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SECTION M:<br />

ORTHOPAEDIC SURGERY<br />

Fee<br />

Anae<br />

312M -- open reduction -- includes $793.00 * 42 M<br />

fibular shaft<br />

314M -- plateau -- closed reduction $430.10 42 L<br />

315M -- open reduction $877.00 42 M<br />

316M -- malleolus -- closed reduction $295.30 * 42 L<br />

317M -- open reduction $543.00 42 L<br />

Fibula<br />

318M -- shaft -- closed reduction $295.30 * 42 L<br />

319M -- open reduction $543.00 42 L<br />

320M -- malleolus -- closed reduction $492.20 * 42 L<br />

321M -- open reduction $543.00 42 L<br />

330M Tibia and Fibula -- reduction with $793.00 * 42 L<br />

external fixation device<br />

Ankle -- bimalleolar (including Potts)<br />

323M -- closed reduction $313.50 * 42 L<br />

325M -- open reduction $843.20 42 L<br />

340M -- reduction with external fixation $843.20 42 L<br />

device<br />

-- trimalleolar<br />

326M -- closed reduction $313.50 * 42 L<br />

328M -- open reduction $886.00 42 L<br />

341M -- reduction with external fixation $886.00 42 L<br />

device<br />

Tarsal -- (except astragalus and os calcis)<br />

329M -- closed reduction $295.30 * 42 L<br />

331M -- open reduction $752.00 42 L<br />

Astragalus<br />

332M -- closed reduction $295.30 * 42<br />

334M -- open reduction $877.00 * 42 L<br />

Os calcis<br />

335M -- closed reduction $295.30 * 42 L<br />

337M -- open reduction $877.00 42 L<br />

338M -- skeletal pinning with external fixation $626.00 42 L<br />

Metatarsal<br />

339M -- closed reduction $295.30 * 42 L<br />

343M -- open reduction $418.00 42 L<br />

Phalanx<br />

345M -- closed reduction $295.30 * 42 L<br />

348M -- open reduction $418.00 * 42 L<br />

Treatment of un-united fractures by bone<br />

stimulator -- total care<br />

350M External application (Bi-Osteogen) $364.00 L<br />

351M Percutaneous insertion $879.50 L<br />

352M Operative implantation -- add 100% of benefit M<br />

rate <strong>for</strong> open reduction (50% <strong>for</strong> ununited<br />

fracture; 50% <strong>for</strong> operative implantation)<br />

-- with bone bank graft -- add 25% of benefit<br />

rate of open reduction, under code 134M<br />

-- with autogenous bone graft -- add 50% of<br />

benefit rate of open reduction, under code 133M<br />

Note: Specialist in Orthopaedic Surgery only<br />

SMA FEE GUIDE -M8 - June 1, 2011

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