
| 03351 | Thoracolumbar - instrumentation with anterior release or vertebrectomy. | 8 | $2,449.42 |
| 03346 | Thoracolumbar - segmental instrumentation and fusion with decompression - multiple levels . | 7 | $2,411.31 |
| 03345 | Thoracolumbar - segmental instrumentation and fusion with decompression - single level . | 7 | $2,058.13 |
| 03344 | Thoracolumbar - segmental instrumentation and spinal fusion | 7 | $1,251.05 |
| 03343 | Thoracolumbar - simple instrumentation (harrington or wires or screws, etc.). | 7 | $774.90 |
| 03353 | Thoracolumbar - with anterior instrumentation and correction. | 8 | $1,713.19 |
| 03342 | Thoracolumbar - without instrumentation | 5 | $490.15 |
| 03355 | Thoracolumbar spinal fusion | 7 | $3,526.25 |
| 03370 | Thoracolumbar spinal fusion (6+ hours) | 0 | $50.79 |
Thorax |
|||
| 08646 | Guided thoracentesis | 0 | $100.51 |
| 08645 | Thorax - b scan | 0 | $86.68 |
Throat |
|||
| 02443 | Adenoidectomy - 14 years and under | 4 | $158.22 |
| 02454 | Alveolectomy | 3 | $191.35 |
| 02436 | Arytenoid adduction | 5 | $812.06 |
| 02425 | Arytenoidectomy | 5 | $637.88 |
| 02440 | Bilateral micro-transposition of submandibular salivary ducts when done with or without a microscope | 4 | $338.35 |
| 02451 | Congenital cyst/fistula - excision, neck | 4 | $420.98 |
| 02408 | Removal of tumor from larynx or trachea | 5 | $191.35 |
| 02414 | Repair laryngo-tracheal stenosis - to include skin grafting, stenting, and associated endoscopy | 8 | $1,441.57 |
| 02418 | Repair of fractured larynx external approach | 8 | $829.22 |
| 02406 | Retropharyngeal abscess or hematoma - requiring lateral pharyngotomy | 6 | $315.73 |
| 02448 | Retropharyngeal abscess or hematoma-drainage under local anesthetic | 4 | $127.57 |
| 02441 | Standby fee- ent | 11 | $298.53 |
| 02410 | Thyrotomy | 5 | $510.30 |
| 02424 | Tracheoesophageal puncture and insertion of voice prosthesis following laryngectomy | 5 | $357.19 |
| 02438 | Trans-oral cricopharyngeal myotomy | 5 | $420.98 |
| 02409 | Uvulo-palato-pharyngoplasty for obstructive sleep apnea confirmed by polysomnogram, with or without tonsillectomy | 5 | $420.98 |
| 02434 | Vocal cord implant - external approach | 5 | $637.88 |
| 02433 | Vocal cord implant - injection | 5 | $318.91 |
Throat, Pharynx and Tonsils |
|||
| 02442 | Adenoidectomy - adult or child over 14 years | 4 | $128.81 |
| 02399 | Cryotherapy of tonsils and oral lesions | 3 | $114.81 |
| 02444 | Incision of peritonsillar abscess-general anaesthe | 6 | $128.81 |
| 02447 | Incision of peritonsillar abscess-local anaestheti | 4 | $95.00 |
| 02413 | Operative control of post-tonsillectomy or post-adenoidectomy haemorrhage requiring local or general anesthetic | 6 | $263.45 |
| 02445 | Tonsillectomy - over 14 years of age | 4 | $250.73 |
| 02403 | Tonsillectomy - under la | 4 | $257.70 |
| 02446 | Tonsillectomy -14 years and under(includes neonate | 4 | $224.46 |
Tibial, Ankle and Foot |
|||
| 57330 | Abrasion/debridement- tibial metaphysis/ankle/foot | 2 | $287.62 |
| 57373 | Accessory navicular - tibial metaphysis/ankle/foot | 2 | $242.74 |
| 57280 | Achilles tendon lengthening, percutaneous | 2 | $214.73 |
| 57981 | Amputation - midtarsal | 2 | $490.15 |
| 57998 | Amputation - open injury, primary wound care | 2 | $51.13 |
| 57999 | Amputation - open injury, secondary wound care | 2 | $93.37 |
| 57983 | Amputation - single metatarsal/ray resection | 2 | $354.78 |
| 57980 | Amputation - syme | 2 | $532.14 |
| 57984 | Amputation - toe | 2 | $186.72 |
| 57982 | Amputation - transmetatarsal | 2 | $406.12 |
| 57510 | Ankle instability - reconstruction | 2 | $380.44 |
| 57505 | Ankle instability: capsule/ligament repair | 2 | $242.74 |
| 11715 | Ankle joint - incision -diagnostic | 2 | $186.72 |
| 57225 | Ankle/foot joint - i&d w/ ga | 2 | $186.72 |
| 57812 | Arthrodesis - ankle joint | 3 | $718.88 |
| 57817 | Arthrodesis - interphangeal, single or multiple | 2 | $270.75 |
| 57816 | Arthrodesis - metatarsophalangeal | 2 | $352.44 |
| 57814 | Arthrodesis - midtarsal joint | 2 | $541.49 |
| 57811 | Arthrodesis - pantalar | 2 | $840.26 |
| 57813 | Arthrodesis - subtalar joint/triple | 2 | $717.01 |
| 57815 | Arthrodesis - tarso-metatarsal joints | 2 | $658.20 |
| 57810 | Arthrodesis - tibiocalcaneal | 2 | $597.51 |
| 11700 | Arthroscopy - ankle /subtalar joint | 2 | $186.72 |
| 11702 | Aspiration - ankle joint - bursa/tendon sheath, et | 2 | $23.23 |
| 57370 | Benign bone tumour - tibial/ankle/foot | 2 | $352.44 |
| 57365 | Benign soft tissue tumour - tibial/ankle/foot | 2 | $214.73 |
| 57651 | Bone grafting - distal tibia | 2 | $242.74 |
| 57652 | Bone grafting - malleolus, medial/lateral-tarsals | 2 | $149.38 |
| 57603 | Calcaneal osteotomy | 2 | $520.99 |
| 57375 | Excision - nail bed - ankle/foot/ga | 2 | $214.73 |
| 57671 | Excision arthroplasty great toe (keller's) | 2 | $270.75 |
| 57355 | Excision bursa - achilles | 2 | $214.73 |
| 57527 | Extensor tendon repair - ankle/foot - multiple/ga | 2 | $336.10 |
| 57526 | Extensor tendon repair - ankle/foot - single/ga | 2 | $242.74 |
| 57525 | Extensor tendon repair - ankle/foot/without ga | 2 | $121.36 |
| 57520 | Flexor tendon repair - ankle/foot, single/multi | 2 | $352.44 |
| 57701 | Frac/disloc ankle - closed reduc. w/ ga | 2 | $186.72 |
| 57702 | Frac/disloc ankle - external fixation | 2 | $490.15 |
| 57708 | Frac/disloc ankle - open - primary wound care | 2 | $102.26 |
| 57709 | Frac/disloc ankle - open - second. wound care | 2 | $186.72 |
| 57705 | Frac/disloc ankle - orif | 2 | $896.29 |
| 57713 | Frac/disloc ankle(malleolar) - closed red. ex fix | 2 | $270.75 |
| 57712 | Frac/disloc ankle(malleolar) - closed red. w/ ga | 2 | $270.75 |
| 57711 | Frac/disloc ankle(malleolar) - closed red. w/o ga | 2 | $93.37 |
| 57715 | Frac/disloc ankle(malleolar) - orif - one | 2 | $352.44 |
| 57716 | Frac/disloc ankle(malleolar) - orif - two or more | 2 | $406.12 |
| 57718 | Frac/disloc ankle(malleolar) - prim. wound care | 2 | $102.26 |
| 57719 | Frac/disloc ankle(malleolar) - second. wound care | 2 | $186.72 |
| 57354 | Ganglion - tibial metaphysis/ankle/foot | 2 | $214.73 |
| 57723 | Hindfoot/midfoot/lisfranc disloc - closed w/ fixat | 2 | $298.77 |
| 57722 | Hindfoot/midfoot/lisfranc disloc - closed w/ ga | 2 | $186.72 |
| 57721 | Hindfoot/midfoot/lisfranc disloc - closed w/o ga | 2 | $93.37 |
| 57725 | Hindfoot/midfoot/lisfranc disloc - open reduction | 2 | $475.56 |
| 57728 | Hindfoot/midfoot/lisfranc disloc - prim.wound care | 2 | $102.26 |
| 57729 | Hindfoot/midfoot/lisfranc disloc - sec.wound care | 2 | $186.72 |
| 57675 | Implant arthroplasty - metatarsal phalangeal joint | 2 | $298.77 |
| 57410 | Injection of bursa - tibial metaphysis/ankle/foot | 0 | $11.63 |
| 57405 | Injection of joint - tibial metaphysis/ankle/foot | 0 | $11.63 |
| 57793 | Interphalangeal disloc. - closed red. fixation | 2 | $270.75 |
| 57792 | Interphalangeal disloc. - closed red. w/ ga | 2 | $186.72 |
| 57791 | Interphalangeal disloc. - closed red. w/o ga | 2 | $46.68 |
| 57798 | Interphalangeal disloc. - open - prim.wound care | 2 | $51.13 |
| 57799 | Interphalangeal disloc. - open - sec.wound care | 2 | $93.37 |
| 57795 | Interphalangeal disloc. - open red. w/wo fixation | 2 | $298.77 |
| 57676 | Interphalangeal joint arthroplasty, single/multi | 2 | $270.75 |
| 57555 | Jones procedure- tibial metaphysis/ankle/foot | 2 | $326.77 |
| 57800 | Manipulation - ankle/foot w/ ga | 2 | $93.37 |
| 57761 | Metatarsal fracture - closed reduction, fixation | 2 | $270.75 |
| 57768 | Metatarsal fracture - open - primary wound care | 2 | $102.26 |
| 57769 | Metatarsal fracture - open - secondary wound care | 2 | $186.72 |
| 57765 | Metatarsal fracture - orif - one | 2 | $298.77 |
| 57766 | Metatarsal fracture - orif - two or more | 2 | $352.44 |
| 57672 | Metatarsal/phalangeal joint resection/reconstruct. | 2 | $298.77 |
| 57773 | Metatarso-phalangeal disloc. - closed red, fix | 2 | $214.73 |
| 57772 | Metatarso-phalangeal disloc. - closed red. w/ ga | 2 | $186.72 |
| 57778 | Metatarso-phalangeal disloc. - open - prim. wound | 2 | $102.26 |
| 57779 | Metatarso-phalangeal disloc. - open - sec. wound | 2 | $186.72 |
| 57775 | Metatarso-phalangeal disloc. - orif | 2 | $298.77 |
| 57771 | Metatarso-phalangeal disloc.- closed red. w/o ga | 2 | $93.37 |
| 11717 | Midtarsal joint - incision - diagnostic | 2 | $186.72 |
| 57604 | Midtarsal osteotomy | 2 | $597.51 |
| 57356 | Neuroma - tibial metaphysis/ankle/foot | 2 | $214.73 |
| 57733 | Os calcis fracture - closed reduction w/ fixation | 2 | $298.77 |
| 57732 | Os calcis fracture - closed reduction w/ ga | 2 | $186.72 |
| 57738 | Os calcis fracture - open - prim. wound care | 2 | $102.26 |
| 57739 | Os calcis fracture - open - sec. wound care | 2 | $186.72 |
| 57735 | Os calcis fracture - orif | 2 | $625.53 |
| 57380 | Osteomyelitis, acute- tibial metaphysis/ankle/foot | 2 | $186.72 |
| 57385 | Osteomyelitis,debridement- tibial/ankle/foot | 2 | $322.10 |
| 57673 | Osteotomy - distal metatarsal | 2 | $298.77 |
| 57606 | Osteotomy - open - phalanges | 2 | $242.74 |
| 57674 | Osteotomy - proximal metatarsal/distal realignment | 2 | $434.15 |
| 57601 | Osteotomy/malunion - distal tibial | 2 | $648.87 |
| 57602 | Osteotomy/malunion - malleolus | 2 | $434.15 |
| 57605 | Osteotomy/malunion - metatarsals | 2 | $352.44 |
| 57631 | Osteotomy/non-union - distal tibial | 2 | $541.49 |
| 57636 | Osteotomy/non-union - epiphysiodesis | 2 | $298.77 |
| 57632 | Osteotomy/non-union - malleolus, lateral/medial | 2 | $326.77 |
| 57634 | Osteotomy/non-union - metatarsals | 2 | $214.73 |
| 57635 | Osteotomy/non-union - phalanges (foot) | 2 | $214.73 |
| 57637 | Osteotomy/non-union - physeal bar excision | 2 | $406.12 |
| 57633 | Osteotomy/non-union - tarsals | 2 | $380.44 |
| 57781 | Phalangeal fracture - closed reduction, fixation | 2 | $270.75 |
| 57788 | Phalangeal fracture - open - prim. wound care | 2 | $51.13 |
| 57789 | Phalangeal fracture - open - sec. wound care | 2 | $93.37 |
| 57785 | Phalangeal fracture - orif | 2 | $298.77 |
| 57306 | Pinning/drilling fragments: tibial/ankle foot | 2 | $410.88 |
| 57270 | Plantar fascia: open release or partial excision | 2 | $270.75 |
| 57275 | Plantar fasciectomy - total | 2 | $406.12 |
| 57285 | Posterior hindfoot release | 2 | $434.15 |
| 57286 | Posteromedial release (club foot/vertical talus) | 2 | $718.88 |
| 57678 | Reconstruction - major forefoot | 2 | $595.16 |
| 57677 | Reconstruction - minor forefoot (lesser toes) | 2 | $380.44 |
| 57415 | Rem. of int. fix. dev(s) - ankle/foot w/ ga | 2 | $214.73 |
| 57420 | Rem. of int. fix. dev(s) - ankle/foot w/o ga | 2 | $46.68 |
| 57305 | Removal of loose body-tibial metaphysis/ankle/foot | 2 | $287.62 |
| 57535 | Repair/reconstruction - tendon sheath | 2 | $380.44 |
| 57372 | Sesamoidectomy - tibial metaphysis/ankle/foot | 2 | $242.74 |
| 11716 | Subtalar joint - incision - diagnostic | 2 | $186.72 |
| 57310 | Synovectomy - ankle, total | 2 | $462.24 |
| 57374 | Talectomy - tibial metaphysis/ankle/foot | 2 | $541.49 |
| 57741 | Talus fracture - closed reduction w/o ga | 2 | $93.37 |
| 57742 | Talus fracture - closed reduction w/ ga | 2 | $186.72 |
| 57743 | Talus fracture - closed reduction, fixation | 2 | $326.77 |
| 57748 | Talus fracture - open - prim. wound care | 2 | $102.26 |
| 57749 | Talus fracture - open - sec. wound care | 2 | $186.72 |
| 57745 | Talus fracture - orif | 2 | $487.81 |
| 57371 | Tarsal coalition - ankle/foot | 2 | $352.44 |
| 57752 | Tarsal fracture - closed reduction w/ ga | 2 | $186.72 |
| 57751 | Tarsal fracture - closed reduction w/o ga | 2 | $93.37 |
| 57753 | Tarsal fracture - closed reduction, fixation | 2 | $298.77 |
| 57758 | Tarsal fracture - open - prim. wound care | 2 | $102.26 |
| 57759 | Tarsal fracture - open - sec. wound care | 2 | $186.72 |
| 57755 | Tarsal fracture - orif | 2 | $326.77 |
| 11718 | Tarso-metatar/metatar-phalang/interphalang joints | 2 | $186.72 |
| 57515 | Tendo-achilles repair, acute (w/in 6 wks post-inj) | 2 | $352.44 |
| 57516 | Tendo-achilles repair, chronic (> 6 wks post-inj) | 2 | $541.49 |
| 57550 | Tendon transfer- tibial metaphysis/ankle/foot | 2 | $434.15 |
| 57215 | Tibial metaphysis/ankle/foot - i&d abscess w/ ga | 2 | $186.72 |
| 11730 | Tibial metaphysis/ankle/foot - needle biopsy w/ ga | 2 | $186.72 |
| 11745 | Tibial metaphysis/ankle/foot - open biopsy w/ ga | 2 | $242.74 |
| 57295 | Tibial metaphysis/ankle/foot - tenosynovectomy | 2 | $270.75 |
| 57290 | Tibial metaphysis/ankle/foot -tendon length.- open | 2 | $270.75 |
| 57260 | Tibial metaphysis/ankle/foot- faciotomy,compar syn | 2 | $214.73 |
| 57250 | Tibial metaphysis/ankle/foot-decomp/neurolys nerve | 2 | $298.77 |
| 57269 | Tibial metaphysis/ankle/foot-faciotomy,sec closure | 2 | $186.72 |
| 57220 | Tibial metaphysis/ankle/foot-hematoma drain. w/ ga | 2 | $298.77 |
| 57210 | Tibial metaphysis/ankle/foot: i&d bursa w/ ga | 2 | $186.72 |
| 57663 | Total ankle arthroplasty - removal | 3 | $186.72 |
| 57662 | Total ankle arthroplasty- revision | 3 | $1,335.36 |
| 57661 | Total ankle prosthesis | 3 | $991.26 |
| 57360 | Total synovectomy-tibial metaphysis/ankle/foot | 2 | $354.78 |
Transplantation |
|||
| 77440 | Implantation of kidney graft - vascular surgeon | 7 | $836.46 |
| 77707 | Implantation of kidney graft - vascular surgeon | 0 | $42.87 |
| 77708 | Implantation of kidney graft - vascular surgeon | 0 | $30.90 |
| 77710 | Implantation of kidney graft - vascular surgeon | 0 | $145.69 |
| 77712 | Implantation of kidney graft - vascular surgeon | 0 | $89.54 |
Trauma |
|||
| 03116 | Abscess intra-cranial | 8 | $1,719.76 |
| 07446 | Bowel - small - resection of injured | 7 | $644.63 |
| 07445 | Bowel - small - repair of lacerations | 7 | $572.71 |
| 03113 | Cerebral laceration with skull fracture | 8 | $1,867.71 |
| 07448 | Colonic injury +/- colostomy - repair | 7 | $962.78 |
| 07450 | Colonic injury- exteriorization | 7 | $602.52 |
| 03118 | Craniotomy repair cfs leak | 8 | $1,612.18 |
| 03119 | Craniotomy, microvascular decompression | 8 | $1,999.53 |
| 07443 | Distal pancreas - resection for trauma | 8 | $1,268.85 |
| 07438 | Duodenal injury - resection and debridement | 7 | $1,522.60 |
| 07437 | Duodenum - repair of laceration to | 7 | $857.71 |
| 07436 | Duodenum/pancreas - exploration and mobilization | 7 | $644.63 |
| 03110 | Elevation of depressed skull fracture in infant | 6 | $142.29 |
| 03115 | Exploration subdural space | 6 | $914.11 |
| 07150 | Insertion of thoracostomy tube | 4 | $203.01 |
| 07435 | Lacerations to stomach - repair | 7 | $750.00 |
| 07433 | Laparotomy and removal of injured spleen | 7 | $850.00 |
| 07432 | Laparotomy for trauma | 5 | $454.41 |
| 07430 | Peritoneal lavage (catheter) - diagnostic | 3 | $102.83 |
| 07449 | Resection of colonic injury | 7 | $962.78 |
| 03112 | Skull fracture depressed compound | 6 | $1,177.67 |
| 03111 | Skull fracture depressed simple | 5 | $729.98 |
| 07434 | Splenic repair, any method | 7 | $758.60 |
| 10089 | Trauma team leader - subsequent hospital visit | 0 | $78.72 |
| 10088 | Trauma team leader - tertiary assessment | 0 | $104.00 |
| 07444 | Whipple procedure for trauma | 9 | $3,045.21 |
Tray Service Fee |
|||
| 00090 | Major tray | 0 | $31.53 |
| 00044 | Mini tray fee | 0 | $5.25 |
| 00080 | Minor tray | 0 | $10.51 |
Trunk |
|||
| 61054 | Bilateral mastectomy in the context of gender affirming surgery, female to male (ftm) - (to include bilateral subcutaneous mastectomy, nipple-areolar reconstruction and chest wall reconstruction | 3 | $1,476.26 |
| 06179 | Breast implant - excision only | 2 | $245.70 |
| 06178 | Breast implant - excision/pathologic capsule | 2 | $410.00 |
| 06165 | Breast replacement - bilateral | 3 | $608.76 |
| 06164 | Breast replacement - unilateral | 3 | $405.66 |
| 61167 | Mastopexy, balancing when performed at same time as contralateral breast surgery | 3 | $305.44 |
| 61166 | Mastopexy, balancing unilateral (isolated procedure) | 3 | $458.02 |
| 06157 | Nipple-areolar reconstruction | 2 | $339.52 |
| 61050 | Reduction mammoplasty for hypermastia bilateral | 4 | $866.49 |
| 61053 | Reduction mammoplasty for hypermastia bilateral | 3 | $772.73 |
| 06150 | Reduction mammoplasty for hypermastia - unilateral | 4 | $527.85 |
Ultrasoun and Axial Measurement Examinations |
|||
| 22399 | Ophthalmic a-scan to determine axial length | 0 | $64.34 |
| 25007 | Ophthalmic a-scan to determine axial length | 0 | $36.97 |
| 25010 | Ophthalmic a-scan to determine axial length | 0 | $77.84 |
| 25012 | Ophthalmic a-scan to determine axial length | 0 | $45.81 |
| 25013 | Ophthalmic a-scan to determine axial length | 0 | $108.85 |
Upper Extremity |
|||
| 08522 | Elbow x-ray | 0 | $35.32 |
| 08523 | Forearm x-ray | 0 | $35.32 |
| 08525 | Hand any part x-ray | 0 | $35.32 |
| 08521 | Humerus x-ray | 0 | $35.32 |
| 08520 | Shoulder girdle | 0 | $35.32 |
| 08526 | Upper extremity, requested add. x-ray | 0 | $17.80 |
| 08524 | Wrist x-ray | 0 | $35.32 |
Upper Gastrointestinal System Endoscopy |
|||
| 33338 | Each additional polyp(max10)extra-only with 33335 | 0 | $12.09 |
| 33335 | Sbe or dbe (balloon assisted) enteroscopy | 3 | $302.25 |
| 33336 | With biopsy(single/mult)extra-only pd with 33335 | 0 | $28.71 |
| 33339 | With fulguration+coagulation-1 or more with 33335 | 0 | $40.30 |
| 33337 | With removal of polyp-extra-only paid with ps33335 | 0 | $50.38 |
Ureter |
|||
| 08145 | Subureteric endoscopic injection for (vur) | 2 | $257.87 |
| 08161 | Transurethral manipulation of ureteral calculus with recovery of calculus | 3 | $217.40 |
| 08160 | Ureter reconstruction lower segmnt by bladder flap | 5 | $917.67 |
| 08154 | Ureteral tailoring-bilateral,extra to 08148 | 5 | $328.66 |
| 08153 | Ureteral tailoring-unilateral,extra to 08152,08148 | 5 | $232.58 |
| 08157 | Uretero-cutaneous-anastomosis, unilateral | 5 | $668.09 |
| 08158 | Uretero-sigmoid anastomosis, bilateral | 5 | $632.05 |
| 08156 | Uretero-ureterostomy | 5 | $662.77 |
| 08163 | Uretero-vesical anastomosis if ureterocele or ureteral duplication | 5 | $783.72 |
| 08159 | Ureterolysis | 5 | $600.61 |
| 08151 | Ureterotomy or removal of stump | 5 | $755.87 |
| 08147 | Ureterotomy,ureteral lithotomy,upper & lower | 5 | $409.61 |
| 08148 | Uretro-vesical reanastomosis - bilateral | 5 | $1,011.34 |
| 08152 | Uretro-vesical reanastomosis - unilateral | 5 | $866.47 |
Urethra |
|||
| 81159 | Buccal muscosa graft harvest, extra | 0 | $229.42 |
| 08271 | Catheterization complex-male patient(op only) | 0 | $203.93 |
| 08282 | Excision prolapse-urethra or caruncle -includes cystoscopy | 2 | $243.07 |
| 08274 | Hypospadias-1st stage chordee,excludes urethrostom | 2 | $424.14 |
| 08277 | Hypospadias-epispadias plastic repair,excludes ure | 2 | $657.31 |
| 08276 | Hypospadias-penoscrotal,excludes urethrostomy | 2 | $1,011.46 |
| 08275 | Hypospadias-second stage (penile) excludes urethro | 2 | $490.35 |
| 81153 | Male suburethral sling, including cystoscopy | 4 | $713.74 |
| 08262 | Meatotomy and plastic repair | 2 | $136.37 |
| 08232 | Periurethral collagen injections | 2 | $237.30 |
| 08283 | Retropubic or transvaginal tape (tvt) or transobturator tape (tot) operation for urinary incontinence | 4 | $332.03 |
| 08265 | Stricture of urethra - dilation in hospital, isolated procedure, w or wo anesthesiology | 2 | $49.38 |
| 08266 | Stricture of urethra - first stage plastic repair | 3 | $1,070.62 |
| 08264 | Stricture of urethra - office dilation | 0 | $19.77 |
| 08267 | Stricture of urethra - second stage plastic repair | 3 | $1,019.64 |
| 08259 | Stricture urethra-1st stage plastic w pedicle grft | 3 | $1,019.64 |
| 08278 | Suprapubic cystostomy & primary repair of urethra | 3 | $406.22 |
| 81154 | Transection or removal of sub-urethral mesh sling | 4 | $560.47 |
| 08272 | Urethra fistula (penile excision) | 2 | $400.89 |
| 08268 | Urethral diverticulectomy, male or female | 2 | $557.02 |
| 08269 | Urethral valves-tur,posterior | 2 | $353.92 |
| 08263 | Urethrectomy, total | 3 | $353.96 |
| 08261 | Urethrostomy | 2 | $301.70 |
| 08260 | Urethrotomy, external or internal | 2 | $204.95 |
Urinary Diversion and Cystectomy |
|||
| 08181 | Bladder augmentation with bowel segment | 5 | $1,213.49 |
| 08182 | Continent urinary diversion | 6 | $1,481.31 |
| 08177 | Cystectomy and ileal loop diversion (includes preparation of intestinal segment and ureteral transplantation - same surgeon) | 6 | $1,985.38 |
| 08183 | Cystectomy- radical & continent urinary diversion | 7 | $2,945.74 |
| 08184 | Cystectomy-isolated procedure w or wo urethrectomy | 6 | $1,212.48 |
| 08185 | Cystectomy-isolated procedure w or wo urethrectomy | 6 | $900.00 |
| 08174 | Prep of intest. seg. reanastomosis & ureteral transplantation | 6 | $1,061.94 |
| 08170 | Preparation of intestinal segment and re-anastomos | 5 | $515.76 |
| 08178 | Radical cystectomy & ileal loop urinary diversion | 7 | $2,695.99 |
| 08173 | Radical cystectomy with pelvic lymphadenectomy | 7 | $1,906.51 |
| 08207 | Ruptured bladder repair | 5 | $713.74 |
Urological |
|||
| 00793 | Cysto-ureterogram - professional fee | 0 | $6.26 |
| 00792 | Cysto-ureterogram - technical fee | 2 | $12.52 |
| 00878 | Cystometry/pelvic floor emg | 0 | $66.24 |
| 00803 | Loopogram | 0 | $54.70 |
| 00799 | Transurethral ureterorenoscopy to include c&p | 2 | $158.13 |
| 00800 | Transurethral ureterorenoscopy with x-ray control | 2 | $384.37 |
| 00874 | Urethral profilometry (water or gas) | 0 | $19.77 |
| 00802 | Urethrogram | 2 | $39.53 |
| 00875 | Uroflowimetry | 0 | $31.64 |
| 00876 | Video uro-dynamics (full study) | 0 | $200.16 |
Urology |
|||
| 13655 | General practice - vasectomy bonus | 0 | $21.57 |
Vaginal Operations on the Cervix and Uterus |
|||
| 04545 | Artificial insemination - operation only | 0 | $32.71 |
| 04510 | Biopsy cervix with d&c | 2 | $200.00 |
| 04508 | Biopsy cervix, under g.a. | 2 | $200.00 |
| 04533 | Cauterization cervix, electric, in office | 0 | $38.61 |
| 04530 | Cauterization cervix, g.a. | 2 | $200.00 |
| 04531 | Cauterization of cervix to include d&c if done | 2 | $200.00 |
| 04517 | Cervical incompetence - elective repair | 2 | $254.72 |
| 04516 | Cervical incompetence - emergency repair | 2 | $356.60 |
| 04515 | Cervical ligature, removal of under anaesthetic | 2 | $200.00 |
| 04551 | Cervical stump removal | 3 | $305.66 |
| 04500 | Cervix dilation and curettage | 2 | $203.40 |
| 04502 | Cervix, repair of | 2 | $200.00 |
| 04536 | Cone biopsy cervix (includes d&c) | 2 | $263.90 |
| 04503 | Cryosurgery - cervix | 2 | $101.89 |
| 04512 | Myomectomy vaginal | 4 | $151.29 |
| 00770 | Pelvic examination under anesthesia | 2 | $200.00 |
| 04509 | Polypectomy - cervical | 2 | $30.57 |
Vascular Access |
|||
| 07139 | Broviac catheter - insertion of | 2 | $162.55 |
| 07140 | Catheter insertion - broviac type, <3 mo or <3 kg | 4 | $269.03 |
| 00319 | Central catheter insertion - tpn | 2 | $56.81 |
| 07146 | Inferior vena cava filter - insertion | 2 | $367.84 |
| 00526 | Insertion of intravenous infusion line, under 5 | 0 | $57.24 |
| 07147 | Insertion of peritoneal catheter under ga | 4 | $305.89 |
| 07145 | Intra osseous - access | 2 | $101.29 |
| 00801 | Intra-arterial cannulation | 0 | $22.10 |
| 07134 | Peritoneal venous shunt for ascites | 6 | $390.37 |
| 07141 | Permcath removal | 2 | $126.79 |
| 77142 | Removal of totally implant access device,op only | 2 | $127.95 |
| 07142 | Venous access port - implantable - insertion | 2 | $255.98 |
| 07143 | Venous access port - implantable/revision/removal | 2 | $350.00 |
Venous |
|||
| 77084 | Acute venous: ligation of femoral vein | 5 | $495.27 |
| 77060 | Compression sclerotherapy - repeat | 2 | $37.87 |
| 77055 | Compression sclerotherapy - complicated | 2 | $120.26 |
| 77050 | Compression sclerotherapy - uncomplicated | 2 | $80.82 |
| 77070 | Fasciotomy - complete | 2 | $319.25 |
| 77082 | Femoral vein - ligation | 2 | $148.84 |
| 77075 | Groin - re-exploration, and/or popliteal fossa | 2 | $300.19 |
| 77065 | High ligation, long saphenous | 2 | $223.03 |
| 07112 | Ligation of 2 or more perforators | 2 | $278.91 |
| 07111 | Ligations and strippings - 6 or more incisions | 2 | $304.28 |
| 07110 | Ligations and strippings - 3 to 5 incisions | 2 | $278.91 |
| 77096 | Mesocaval graft - autogenous | 8 | $1,006.21 |
| 77094 | Mesocaval graft - synthetic | 8 | $945.05 |
| 07116 | Multiple ligations, strippings, perforators | 3 | $523.41 |
| 77092 | Porto-caval shunt | 8 | $945.05 |
| 77090 | Spleno-renal shunt | 8 | $945.05 |
| 07108 | Stripping long saphenous | 2 | $263.88 |
| 07109 | Stripping short saphenous | 2 | $228.30 |
| 77086 | Thrombectomy/acute ilio-femoral thrombophlebitis | 5 | $620.60 |
| 77077 | Ulcer excision and grafting | 3 | $120.28 |
| 77046 | Us directed foam sclerotherapy- initial | 0 | $171.95 |
| 77047 | Us directed foamsclerotherapy - repeat | 0 | $171.95 |
| 77045 | Varicose vein injection | 0 | $13.46 |
| 77079 | Venous crossover graft for iliac obstruction | 7 | $609.87 |
Venticuloscopic Procedures |
|||
| 03036 | Ventricular shunt with ventriculoscopic guidance | 6 | $1,074.87 |
| 03035 | Ventriculoscopic resection /intraventricular tumor | 6 | $2,576.95 |
| 03033 | Ventriculoscopic retrieval of foreign body | 6 | $1,638.85 |
| 03030 | Ventriculoscopy | 6 | $840.73 |
| 03031 | Ventriculoscopy, third ventriculostomy | 6 | $1,324.72 |
| 03032 | Ventriculoscopy/endoscopy biopsy /intraventricular | 6 | $1,909.66 |
| 03034 | Ventriculoscopy/fenestration of cyst or septum | 6 | $1,475.45 |
Ventricular Assist Device |
|||
| 07960 | Intra-aortic balloon insertion, removal & care | 8 | $672.80 |
| 78062 | Removal of Abiomed Impella 5.0 | 10 | $356.88 |
| 78066 | Removal of fully implantable device | 10 | $1,529.46 |
| 78064 | Removal of Levitronix device | 10 | $713.74 |
| 78065 | Uni-ventricular - fully implantable | 10 | $2,956.95 |
| 78063 | Uni-ventricular - temporary device - thoracotomy | 10 | $1,733.38 |
| 78061 | Uni-ventricular temporary device - transcutaneous | 10 | $509.83 |
Vertebra, Facette and Spine |
|||
| 58250 | Abscess/hematoma - extraspinal/ga | 4 | $185.33 |
| 58251 | Abscess/hematoma - extraspinal/ga | 4 | $185.33 |
| 58710 | Application of halo - c-spine fracture/dislocation | 4 | $186.72 |
| 11845 | Biopsy, with ga | 3 | $242.74 |
| 58715 | Cervical spine - orif | 7 | $1,000.81 |
| 58680 | Deformity correction - cervical | 6 | $2,427.87 |
| 58670 | Deformity correction - thoracolumbar | 8 | $1,431.69 |
| 58675 | Deformity correction - thoracolumbar/anterior inst | 8 | $1,700.44 |
| 58690 | Deformity; instrumentation/fusion/posterior, adult | 7 | $1,756.05 |
| 58695 | Deformity; instrumentation/fusion/posterior, child | 7 | $1,431.69 |
| 58305 | Discectomy | 3 | $268.73 |
| 58375 | Discectomy - cervical - >2 levels | 6 | $801.57 |
| 58370 | Discectomy - cervical, single level | 6 | $620.87 |
| 58376 | Discectomy - thoracolumbar | 8 | $1,431.69 |
| 58210 | Discogram | 2 | $92.28 |
| 58211 | Discogram | 2 | $92.28 |
| 58725 | Fracture/dislocation, thoracolumbar spine/fixation | 7 | $1,297.34 |
| 58205 | Injection/aspiration - facet joint | 2 | $92.97 |
| 58206 | Injection/aspiration - facet joint | 2 | $92.97 |
| 03167 | Insertion of skull tongs (operation only) | 4 | $126.29 |
| 03155 | Laminectomy - for hematoma, tumour or vascular malformation | 6 | $1,202.45 |
| 03160 | Laminectomy for congenital spinal malformation or tethered spinal cord | 5 | $2,027.87 |
| 03162 | Laminectomy for generalized spinal stenosis (more than two levels) | 5 | $1,213.99 |
| 03161 | Laminectomy for localized spinal stenosis (two levels or less) | 5 | $789.13 |
| 03180 | Multiple level laminectomy for cervical cord compression, three or more levels | 6 | $1,430.75 |
| 11831 | Needle biopsy - soft tissue/bone - lumbar spine, under ga | 2 | $186.72 |
| 11830 | Needle biopsy - soft tissue/bone - thoracic spine, under ga | 2 | $214.73 |
| 58685 | Osteotomy - thoracolumbar- posterior | 7 | $2,427.87 |
| 58410 | Spinal instrumentation - removal | 5 | $509.68 |
| 58655 | Stabilization - anterior - thoracolumbar | 8 | $945.21 |
| 58640 | Stabilization - anterior: cervical | 6 | $500.39 |
| 58645 | Stabilization - cervical - plates/discectomy | 6 | $982.27 |
| 58650 | Stabilization - cervical - plates/vertebrectomy | 6 | $1,756.05 |
| 58605 | Stabilization - posterior - cervical | 6 | $537.46 |
| 58610 | Stabilization - segmental - cervical | 6 | $1,079.57 |
| 58625 | Stabilization - thoracolumbar/segmental instrument | 7 | $1,241.74 |
| 58630 | Stabilization thoracolumbar, fusion/decompression | 7 | $1,566.07 |
| 58620 | Stabilization thoracolumbar/simple instrumentation | 7 | $769.13 |
| 58615 | Stabilization thoracolumbar/without instrumentatio | 5 | $486.50 |
| 58660 | Stabilization; anterior, thoracolumbar/instrument | 8 | $2,024.76 |
| 58635 | Thoracolumbar fusion/decompression/multiple levels | 7 | $1,834.81 |
| 58726 | Thoracolumbar spine; orif/fixation + decompression | 7 | $1,566.07 |
| 58385 | Vertebral body resection - cervical | 6 | $1,621.68 |
| 58386 | Vertebral body resection - thoracolumbar | 8 | $1,890.40 |
Virology |
|||
| 90832 | Bk polyoma virus ident by nuc acid amplif, direct | 0 | $39.13 |
| 90833 | Cytomegalovirus viral(cmv) ident by nucl acid ampl | 0 | $36.92 |
| 90835 | Hbv drug resistance mutation analysis | 0 | $129.88 |
| 90836 | Hbv drug resistance mutation analysis | 0 | $30.23 |
| 90837 | Hbv drug resistance mutation analysis | 0 | $26.73 |
| 90831 | Hepatitis b virus (hbv) identification | 0 | $60.34 |
| 90815 | Serological tests - 1-3 antigens | 0 | $36.83 |
| 90820 | Serological tests - > 4 antigens | 0 | $37.98 |
| 90830 | Virus isolation | 0 | $51.65 |
Wounds |
|||
| 06077 | Complicated laceration of the scalp cheek and neck | 3 | $333.13 |
| 70150 | Lacerations - tongue/floor of mouth - complicated | 3 | $270.50 |
| 06075 | Lips and eyelid wounds complicated | 3 | $339.41 |
| 06076 | Nose and ear wounds complicated | 3 | $426.36 |
The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.
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