Medical Payment Schedule - Government of Newfoundland and ...

mcpMedicalPaymentScheduleMedical Care PlanDepartment of Health & Community ServicesEffective April 1, 2009

April 1, 2009TABLE OF CONTENTSPAGECONTENTSA-1 Payment Schedule IdentificationChanges, etc. to the Payment ScheduleEffective Date of Listed ServicesNLMA InvolvementA-1 - A-4 Payment Schedule Layout with descriptions of each section of the Scheduleas follows:Listing of the SectionsGeneral PreambleAppendicesVisit PremiumsConsultations and VisitsCritical CareDiagnostic and Therapeutic ProceduresIn-Hospital Diagnostic ProceduresRadiologyNuclear MedicineObstetricsAnaesthesia for Surgical-Dental ProceduresSurgical ProceduresTablesA-5 - A-6 Insured/Non-Insured Services, with divisions as follows:Insured ServicesNon-Insured ServicesCommon Elements of Insured ServicesA-7 - A-9 Claim Submission RulesDocumentation RequirementsMinimum Required Documentation for ClaimsIndependent Consideration SubmissionProvider Billing NumberTime Limitations on Claim SubmissionA-10 - A-13 Definitions of Terms/ConditionsA-10 - A-11 Site of Insured Service, with some rules regarding each, as follows:OfficeHomeHospital In-PatientHospital Out-Patient and Emergency DepartmentVisits to Other SitesA-11- A-12Delegated ProceduresAge (of Patients) DefinedMost Responsible Physician DefinedReferral and Transferral DefinedA-13 Rules re TransferralsTeam Care in Teaching Unitsi

April 1, 2009TABLE OF CONTENTSPAGECONTENTSA-14 - A-17 ConsultationsA-14 Consultations DefinedA-14 Documentation of ConsultationsA-14 - A-15 Rules Applicable to ConsultationsA-15 - A-17 Major Consultations - Defined and with rules specific to eachA-18 - A-27 Definitions and Rules for each visit type, other than consultations, listed inalphabetical order of first letter of the visit name as listed in the Visits Section.A-28 - A-30 Critical Care Section of the Schedule described, giving the rules for billingfrom it.A-31 - A-32 Diagnostic and Therapeutic Procedures Section of the Schedule described,giving the rules for billing from it.A-33 In-Hospital Diagnostic Procedures Section of the Schedule described,giving the rules for billing from it.A-34 - A-36 Radiology Section of the Schedule described, giving the rules for billingfrom it.A-37 Nuclear Medicine Section of the Schedule described, giving the rules forbilling from it.A-34 - A-49 Specific Rules for BillingA-34 - A-37 Radiology/Nuclear Medicine ServicesA-38 Obstetric ServicesA-39 - A-41 Surgical Procedures, generallyA-42 - A-43 Fracture CareA-44 Surgical Assist - Standard MethodA-45 Surgical Assist - Dedicated Time MethodSpecialist AssistantA-46 - A-49 Anaesthesiology ServicesA-50 - A-53 PremiumsA-50 General Rules for Billing Premiums, Both Visit and ProcedureA-50 - A-51 Specific Rules for Billing Visit PremiumsA-51 - A-52 Specific Rules for Billing Procedure PremiumsA-52 - A-53 Specific Rules for Billing Delivery PremiumsA-54 - A-55 Specific Rules for Billing Sessional Arrangements, listed as follows:General Policy for all Sessional ArrangementsRules Specific to Organized Sessional Clinics and Institutional CareRules Specific to On-Site Emergency Department Coverage - Category ‘A’FacilitiesRules Specific to Dedicated On-Site 24-Hour ICU Sessional CoverageA-56 Specific Rules for Billing for Emergency Department Coverage by GeneralPractitioners - Category ‘B’ Facilitiesii

April 1, 2009TABLE OF CONTENTSPAGECONTENTSC-17 - C-18 Paediatrics (except Developmental Paediatrics)C-19 - C-20 Developmental PaediatricsC-21 Physical MedicineC-22 Plastic SurgeryC-23 - C-24 PsychiatryC-25 UrologyC-26 RadiologyD-1 - D-3 Critical Care ListingD-1 Neonatal Intensive CareD-2 ICU and CCUD-3 Cardio-Pulmonary ResuscitationProvincial Perinatal High Risk UnitE-1 - E-20 Diagnostic and Therapeutic ProceduresE-1 AllergyE-2 - E-3 Anaesthesiology/TherapeuticE-4 Hyperbaric TherapyE-5 - E-7 CardiovascularE-8 DermatologyE-9 DialysisE-10 Endocrinology and MetabolismGastroenterologyE-11 General PracticeGynaecologyE-12 - E-13 Injections or InfusionsE-14 - E-15 NeurologyOphthalmologyE-16 OtolaryngologyE-17 Physical MedicineE-18 PsychiatryUrologyVenipunctureE-19 Clinical Procedures Associated with Diagnostic Radiological ExaminationsE-20 Pulmonary Function StudiesF-1 - F-4 In-Hospital Diagnostic Procedures ListingsF-1 ElectrocardiogramsElectromyography and Nerve ConductionElectroencephalographySleep Apnea StudiesF-2 Evoked Potential StudiesOphthalmologyObstetricsF-3 Organized Pain ClinicOtolaryngologyF-4 Pulmonary Function Studiesiv

April 1, 2009TABLE OF CONTENTSPAGECONTENTSG-1 - G-14 Radiology Services ListingsG-1 - G-3 General RadiologyG-4 - G-7 Special ProceduresG-8 Other ItemsG-9 - G-12 Diagnostic UltrasoundG-12 Therapeutic UltrasoundG-13 Computed TomographyG-14 Magnetic Resonance ImagingDiagnostic BiopsyH-1 - H-3 Nuclear Medicine Services ListingsI-1 - I-4 Obstetrics ListingsI-1 Obstetrical CareI-2 AnaesthesiologyI-3 Operative DeliveryI-4 Surgical ObstetricsJ-1 - J-9 Anaesthesia for Surgical Dental ListingsJ-1 ExtractionsExtraction of Impacted TeethSurgical Exposure of TeethSurgical Movement of TeethJ-1 - J-2 Remodelling and Recontouring Oral TissuesJ-2 - J-3 Tests, HistologicalSurgical ExcisionsSurgical IncisionsJ-4 Treatment of FracturesJ-5 - J-7 Treatment of Maxillofacial DeformitiesTreatment of Temporomandibular Joint DysfunctionsJ-7 - J-8 Treatment of Salivary GlandsNeurological DisturbancesAntral SurgeryHaemorrhage ControlJ-8 - J-9 Grafts, SurgicalEmergency ProceduresSpecial ProceduresK-1 Surgical Premiums Listing and some descriptionsK-2 Special Procedures Listingv

April 1, 2009TABLE OF CONTENTSPAGECONTENTSL-1 - L-11 Operations on the Integumentary SystemL-1 IncisionL-2 - L-4 ExcisionExcision of Benign LesionsExcision of Malignant and Premalignant LesionsExcision of Malignant and Premalignant Lesions - Single or MultipleSites, Uni or BilateralL-4 - L-9 RepairL-10 Plastic Surgery ProceduresL-11 Operations on the BreastM-1 - M-38 Operations on the Musculoskeletal SystemM-1 - M-2 General ListingsM-3 - M-7 Hand and WristM-8 - M-11 Elbow and ForearmM-12 - M-14 Shoulder/Arm/ChestM-15 - M-19 Skull and MandibleM-20 - M-23 SpineM-24 - M-26 Pelvis and HipM-27 - M-28 FemurM-29 - M-31 KneeM-32 - M-33 Fibula and TibiaM-34 - M-38 Foot and AnkleN-1 - N-6 Operations on the Respiratory SystemN-1 - N-2 NoseN-2 Accessory Nasal SinusesN-3 LarynxN-4 Trachea and BronchiN-5 Chest Wall and MediastinumN-6 Lungs and PleuraO-1 - O-7 Operations on the Cardiovascular SystemO-1 General ListingO-1 - O-3 Heart and PericardiumO-3 - O-6 ArteriesO-6 - 0-7 VeinsP-1 Operations on the Haemic and Lymphatic SystemP-1 Spleen and MarrowLymph ChannelsLymph Nodesvi

April 1, 2009TABLE OF CONTENTSPAGECONTENTSQ-1 - Q-13 Operations on the Digestive SystemQ-1 MouthLipsQ-2 TongueTeeth and GumsPalate and UvulaQ-3 Salivary Glands and DuctsPharynx, Adenoids and TonsilsQ-4 - Q-5 OesophagusQ-5 - Q-6 StomachQ-6 - Q-7 Intestines (except Rectum)Q-8 Meckel’s Diverticulum and the MesenteryAppendixQ-8 - Q-9 RectumQ-9 - Q-10 AnusQ-10 LiverQ-10 - Q-11 Biliary TractQ-11 PancreasQ-12 - Q-13 Abdomen, Peritoneum and OmentumR-1 - R-7 Operations on the Urogenital SystemR-1 - R-2 Kidneys and PerinephriumR-3 UreterR-4 - R-5 BladderR-6 - R-7 UrethraS-1 - S-4 Operations on the Male Genital SystemS-1 - S-2 PenisTestisS-2 EpididymisTunica VaginalisScrotumS-3 - S-4 Vas DeferensSpermatic CordSeminal VesiclesProstateT-1 - T-5 Operations on the Female Genital SystemT-1 VulvaT-1 - T-2 VaginaT-3 Fallopian TubeOvaryT-3 - T-5 Uterus and Cervix Uterivii

April 1, 2009TABLE OF CONTENTSPAGECONTENTSU-1 Operations on the Endocrine SystemThyroid GlandParathyroid, Thymus and Adrenal GlandsV-1 - V-7 Operations on the Nervous SystemV-1 - V-3 BrainV-3 SkullOrbitV-4 PituitaryCarotid and Vertebral ArteriesCSF Shunting ProceduresV-4 - V-5 Cranial NervesV-5 Peripheral NervesV-6 Autonomic Nervous SystemV-6 - V-7 Spinal Cord and Nerve RootsW-1 - W-9 Operations on Organs of Special SensesW-1 - W-6 EyeW-1 EyeballCorneaW-2 ScleraIris and Ciliary BodyCrystaline LensVitreousW-3 RetinaExtraocular MusclesW-3 - W-4 OrbitW-4 - W-5 EyelidsW-5 - W-6 ConjunctivaW-6 Lacrimal TractW-7 - W-9 EarW-7 External EarW-8 Middle EarW-9 Inner EarAcoustic NerveX-1 - X-10 TablesX-1 Anaesthetic Basic Fee Code RatesX-2 Anesthetic Time Units - Surgical Procedures - Surgical Codes with Basic of1-3 Units or 6 or more UnitsX-3 Anaesthetic Time Units - Surgical Procedures - Surgical Codes with Basic of4 or 5 UnitsX-4 Epidural Anaesthesia for Pain ControlX-5 - X-8 SHVsX-9 Surgical Assistants’ Time Units - Standard MethodX-10 Surgical Assistants’ Time Units - Dedicated Time Methodviii

April 1, 2009GENERAL PREAMBLE1. This Payment Schedule identifies the amounts prescribed as payable and rules andconditions of payment under the Physicians and Fee Regulations (Schedule A),governed by the Medical Care Insurance Act for insured services rendered by licensedphysicians. The items and fees listed apply to services rendered on and after the“effective date” at the top of each page.The amounts published in the Payment Schedule are subject to existing policies ofCapping, as well as any other payment policies authorized by the Medical Care Plan(MCP).Additions, deletions and changes to be made to the Payment Schedule requirerecommendation by MCP and approval by the Minister of Health and CommunityServices, in consultation with the Newfoundland and Labrador Medical Association(NLMA).Any changes made during the effective life of the Payment Schedule are published inMCP Newsletters when necessary. It is the responsibility of claiming physicians toensure these changes are reflected in their billingsA-1

April 1, 2009GENERAL PREAMBLE2. INTRODUCTIONThe Payment Schedule is divided into a number of sections:• General Preamble• Appendices• Visit Premiums• Consultations and Visits• Critical Care• Diagnostic and Therapeutic Procedures• In-Hospital Diagnostic Procedures• Radiology• Nuclear Medicine• Obstetrics• Anaesthesia for Surgical-Dental Procedures• Surgical Procedures• Tables2.1 General PreambleThis section sets out the general definitions and constituent elements common to allinsured services, as well as the specific elements for these services.2.2 AppendicesThis section gives listings referred to within the Preamble. These are:• Approved Category “A” Facilities - 24-Hour On-Site Emergency DepartmentCoverage• Approved Category “B” Facilities - Emergency Department Coverage• DOHCS Designated Long Term Care Facilities With Long Term Beds• Immunization of Designated Target Population• Non-Insured Services List• Scar Revision• Hyperbaric Oxygen Therapy2.3 Visit PremiumsThis section lists the rates and conditions for the billing of premium fees associatedwith special visits.A-2

April 1, 2009GENERAL PREAMBLE2.4 Consultations and Visits(a)(b)(c)Visit codes are listed for each of the specialties, beginning with GeneralPractice followed by a listing for each of the recognized specialty groups. Oneletter, usually the first letter in each visit code title, is underlined and printed inboldface type, and this letter corresponds to the first letter in the title of thedefinition/description of the service contained in Section 7 of the Preamble,which is an alphabetical listing.For specialty groups, rates are listed for referred patients. Specialists treating“walk-in” or “non-referred” patients should bill for services rendered to suchpatients using the rates for comparable services as listed in the GeneralPractice Section.Each Consultation and Visit Section is divided into sub-sections based on thesite where the insured service is rendered. Namely:• Office (or visit to Physician’s Residence)• Home2.5 Critical Care• DOHCS Designated Long Term Care Facilities With Long Term Beds• Hospital In-Patient• Hospital Out-Patient and Emergency• Physician on Duty at Designated 24-Hour On-Site Emergency Department(see Appendix “A’)• Hospital Pain ClinicThese sites of insured service delivery are defined and described in thesubsequent Definitions of Terms/Conditions Section in this Preamble.This section of the Schedule lists the fees for CPR and the per diem fees payable tothe physician-in-charge for ICU/CCU/NICU Care, and for care in the ProvincialPerinatal Care Unit.2.6 Diagnostic and Therapeutic ProceduresDiagnostic and Therapeutic Procedures is a section of the Payment Schedule whichwas designed for the billing of procedures performed in various places, e.g. hospital oroffice, as listed.2.7 In-Hospital Diagnostic ProceduresFees for reporting specific diagnostic procedures performed in hospital are listed in thissection of the Schedule.A-3

April 1, 2009GENERAL PREAMBLE2.8 RadiologyThis section of the Schedule lists fees and describes conditions for the billing ofDiagnostic Imaging Services.2.9 Nuclear MedicineThis section of the Schedule lists fees and describes conditions for the billing ofNuclear Medicine Services.2.10 ObstetricsThis section of the Schedule is designed for the billing of services related to pregnancyand delivery. Other related services may be found in the Surgical Procedures Section.2.11 Anaesthesia for Surgical-Dental ProceduresThis section of the Schedule lists fees payable for anaesthetic services for surgicaldentalprocedures.2.12 Surgical Procedures2.13 TablesThe surgical procedures are listed by anatomical system. Under each system theprocedures carried out within the system have been grouped under such sub-headingsas Incision, Excision, Suture, Repair, etc. Each procedure listed may be locatedthrough determination of the anatomical system to which it applies, and the type ofprocedure performed. This method of listing has no relationship to the specialty whichmay be engaged in surgery upon this particular system.Fees for General Practitioners, Surgical Assistants, Surgeons, and forAnaesthesiologists may be listed for each procedure. Where no fee is listed in theGeneral Practice Column, 90% of the amount listed in the Specialist column applies toGeneral Practice. Where no fee is listed for Assistants or Anaesthesiologists, theservice must be billed Independent Consideration (IC).Tables are given for convenience when billing:• I - Anaesthesia Basic Fee Code Rates• II and III - Anaesthetic Time Units - Surgical Procedures• IV - Epidural Anaesthesia for Pain Control• V - SHV - Subsequent Hospital Visits• VI - Units Table for Surgical Assistants - Billing According to Standard Method• VII - Units Table for GP Surgical Assistants - Billing According to Dedicated TimeMethodA-4

April 1, 2009GENERAL PREAMBLE3. INSURED/NON-INSURED SERVICES3.1 Insured ServicesAn insured service is defined as one that is:(a)(b)listed in Section 3 of the Medical Care Insurance Insured Services Regulations;medically necessary. The clinical need of the provision and claim of an insuredservice may be evaluated by the Medical Consultants’ Committee of MCP;The policies on pre-existing conditions necessary to define “medical necessity”exist for the following services to qualify as MCP insured services: reductionmammoplasty, augmentation mammoplasty, blepharoplasty, and the lasertreatment of vascular lesions. Copies of these policies are available uponrequest from the office of the Director of Physician Services or the AssessingDepartment. Regulations with respect to insurability of scar revision are listedin Appendix F, and/or;(c)recommended by the Department of Health and Community Services(DOHCS), e.g. Immunization Programs, as per Public Health recommendations(see Appendix D).3.2 Non-Insured ServicesThe following situations/conditions qualify as non-insured services:(a)specific services as listed in Section 4 of the Medical Care Insurance InsuredServices Regulations or Appendix E of this Preamble,Queries as to the insurability of a specific service should be directed to theOffice of the Assistant Director of Physician Services,(b)(c)(d)(e)services not included in the Preamble Section that describes (CommonElements of an Insured Service),any medical services provided at the request of a third party, or which arecovered by other agencies,medical services provided to patients not insured by MCP or any otherprovincial Health Care Plan,services provided as a result of physician solicitation,Services which are reviewed by the Medical Consultant’s Committee (based onclaim detail, patterns of practice, physician records and patient evidence) andfound to have been rendered as a result of direct solicitation by a physician,and found to be medically inappropriate are not insured by MCP. However, it isrecognized that a small percentage of patients who require periodic medicalassessment may be incapacitated or otherwise unable to visit their doctor’soffice. In these instances, where medical necessity can be clearlydemonstrated, it is not deemed to represent solicitation.A-5

April 1, 2009GENERAL PREAMBLEA physician, who notifies patients who are part of a target populationdesignated by the DOHCS for immunization that it is time to receive theinjection, is not deemed to be “soliciting visits”.An automatic annual recall program of women for PAP smear examinations willnot be viewed by MCP as constituting solicitation.(f)services provided as a result of medical research and experimentation.Payment for medical and professional services which are research-related orexperimental are not the financial responsibility of MCP. Only those related toroutine, accepted care of a patient’s problem and that are not in support of theresearch related or experimental services are considered to be an insuredservice.3.3 Common Elements of Insured ServicesElements that are common to all insured services, and therefore not billable as anadditional item to either MCP or the patient, are:(a)(b)(c)(d)(e)(f)(g)(h)(i)(j)being available to provide follow-up insured services to the patient and makingarrangements for coverage when not available,making any arrangements for appointment(s) for the insured service,making arrangements for any related assessments, procedures or therapyand/or interpreting results,obtaining and reviewing information (including history taking) from anyappropriate source(s) so as to arrive at any decision(s) made in order toperform the elements of the service, unless stated otherwise,obtaining consents or delivering written consents,keeping and maintaining appropriate physician’s records,preparing or submitting documents or records or providing information for usein programs administered by the DOHCS,conferring with and/or providing advice, direction or information to physiciansand other professionals associated with the health and development of thepatient,providing premises, equipment, supplies and personnel for the commonelements of the service, anddirect physical encounter with the patient including any appropriate physicalexamination and ongoing monitoring of the patient’s condition where indicated,unless specifically listed as a “monitoring only” fee.A-6

April 1, 2009GENERAL PREAMBLE4. CLAIM SUBMISSION AND DOCUMENTATION REQUIREMENTS4.1.1 All service items billed to MCP are the sole responsibility of the physician rendering theservice with respect to appropriate documentation and billing.4.1.2 If a specific fee code for the service rendered is listed in the Payment Schedule, thatfee code must be used in claiming for the service, without substitution.4.1.3 Claims for services rendered in hospitals and long term care facilities must include thehospital/facility number of the institution where the service was rendered.4.1.4 For all services in the In-Hospital Diagnostic, Radiology and Nuclear MedicineSections, the date of service is the date the service is reported rather than the date thepatient is subject to the procedure. For all other services, date of service is the date ofpatient contact.4.1.5 Documentation of services which are to be billed to MCP must be completed beforeclaims for these services are submitted to MCP.4.1.6 All claims submitted must be verifiable from the physician’s records with regard to theexamination and/or procedure claimed. Where specific elements of recordrequirement are listed in this Preamble, but do not appear in the patient record of thatservice, that element of the service is deemed not to have been rendered and the feecomponent represented by that element is not payable.4.1.7 A physician shall, upon request by MCP, make available to MCP copies of patientrecords as may be required to clarify or verify services for which fees have beenclaimed.4.1.8 For MCP Audit purposes, it is required that physicians maintain records supportingservices billed to MCP for a period of six years. MCP Audit is routinely two years.However, in exceptional circumstances, the Medical Consultants’ Committee mayrecommend that MCP audit up to five years.4.2 Minimum Required Documentation for Claims4.2.1 Consultations4.2.2 VisitsSee Section 6.2To be claimed as an insured service, the minimum record of a visit must include:(a)(b)(c)(d)patient identification which includes the patient’s name and MCP number,date of service for which payment is being claimed,reason for the visit e.g. presenting complaint or other reason for that visit, andfindings through history, physical examination, working diagnoses, and/or planof investigation or treatment.A-7

April 1, 2009GENERAL PREAMBLE4.2.3 Timed Based Services(a)(b)Where a premium fee is applicable based on the time the service is rendered,the starting time indicator for that service must appear in the patient’s record.(For home visits, an approximate time will be sufficient).Where the fee payable is based on time units, the start and finish times for timeunit fees for which payment is being claimed, must be part of the patient recordof that service.4.2.4 ProceduresWhen a procedural fee is claimed, the patient record of that procedure must containinformation which is sufficient to verify the type and extent of the procedure accordingto the fee(s) claimed. For all services listed in the In-Hospital Diagnostic, Radiology,and Nuclear Medicine Sections, the date of service is the date the service is reportedrather than the date the patient is subject to the procedure. For all other services, dateof service is the date of patient contact.For additional documentation requirements, refer to the specific codes being claimed.4.3 Independent Consideration (IC)4.3.1 Specific services in this Schedule are designated as billable on an IC basis only.Physicians are required to identify claims for these services as IC and to provideadditional applicable information, according to instructions in this Schedule or thePhysician’s Information Manual (PIM).4.3.2 Services not listed in this Schedule, or for which a set fee is not listed, must be billedIC For these services an IC claim must include:(a)(b)(c)(d)(e)the time involved in direct continual attendance with the patient or in performingthe procedure claimed, whichever applies,a list of all examinations and procedures performed which are represented bythe claim,the actual size of lesions removed or laceration repaired, or the area of anydefect which was repaired, if applicable,comparison in scope and difficulty of the procedure with other procedures listedin the Payment Schedule, anda copy of the operative report along with the actual operating time for complexsurgical procedures.4.4 Use of Provider Number4.4.1 Claims must be submitted using the Provider Number of the physician who actuallyrendered or directly supervised the service.A-8

April 1, 2009GENERAL PREAMBLE4.4.2 Physicians are required to request prior approval from MCP for all arrangements wherepayment is to be directed to a designated payee. The claim must indicate a designatedpayee in the Payee Number Section.4.5 Time Limitations on Claim Submission4.5.1 All claims must be submitted within 90 days of the date of service. In exceptionalcircumstances this time period may be extended. A letter giving a full explanation forlateness must be submitted to the Manager of Claims Processing for specialconsideration.4.5.2 All queries from MCP must be answered within the times specified on the queries. Ifno time is specified, a reply must be received within 90 days of the date of query.4.5.3 All requests for changes to claims and queries on them must be submitted within 90days after the date of payment for the claims concerned.A-9

April 1, 2009GENERAL PREAMBLE5. DEFINITIONS OF TERMS/CONDITIONS5.1 Site of Insured Service5.1.1 Office Visit - is a service rendered to a patient in a physician’s office or home.5.1.2 Home Visit - is a service rendered following travel to a patient’s home or normalplace of residence.(a)(b)(c)(d)Patients seen in a nursing home other than one listed in Appendix C, resthome, boarding home or similar setting should be claimed as home visits,with the appropriate home visit fee code being claimed for the first patientseen. Additional patients seen during the same visit should be claimed asextra patients seen.Visits by General Practitioners to residents of DOHCS designated long termcare facilities (see Appendix C) must be claimed using dedicated nursinghome visit codes for General Practice. The home’s facility number must beentered on claims for these services.Patients seen in the same apartment complex: The first person seen shouldbe claimed using the appropriate home visit codes. Other patients seenwithin the same apartment should be claimed as extra patients seen. Avisit to another apartment in the same complex should be claimed as aseparate home visit with the same rules applying to additional patientsseen.Visits to two apartments in a private dwelling are regarded as visits to twoseparate homes and should be claimed accordingly.5.1.3 Hospital In-Patient - is a visit by a physician to a registered hospital in-patient.For claiming purposes, MCP recognizes facilities designated by the DOHCSas hospitals. The following rules apply regardless of diagnosis and referringphysician:(a)(b)(c)When a patient is admitted to a hospital and the attending physician hasnot claimed for a major examination of the patient within the previous 30days, the initial in-patient visit may be claimed as a major examination (i.e.Consultation, General or Specific Assessment) according to the servicerendered.If the attending physician has claimed for a major examination on thepatient within the previous 30 days, the initial in-patient visit may only beclaimed as a reassessment or lesser visit code.In the case of in-patients, the attending physician may claim only one majorexamination (Consultation, General or Specific Assessment, General orSpecific Reassessment) per admission except when the patient istransferred to a physician in a different specialty. In such cases, if thephysician who attended the patient initially in the admission is requested bythe (new) attending physician to see the same patient, they may claim theA-10

April 1, 2009GENERAL PREAMBLEappropriate examination.necessary.A short explanation justifying this service is(d)If a physician sees a non-critical patient in the OPD, at home or in the officeand admits the patient to hospital on his/her own service, on the same day,only one assessment/consultation or reassessment for that day’s service tothe patient is payable.5.1.4 Hospital Out-Patient or Emergency Department - is a visit by the physicianto the Out-Patient or Emergency Department of a hospital for the purpose ofrendering a service to a beneficiary who is not a registered in-patient of thatinstitution.5.1.5 Visits to Other Sites - Occasionally, based on medical necessity, physiciansmay be requested to provide insured services to beneficiaries at sites other thanthe designated sites listed above. There are no visit codes specific to these sites,but the visit may be charged to MCP by claiming a fee commensurate with theservice rendered.5.2 Delegated ProcedureWhen a procedure(s) is carried out by a physician’s employee(s) under the directsupervision of the physician in their office, claim(s) may be made for thoseprocedure(s) which are generally and historically accepted as those which may becarried out by the nurse or other medical assistant in the employ of the physician.“Procedures” in this context do not include such services as assessments,consultations, psychotherapy, etc. Direct supervision requires that, during theprocedure, the physician be physically present in the office or clinic at which theservice is rendered. While this does not preclude the physician from being otherwiseoccupied, they must be in personal attendance to ensure that procedures are beingperformed competently and they must at all times be available immediately to approve,modify or otherwise intervene in a procedure as required in the best interest of thepatient.5.3 Age (unless otherwise specified):(a)(b)(c)(d)(e)Newborn (neonate) - up to and including 28 days of age,Infant - 29 days up to but less than 2 years,Child - 2 years up to and including 15 years,Adolescent - 16 years up to and including 17 years, andAdult - 18 years and over.5.4 Most Responsible Physician5.4.1 The most responsible physician is the attending physician who is primarily responsiblefor the day to day care of the patient in hospital. In cases where the consultantassumes the role of the most responsible physician, the consultant may claimA-11

April 1, 2009GENERAL PREAMBLESubsequent Hospital Visits (SHVs) and the family physician may claim SupportiveCare if applicable.5.4.2 Where the family physician remains the most responsible physician and requests onlya consultation, the family physician may claim SHVs and the consultant may claim aconsultation only. Subsequent assessments by the consultant during the sameadmission may only be claimed as SHVs and must be requested by the attendingphysician.5.5 Referral and Transferral5.5.1 A referral takes place when one physician requests for their patient the services ofanother physician. The services of the latter may consist of:(a)(b)(c)an opinion (i.e. a consultation),diagnostic tests or procedures (e.g. skin test, biopsy, etc.), andtreatment (surgical or medical)5.5.2 A referral also takes place when a primary care physician is not available and a NursePractitioner requests for his or her patient the services of a specialist physician and it isappropriate to the patient needs and practice setting to do so as described in theNurse Practitioner Primary Health Care Regulations.5.5.3 A transferral, as distinguished from a referral, takes place where the responsibility forthe care of the patient is completely transferred permanently or temporarily, from onephysician to another (e.g. where the first physician is leaving temporarily on holidaysand is unable to continue to care for the patient).Transferral to a physician in the same specialty or discipline should be considered ascontinuing care and the physician to whom the patient is transferred is not entitled toclaim for a consultation.5.5.4 For hospital in-patients, transferral to a physician in the same specialty or disciplineshould be considered as continuing care and SHV rates are payable as for one periodof hospitalization. The visit fee on the date of transfer is payable only to the secondphysician. In such cases, the physician to whom the patient is transferred is notentitled to claim for a major exam. When a patient is transferred to a physician inanother specialty, the patient is deemed to have been referred and the rates payableare as for a new admission. Where the family physician transfers the day-to-dayresponsibility for the care of the patient to the consultant for a period of time, theconsultant should claim on a per diem basis and the family physician should not claimfor that period.5.5.5 Physicians who are substituting for other physicians should consider that patients ofthe other physician have been temporarily transferred (not referred) to their care. Thephysician to whom the patient is transferred should be regarded as substituting for theother physician.5.5.6 When a specialist assesses a non-referred patient, the service should be claimedusing the specialist fee code billed at the corresponding General Practice rate. If thereis no equivalent General Practice code, then the service should be billed at theA-12

April 1, 2009GENERAL PREAMBLEGeneral Practice office Partial Assessment rate. In either case, the claim must beidentified as non-referred.5.6 Team Care in Teaching Units5.6.1 When a patient is seen in a Clinical Teaching Unit by a member of a medical teamconsisting of a staff physician (teacher - physician) and resident, intern or clinical clerk,the staff physician may bill for the services rendered subject to the following conditions:(a)(b)(c)(d)(e)(f)The responsible staff physician must assume full responsibility for theappropriateness and the quality of the services rendered. Claims renderedshould be in the name of the responsible staff physician. The billing physicianmust document, by signing the patient record, that they actually supervised theservice that was provided or saw the patient for whom the visit was billed.In order to claim for physician procedures being carried out by an intern orresident, the responsible staff physician must be in the clinical teaching unit andimmediately available to intervene.In a general/family practice setting, the staff physician should only claim forvisits (except SHVs) on the days when actual supervision of that patient’s caretakes place through the presence of that staff physician in the clinical teachingunit on that day. This, of course, involves a physical visit to the patient and/or achart review with detailed discussion with the other member(s) of the healthteam.In all other specialties the responsible staff physician must be present in theclinical teaching unit at the time the services are rendered and must beidentified to the patient.In psychotherapy, where the presence of the staff physician would distort thepsychotherapy milieu, it is appropriate for the staff physician to claim forpsychotherapy when a record of the interview is carefully reviewed with theintern or resident and the procedure thus supervised. However, the timecharged by the staff physician may not exceed the total time spent by them inboth such interview and direct supervision and should not exceed the total timespent by a physician with the patient.In those situations where on a regular basis a staff member might supervisemultiple procedures or services concurrently through the use of other membersof the team, the total claims made by the staff physician shall not exceed theamount that the staff physician might make in the absence of the othermembers of the team.5.6.2 The fees for services rendered in Clinical Teaching Units shall be those established forthe profession as a whole.A-13

April 1, 2009GENERAL PREAMBLE6. DEFINITIONS/REQUIREMENTS OF SPECIFIC VISIT CODES –CONSULTATIONS6.1 General Definition“Consultation” refers to the situation where licensed physicians or NursePractitioners request the opinion of a physician competent to give advice in their fieldbecause of the complexity, obscurity or seriousness of the case. Except whereotherwise specified, the consultant is required to obtain a complete history and performa physical examination commensurate with the presenting complaint, review pertinentx-ray films, laboratory or other data, and submit their opinion and recommendations tothe referring physician.6.2 DocumentationThe acceptable method of documenting consultations will vary according to the sitewhere the service is rendered:(a)(b)(c)(d)Office or scheduled OPD clinic consultations must be documented with awritten request from the referring physician, a record of the history and physicalexamination, and a letter back to the referring physician.For in-patient consultations, the written request, history and physicalexamination, and reply to the referring physician must be documented on thepatient’s hospital chart or the official hospital “Consultation Report” form.For emergency department consultations made at the request of theemergency physician, the written request, history and physical examination,and reply to the referring physician must be documented on the patient’semergency department record of the official hospital “Consultation Report”form.Emergency department consultations made at the request of a physician whosaw the patient in the community or at another facility must be documented witha written request from the referring physician, a record of the history andphysical examination, and a written reply to the referring physician.6.3 General Rules6.3.1 Subject to Preamble limitations, a consultation fee may be claimed in addition to thefee for surgical, diagnostic or therapeutic procedures performed.6.3.2 Not more than one major examination (Consultation, General Assessment, or SpecificAssessment) per patient per physician may be claimed within a 90-day period exceptin case of a true emergency on a subsequent occasion. Such claims must besubmitted IC clarifying the nature of the emergency.This rule applies regardless of diagnosis and referral source.6.3.3 A consultant may claim one major examination for long stay (chronic care) patients, (ifrequested to see the patient again) every 90 days. All other visits must be claimed asSHVs.A-14

April 1, 2009GENERAL PREAMBLEThis rule applies regardless of diagnosis and referral source.6.3.4 If a physician sees a non-critical patient in the OPD, at home or in the office, andadmits the patient to hospital on their service, on the same day, only one consult/visitfee for that day’s service to the patient is payable.6.3.5 For in-patient consultative services, when the attending physician maintains day-to-dayresponsibility for care, and requests only a consultation, the attending physician shouldclaim on a per diem basis and the consultant should charge only a consultation fee.Follow-up visits by the consultant must be requested by the attending physician andclaimed only as SHVs.6.3.6 A consultation is not to be claimed when:(a)(b)(c)(d)the patient presents to a consultant’s office without the prior knowledge of theprimary physician. The sending of a report to the primary physician underthese circumstances does not justify a consultation.the primary physician is not asked for professional advice but is simply askedby the patient for the name of a specialist in a particular field and the patientseeks out the specialist themselves,consults are a result of hospital policy, ora patient is assessed by an Anaesthesiologist in an organized pre-anaestheticclinic, regardless of referral.6.3.7 A subsequent consultation requires all of the elements of a full consultation and impliesinterval care by the primary physician. The situation in which the consultant requeststhe patient to return for a later examination is not to be claimed as anotherconsultation. Each consultation claimed must be the result of a new referral.6.4 Major Consultations: These visit codes are to be claimed when a normalconsultation does not recognize the time, effort and complexity involved in the case.The categories and description of Major Consultations are as follows:6.4.1 Major Medical Consultation: This service may only be claimed by specialistsin Internal Medicine and Paediatrics and consists of a general assessment of thepatient and findings of disorders in three major systems which result in threeseparate diagnoses requiring investigation and treatment by the consultant.The minimum time period for major medical consultations (to be claimed as such)is 50 minutes. The start and finish times or duration of the service must be part ofthe patient record for that service.A Major Medical Consultation may not be claimed:(a)when associated with a diagnostic or therapeutic procedure performed bythe same physician (e.g. GI endoscopy, cardiac angiography, etc.), exceptfor office ECGs,A-15

April 1, 2009GENERAL PREAMBLE(b)(c)when performed as a pre-operative consult rendered within 48 hours of thesurgical procedure, andfor pre-arranged patient admission to chronic care facilities.6.4.2 Trauma Consultation: This service may be claimed by specialists in GeneralSurgery, Neurosurgery and Orthopaedics and consists of evaluation andmanagement of a patient with multiple major systems trauma which requiresconsultation to other surgical specialties and coordination of the patient’s care bythe attending surgical specialist.6.4.3 Major Surgical Consultation: This code is to be claimed for services renderedby a surgeon to a patient who is severely ill and whose condition requires aminimum of 50 continuous minutes of attendance for assessment and stabilization.The start and finish times or duration of the service must be part of the patientrecord for that service.6.4.4 Back Consultation: This is payable only to Orthopaedic Surgeons forconsultative services provided to a patient with a suspected spinal disorder.6.4.5 Special Ophthalmology Consultation: This is payable only to OphthalmologySpecialists. It is applicable to claims for consultative services requested by aNeurologist, Paediatric Neurologist, Neurosurgeon or another Ophthalmologist,where decisions regarding medical or surgical treatment are complicated or requireextra consideration, judgment and implementation of specialized knowledge andexperience. It also applies to consultative services (and the use of low vision aids)provided to “low vision” patients registered with the CNIB and requiring low visionaids.The minimum time period for special ophthalmology consultations (to be claimedas such) is 40 minutes. The start and finish times or duration of the service mustbe part of the patient record for that service.6.4.6 Major Neurological Consultation: This service rendered by a Neurologistshall consist of a detailed assessment of a patient with a complex neurologicalproblem.The minimum time period for major neurological consultations (to be claimed assuch) is 50 minutes. The start and finish times or duration of the service must bepart of the patient record for that service.6.5 Prenatal Consultation: This service is payable to a Paediatrician or Neonatologistfor a requested consultation on a high-risk fetus between 16 and 32 weeks gestationupon referral from an Obstetrician or Perinatologist. Only one prenatal consult ispayable per pregnancy per physician. This code is to be billed using the mother’sMCP number. Detention is not payable with this service.6.6 Intraoperative Consultation: This service may be claimed when a consultant iscalled to the operating room by the operating surgeon to give advice when a case iscomplicated and/or additional judgement, based on specialized knowledge andexperience, is required. The consultant should review the pertinent history,A-16

April 1, 2009GENERAL PREAMBLEintraoperative findings, x-ray and laboratory data as necessary, and submit theiropinion and recommendations in writing to the referring surgeon.6.7 Consultations required of Psychiatrists under the Mental Health Act or by court orderare payable by MCP. The patient record must show that the attending Psychiatristperformed an examination commensurate with the needs of the patient.6.8 Nuclear Medicine Therapeutic Consultation: Is only payable when no isotopetreatment is carried out. It is intended to recognize evaluation of the patient for whomtreatment is found to be not indicated. To claim this fee the Nuclear MedicineSpecialist is required to obtain from the patient a full history of the presenting problem,to perform a full physical examination (General Assessment) of the patient and reviewlaboratory reports with respect to the requested treatment with non-sealedradioisotopes. When the decision is made to not proceed with the requested treatmentor with any alternative treatment, a consultation report shall be sent to the physicianwho requested the isotope treatment, stating all of the above findings and giving thebasis for the decision to not proceed. This service may be claimed as often as it ismedically necessary.6.9 Radiology Consultation: A diagnostic radiology consultation applies whenradiographs made elsewhere are referred to a Radiologist for his/her written opinion. Itis not payable for the reading of radiographs sent for reporting. As well, a consultationdoes not apply when the radiographs referred to above are used for comparisonpurposes with radiographs made in the consultant’s facilities. Claims for consultationmust be submitted IC and accompanied by a copy of the referring letter and theRadiologist’s report. This service may be claimed as often as it is medically necessary.A-17

April 1, 2009GENERAL PREAMBLE7. DEFINITIONS/REQUIREMENTS OF VISIT CODES OTHER THANCONSULTATIONSThis section contains definitions and/or descriptions of services which are listed in theConsultations and Visits Section of the Payment Schedule. In order to facilitatelocation, the services are arranged alphabetically according to the letter which isprinted in boldface type and underlined in the Consultations and Visits Section.7.1 Add on Fee for Scheduled After Hours General Practice Clinics(a)(b)(c)Fee code 139 can be billed by General Practitioners who see patients in regularscheduled clinics between the hours of 6:00 p.m. and midnight on weekdays,on weekends, or on MCP Statutory Holidays. It can be billed in addition toGeneral Practice fee codes 101, 111, 112, 114, 118, 121, 122, 123, 124, 126,131, 132, and 136. It is not payable with any other code;Fee code 139 is not payable when special visit codes either 50, 52 or 53 areclaimed;To document this code for services rendered on weekdays between 6:00 p.m.and midnight, the start time for the patient encounter must be entered on therecord of service for the associated visit code. For weekends and MCPStatutory Holidays, the date of service is sufficient.7.2 Attendance at High Risk DeliveryThis service may be claimed by a Paediatrician (or by a GP in the absence of aPaediatrician) who is requested by the attending physician to care for the newborn at ahigh risk operative delivery. In cases of multiple births, 100% is payable for eachadditional infant being managed by the same physician. Where Preamblerequirements are met, claims for consultation and/or assisting at an operative deliverymay be payable in addition.7.3 Case ConsultationThis service may be claimed by Psychiatrists who consult a child welfare orcorrectional worker, teacher, community health nurse, or other allied professional, inperson, on behalf of a child or adolescent.7.4 Chronic and Convalescent CareThe physician shall be remunerated for this care on a per visit basis with a maximum ofone visit every five days. If the patient is seen for the first time on admission, a generalor specific assessment may apply in addition to the above fees. In acute illnessesrequiring special visits, premiums also apply in addition to fees allowable under theabove formula.7.5 Complex AssessmentA Complex Assessment is payable to physicians when they are providing dedicatedOn-Site Emergency Department Coverage at designated hospital facilities listed inAppendix A. The following services qualify for claiming a Complex Assessment:A-18

April 1, 2009GENERAL PREAMBLE(a)Evaluation of a new or existing medical condition that necessitates a detailedmedical history, review of previous medical records and necessary physicalexamination of three or more organ systems. It may include a review ofdiagnostic tests and the initiation of appropriate therapy/treatment. For thepurposes of claiming this code the organ systems are defined as:cardiovascular, respiratory, digestive, genitourinary, musculoskeletal,hemolymphatic, integumentary, nervous, ears-nose-throat, ophthalmic andmental.OR(b)Prolonged observation and/or continuous therapy and multiple reassessments(not including discharge assessment) of patients whose illness requires it.Please note that payment for the discharge assessment is included in thecomplex assessment fee and is not billable in addition.OR(c)Management of patients presenting with life or limb threatening illness or injurythat requires immediate evaluation and/or intervention and/or emergenttreatment by the physician.7.6 Concurrent Care7.6.1 This refers to the clinical situation where care by more than one physician is requiredfor a hospital in-patient, exclusive of claims for team fees in special care units.Separate claims must be submitted, with Concurrent Care being claimed IC, exceptwhen the patient is in an intensive care setting. Concurrent Care must be verifiable ashaving been requested by the attending physician.7.6.2 Concurrent Care for a patient in an ICU, NICU or CCU must be billed using fee code51790 instead of the regular SHV codes. Concurrent Care visits made on multipledays should be billed as multiple units of fee code 51790. The date the final visit wasmade should be used as the date of service for claiming purposes.7.6.3 When a non-IOP surgical procedure is performed on an in-patient by a physician otherthan the attending physician, the fee payable includes post-operative care for 14 daysin hospital. In this case, the patient is considered to have been transferred to the careof the operating physician and the attending physician may not continue to claim fordaily care unless the need for such Concurrent Care can be verified. The claim mustbe billed as an IC7.7 Detention7.7.1 Detention may be charged in addition to a visit when the physician is required to spendextra time in continuous active beside treatment of a seriously ill patient to theexclusion of all other work, except as noted below.7.7.2 Detention is not payable for:(a)usual preoperative or postoperative care by the operating surgeon,A-19

April 1, 2009GENERAL PREAMBLE(b)(c)(d)the same physician in addition to fees for ICU, CCU and NICU care for thesame day unless so specified elsewhere in this Payment Schedule,procedural fee codes or in lieu of procedural fees, andtime spent waiting for x-rays, lab reports, the operating room, or for patientarrival.7.7.3 Claims for detention must be billed IC and include information as to the nature of thepatient’s condition requiring physician presence, actual time spent in continuousattendance and a brief description of the service(s) rendered.7.7.4 Formula for the Claiming of Detention:(a)(b)(c)A unit of detention time is a completed 15-minute period. The start and finishtimes for detention must be part of the patient record of the service.All claims for detention must be accompanied by a claim for the preceding visitwith the exception of Critical Escorts.For specialists’ claims, the following times are considered to have been takenup with the visit code claimed:(i) Partial Assessment, Complex Assessment, Subsequent Hospital Visit -first 30 minutes of the service time,(ii)General Reassessment, Specific Reassessment - first 40 minutes, and(iii) Consultation (any type), General Assessment, Specific Assessment -first 60 minutes.(d)For General Practitioners’ claims, detention time units are calculated beginningat the time the patient encounter commences.7.8 Directive CareConsultants providing “directive care” may claim a major visit code reflective of theservice provided, as well as one visit every two days for the first week and one visitevery four days for Concurrent Care services while the patient’s condition remainsserious. Follow up visits must be claimed IC7.9 Escort of a Critically Ill Patient7.9.1 Claims for this visit code must reflect the time in actual transit with the patient using thecode listed for the service in the “Hospital Out-Patient and Emergency” Section foreach specialty. Fee code 482 should be billed regardless of the point of origin ordestination of the escort.7.9.2 All Claims must be submitted IC and should include:(a)the actual start and finish time for the in-transit period (finish time is defined bythe time the patient is transferred to the care of a physician willing to acceptresponsibility of the patient), andA-20

April 1, 2009GENERAL PREAMBLE(b)the critical nature of the illness requiring physician presence.7.9.3 A minimum of one unit should be claimed for any escort. Additional units may beclaimed for each completed 15-minute period after the first 15 minutes.7.10 General Assessments7.10.1 A General Assessment shall consist of a full history, an enquiry into, and anexamination of all systems.7.10.2 For billing purposes, an appropriate record of a General Assessment shall containinformation which highlights, at least the positive and significant negative findings forthe past history, the functional enquiry and the physical examination. The patientrecord must show the findings with respect to the cardiovascular, respiratory, anddigestive systems and also the findings for at least two of the following systems:genitourinary, musculoskeletal, hemolymphatic, ear-nose-throat, integumentary andnervous systems (central and peripheral).NOTE:The “clinical need” for a General Assessment rather than a PartialAssessment is also reviewed by the MCP Consultant’s Committee and suchrelevant notation should also be included in the patient’s record.7.10.3 A General Assessment cannot be claimed by physicians when they are providingdedicated on-site Emergency Department coverage at designated hospital facilitieslisted in Appendix A.7.10.4 A General Assessment is payable for annual and admission General Assessmentsrendered to residents of DOHCS designated long term care facilities listed in AppendixC (fee code 285) and to all other nursing home residents (fee code 210) who requirelevel 2 or 3 care subject to the following conditions:(a)(b)(c)(d)only one is payable per nursing home resident per year,no other home visit or premium is payable in addition for the same visit to thesame resident,where applicable, the first patient seen may be claimed as an elective homevisit (visit code 246 or 286), rather than as a General Assessment, andextra residents seen in addition to the first patient and residents who requiredadmission or annual General Assessments should be claimed using code 252or code 292.7.10.5 Not more than one major examination (Consultation, General Assessment, or SpecificAssessment) per patient per physician may be claimed within a 90-day periodregardless of diagnosis and referral source, except in case of true emergency. Suchclaims must be submitted IC clarifying the nature of the emergency.7.10.6 The first visit for the purpose of initiating the use of the birth control pill is deemed towarrant a General Assessment being claimed.A-21

April 1, 2009GENERAL PREAMBLE7.11 General ReassessmentA General Reassessment shall consist of the same services and record keeping as aGeneral Assessment except that the service is rendered within 90 days of the previousGeneral Assessment or Consultation.Not more than one General Reassessment per patient per physician may be billedwithin a 60-day period, regardless of diagnosis and referral source.A General Reassessment cannot be claimed by physicians when they are providingdedicated on-site Emergency Department coverage at designated hospital facilitieslisted in Appendix A.7.12 Geriatric Surcharge for InternistsSpecialists and sub-specialists in Internal Medicine may claim a fee in addition toapplicable consultation, assessment, reassessment, detention, critical care, and escortcodes for patients 65 years of age and older (codes 190, 290, 390, or 490). Thesecodes cannot be billed in addition to codes for SHVs, diagnostic and therapeuticprocedures, in-hospital diagnostic procedures, and surgical procedures.7.13 Home Visits by General Practitioners7.13.1 An Elective Home Visit rendered by a General Practitioner is a visit to a patient’shome or normal place of residence which is initiated by the physician in themanagement of known illness. The fee for elective home visits is the same regardlessof the time that the service is rendered, or the type of service provided.7.13.2 A Non-Elective Home Visit rendered by a General Practitioner is a visit that isrequested by the patient or by the patient’s attendant and which is made by thephysician on the same day. The fee payable for a non-elective home visit isdetermined by the time or day that the service is rendered. The time of service mustbe documented on the record for the visit.7.13.3 For Extra Patient(s) Seen, only fee code 252 or 292 as applicable may be claimed.7.14 In-Patient Surcharges for General Practitioners7.14.1 Fee code 355 may be claimed by General Practitioners providing continuing care ofhospital in-patients. It is payable during the first seven days of an admission on a perdiem basis. It can be billed in addition to the applicable admission assessment code,or SHV code, and code 359.7.14.2 Fee code 359 may be claimed by General Practitioners providing continuing care ofhospital in-patients. It is payable once during a period of admission on the day thepatient is discharged from hospital. It can be billed in addition to the applicable SHVcode and code 355.A-22

April 1, 2009GENERAL PREAMBLE7.15 InterviewsIn specific clinical settings, interviews are insured services and may be claimed usingthe appropriate visit code and the patient’s MCP number. Eligibility of claiming forthese services is limited to the following specialties:• Developmental Neurology *• Paediatrics• Developmental Paediatrics *• Physiatry *• Psychiatry ** Where the fee payable for interviews is based on time units, the start and finish timesof the interview for which payment is being claimed must be part of the patient recordof that service.7.16 Newborn Baby Care7.16.1 This is the routine in-hospital care of a well baby for up to 10 days following delivery.This service should include a complete physical examination of the baby andnecessary instructions to the mother.7.16.2 For care of a sick newborn, the appropriate visit codes should be claimed.7.17 Partial Assessment7.17.1 This shall consist of the necessary history, an enquiry concerning and the necessaryexamination of the affected part, region or system. This includes visits for following theprogress of treatment and initial visits wherein the patient’s condition does not clinicallywarrant a General Assessment/Reassessment, or a Specific Assessment/Reassessment.7.17.2 Follow-up visits for monitoring the use of birth control pills qualify as PartialAssessments, with or without fee code 54614, depending on the nature of theexamination performed.7.17.3 A visit for a requested Pap Smear and/or breast examination, without other significantmedical complaints or illness, qualifies as a Partial Assessment, with or without feecode 54614, depending upon the nature of the examination performed.7.18 Partial Assessment of a Patient who is 65 to 74 Years of AgeThis is a Partial Assessment of a patient who is 65 to 74 years of age.7.19 Partial Assessment of a Patient who is 75 Years of Age and OlderThis is a Partial Assessment of a patient who is 75 years of age and older.7.20 Partial Assessment of a Patient Who Received a WHSCC Service Duringthe Same Office VisitA-23

April 1, 2009GENERAL PREAMBLEThis applies when a physician performs a Partial Assessment of a patient for an MCPinsured problem(s) immediately before or after examination/treatment of a problemcovered by the WHSCC during the same office visit. This fee code (126) is onlybillable for non-WHSCC, MCP insured services and should only be billed to MCP.If the service provided is more extensive than a Partial Assessment (e.g. a GeneralAssessment or Reassessment, Psychotherapy), it should be billed IC giving thereason(s) why a more extensive examination was necessary.7.21 Physiatric ManagementThis applies to Physiatrists regulating the day-to-day management of patients, whenmedical necessity requires prescription development, advice and supervision. It maybe billed on the days when rehabilitation services are provided to patients seenpreviously by the Physiatrist for consultation or assessment. This fee is not meant asan administrative fee for supervising a department of rehabilitation nor is it to becharged on the same day as claims are made for any other services which areprovided by the Physiatrist to the same patient. It applies only to those patients whorequire and receive frequent attention by the physician during the course ofrehabilitation with regard to rehabilitative services of physician and occupationaltherapy, speech therapy or discharge planning.7.22 Pre-Anaesthetic Clinic Assessment7.22.1 Fee code 409 is applicable for patients assessed by Anaesthesiologists in organizedpre-anaesthetic clinics prior to surgery, including day surgery.7.22.2 Consultation fee codes may not be claimed by an Anaesthesiologist in respect ofpatients assessed in an organized pre-anaesthetic clinic, regardless of referral.7.22.3 This visit code is not payable in addition to another consultation or assessmentperformed by the same Anaesthesiologist prior to surgery.7.23 Pre-Dental General AssessmentThis service shall consist of examination and documentation as is required for patientsundergoing a general anaesthetic for surgical dental procedures only.7.24 Psychiatric Care7.24.1 This service is any form of assessment and treatment by a Psychiatrist for mentalillness, behavioural maladaption and/or other problems that are assumed to be of anemotional nature, in which there is consideration of, and alteration of the patient’sbiological and psychosocial functioning.7.24.2 Charges for hospital visits, home or office fees do not apply on a day when ECT orPsychiatric Care is charged, (same diagnosis, same physician).7.24.3 Psychiatric Care is not payable on the same day as ECT.A-24

April 1, 2009GENERAL PREAMBLE7.24.4 Rules for the Claiming of Psychiatric CareThe minimum time period for Psychiatric Care (to be claimed as such) is 15 minutes.Claims for one or more units of Psychiatric Care should be made reflecting thefollowing requirements of actual documented time spent with the patient.Individual1 unit – 15 to 44 minutes2 units – 45 to 74 minutes3 units – 75 to 104 minutes4 units – 105 to 134 minutes5 units – 135 to 164 minutes, and so on7.25 Psychiatric Day CareThis service may be claimed by Psychiatrists for visits to patients who are seen in aPsychiatry Day Care setting. It is not a per diem rate and may only be billed for apatient with whom an actual exchange took place during that visit.7.26 Psychotherapy7.26.1 For purposes of being an MCP-insured service, psychotherapy is defined as thetreatment of mental illness, behavioural maladaptions, and/or other problems that areof an emotional nature, in which a physician deliberately establishes a professionalrelationship with a patient for the purpose of removing, modifying, or retarding existingsymptoms, or attenuating or reversing disturbed patterns of behaviour, and/orpromoting positive personality growth and development.7.26.2 Psychotherapy may only be claimed when the physician purposefully undertakes totreat the patient’s emotional problem and that undertaking must be reflected in both thepatient’s record and the diagnostic code used on the claim. The patient’s record mustalso include a note of the actual time spent as “psychotherapy” during that visit.7.26.3 Counselling of a patient with a complex non-psychiatric illness is included in the visitfee and should not be claimed as psychotherapy. Marital and family counseling maybe claimed as psychotherapy.7.26.4 Charges for hospital visits, home or office fees do not apply on a day when ECT orindividual psychotherapy is charged, (same diagnosis, same physician).7.26.5 Psychotherapy is not payable on the same day as ECT.A-25

April 1, 2009GENERAL PREAMBLE7.26.6 The minimum time period for psychotherapy (to be claimed as such) is 15 minutes.Claims for one or more units of psychotherapy should be made reflecting the followingrequirements of actual documented time spent with the patient.Individual1 unit – 15 to 44 minutes2 units – 45 to 74 minutes3 units – 75 to 104 minutes4 units – 105 to 134 minutes5 units – 135 to 164 minutes, and so onGroup1 unit – 30 to 89 minutes2 units – 90 to 149 minutes3 units – 150 to 209 minutes4 units – 210 to 269 minutes5 units – 270 to 329 minutes, and so on7.27 Routine Post-Operative Care by General PractitionersFee codes 118 and 418 must be claimed by General Practitioners who provide routinepost-operative care to patients during the 42-day post-operative period.7.28 Specific Assessment7.28.1 This shall consist of a full history of the presenting complaint, enquiry concerning, anddetailed examination of the affected part, region or system as needed to make adiagnosis, exclude disease and/or assess function and advice to the patient.7.28.2 Not more than one major examination (Consultation, General Assessment, or SpecificAssessment) per patient per physician may be claimed within a 90-day periodregardless of diagnosis and referring source, except in cases of true emergency. Suchclaims must be submitted IC clarifying the nature of the emergency.7.29 Specific Reassessment7.29.1 This shall consist of a full relevant history and examination of one or more systems of apatient not requiring a comprehensive evaluation of the patient as a whole.7.29.2 Specific Reassessments apply in the management and assessment of the progress ofserious chronic diseases and should not be claimed for treating minor conditions, norsolely for following the progress of treatment.7.29.3 The second and subsequent Specific Assessments on a patient within each 90 daysshould be claimed as Specific Reassessments.7.30 Subsequent Hospital Visits (SHVs)SHVs may be claimed for continuing care of hospital in-patients by attendingphysicians, and for requested follow-up visits by consulting physicians. These visitsare payable on a per diem basis and may only be claimed once for each patient dayregardless of the number of actual visits to a patient on any one day. Premiums forany additional “Special Visits” as defined in this Preamble may be applicable.A-26

April 1, 2009GENERAL PREAMBLE7.31 Supportive CareSupportive Care is the (non-surgical) care rendered in-hospital by the referring familyphysician, who is not actively treating the case (e.g. writing orders), to a patient underthe care of another physician at the desire of the patient or family, for purposes ofliaison or reassurance. Supportive Care may be claimed by family physicians only,using either Visit Code 371 or 372.7.32 Visit for Procedure OnlyWhen the sole reason for a visit is the performance of a procedure listed in theDiagnostic and Therapeutic Section of the Schedule, visit codes should not beclaimed. This service should be claimed by billing the appropriate procedural codeand fee code 54000, unless otherwise specified.7.33 Well Baby Care VisitThis is to be claimed for the periodic visits of a well baby during the first two years oflife involving complete examination with necessary weight and measurements,haemoglobin and urinalysis when indicated, necessary immunization(s) (excluding costof materials), and instructions to the parent(s) regarding health care. This visit codemust be claimed unless the infant is not a “well baby.”A-27

April 1, 2009GENERAL PREAMBLE8. CRITICAL CARE8.1 Neonatal Intensive Care Unit (NICU)8.1.1 These fees apply to the services of being in constant or periodic attendance during aone day period, to provide all aspects of care to patients in Neonatal Intensive CareUnits designated by the DOHCS. There are three levels of care depending upon theprocedures performed.8.1.2 These are team fees which apply to Neonatologists/Pediatricians/Anaesthesiologistsproviding complete daily care and should be claimed by the physician in charge of thepatient. The daily fee includes the initial consultation, subsequent assessments, andthe ongoing monitoring of the patient’s condition, including the following procedures asrequired:(a)(b)(c)(d)(e)(f)insertion of IVs, arterial and CVP lines,use of pressure infusion sets,endotracheal intubation and tracheobronchial toilet,insertion and maintenance of urinary catheters and nasogastric tubes,securing and interpreting the results of arterial blood gas samples, andthe use of artificial ventilation.8.1.3 These fees may be claimed in the post-operative period for patients receiving eitherLevel A or B care. Level C care cannot be claimed for post-operative infants.8.1.4 Physicians not part of the daily care team, whose additional expertise is required, maybill for each item of service performed, including Concurrent Care (fee code 51790).8.1.5 When a patient’s care is transferred to a higher or lower level, the second day rate forthat level applies. However, in any one period of NICU care, the first date rate for thehighest level is payable for the date the patient transferred to that level. Only one firstday rate is payable per NICU period.8.1.6 Consultations or other assessments are not payable on transfers out of a NICU to thephysician who cared for the patient in the NICU. However, consultations orassessments consistent with Preamble definitions are payable to other physicians,including those in the same specialty as the NICU physician, who render subsequentcare to the patient transferred out of the NICU.8.1.7 When a patient is readmitted to the NICU within 48 hours of discharge, second daybenefits apply. After 48 hours, first day benefits apply.8.1.8 All claims for NICU must contain the facility number of the hospital in which the servicewas provided.A-28

April 1, 2009GENERAL PREAMBLE8.2 ICU and CCU Care8.2.1 These fees apply to the services of being in constant or periodic attendance during aone day period, to provide all aspects of care to patients in Intensive or Coronary CareUnits designated by the DOHCS. There are four levels of care depending upon theprocedures performed:(a)(b)(c)(d)Comprehensive Care - This is the service rendered by a physician whoprovides complete care (both Critical Care and Ventilatory Support) to CriticalCare Area patients. Comprehensive Care fees are not payable for servicesrendered to stabilized patients in ICUs or patients admitted for ECG monitoringor observation alone.Critical Care - This is the service rendered by a physician who provides allaspects of care to a Critical Care Area patient except Ventilatory Support.Critical Care fees are not payable for services rendered to stabilized patients inICUs or patients admitted for ECG monitoring or observation alone.Observatory Care - This is the service rendered to stable ICU or CCU patientswithout invasive monitoring and without assisted ventilation.Ventilatory Support - This is the service provided by a physician other than theone claiming Critical Care. It includes management of the intubated airway,tracheal toilet by suction catheter with or without instillation, and supervision ofmechanical ventilation of the critically ill patient.8.2.2 These are team fees which apply to physicians providing complete daily care andshould be claimed by the physician in charge of the patient. The daily fee includes theinitial consultation, subsequent assessments, and the ongoing monitoring of thepatient’s condition, including the following procedures as required:(a)(b)(c)(d)(e)(f)(g)insertion of IVs, intraosseous, arterial and CVP lines,use of pressure infusion sets,endotracheal intubation and tracheobronchial toilet,insertion and maintenance of urinary catheters and nasogastric tubes,securing and interpreting the results of laboratory tests, oximetry, arterial bloodgas samples,infusion or injection of pharmaceutical agents, andintracranial pressure monitoring, interpretation and assessment.8.2.3 The following services may be claimed in addition to the daily intensive care fee codes:(a)(b)(c)insertion of Swan-Ganz catheter,cardiopulmonary resuscitation,insertion of transvenous pacemaker,A-29

April 1, 2009GENERAL PREAMBLE(d)(e)(f)(g)all services listed for renal dialysis,electrical cardioversion,endotracheal intubation, when it is necessary to be rendered by a physicianother than the physician in charge, andinsertion of ICP measuring device.8.2.4 These fees may be claimed in the pre and post-operative period for patients receivingeither Comprehensive, Critical, Ventilatory or Observatory Care.8.2.5 If the patient is transferred to the ICU or CCU directly from the OR or the RecoveryRoom, second day rates apply. However, when the care required supercedes thenormal post-operative care for the surgery performed, and the patient is transferredfrom the surgeon to the attending ICU/CCU physician, first day rates apply.8.2.6 Physicians not part of the daily care team, whose additional expertise is required, maybill for each item of service performed, including Concurrent Care (fee code 51790).8.2.7 When a patient’s care is transferred to a higher or lower level, second day rates for thatlevel applies. However, in any one period of ICU/CCU care, first day rates for thehighest level is payable for the date the patient transferred to that level. Only one firstday rate is payable per ICU/CCU period.8.2.8 When a patient is readmitted to the ICU/CCU within 48 hours of discharge, second daybenefits apply. After 48 hours, first day benefits apply.8.2.9 Consultation or other assessments are not payable on transfers out of the ICU or CCUto the physician who cared for the patient in the ICU or CCU. However, consultationsor assessments consistent with Preamble definitions are payable to other physicians,including those in the same specialty as the ICU/CCU physician, who rendersubsequent care to the patient transferred out of the ICU or CCU.8.2.10 All claims for ICU and CCU must contain the facility number of the hospital in which theservice was provided.8.3 Provincial Perinatal High Risk Unit8.3.1 The fees listed are only applicable to patients who are admitted to the unit and havebeen designated as high risk and are payable only to the physician in charge of thepatient. The Concurrent Care fee for ICU, fee code 51790, may also be claimed by asecond obstetrical specialist sharing in the on-going care of the patient.A-30

April 1, 2009GENERAL PREAMBLE9. DIAGNOSTIC AND THERAPEUTIC PROCEDURES9.1 This section of the Schedule identifies the amounts payable for professional servicesthat may be performed in either an office, home, or hospital environment. Designationof site for claiming the service is based on where the procedure is performed ratherthan where it is interpreted.9.2 If a procedure is performed in a hospital and is listed both in this section and the In-Hospital Diagnostic Section, it must be claimed using the fee code listed in the In-Hospital Diagnostic Section.9.3 When a procedure(s) is the sole reason for a visit, no consultation or visit fees shouldbe charged. However, fee code 54000 may be claimed, unless stated otherwise.9.4 Billing rules for immunization of beneficiaries who belong to target populationsdesignated by the DOHCS are as follows:(a)(b)(c)visit for assessment plus single immunization - claim visit fee only,visit for assessment plus two immunizations - claim visit fee plus one unit of feecode 54656,visit for immunization against influenza and pneumococcal disease - claim oneunit of 54650 and one unit of 54656,(d) visit for immunization against influenza only - claim one unit of fee code 54650,and(e)visit for immunization against pneumococcal disease only - claim one unit eachof fee codes 54000 and 54658.9.5 Satellite Haemodialysis9.5.1 General(a)(b)(c)Fee codes 54494 and 54496 are benefits for managing chronic haemodialysiswhere the patient undergoes dialysis at a DOHCS approved satellite siteremote from the site where the billing physician is located.For the purpose of claiming these codes “remote” means patient and physicianare located in different municipalities and the physician does not attend thepatient’s dialysis sessions at the satellite site in person.All Claims for fee codes 54494 and 54496 must include the facility number ofthe satellite site where the patient is located. See the MCP PhysicianInformation Manual for a list of numbers.9.5.2 Supervision and Administration - Fee Code 54494(a)When fee code 54494 is billed, the claim date must be the last date of eachcompleted week or supervision where a week begins 12:00 a.m. Monday andends 11:59 p.m. Sunday.A-31

Revised February 1, 2011GENERAL PREAMBLE_____________________________________________________________________________(b)If the billing physician provides in person dialysis services to the patient atthe satellite site, the amount that can be claimed for fee code 54494 thatweek must be reduced by 50%.9.5.3 Teledialysis Assessment with Patient, Once Per Week, Per Patient - FeeCode 54496(a)(b)(c)“Teledialysis Assessment” is a medical service provided to a chronichaemodialysis patient present at a DOHCS approved satellite haemodialysissite in Newfoundland and Labrador, through a direct interactive video link witha receiving physician at an approved telemedicine site in Newfoundland andLabrador. The patient must be present at the same time as the physician.The physician may initiate the service. This code is payable to a maximum ofone physician per patient, per week.The record of a teledialysis assessment must include the findings throughhistory, observations from visual inspection (if any), and plan of investigationor treatment. It is understood that the diagnosis is chronic renal failure andthat the reason for the visit is review of the dialysis patient’s status.When fee code 54496 is billed, the date of service must be the actual date thephysician-patient teledialysis encounter took place. For the purpose of billingthis code, a week begins 12:00 a.m. Monday and ends 11:59 p.m. Sunday.9.6 Electrophysiologic Pacing, Mapping and AblationFee Code 54333 is billable under the following conditions:9.6.1 The advanced mapping system is used in hospital for mapping the followingarrhythmias:Atrial arrhythmiaVentricular arrhythmiaOtherAtrial fibrillationAtypical atrial flutterPost-surgical atrial flutterAtrial tachycardiaRedo typical atrial flutterRedo reentrant tachycardia (accessory pathways, AVnodal reentry)Ischemic ventricular tachycardia/prematureventricular ectopicsNon-ischemic ventricular tachycardia/prematureventricular ectopicsIdiopathic ventricular tachycardia/prematureventricular ectopics (e.g. fascicular, ARVD, bundlebranch reentry, aortic cusp, outflow tract, etc.)Congenital heart disease arrhythmia9.6.2 Examples of procedures lasting more than 4 hours and not utilizing theadvanced mapping system are mapping and ablation of multiple accessorypathways and/or thick band accessory pathway(s).A-32

April 1, 2009GENERAL PREAMBLE10. IN-HOSPITAL DIAGNOSTIC PROCEDURES10.1 This section of the Schedule identifies the amounts payable for professional servicesrelated to specific procedures performed in a hospital.If the same procedures are performed in a non-hospital environment, they must bebilled using fee codes and fees in the Diagnostic and Therapeutic Procedures Section.Diagnostic procedures not listed in the Diagnostic and Therapeutic Procedures Sectionor the In-Hospital Diagnostic Procedures Section are not MCP insured services.10.2 Only the physician who produces the official hospital report may claim these fees.Interpretations done by attending physicians during care of the patient are consideredto be included in the daily care or other fees payable for those patients.A-33

April 1, 2009GENERAL PREAMBLE11. RADIOLOGY11.1 Diagnostic imaging services are insured services under MCP and are payableaccording to the rates listed in the Radiology Section of this Schedule. The fee codesand fees in this section may be claimed by Radiologists or those physiciansdesignated by individual hospitals to provide imaging services. MCP should be notifiedin writing by the hospital’s administration of the names of physicians so designated andthe specific imaging services for which they have been given privileges.11.2 The fees listed include:(a)(b)(c)(d)consultation between the Radiologist and referring physician,the procedure and/or interpretation as specified in the fee code item,producing the usual report, andsupervision of diagnostic imaging services by the Radiologist.11.3 If the examination requested by the referring physician yields abnormal findings, or if itwould yield information which in the opinion of the Radiologist would be insufficient, orif a different examination is necessary to obtain the diagnostic information required,then, governed by the needs of the patient, the Radiologist may add additional viewsor change the examination and claim accordingly. Such additions or changes must benoted on the examination request form or in the report for that exam and signed by theRadiologist.11.4 Certain procedures require Independent Consideration (IC) submission along with theregular claim. The IC should include all the information necessary for thedetermination of the appropriate fee. Essential information includes:(a)(b)(c)(d)(e)(f)(g)Note:time taken to do the procedure,any medical complication which impacts the procedure,the specific type of scan or examination required,specific circumstances requiring the Radiologist’s presence,specific service performed by the Radiologist,reference to any fee code item considered equivalent to the service beingperformed, andfee requested.See the Physician’s Information Manual for requirements specific tocodes listed IC.11.5 A stereo pair is to be counted as two views.11.6 No additional fees are to be charged for:A-34

April 1, 2009GENERAL PREAMBLE(a)(b)(c)(d)(e)rapid sequence IVP,the use of image intensifying equipment,fluoroscopy, when it is regarded as an integral part of the examination, e.g.,examination of the GI tract special procedures,routine abdominal and chest studies billed with gastrointestinal examinations,androutine abdominal and/or pelvic views in addition to lumbar spine examinationrequests.11.7 Conventional films of the spine before myelography may only be obtained and billed ifthe Radiologist is unable to obtain films done at their or other institutions. IC isrequired.11.8 An unsuccessful procedure should be claimed as successful. IC is required.11.9 Procedural ultrasound fees must be billed IC and may only be claimed:(a)(b)(c)where no technician is available to do the required procedure and the clinicalurgency of the case will not permit waiting until a technician is available, orwhere the technician available is not trained to do the required procedure, orwhere the procedure is so complicated that it must be performed by, or underthe direct guidance of a Radiologist, who must be continually in attendance.11.10 No fee may be claimed for interpretation of views of the joint unless all of the viewsnormally required for that joint have been examined.11.11 IV injection fees are not included in any interpretation fee but are included inprocedural fees which normally require intravenous injection.11.12 The fee for a “special additional view” may only be claimed for interpretation of a viewwhich is not considered to be included in the routine examination of that part or areaand which has been specifically requested by the referring physician or deemedclinically necessary by the interpreting Radiologist.11.13 When claiming fluoroscopy services, fees are only billable when the Radiologist ispresent during the procedure, with the Radiologist actively providing or guiding thefluoroscopy.11.14 Complex head CT scans are multi-planar and must include one or more of thefollowing areas; pituitary fossa, posterior fossa, internal auditory meati, orbits andrelated structures, the temporal bone and its contents, and the temporomandibularjoints.Fee codes 73800, 73801 and 73802 cannot be billed in addition to fees for complexhead studies.A-35

April 1, 2009GENERAL PREAMBLE11.15 Special visit premiums are payable in addition to the procedural fees. The premiumsapply when the Radiologist is asked to return to the hospital after normal workinghours as follows:(a)(b)(c)Daytime special visit - (Monday to Saturday),Special visits during evenings - (6:00 p.m. to midnight, Sundays and StatutoryHolidays), orSpecial visits during the night - (midnight to 8:00 a.m.)11.16 Only one special visit premium per trip to the hospital is payable regardless of thenumber of x-rays examined. An additional premium is payable for additional tripsmade within the same shift or period as outlined.A-36

April 1, 2009GENERAL PREAMBLE12. NUCLEAR MEDICINE12.1 Nuclear Medicine services are insured services under MCP and are payable accordingto the rates listed in the Nuclear Medicine Section of this Schedule. The fee codes andfees in this section may be claimed by Nuclear Medicine Specialists or thosephysicians designated by individual hospitals to provide such services. MCP shouldbe notified in writing by the hospital’s administration of the names of physicians sodesignated and the specific imaging services for which they have been givenprivileges.12.2 The fees listed include:(a)(b)(c)(d)consultation between the Nuclear Medicine Specialist and referring physician,the procedure and/or interpretation as specified in the fee code item,producing the usual report, andsupervision of diagnostic imaging services by the Nuclear Medicine Specialist.12.3 If the examination requested by the referring physician yields abnormal findings or if itwould yield information which in the opinion of the Nuclear Medicine Specialist wouldbe insufficient, or if a different examination is necessary to obtain the diagnosticinformation required, then, governed by the needs of the patient, the Nuclear MedicineSpecialist may add additional views or change the examination and claim accordingly.Such additions or changes must be noted on the examination request form or in thereport for that exam and signed by the Nuclear Medicine Specialist.12.4 An unsuccessful procedure should be claimed as successful. IC is required.12.5 IV injection fees are not included in any interpretation fee.12.6 The fee for a “special additional view” may only be claimed for interpretation of a viewwhich is not considered to be included in the routine examination of that part or areaand which has been specifically requested by the referring physician or deemedclinically necessary by the interpreting Nuclear Medicine Specialist.12.7 Special visit premiums are payable in addition to the procedural fees. The premiumsapply when the Nuclear Medicine Specialist is asked to return to the hospital afternormal working hours as follows:(a)(b)(c)Daytime special visit - (Monday to Saturday), orSpecial visits during evenings - (6:00 p.m. to midnight, Sundays, and StatutoryHolidays), orSpecial visits during the night - (midnight to 8:00 a.m.)12.8 Only one special visit premium per trip to the hospital is payable regardless of thenumber of scans examined. An additional premium is payable for additional tripsmade within the same shift or period as outlined.A-37

April 1, 2009GENERAL PREAMBLE13. OBSTETRICS13.1 The SURGICAL PROCEDURES Section of this Preamble applies to all obstetricalprocedures unless otherwise stated.13.2 The delivery fee includes routine in-hospital pre-delivery assessment and daily care aswell as the management of labour for up to 18 hours.13.3 Illnesses or conditions resulting from or associated with pregnancy requiring addedhospital care should be charged on a per diem basis up to the day prior to delivery.Remarks Code 07 should be indicated on claims for these SHVs.13.4 “Attendance at Labour” is payable when a physician refers a patient in labour toanother physician for delivery because of complications. If the complication results in aCaesarean or other operative delivery and the first physician assists, that physician isentitled to the assistant’s fee as well as the “Attendance at Labour” fee.13.5 Care of the newborn is not included in the obstetrical fee.13.6 The Anaesthesiologist’s services include ordinary and immediate care of the newborn.When active resuscitation is necessary, add three units of anaesthetic time.13.7 Fee code 80010 represents routine post-partum in-hospital care, regardless of thenumber of days the patient remains in hospital.A-38

April 1, 2009GENERAL PREAMBLE14. SURGICAL PROCEDURES14.1 Surgical fee codes are “bundled” and not divisible, with the exception of “team” feecodes (each physician is paid 50% of the listed fee). Unless otherwise stated, the feelisted for a surgical procedure includes the following:(a)(b)(c)(d)the procedure, including the surgical approach and closure,all examinations other than consultations rendered within two days prior to theprocedure,pre-operative care for two days prior to the procedure,post-operative SHVs for up to 14 days of care commencing on the day aftersurgery,The starting point for the calculation of SHV benefits after the 14 daysincluded in the procedural fee is the date of admission if admitted by thesurgeon or the date of transferal, if transferred from another specialty.When immediate post-operative chemotherapy for malignancy iscommenced, SHVs are payable to the physician rendering the service.Claims must be submitted IC(e)routine post-operative office or out-patient visits for up to 42 days commencingon the day after surgery are included in the surgical fee and are not eligible tobe claimed by another physician in the same specialty as the operatingsurgeon. However, post-operative visits may be claimed if the patient is seenby a physician in the same specialty as the operating surgeon and the serviceis rendered at a site in excess of 16 kilometres from the community in whichthe surgical procedure was performed. This requires the use of RemarksCode 25 on the claim form.14.2 The following items are not included in the surgical fee and may be claimed in addition,if applicable:(a)(b)(c)(d)(e)consultation prior to surgery,subsequent surgical procedures, including Diagnostic and Therapeutic Sectionfee codes, for the same condition,premium on non-elective, non-scheduled surgical procedures,premium applicable to a special in-patient visit requested by the hospital forwhich a visit fee is not payable,pre and post-operative visits not related to procedure:Visits made within the two day pre-operative period or 42 days postoperativeperiod for a condition unrelated to the one for which theprocedure was done, are eligible to be claimed by any physician renderingthe service.A-39

April 1, 2009GENERAL PREAMBLERemarks Code 20 must be used by General Practitioners claiming theseservices.(f)(g)visits related to complications of surgery:Office, home or out-patient visits made within the 42-day post-operativeperiod because of complications are eligible to be claimed by anyphysician rendering the service. Remarks Code 24 must be used.routine post-operative care by General Practitioners:General Practitioners are eligible to claim office or out-patient visits forroutine post-operative care during the 42-day post-operative period. Feecode 118 or 418 must be claimed.14.3 For claim assessment purposes, a surgeon who performs a non-IOP surgicalprocedure on a patient is deemed to be the attending physician for the first 14 postoperativein-patient days and for the first 42 total post-operative days.14.4 When a procedure is specified as “Independent Operative Procedure” (IOP), theprocedural fees may be charged in addition to visit fees, consultation, etc.IOPs when not included in another procedure or visit fee, are payable at the full listedfee whether done alone or with another procedure. Fees for non-IOPs are not affectedby IOPs done at the same sitting.When an IOP is done in conjunction with other non-IOPs, there should be no chargefor the pre and post-operative care related to the IOP, but the listed IOP fee should becharged in these circumstances.When multiple IOPs are performed at the same time by the same physician, the listedprocedural fees should be charged in full but the pre and post-operative visit feesshould be charged as if only one procedure had been performed.14.5 When different operative procedures are done by two different surgeons under thesame anaesthetic for different conditions, the fee will be 100% of the listed fee for themajor procedure for each surgeon.14.6 If the nature or complexity of a procedure requires more than one operating surgeon,each providing a separate service in a specialized field, each surgeon may claim thefull listed fee for the procedure performed. This however, does not apply to thosecases where an additional surgeon is involved simply because they may be moreskilled in carrying out the procedure. Neither does it apply to those cases where oneor more additional surgeons perform components of a main procedure for which thereis a listed combined tariff. In those cases, the additional surgeon may claim assistant’sfees only for the procedures.14.7 When more than one operative procedure is performed by the same surgeon at thesame time under the same anaesthetic, the fee shall be the full fee for the majorprocedure and all other procedures shall be paid at the rate of 85% of the listed fee foreach procedure (exception: IOPs). However, in the case where an appendix orovarian cyst(s) is removed incidentally during an operation, no additional chargeshould be claimed.A-40

April 1, 2009GENERAL PREAMBLE14.8 When a patient is re-admitted to hospital because of a post-operative complicationwhich does not require a surgical procedure, the physician attending this re-admittedpatient should claim as for a new admission.14.9 When an emergency surgical procedure is performed in the course of a home visit, thevisit fee should be charged in addition to the procedural fee. A note of explanation isrequired to expedite processing.14.10 Procedures that are non-elective, unscheduled and which either require the services ofan Anaesthesiologist, or which are performed using one of the regional nerve blocksspecified in fee code 54150 for local anaesthetic purposes, qualify for premiums aslisted in the Premiums Section of the Preamble.14.11 When a physician administers an anaesthetic and/or other medication prior to, duringor immediately after a procedure(s) which the physician performs on the same patient,the procedure(s) only should be claimed. However, when a physician administers aretrobulbar, stellate ganglion, femoral, sciatic, ilioinguinal, iliohypogastric, ulnar,median, radial block for local anaesthetic purposes, or epidural for delivery block inaddition to performing the procedure, fee code 54150 should be claimed in addition tothe procedural fee.14.12 Where hypothermia is used, a charge in addition to the procedural fee should be madeby the surgeon, unless otherwise specified. See fee code 94802. ForAnaesthesiologist’s charge, see fee codes 94800 and 98100.14.13 The fee for total hip replacement includes denervation of the hip joint and adductor orabductor tenotomy.14.14 When laryngoscopy and bronchoscopy are carried out as combined procedures, thephysician may claim for only one of the procedures.14.15 No claim should be made for bronchoscopy carried out immediately following thoracicsurgery under the same anaesthetic by the same surgeon.14.16 When debridement of ears under microscopy is carried out for the removal of cerumenfor access purposes only, no charge should be made for the debridement.14.17 The benefit for obtaining a bone graft is not to be claimed in cases of pseudoarthrosisrepair, fusions or for listings in which bone grafting is included.A-41

April 1, 2009GENERAL PREAMBLE15. FRACTURES15.1 Open Reduction shall mean the reduction of a fracture or dislocation by an operativeprocedure to include the exposure of the fracture or dislocation or intramedullarymeans of fixation or Roger Anderson type of apparatus.15.2 Closed Reduction shall mean the reduction of a fracture or dislocation by nonoperativemethods, including skin traction, K-wire, or Steinman’s pin for balancedtraction.15.3 No Reduction shall mean the treatment of a fracture or dislocation where no reductionis required and shall include 42 days of care for that injury.15.4 The stated fee covers full treatment including necessary after care up to 42 days byphysicians of the same specialty. This includes the removal of a wire or other devicewhen used for traction or external fixation in the treatment of a fracture or otherorthopaedic procedures. A charge may be made for removal of a device used forinternal fixation in addition to the procedural fee.15.5 The benefit for obtaining a bone graft is not to be claimed in cases of pseudoarthrosisrepair, fusion, or for listings in which bone grafting is stated to be included in the fee.15.6 In multiple fractures or dislocations treated at the same sitting, the fee for the majorprocedure shall be the full listed fee and the other fractures or dislocations shall be at85% of the listed fee.15.7 In cases where two or more reductions (closed or open) are performed for one fractureby one or more surgeons, the full fee should be charged for the final reduction andafter care. Previous reduction(s) should be charged at 85%.15.8 Compound fractures or dislocations requiring extensive debridement qualify for anadditional fee which is listed after the fee for open reduction of the fracture.15.9 If reconstructive procedures on soft tissues are required, such services should beclaimed on their own merit. Claims must be billed IC and the OR report submitted.15.10 Where a patient is transferred to another surgeon for after care of a fracture ordislocation treated by “no reduction” or “closed reduction”, the surgeon rendering theinitial care should claim 75% of the listed fee and the surgeon rendering thesubsequent care 50% except where otherwise specified. In cases involving openreduction, the percentages are 80% and 40% respectively.15.11 The fee for emergency splinting of a fracture in the Emergency Department should beon the basis of the emergency room visit plus application of cast if rendered. Forclaiming purposes, a cast is defined as “a rigid dressing, moulded to the body whilepliable and hardening as it dries, to give firm support.”15.12 Fees for fractures or dislocations include all applications of plaster whether doneduring the surgery or at a later date.15.13 In the case of fractures, dislocations or minor evulsion fractures not requiring reduction,visit fees shall apply unless a specific fee is listed. For fractures listed as “visit fees”the following also apply:A-42

April 1, 2009GENERAL PREAMBLE(a)(b)(c)when two or more fractures, each listed as “visit fees” are treated, only one visit feeshould be claimed for each visit, even though more than one fracture is assessed,treated, or re-assessed.when fractures which are listed as “visit fees” are treated along with treatment offractures which have definite fees listed, visit fees are not payable in addition toclaims for the other fracture care, andwhen fractures which are listed as “visit fees” are treated along with other non-IOPsurgery, visit fees are not payable in addition to claims for surgery.A-43

April 1, 2009GENERAL PREAMBLE16. SURGICAL ASSISTANT’S SERVICES16.1 Standard Method of Billing16.1.1 Assistant fees (except specialist assistants) should be claimed by billing the listedbasic fee applicable to the procedure performed and the appropriate fee for thenumber of time units.16.1.2 Time units are calculated per operation on the basis of time spent by the physicianassisting at that particular surgery. For the purpose of this calculation, time includesscrub time and time spent in the operating room. Assistant time units are calculated byallowing one unit for each 15 minutes, except for the final unit of eligible time which isequal to 15 minutes or part thereof. Units tables for convenience of billing are locatedin the Tables Section of this Payment Schedule. For the current time unit rate, pleaserefer to this table.Time units should be billed on a separate line using the basic procedural fee code asthe first 5 digits and adding 1, for a total of six digits in the time units fee code.16.1.3 Claims for assistants’ fees for surgical procedures with no listed assistant basic rateare required to be submitted IC, and must include the reason why, based on medicalnecessity, an assistant was required.16.1.4 When multiple or bilateral surgical procedures are performed during the sameanaesthetic, the assistant is entitled to claim the basic fee code for the majorprocedure only, plus any applicable add-ons, plus total time units. Total time unitsclaimed should be billed under the time unit code for the major procedure only.16.1.5 When more than one assistant is required for a surgical procedure, the fee for thesecond assistant is calculated in the same manner as the fee for the first assistant.16.1.6 Where the attendance of a physician is requested by the patient’s other medicalattendants for the sole purpose of monitoring or special supportive care, and when thephysician is in constant attendance, the benefit shall be 3 time units plus time. (Feecode 90020).16.1.7 When an anaesthetic has begun and the operation is cancelled prior tocommencement of surgery, the assistant who has scrubbed but is not required to domore, should claim using fee code 90040 plus time.Note 1:Note 2:If the operation is cancelled after surgery has commenced, the performedprocedural basic plus time units will apply.If the procedure is cancelled prior to the induction of anaesthesia and theassistant is scrubbed, an SHV only may be claimed.16.1.8 Payments to General Practitioners for surgical assistant’s services billed using theStandard method will be adjusted by MCP to reflect increased funding made availableduring the micro-allocation process.A-44

April 1, 2009GENERAL PREAMBLE16.2 Dedicated Time Method of Billing for General Practitioners16.2.1 General Practitioners have the option of billing for surgical assistant’s servicesaccording to either the Standard method described above or the Dedicated Timemethod.16.2.2 Dedicated time is defined as time spent by General Practitioners in hospital for theprovision of requested surgical assistant’s services. Payment for dedicated timerepresents payment for all insured services rendered during the dedicated time. Theperiod of time claimed as dedicated time must not be interrupted in order to bill forinsured services under other methods of billing.16.2.3 No other insured services may be billed to MCP during the time claimed as dedicatedtime.16.2.4 Actual time spent assisting at non-MCP insured procedures, e.g. WHSCC or out-ofprovincepatients must be subtracted from the time claimed as dedicated time.16.2.5 Dedicated time units are equal to 15 minutes, except for the final unit of eligible timewhich is equal to 15 minutes or part thereof. Units tables for convenience of billing arelocated in the Tables Section of this Payment Schedule. For the current time unit rate,please refer to this table.Note:Instructions with respect to preparation and submission of claims forsurgical assistant’s services using the Dedicated Time method of billingare included in the MCP Physician’s Information Manual.16.2.6 When a General Practitioner has set aside time to provide assistant’s services and isgiven less than 18 hours notice that the scheduled surgical list has been cancelled, theGeneral Practitioner may claim payment of time units. The number of units payable isbased on the scheduled start time for the surgical list and ends when the physicianresumes working. A maximum of 12 units of dedicated surgical assist time units maybe claimed. The General Practitioner must identify on the claim that the fee claimed isthe result of a cancelled surgical list.16.3 Specialist AssistantWhen two surgeons are working together at a procedure for which neither a team feenor other method of claiming is set out in the Schedule, one surgeon should beidentified as the operating surgeon and claim accordingly; the surgeon who is assistingshould be identified as such and claim the assistant’s benefit. Certain procedures,because of their difficulty or complexity, require the services of a specialist assistantand a list of eligible procedures can be obtained from the MCP Assessing Manager. Ifa claim is made for a procedure not on this list, it is subject to internal review and/oradjudication by the Medical Advisory Committee. The specialist assist rate is 75% ofthe primary surgeon’s fee and these claims must be submitted IC.16.4 PremiumsPremiums are payable for non-elective, non-scheduled surgical procedures which areperformed outside of normal working hours. See Section 18.A-45

April 1, 2009GENERAL PREAMBLE17. ANAESTHESIOLOGY SERVICES17.1 The tariffs listed are for all types of anaesthesia and cover the fees for professionalservices including pre-anaesthetic examination (excluding Pre-anaesthetic Clinics)and post-anaesthetic follow up and all immediate supportive measures, but do notinclude the cost of materials used.17.2 Anaesthetic fees should be claimed by billing the listed basic fee (for the majorprocedure performed) and the appropriate fee for the number of time units. Whenmultiple or bilateral surgical procedures are done during the same anaesthetic, onlyone basic fee is payable.17.3 Anaesthesia basic fees are listed as unit values. Anaesthesia basic fees must beclaimed as dollar amounts and not as unit values. The amounts payable for each unitvalue are located in the Tables Section of this Payment Schedule.17.4 Anaesthetic time begins when the Anaesthesiologist is first in attendance with thepatient for the purpose of creating an anaesthetic state and ends when they are nolonger in personal attendance.17.4.1 Anaesthesia time units are calculated by allowing one unit for each 15 minutes, exceptfor the final unit of eligible time which is equal to 15 minutes or part thereof.(a)(b)(c)Where the basic fee amount is equivalent to 1-3 time units or 6 or more timeunits, time units in excess of two hours but less than four hours are payable atdouble the listed time unit rate. Units tables for convenience of billing arelocated in the Tables Section of this Payment Schedule.Where the basic fee amount is equivalent to 4-5 time units, time units in excessof one hour but less than four hours are payable at double the listed time unitrate. Units tables for convenience of billing are located in the Tables Section ofthis Payment Schedule.Time units in excess of four hours are payable at triple the listed time unit ratefor all cases, regardless of the basic fee amount.17.4.2 Time units should be billed on a separate line using the basic procedural fee code asthe first 5 digits and adding 1, as the sixth digit in the time units fee code.17.5 In most cases, additional fees are not payable. However, any codes listed as “extra” or“add”, and having a listing in the anaesthesiology columns are billable in addition to the“basic”. See also “Additional Fees Payable” below. In addition to these services incapacity 3, any services rendered in capacity 0 that are not a routine component of theanaesthesiology service are also payable.17.6 Epidural Anaesthesia:(a)Obstetrical CasesEpidural for Labour - Claim using basic fee code 80042. For themaintenance, claim using fee code 80044. A maximum of 12 units of80044 is payable. Time for the (routine) delivery may be claimed using800401. A second basic is not payable except in the case of CaesareanA-46

April 1, 2009GENERAL PREAMBLESections and Operative Deliveries which are considered to be separateprocedures.Epidural for Post-delivery Pain - This is payable in addition to Epiduralfor Labour and the delivery “time”. To bill this, use fee code 54134 only(an additional basic is not payable). However, if the epidural was set upfor post-delivery pain only, use both codes 54132 and 54134.(b)Epidural for Non-Obstetrical Cases - Bill using fee code 54132. Bill for themaintenance using fee code 54134. A maximum of 12 units of the maintenance(code 54134) is payable per 24-hour period.17.7 Cancelled Surgery:(a)(b)When an anaesthetic has begun and the operation is cancelled due to acomplication prior to the commencement of surgery, the Anaesthesiologistshould claim fee code 90040 plus time.If the operation is cancelled after the surgery has commenced, the performedprocedural basic fee plus time units will apply.17.8 Anaesthesiology Consults:17.8.1 Generally, consultations are not payable in addition to anaesthetic fees.17.8.2 However, an anaesthesiology consultation is payable before a procedure if theconsultation is formally requested by a physician in respect of a complicated patientbeing considered for anaesthetic. Claims for anaesthesiology consultations must besubmitted IC supporting the need for the service claimed.17.8.3 Routine pre-anaesthetic evaluation of the patient at the request of a physician does notqualify as a consultation. Consultation fee codes may not be claimed by anAnaesthesiologist in respect of patients assessed in an organized pre-anaestheticclinic, regardless of referral.17.9 Additional Fee Codes Billable in Capacity 3:When an Anaesthesiologist administers an anaesthetic to a patient in the followingsituations, an additional fee may be claimed as indicated. These fees should beclaimed in Capacity 3.(a)(b)(c)Anaesthetic wake-up test - This is payable when the patient under generalanaesthetic is awakened during a procedure to assess neurological function,following which the anaesthesia is recommended. Use fee code 90014.Fiberoptic intubation - This is payable only when regular intubation isimpossible and is not payable as a routine replacement. Use fee code 90016.One lung anaesthesia - This is payable when a double-leumen endotrachealtube is placed which permits selective ventilation of either lung as required bythe thoracic procedure being performed. Use fee code 90018.(d) Children under the age of 1. Use fee code 90024.A-47

April 1, 2009GENERAL PREAMBLE(e) Patients over the age of 70. Use fee code 90026.(f) Patients who are in a constant life threatening condition. Use fee code 90028.(g)Patients who receive anaesthetic in the prone or sitting positions. Use fee code90030.(h) Patients who weigh less than 5 kgs. Use fee code 90032.(i)(j)(k)Controlled hypotension - This technique is used in conjunction withanaesthesia to reduce the patient’s blood pressure to a level at least 25%below the normal for that patient. Bill using fee code 90034.Malignant hyperthermia set up and management - This applies when apatient is known to have malignant hyperthermia or there is a strong suspicionof susceptibility and the Anaesthesiologist requires full malignant hyperthermiaset up and management. Bill using fee code 90036. This add-on does notapply with fee code 90144.Anaesthesiologist management for the emergency relief of acute upper airway(above the carina) obstruction, excluding choanal atresia. Use fee code 90038.17.10 In special cases where the services of more than one Anaesthesiologist are deemednecessary in the interest of the patient, the basic fee shall be increased by 50% of thatlisted for the procedure; each Anaesthesiologist to be entitled to one half of the totalbasic benefit. Each Anaesthesiologist will claim for the anaesthesia time they arepresent. Claims must be submitted IC. “Additional codes billable” are each payable at100% of the listed rate to each Anaesthesiologist.17.11 Where one Anaesthesiologist starts a procedure and is replaced by another part waythrough a surgical procedure or delivery, the first Anaesthesiologist should claim theappropriate basic fee plus time units for the time present. The secondAnaesthesiologist may claim for their time units only. Each Anaesthesiologist shouldstate on their claim which part of the anaesthetic is being claimed as well as the timebegun and completed by them.17.12 In procedures where no fee is listed, or where IC is indicated, the basic portion of thecalculated fee will be the same as listed for a comparable procedure consideringregion and modifying conditions or techniques.17.13 When a by-pass pump, with or without an oxygenator, and with or withouthypothermia, is employed in conjunction with an anaesthetic, the anaesthetic “BasicValue” shall be the equivalent of 28 time units. To compensate for variations inanaesthesiology practice, special respiratory intensive care or detention for thepurpose of intensive treatment of other types should be billed separately under theappropriate headings.17.14 When a physician administers an anaesthetic and/or medication prior to, during, orimmediately after the procedure(s) which the physician performs on the same patient,the procedure(s) only should be claimed. However, when a physician administers aretrobulbar, stellate ganglion, femoral, sciatic, ilioinguinal, iliohypogastric, ulnar,median, radial block for local anaesthetic purposes, or epidural for delivery block, inA-48

April 1, 2009GENERAL PREAMBLEaddition to performing the procedure, a claim may be made in addition to theprocedure fee, using fee code 54150.17.15 Where the attendance of the Anaesthesiologist is requested by the patient’s othermedical attendants for monitoring, special care, or for immediate availability and wherethe Anaesthesiologist is in constant attendance, bill using fee code 90020 plus time.The claim must be submitted IC. This does not apply to waiting time for scheduledprocedures or to the normal preparation time for emergency procedures.17.16 Where unusual detention with the patient before or after anaesthesia is essential forthe safety and welfare of the patient, the necessary time will be valued on the samebasis as indicated for the anaesthetic time. For detention not associated withanaesthesia, detention rates and criteria apply.17.17 When hypothermia is used by the Anaesthesiologist in procedures not specificallyidentified as requiring hypothermia, the basic value is 25 units. This basic valuereplaces the basic value listed in the schedule for the procedure. The claim must besubmitted IC.17.18 Anaesthesia time units may not be claimed by the same Anaesthesiologist forrendering anaesthesia or other time-reimbursed services to more than one patient atthe same time, with the exception of fee codes 54068, 54134, 54162 and 80044.17.19 Premiums are payable for non-elective, non-scheduled surgical procedures which areperformed outside of normal working hours.A-49

April 1, 2009GENERAL PREAMBLE18 PREMIUMS18.1 General Premium Rates(a)(b)Where a premium fee is applicable based on the time the service is rendered, astarting time indicator for that service must appear in the patient’s record.Premiums are not payable for:(i)patients seen for convenience by the physician during a special visit,(ii) visits on regular rounds to registered bed patients,(iii) admission assessments of patients who have been admitted to hospitalon an elective basis, regardless of the time performed, and(iv) maintenance or monitoring procedural fee codes.(c)Statutory Holidays are as listed in the appropriate MCP Newsletter for that yearand do not include additional Civic Holidays (e.g. Regatta Day). Premiums maybe claimed for services provided on the ACTUAL Statutory Holiday but not on aday held in lieu of the holiday.18.2 Special Visit Premiums(Special visit premiums applicable to Radiologists and Nuclear Medicine Specialistsare described in Sections 11 and 12 of this Preamble):(a)(b)(c)(d)(e)A special visit is one initiated by a patient or the patient’s representative wherethe physician is required to travel from one location to another to see thepatient. The type of premium to be claimed is dependent on where the serviceis provided, the time of day and what day the service is rendered.A special visit may also involve an emergency call with sacrifice of officehours. The benefit for this type of special visit applies in a situation where thedemands of the patient or the physician’s interpretation of the patient’scondition are such that the physician responds immediately.A special visit premium will also be payable for special in-patient visitsrequested by the hospital for which no fee is otherwise payable.Only one special visit premium may be claimed for the same patient, samevisit.Special visit premiums are to be claimed as separate line items or on the sameline with the visit claim. Separate line items apply when no visit is payable oran SHV applies.18.2.1 Home Visit PremiumsThis term applies to all physicians and home visits except home visits made byGeneral Practitioners. Home visits and “extra patient seen” during a home visit byA-50

April 1, 2009GENERAL PREAMBLEGeneral Practitioners are not eligible for the additional claim of a premium as the visitfee listed represents the total fee payable.For home visits made by specialists, an extra patient seen warrants a premium only ifthe patient seen was ill enough to warrant a special visit themselves.18.2.2 Office (or Physician’s Residence) Visit PremiumsA special visit premium is payable for the first patient seen when the physician makesa special trip to the office or to the physician’s own home from another site (seedefinition of “Site of Insured Service” in Section 5.1 of this Preamble) to see a patientoutside of normal office hours. Subsequent patients seen during the same visit do notqualify for an additional premium claim.If a regular clinic is held on a Saturday, Sunday, or Statutory Holiday, special visit ratesdo not apply.18.2.3 Hospital OPD/Emergency and In-Patient Visit PremiumsA premium is payable for the first patient seen when the physician makes a special tripto the hospital to see that patient, provided that the visit has been specificallyrequested by the hospital staff or another physician because of the patient’s condition.Subsequent patients seen during the same visit warrant an “extra patient seen”premium only if the physician is requested by the hospital staff or another physician tosee those additional patients after arriving for the visit. A special visit premium ispayable for special in-patient visits requested by the hospital staff for which no fee isotherwise payable.Premiums payable to physicians who are providing dedicated on-site EmergencyDepartment coverage, and billing for services rendered on a fee-for-service basis, arelisted as premium codes 80 to 89.18.3 Procedural Premiums (For deliveries see 18.4 below)(a)(b)(c)All Surgeons, Anaesthesiologists, Surgical Assistants who participate inprocedures that are non-elective, unscheduled and which either require theservices of an Anaesthesiologist, or are performed using one of the regionalnerve blocks specified in fee code 54150 for local anaesthetic purposes, areeligible for payment of a premium when the procedures commence between6:00 p.m. and 7:00 a.m., or on Sundays and Statutory Holidays.Special Surgeons who perform procedures that are non-elective, unscheduledand which either require the services of an Anaesthesiologist or are performedusing one of the regional nerve blocks specified in fee code 54150 for localanaesthetic purposes, are eligible for payment of a premium when theprocedures commence between 7:00 a.m. and 6:00 p.m. on Saturdays.Anaesthesiologists and Surgical Assistants who participate in such proceduresare eligible for payment of a premium.The procedural premium code and amount must be billed on the same line asthe procedural fee code and, where applicable, the time units fee code.A-51

April 1, 2009GENERAL PREAMBLE18.3.1 Surgeons’ Procedural Premiums:(a)(b)(c)For procedures that qualify and commence between 6:00 p.m. and midnight,or on Sundays or Statutory Holidays:Claim 30% of each procedure billed, using premium code 01.For procedures performed by Specialist Surgeons that qualify and commencebetween 7:00 a.m. and 6:00 p.m. on Saturday:Claim 30% of each procedure billed, using premium code 01.For procedures that qualify and commence between 12:00 a.m. and 7:00 a.m.:Claim 50% of each procedure billed, using premium code 03.18.3.2 Anaesthesiologists’ Procedural Premiums:(a)(b)(c)For procedures that qualify and commence between 6:00 p.m. and midnight,or on Sundays or Statutory Holidays:Claim 46% of the basic and time unit fees billed, using premium code 02.For procedures performed by Specialist Surgeons that qualify and commencebetween 7:00 a.m. and 6:00 p.m. on Saturday:Claim 46% of the basic and time unit fees billed, using premium code 02.For procedures that qualify and commence between 12:00 a.m. and 7:00 a.m.:Claim 50% of the basic and time unit fees billed, using premium code 03.18.3.3 Surgical Assistants’ Procedural Premiums:(a)(b)(c)For procedures that qualify and commence between 6:00 p.m. and midnight,or on Sundays or Statutory Holidays:Claim 30% of each assistant’s fee payable, using premium code 01.For procedures performed by Specialist Surgeons that qualify and commencebetween 7:00 a.m. and 6:00 p.m. on Saturday:Claim 30% of each assistant’s fee payable, using premium code 01.For procedures that qualify and commence between 12:00 a.m. and 7:00 a.m.:Claim 50% of each assistant’s fee payable, using premium code 03.18.4 Delivery Premiums18.4.1 All operative deliveries and Caesarean Sections performed after hours qualify forpremiums. For the delivering physician, code 81008 applies from 12:01 a.m. to 7:00a.m., while procedure premium code 01 applies from 6:00 p.m. to midnight and forSundays and Statutory Holidays. Procedural premium codes 01 and 03 apply forassistants and 02 and 03 apply for Anaesthesiologists.18.4.2 Normal deliveries (fee code 80004) performed after hours by specialists or GeneralPractitioners qualify for a premium when performed between 12:01 a.m. and 7:00 a.m.For these deliveries, fee code 80008 applies for the delivering physician, andprocedural premium code 03 applies for the Anaesthesiologist.A-52

April 1, 2009GENERAL PREAMBLE18.4.3 Normal deliveries (fee code 80004) performed by General Practitioners, qualify for apremium when performed between 6:00 p.m. and midnight. For these deliveries, feecode 80007 applies for the delivering General Practitioner.18.4.4 Normal deliveries (fee code 80004) performed at times other than those specifiedabove do not qualify for a premium.A-53

April 1, 2009GENERAL PREAMBLE19. SESSIONAL ARRANGEMENTS19.1 General Policy on Sessional Arrangements19.1.1 Sessional payment is for clinical time spent rendering insured services in lieu of feefor-serviceclaims for the services rendered during that time.19.1.2 Only physicians eligible to bill fee-for-service are allowed to bill for sessional payment.19.1.3 No fee-for-service claims may be submitted for insured services rendered while onSessional duty. Any exceptions to this rule are listed under the descriptions of theindividual sessional arrangements.19.1.4 Claims for the sessional arrangements must be submitted as described in thePhysician’s Information Manual.19.1.5 Sessional arrangements require individual pre-approval from MCP and must berequested in writing by the Administrator of the institution requiring the sessionalservice.19.2 Organized Sessional Clinics19.2.1 A claim for sessional payment should represent the time “set aside” or dedicated by aphysician for sessional services.19.2.2 One session should represent a “committed morning, afternoon, or evening”.19.2.3 On average, a claim for a half-day session should equate to three hours of service.19.2.4 Physicians have the option to bill either fee-for-service or sessional for the duration ofa clinic.19.2.5 No fee-for-service billings should occur during the time dedicated to a session, at oroutside of the sessional arrangement. However, emergency services that result from aphysician’s on-call commitment, which occur during “committed sessional time”, maybe submitted IC for consideration for payment.19.2.6 The rates listed are for a half day and represent a committed morning, afternoon, orevening in an approved organized sessional clinic.General PracticeSpecialist$321.61 per half day$409.85 per half day19.3 On-Site Emergency Department Coverage19.3.1 Fee-for-service physicians who provide dedicated on-site emergency departmentcoverage at designated facilities are eligible for remuneration at an hourly sessionalrate of $132.64. Currently designated facilities are listed in Appendix A.19.3.2 If billing as sessional, no fee-for-service billings should occur during the time dedicatedto a sessional, at or outside the sessional arrangement, with the exception of out-of-A-54

April 1, 2009GENERAL PREAMBLEprovince, out-of-country, and WHSCC claims. Sessional is intended to cover timespent in the facility.19.3.3 Physicians have the option to bill either fee-for-service or sessional for the duration ofa shift.19.4 Dedicated On-Site 24-Hour ICU Sessional Coverage19.4.1 This sessional is for the claiming of dedicated, on-site, ICU services at facilitiesdesignated by the DOHCS.19.4.2 The facilities designated for the claiming of this sessional arrangement are:(a)(b)General Hospital, St. John’sSt. Clare’s Mercy Hospital, St. John’s19.4.3 Payment of the 24-hour sessional for each facility is based on the number ofdesignated beds multiplied by the applicable daily bed rate.19.4.4 MCP must be officially notified if and when the number of beds in a unit changes.19.4.5 For claiming purposes, the 24-hour sessional starts at 8:00 a.m.19.4.6 If, at anytime, during a 24-hour sessional period, a bed is occupied by a non-Canadian,out-of-province, or third party patient, the claim for payment should be reduced by thevalue of the daily bed rate multiplied by the number of such patients.A-55

January 11, 2013GENERAL PREAMBLE20. CATEGORY ‘B’ EMERGENCY DEPARTMENT COVERAGE BY FEE-FOR-SERVICE GENERAL PRACTITIONERS20.1 Fee-for-service General Practitioners who are scheduled to immediately respond to theemergency needs of a Category ‘B’ designated facility that provides 24-houremergency services are eligible to bill an hourly fee.20.2 Eligible facilities are listed in Appendix B and include DHCS facilities designated aseither an Acute Care Facility or Health Care Centre that require 24-hour primary careemergency services, excluding those facilities listed in Appendix A.20.3 Daytime coverage on weekdaysAn hourly fee of $41.18 must be billed for daytime coverage 8:00 a.m. to 6:00p.m. Monday to Friday. During that time fee-for-service General Practitionersmay also bill for individual insured services using the appropriate fee code aslisted in this payment schedule.After hours, weekend and statutory holiday coverageFee-for-service General Practitioners may bill an all inclusive hourly rate of$73.00 for after hours coverage from 6:00 p.m. to 8:00 a.m. Monday to Friday, allday Saturday, all day Sunday and all day on RHA designated statutory holidays.If the hourly rate of $73.00 is billed no fee-for-service claims are payable.Alternatively, they may bill the hourly rate of $41.18 plus fee-for-service billings.The method of billing is at the physician’s discretion but must apply for theentire shift or period of ED coverage provided.Shift definitionA shift is a period of continuous ED coverage by a physician. For example, whena physician provides weekend coverage from 6:00 p.m. on Friday to 8:00 a.m. onMonday that period is considered a single shift for billing purposes. A shift mustbe of at least eight hours duration; it cannot be divided into shorter periods forbilling purposes.20.4 Instructions with respect to preparation and submission of claims for this service areincluded in the MCP Physician’s Information Manual.A-56

April 1, 2009GENERAL PREAMBLE21. LONG TERM CARE FACILITY COVERAGE BY GENERALPRACTITIONERS21.1 Fee-for-service General Practitioners who provide clinical services and coverage toDOHCS designated long term care facilities that have long term care beds are eligiblefor payment of a per diem fee.21.2 To qualify for claiming the per diem fee, physicians must provide comprehensive 24-hour coverage for all medically necessary services to the facility.21.3 The fee for each facility is unique, based on the number of registered beds in thefacility. Currently designated facilities, the applicable facility numbers, and rates arelisted in Appendix C.21.4 Instructions with respect to preparation and submission of claims for this service areincluded in the MCP Physician’s Information Manual.21.5 Direct patient care visit(s) to these facilities can be claimed on a fee-for-service basisand paid in addition to the per diem fee. These services must be claimed using thededicated nursing home visit fee codes for General Practice. The home’s facilitynumber must be entered on claims for these services.A-57

April 1, 2009GENERAL PREAMBLE22. PHYSICIAN REGISTRATION22.1 All physicians receiving funding from MCP for clinical services provided must beregistered with MCP through completion of a Provider Registration Form.22.2 Additions to, or changes in location of practice, either full or part-time requirenotification to MCP prior to the changes being effective.23. LOCUM COVERAGEWritten documentation of locum practice/services is required for all physicians.Contact MCP for current policy and forms.24. CMPA REBATE24.1 Fee-for-service physicians will be reimbursed for CMPA dues at the rate of 90% of thedifference between the basic GP rate and the actual premium, subject to a maximumcontribution rate for any physician of $5,000 per annum.24.2 To qualify, a physician must be in active practice at the end of the calendar year, orhave retired from clinical services during the year.24.3 To claim the rebate, the original acknowledgement of a physician’s premiumclassification for each month of the year must be submitted to MCP.24.4 To be eligible for the rebate, the required documentation must be received by MCPprior to the deadline as published in the applicable MCP Newsletter at the beginning ofeach calendar year. It is the responsibility of an eligible physician to claim forreimbursement.24.5 For additional information regarding CMPA rebate eligibility and payment, contact theManager of Accounting Services at 729-2304.A-58

Appendix A April 1, 2009APPROVED CATEGORY ‘A’ FACILITIES24-HOUR ON-SITE EMERGENCY DEPARTMENT COVERAGEHospital NumberHospital Name0302 Burin Peninsula Health Care Centre, Burin0230 Carbonear General Hospital, Carbonear0213 Central Nfld. Regional Health Centre, Grand Falls-Windsor0248 Dr. G.B. Cross Memorial Hospital, Clarenville0205 James Paton Memorial Hospital, Gander0175 Western Memorial Regional Hospital, Corner Brook0256 General Hospital, Health Sciences Centre, St. John’s0281 Janeway Children’s Health & Rehabilitation Centre, St. John’s0264 St. Clare’s Mercy Hospital, St. John’s0159 Capt. Wm. Jackman Memorial Hospital, Labrador City0183 Sir Thomas Roddick Hospital, Stephenville0167 Labrador Health Centre, Happy Valley-Goose Bay0141 Dr. Charles S. Curtis Memorial Hospital, St. AnthonyA-59

Appendix B April 1, 2009APPROVED CATEGORY ‘B’ FACILITIES24-HOUR EMERGENCY DEPARTMENT COVERAGEFacility NumberFacility Name0051 Baie Verte Peninsula Health Centre, Baie Verte0353 Dr. Walter Templeman Community Health Centre, Bell Island0345 Bonavista Community Health Centre, Bonavista0442 Bonne Bay Health Centre, Bonne Bay0451 Dr. Hugh Twomey Health Care Centre, Botwood0299 Brookfield/Bonnews Health Care Centre, Brookfield0434 A.M. Guy Memorial Health Centre, Buchans0388 Calder Health Care Centre, Burgeo0329 Fogo Island Hospital, Fogo0016 Grand Bank Community Health Centre, Grand Bank0311 Connaigre Peninsula Health Care Centre0200 North Haven Emergency Centre, Lewisporte0337 Dr. A.A. Wilkinson Memorial Health Centre, Old Perlican0418 Placentia Health Centre, Placentia0191 Dr. C.L. Legrow Health Centre, Port aux Basques0396 Rufus Guinchard Health Care Centre, Port Saunders0426 Green Bay Community Health Centre, Springdale0022 U.S. Memorial Health Centre, St. Lawrence0221 Note Dame Bay Memorial Health Centre, Twillingate0400 Dr. William Newhook Community Health Centre, WhitbourneA-60

Appendix C June 2010DOHCS DESIGNATED LONG TERM CARE FACILITIESWITH LONG TERM BEDSFacilityNumberFacility NameRate800 Glenbrook Lodge, St. John’s $152.06802 St. Patrick’s Mercy Home, St. John’s $225.98804 St. Luke’s Nursing Home, St. John’s $134.11806 Agnes Pratt Nursing Home, St. John’s $143.62808 Masonic Park Senior Citizens Home, St. John’s $43.30810 Hoyles/Escasoni Complex, St. John’s $420.29812 Harbour Lodge Nursing Home, Carbonear $134.11814 Interfaith Citizens Home, Carbonear $58.08816 Pentecostal Senior Citizens Home, Clarkes Beach $87.65818 Blue Crest Interfaith Home, Grand Bank $79.20819 Dr. Albert O’Mahony Memorial Manor $46.46820 Lakeside Homes, Gander $114.05822 Carmelite House, Grand Falls-Windsor $63.36825 Corner Brook Long Term Care Home $249.22828 Bay St. George Senior Citizens Home, Stephenville Crossing $133.06832 John M. Gray Centre, St. Anthony $52.80834 Labrador South Health Centre, Forteau $8.45836 Long Term Care Home, Happy Valley-Goose Bay $52.80A-61

Appendix D April 1, 2009IMMUNIZATION OF DESIGNATED TARGET POPULATIONSImmunization of target populations designated by the DOHCS are MCP insured services. Rules forbilling these services are included in Section 9.4 of the Preamble.The contacting of target population patients to remind them of the availability of the immunizationwill not be viewed by MCP as solicitation.IMMUNIZATION AGAINST INFLUENZAThe target population designated by the DOHCS for immunization against influenza is limited to thefollowing categories of beneficiaries:• adults and children with chronic cardiac or pulmonary disorders (includingbronchopulmonary dysplasia, cystic fibrosis, and asthma) severe enough to require regularmedical follow-up or hospital care,• residents of any age in nursing homes and other chronic care facilities,• beneficiaries over the age of 65,• adults and children with chronic conditions such as diabetes and other metabolic diseases,cancer, immunodeficiency, immunosuppression, renal disease, anemia, andhemoglobinopathy,• children and adolescents treated for long periods with acetylsalicylic acid,• healthy children aged 6 to 23 months (i.e. under two years of age),• people at high risk of influenza complications embarking on travel to destinations whereinfluenza is likely to be circulating,• any person working in a health care setting (institution or community),• household contacts (including children) of people at high risk who either cannot bevaccinated or may respond inadequately to vaccination,• essential services workers (police, ambulance, firefighters, municipal workers responsiblefor maintaining water, sewage and waste disposal services, power/hydro and telephoneworkers, or other persons in the community whose services may be considered essential),• people who work directly in the poultry industry, or,• any other person as directed or approved by the Medical Officer of Health for the region.A-62

Appendix D April 1, 2009IMMUNIZATION OF DESIGNATED TARGET POPULATIONSIMMUNIZATION AGAINST PNEUMOCOCCAL DISEASEThe target population designated by the DOHCS for immunization against pneumococcal diseaseis limited to the following categories of beneficiaries:• All residents of long term care facilities,• People aged 65 and over,• Chronic cardiac disease,• Chronic respiratory disease,• Diabetes mellitus,• Chronic renal disease,• Chronic neurological disease with risk of aspiration, or cerebrospinal fluid leak,• Documented immune disorder associated with recurrent infections,• Hodgkin’s disease, lymphoma, multiple myeloma and induced immunosuppression,• Bronchial pulmonary dysplasia or other severe respiratory disease related to prematurity,• Alcoholism,• Cirrhosis of the liver,• Asplenia or splenic dysfunction,• Sickle-cell disease,• Persons with cochlear implants, or• Other populations who may be vulnerable.A-63

Appendix E April 1, 2009NON-INSURED SERVICES LISTServices which are not insured services under the Medical Care Insurance Act are defined in theMedical Care Insurance Insured Services Regulations. The following list represents current MCPpolicy with respect to non-insured services based on the Medical Care Insurance Insured ServicesRegulations. Inquiries relating to the insurability of a specific service not listed in the InsuredServices Regulations or the Medical Payment Schedule should be directed to the office of theDirector of Physician Services.• health examinations, including pre-employment, pre-school, periodic and insurancephysicals,• vaccination of persons who are not part of target populations designated by the DOHCS.(See Appendix D),• visits for renewal of prescription only,• X-ray, laboratory or other diagnostic and therapeutic services provided outside a hospital,unless approved by MCP,• experimental treatments and procedures,• services associated with clinical trials,• services associated with environmental clinics,• laser surgery for vascular lesions not listed in existing DOHCS policy,• services associated with hair transplantation,• injection of asymptomatic superficial veins,• epilation,• excision of redundant skin for elimination of wrinkles,• excision or destruction of tattoos, and• surgery, including laser surgery, for correction of refractive errors.A-64

Appendix F April 1, 2009SCAR REVISION1. Trauma Scars(a)Neck or Face:(i)(ii)(iii)Includes ears and non-hair bearing areas of the scalp.Repair of all such scars is an insured benefit, except for scars resultingfrom previous surgery to alter appearance that was not originally abenefit.Repair procedures will depend upon the lesion but may include excision,revision, dermabrasion, etc. Rhytidectomy procedures for cosmeticreasons, however, are not insured benefits.(b)Scars in other Anatomical Areas:(i)(ii)Repair of scars which interfere with function or which are significantlysymptomatic (pain, ulceration, etc.) is an insured benefit.Scars with no significant symptoms or functional interference:• Repair is an insured benefit if such a repair is part of a pre-plannedpost-traumatic (including post-surgical) staged process.• Other post-traumatic scar revision is not an insured benefit.• Scar revision should not be claimed when excision of a scar is themethod of gaining access to the surgical site of the major procedure.Scar revision codes (90336 to 90348) should be used when the methodemployed involves cutting of tissue and closure with sutures. Dermabrasionfee codes (90576 to 90584) should be used in cases involving dermabrasionor laser surgery.2. Keloids(a)Head or Neck:(i) The repair of all such keloids is an insured benefit.(ii)Repair procedures may include excision, injection, dermabrasion orplaning.(b)Excision of keloids in other areas:(i) Not an insured benefit unless significantly symptomatic (pain, ulceration,etc.) or there is functional impairment.Scar revision codes (90336 to 90348) should be used when the methodemployed involves cutting of tissue and closure with sutures. Dermabrasionfee codes (90576 to 90584) should be used in cases involving dermabrasionor laser surgery.A-65

Appendix G April 1, 2009HYPERBARIC OXYGEN THERAPYThe following indications are approved uses of hyperbaric oxygen therapy as defined by theHyperbaric Oxygen Therapy Committee of the Undersea and Hyperbaric Medical Society. Theyare insured by and billable to MCP:• Air or Gas Embolism• Carbon Monoxide PoisoningCarbon Monoxide Poisoning Complicated by Cyanide Poisoning• Clostridial Myositis and Myonecrosis (Gas Gangrene)• Crush Injury, Compartment Syndrome, and other Acute Traumatic Ischemias• Decompression Sickness• Enhancement of Healing in Selected Problem Wounds• Exceptional Blood Loss (Anemia)• Intracranial Abscess• Necrotizing Soft Tissue Infections• Osteomyelitis (Refractory)• Delayed Radiation Injury (Soft Tissue and Bony Necrosis)• Skin Grafts and Flaps (Compromised)• Thermal BurnsA-66

April 1, 2009CONSULTATIONS AND VISITSPREMIUMSCode G.P. Spec.Office (or visit to Physician’s Residence - see applicable Preamble section)Special visit to the office premiums - (1 st patient seen) - to be billed in addition to applicableoffice visit fee code50 Monday to Saturday between 8:00 a.m. and 6:00 p.m. outside regular scheduled office hours. 20.18 14.2552 Sundays or Statutory Holidays or 6:00 p.m. to midnight............................................................. 25.18 28.5053 Patient initiated non-elective (special) service rendered between midnight and 8:00 a.m.......... 30.18 42.80NOTES: 1. Special visit premiums are not payable in addition to thefollowing services:- visit for well-baby care- detention2. No premiums are payable for extra patients seen outsideregular hours in the physician’s office or residence.Home (Not applicable to General Practice - see applicable Preamble section)Special visit to the home premiums - (1 st patient seen) - to be billed in addition to applicablehome visit fee code.Monday to Saturday between 8:00 a.m. and 6:00 p.m.60 - without sacrifice of office hours ........................................................................................... N.A. 14.2561 - with sacrifice of office hours ................................................................................................ N.A. 28.5062 Sundays or Statutory Holidays or 6:00 p.m. to midnight............................................................. N.A. 28.5063 Patient initiated non-elective (special) service rendered between midnight and 8:00 a.m.......... N.A. 42.80Extra patient seen premiumsMonday to Saturday between 8:00 a.m. and 6:00 p.m.66 - without sacrifice of office hours ........................................................................................... N.A. 8.1567 - with sacrifice of office hours................................................................................................. N.A. 12.2068 Sundays or Statutory Holidays or 6:00 p.m. to midnight............................................................. N.A. 12.2069 Midnight to 8:00 a.m. .................................................................................................................. N.A. 18.70NOTE: Special visit premiums are not payable in addition to detention.Hospital In-Patient (see applicable Preamble Section)Premiums on in-patient services - (1 st patient seen) - to be billed in addition to applicablein-patient fee code or alone if visit is not payableMonday to Saturday between 8:00 a.m. and 6:00 p.m.Physician in-hospital.............................................................................................................. N.A. N.A.70 - special visit, without sacrifice of office hours ....................................................................... 16.07 16.0771 - special visit with sacrifice of office hours ............................................................................. 32.04 32.0472 Sundays or Statutory Holidays or 6:00 p.m. to midnight............................................................. 45.05 45.0573 Non-elective (special) service rendered between midnight and 8:00 a.m................................... 67.59 67.59Extra patient seen premiums - (in-patient) (when the physician has been specifically requestedto see the patient)Monday to Saturday between 8:00 a.m. and 6:00 p.m.76 - without sacrifice of office hours ........................................................................................... 9.14 9.1477 - with sacrifice of office hours ................................................................................................ 13.73 13.7378 Sundays or Statutory Holidays or 6:00 p.m. to midnight............................................................. 21.96 21.9679 Midnight to 8:00 a.m. .................................................................................................................. 33.03 33.03NOTE: Special visit premiums are not payable in addition to detention.B-1

April 1, 2009CONSULTATIONS AND VISITSPREMIUMSCode G.P. Spec.Hospital Out-Patient and Emergency - (see applicable Preamble section)Premiums for physicians doing dedicated on-site emergency department coverage at approvedCatetgory ‘A’ facilities - to be billed in addition to visit fee codeNOTE: First patient seen during on-site coverage may be claimed as a special visit.First patient seen on shift80 - Monday to Saturday, 8:00 a.m. to 6:00 p.m........................................................................ 23.00 14.2582 - Sundays or Statutory Holidays, or 6:00 p.m. to midnight.................................................... 28.00 28.5083 - midnight to 8:00 a.m. .......................................................................................................... 33.00 42.80Each additional patient seen on shift- Monday to Saturday, 8:00 a.m. to midnight ........................................................................ N.A. N.A.88 - Sundays or Statutory Holidays, 8:00 a.m. to midnight ........................................................ 3.60 3.6089 - midnight to 8:00 a.m. .......................................................................................................... 5.90 5.90Premiums on Emergency or OPD services - for physicians not doing dedicated on-siteemergency department coverage at approved Category ‘A’ facilities - (1 st patient seen) - to bebilled in addition to applicable visit fee code.Monday to Saturday between 8:00 a.m. and 6:00 p.m.- physician already in-hospital - no charge90 - special visit, without sacrifice of office hours ...................................................................... 24.82 16.0791 - special visit, with sacrifice of office hours ........................................................................... 31.54 32.0492 Sundays or Statutory Holidays or 6:00 p.m. to midnight ............................................................ 45.55 45.0593 Non-elective (special) service rendered between midnight and 8:00 a.m.................................. 57.79 67.59Extra patient seen premiums - (Emergency or OPD)Monday to Saturday between 8:00 a.m. and 6:00 p.m.96 - without sacrifice of office hours........................................................................................... 9.14 9.1497 - with sacrifice of office hours................................................................................................ 13.73 13.7398 Sundays or Statutory Holidays or 6:00 p.m. to midnight ............................................................ 22.96 21.9699 Midnight to 8:00 a.m. ................................................................................................................. 33.03 33.03NOTES: 1. Special visit premiums are not applicable for scheduled OPD clinics.2. Special visit premiums are not payable in addition to detention.B-2

April 1, 2009CodeCONSULTATIONS AND VISITSGENERAL PRACTICERateOffice101 Consultation........................................................................................................................................ 55.00111 Pre-dental general assessment .......................................................................................................... 51.50112 General assessment ........................................................................................................................... 51.50114 General reassessment........................................................................................................................ 36.05118 Routine post-operative care................................................................................................................ 27.07121 Partial assessment.............................................................................................................................. 27.07122 Visit for well-baby care........................................................................................................................ 27.07123 Partial assessment of a patient who is 65 to 74 years of age ............................................................. 30.90124 Partial assessment of a patient who is 75 years of age or older ......................................................... 35.29126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 27.07Psychotherapy:131 Individual, per ½ hour or major part thereof ................................................................................... 41.20132 Group (4 to 8 people) per member, per hour or major part thereof ................................................ 15.45136 Family therapy (2 or more family members), per ½ hour, per family.............................................. 25.75139 Add on fee for patients seen in scheduled after hours clinics, billed using fee code 101 through 136...................................................................................................................................................... add 7.72181 Detention per ¼ hour .......................................................................................................................... 30.90Home210 Nursing home general assessment (except DOHCS designated facilities) ........................................ 51.50246 (a) “elective” and rendered any hour on any day (first patient seen), or(b) “non-elective” and rendered between 8:00 a.m. and 6:00 p.m. Monday through Saturday (firstpatient seen)............................................................................................................................... 51.50248 “Non-elective” rendered between 8:00 a.m. and midnight on a Sunday or Statutory Holiday (firstpatient seen) ................................................................................................................................ 77.25249 “Non-elective” rendered between 6:00 p.m. and midnight (first patient seen)..................................... 77.25250 “Non-elective” rendered between midnight and 8:00 a.m. (first patient seen)..................................... 128.75251 Emergency visit with sacrifice of office hours - rendered as an immediate response to a call fromthe patient or the patient’s attendant.............................................................................................. 77.25252 Extra patient seen during any home visit ............................................................................................ 25.75281 Detention per ¼ hour .......................................................................................................................... 30.90DOHCS Designated Long Term Care Facilities With Long Term Beds285 Nursing home general assessment .................................................................................................... 51.50286 (a) nursing home visit “elective” and rendered any hour on any day (first patient seen), or(b) nursing home visit “non-elective” and rendered between 8:00 a.m. and 6:00 p.m. Monday throughSaturday (first patient seen) ....................................................................................................... 51.50288 “Non-elective” nursing home visit rendered between 8:00 a.m. and midnight on a Sunday or StatutoryHoliday (first patient seen) ............................................................................................................. 77.25289 “Non-elective” nursing home visit rendered between 6:00 p.m. and midnight (first patient seen) ....... 77.25290 “Non-elective” nursing home visit rendered between midnight and 8:00 a.m. (first patient seen) ....... 128.75291 Emergency nursing home visit with sacrifice of office hours - (first patient seen) (this service mustbe in response to a medical emergency and must be rendered as an immediate response to acall from the patient or the patient’s attendant) ............................................................................. 77.25292 Extra patient seen during any nursing home visit................................................................................ 25.75C-1

April 1, 2009CodeCONSULTATIONS AND VISITSGENERAL PRACTICERateHospital In-Patient301 Consultation ........................................................................................................................................ 55.00311 Pre-dental general assessment........................................................................................................... 51.50312 General assessment ........................................................................................................................... 51.50314 General reassessment ........................................................................................................................ 36.05Psychotherapy331 Individual, (per ½ hour or major part thereof) ................................................................................. 41.20355 In-patient surcharge for first 7 days - per diem .................................................................................... 10.30Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 22.66357 6 th to 13 th week inclusive - per diem (visit type 3) ........................................................................... 19.49358 After 13 th week - per diem (visit type 4).......................................................................................... 6.80359 In-patient surcharge, day of discharge ................................................................................................ 25.75Concurrent care. For billing purposes, use subsequent hospital visit codes.361 Newborn baby care ............................................................................................................................. 25.75Supportive Care371 In 1 st 7 days - not exceeding 1 visit every 2 days - per visit............................................................ 20.60372 After 1 st 7 days - not exceeding 1 visit every 4 days - per visit ....................................................... 20.60Chronic and convalescent care:373 Maximum of 1 visit every 5 days..................................................................................................... 20.60374 Attendance at high risk deliveries (per infant)...................................................................................... 128.75381 Detention per ¼ hour........................................................................................................................... 30.90Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 55.00411 Pre-dental general assessment........................................................................................................... 51.50412 General assessment ........................................................................................................................... 51.50414 General reassessment ........................................................................................................................ 36.05418 Routine post-operative care ................................................................................................................ 27.07421 Partial assessment .............................................................................................................................. 21.36426 Partial assessment of a patient who received a WHSCC service during the same visit...................... 21.36Psychotherapy:431 Individual, per ½ hour or major part thereof.................................................................................... 41.20432 Group (4 to 8 people) per member, per hour or major part thereof ................................................. 6.74436 Family therapy (2 or more family members) per ½ hour, per family ................................................ 25.75481 Detention per ¼ hour........................................................................................................................... 30.90482 Escort of a critically ill patient per ¼ hour ............................................................................................ 61.80C-2

April 1, 2009CodeCONSULTATIONS AND VISITSGENERAL PRACTICERatePhysician on Duty at Designated 24 Hour On-Site Emergency Department (seeAppendix A)401 Consultation........................................................................................................................................ 55.00411 Pre-dental general assessment .......................................................................................................... 51.50416 Complex assessment.......................................................................................................................... 51.50418 Routine post-operative care................................................................................................................ 27.07421 Partial assessment.............................................................................................................................. 21.36426 Partial assessment of a patient who received a WHSCC service during the same visit ..................... 21.36Psychotherapy:431 Individual, per ½ hour or major part thereof ................................................................................... 41.20432 Group (4 to 8 people) per member, per hour or major part thereof................................................. 6.74436 Family therapy (2 or more family members) per ½ hour, per family................................................ 25.75481 Detention per ¼ hour .......................................................................................................................... 30.90C-3

April 1, 2009CodeCONSULTATIONS AND VISITSANAESTHESIOLOGYRateFees for Anaesthesiology Consultations and Visit must be coded as capacity “0” on claims.Hospital In-Patient301 Consultation ........................................................................................................................................ 110.00302 Major medical consultation.................................................................................................................. 101.81308 Intraoperative consultation .................................................................................................................. 110.00311 Pre-dental general assessment........................................................................................................... 55.16312 General assessment ........................................................................................................................... 40.36313 Specific assessment............................................................................................................................ 33.80315 Specific reassessment......................................................................................................................... 21.36381 Detention per ¼ hour........................................................................................................................... 30.90Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 110.00409 Pre-anaesthetic clinic assessment ...................................................................................................... 87.55411 Pre-dental general assessment........................................................................................................... 55.16412 General assessment ........................................................................................................................... 40.36413 Specific assessment............................................................................................................................ 33.80415 Specific reassessment......................................................................................................................... 21.36426 Partial assessment of a patient who received a WHSCC service during the same office visit ............ 12.36481 Detention per ¼ hour........................................................................................................................... 30.90482 Escort of a critically ill patient per ¼ hour ............................................................................................ 61.80Hospital Pain ClinicThese fee codes may only be billed by Anaesthesiologists working in an organized hospitalpain clinic approved by the Regional Integrated Health Authority.400 Pain clinic consultation ........................................................................................................................ 121.00419 Pain clinic reassessment..................................................................................................................... 36.92Pain Clinic Consultation - This service may only be claimed by Anaesthesiologists working inorganized hospital pain clinics who are requested by other physicians to examine patients sufferingfrom chronic pain and provide their opinion and recommendations in writing to the referring physician.The general definition and rules respecting consultations as described in General Preamble Section6.1 apply to Pain Clinic Consultations.Pain Clinic Reassessment - Follow up visits to Anaesthesiologists working in organized hospitalpain clinics are claimed using this code. This service consists of the necessary reassessment of thepatient’s response to treatment and an appropriate record.C-4

April 1, 2009CodeCONSULTATIONS AND VISITSDERMATOLOGYRateOffice101 Consultation........................................................................................................................................ 78.51113 Specific assessment ........................................................................................................................... 41.97115 Specific reassessment ........................................................................................................................ 29.16126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 14.97181 Detention per ¼ hour .......................................................................................................................... 33.28Home201 Consultation........................................................................................................................................ 78.51213 Specific assessment ........................................................................................................................... 41.97215 Specific reassessment ........................................................................................................................ 29.16281 Detention per ¼ hour .......................................................................................................................... 33.28Hospital In-Patient301 Consultation........................................................................................................................................ 78.51313 Specific assessment ........................................................................................................................... 41.97315 Specific reassessment ........................................................................................................................ 29.16Subsequent Visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3) .......................................................................... 21.10358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour .......................................................................................................................... 33.28Hospital Out-Patient and Emergency401 Consultation........................................................................................................................................ 78.51413 Specific assessment ........................................................................................................................... 41.97415 Specific reassessment ........................................................................................................................ 29.16426 Partial assessment of a patient who received a WHSCC service during the same visit ..................... 13.31481 Detention per ¼ hour .......................................................................................................................... 33.28482 Escort of a critically ill patient per ¼ hour............................................................................................ 66.55C-5

April 1, 2009CodeCONSULTATIONS AND VISITSEMERGENCY MEDICINE SPECIALISTRateHospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 86.33416 Complex assessment .......................................................................................................................... 57.55421 Partial assessment .............................................................................................................................. 23.87426 Partial assessment of a patient who received a WHSCC service during the same visit...................... 20.46481 Detention per ¼ hour........................................................................................................................... 34.53482 Escort of a critically ill patient per ¼ hour ............................................................................................ 69.06C-6

April 1, 2009CodeCONSULTATIONS AND VISITSGENERAL, CARDIAC, VASCULAR OR THORACIC SURGERYRateOffice101 Consultation........................................................................................................................................ 86.80103 Trauma consultation ........................................................................................................................... 149.77104 Major surgical consultation.................................................................................................................. 149.77113 Specific assessment ........................................................................................................................... 53.08115 Specific reassessment ........................................................................................................................ 30.78126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 15.83181 Detention per ¼ hour .......................................................................................................................... 32.26Home201 Consultation........................................................................................................................................ 86.80203 Trauma consultation ........................................................................................................................... 149.77204 Major surgical consultation.................................................................................................................. 149.77213 Specific assessment ........................................................................................................................... 53.08215 Specific reassessment ........................................................................................................................ 30.78281 Detention per ¼ hour .......................................................................................................................... 32.26Hospital In-Patient301 Consultation........................................................................................................................................ 86.80303 Trauma consultation ........................................................................................................................... 149.77304 Major surgical consultation.................................................................................................................. 149.77308 Intraoperative consultation.................................................................................................................. 86.80313 Specific assessment ........................................................................................................................... 53.08315 Specific reassessment ........................................................................................................................ 30.78Subsequent Visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3) .......................................................................... 21.10358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour .......................................................................................................................... 32.26Hospital Out-Patient and Emergency401 Consultation........................................................................................................................................ 86.80403 Trauma consultation ........................................................................................................................... 149.77404 Major surgical consultation.................................................................................................................. 149.77413 Specific assessment ........................................................................................................................... 53.08415 Specific reassessment ........................................................................................................................ 30.78426 Partial assessment of a patient who received a WHSCC service during the same office visit............ 14.06481 Detention per ¼ hour .......................................................................................................................... 32.26482 Escort of a critically ill patient per ¼ hour............................................................................................ 64.52C-7

April 1, 2009CodeCONSULTATIONS AND VISITSINTERNAL MEDICINERateOffice101 Consultation ........................................................................................................................................ 115.21102 Major medical consultation.................................................................................................................. 135.94112 General assessment ........................................................................................................................... 70.61113 Specific assessment ......................................................................................................................... 60.02114 General reassessment ........................................................................................................................ 60.44115 Specific reassessment......................................................................................................................... 36.05126 Partial assessment of a patient who received a WHSCC service during the same office visit ............ 17.38181 Detention per ¼ hour........................................................................................................................... 34.82190 Geriatric surcharge for patients 65 years of age and older.................................................................. 6.90Home201 Consultation ........................................................................................................................................ 115.21202 Major medical consultation.................................................................................................................. 135.94212 General assessment ........................................................................................................................... 70.61213 Specific assessment ......................................................................................................................... 60.02214 General reassessment ........................................................................................................................ 60.44215 Specific reassessment......................................................................................................................... 36.05281 Detention per ¼ hour........................................................................................................................... 34.82290 Geriatric surcharge for patients 65 years of age and older.................................................................. 6.90Hospital In-Patient301 Consultation ........................................................................................................................................ 115.21302 Major medical consultation.................................................................................................................. 135.94308 Intraoperative consultation .................................................................................................................. 115.21311 Pre-dental general assessment........................................................................................................... 44.13312 General assessment ........................................................................................................................... 70.61313 Specific assessment ......................................................................................................................... 60.02314 General reassessment ........................................................................................................................ 60.44Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3) ........................................................................... 21.10358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour........................................................................................................................... 34.82390 Geriatric surcharge for patients 65 years of age and older.................................................................. 6.90Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 115.21402 Major medical consultation.................................................................................................................. 135.94411 Pre-dental general assessment........................................................................................................... 44.13412 General assessment ........................................................................................................................... 70.61413 Specific assessment ......................................................................................................................... 60.02414 General reassessment ........................................................................................................................ 60.44415 Specific reassessment......................................................................................................................... 36.05426 Partial assessment of a patient who received a WHSCC service during the same office visit ............ 17.38481 Detention per ¼ hour........................................................................................................................... 34.82482 Escort of a critically ill patient per ¼ hour ............................................................................................ 69.64490 Geriatric surcharge for patients 65 years of age and older.................................................................. 6.90C-8

April 1, 2009CodeCONSULTATIONS AND VISITSNUCLEAR MEDICINE SPECIALISTRateHospital In-Patient301 Consultation*....................................................................................................................................... 111.14Hospital Out-Patient and Emergency401 Consultation*....................................................................................................................................... 111.14*A Nuclear Medicine Consultation is payable:1. When no isotope treatment is carried out. It is intended to recognize evaluation of thepatient for whom treatment is found to be not indicated. To claim this fee the NuclearMedicine Specialist is required to obtain from the patient a full history of the presentingproblem, to perform a full physical examination (General Assessment) of the patient andreview laboratory reports with respect to the requested treatment with non-sealedradioisotopes. When the decision is made to not proceed with the requested treatment orwith any alternative treatment, a consultation report shall be sent to the physician whorequested the isotope treatment, stating all of the above findings and giving the basis forthe decision to not proceed.OR2. When scans done elsewhere are referred to a Nuclear Medicine Specialist for his/herwritten opinion. It is not payable for the reading of scans sent for reporting. As well, aconsultation does not apply when the scans referred to above are used for comparisonpurposes with scans made in the consultant’s facilities. Claims for consultation must besubmitted IC and accompanied by a copy of the referring letter and the Nuclear MedicineSpecialist’s report.C-9

April 1, 2009CodeCONSULTATIONS AND VISITSDEVELOPMENTAL NEUROLOGYRateOffice101 Consultation ........................................................................................................................................ 119.49102 Major neurological consultation ........................................................................................................... 136.00112 General assessment ........................................................................................................................... 63.10113 Specific assessment ......................................................................................................................... 53.64114 General reassessment ........................................................................................................................ 54.09115 Specific reassessment......................................................................................................................... 31.05144 Scheduled interview with parent or teacher for investigation/management of a child’s learningdisability- per ½ hour or major part thereof.................................................................................... 52.56181 Detention per ¼ hour........................................................................................................................... 34.87Home201 Consultation ........................................................................................................................................ 119.49202 Major neurological consultation ........................................................................................................... 136.00212 General assessment ........................................................................................................................... 63.10213 Specific assessment ......................................................................................................................... 53.64214 General reassessment ........................................................................................................................ 54.09215 Specific reassessment......................................................................................................................... 31.05281 Detention per ¼ hour........................................................................................................................... 34.87Hospital In-Patient301 Consultation ........................................................................................................................................ 119.49302 Major neurological consultation ........................................................................................................... 136.00312 General assessment ........................................................................................................................... 63.10313 Specific assessment ......................................................................................................................... 53.64314 General reassessment ........................................................................................................................ 54.09Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 25.12357 6 th to 13 th week inclusive - per diem (visit type 3) ........................................................................... 21.61358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.81Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour........................................................................................................................... 34.87Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 119.49402 Major neurological consultation ........................................................................................................... 136.00412 General assessment ........................................................................................................................... 63.10413 Specific assessment ......................................................................................................................... 53.64414 General reassessment ........................................................................................................................ 54.09415 Specific reassessment......................................................................................................................... 31.02481 Detention per ¼ hour........................................................................................................................... 34.87482 Escort of a critically ill patient per ¼ hour ............................................................................................ 69.74C-10

April 1, 2009CodeCONSULTATIONS AND VISITSNEUROLOGY (Except Developmental Neurology)RateOffice101 Consultation........................................................................................................................................ 119.49102 Major neurological consultation........................................................................................................... 136.00112 General assessment ........................................................................................................................... 63.10113 Specific assessment......................................................................................................................... 53.64114 General reassessment........................................................................................................................ 54.09115 Specific reassessment ........................................................................................................................ 31.05126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 17.05181 Detention per ¼ hour .......................................................................................................................... 34.87Home201 Consultation........................................................................................................................................ 119.49202 Major neurological consultation........................................................................................................... 136.00212 General assessment ........................................................................................................................... 63.10213 Specific assessment......................................................................................................................... 53.64214 General reassessment........................................................................................................................ 54.09215 Specific reassessment ........................................................................................................................ 31.05281 Detention per ¼ hour .......................................................................................................................... 34.87Hospital In-Patient301 Consultation........................................................................................................................................ 119.49302 Major neurological consultation........................................................................................................... 136.00308 Intraoperative consultation.................................................................................................................. 119.49312 General assessment ........................................................................................................................... 63.10313 Specific assessment......................................................................................................................... 53.64314 General reassessment........................................................................................................................ 54.09Subsequent visits:356 Up to 5 weeks - per diem (visit type 2)........................................................................................... 25.12357 6 th to 13 th week inclusive - per diem (visit type 3)........................................................................... 21.61358 After 13 th week - per diem (visit type 4).......................................................................................... 20.81Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour .......................................................................................................................... 34.87Hospital Out-Patient and Emergency401 Consultation........................................................................................................................................ 119.49402 Major neurological consultation........................................................................................................... 136.00412 General assessment ........................................................................................................................... 63.10413 Specific assessment......................................................................................................................... 53.64414 General reassessment........................................................................................................................ 54.09415 Specific reassessment ........................................................................................................................ 31.02426 Partial assessment of a patient who received a WHSCC service during the same visit ..................... 17.05481 Detention per ¼ hour .......................................................................................................................... 34.87482 Escort of a critically ill patient per ¼ hour............................................................................................ 69.74C-11

April 1, 2009CodeCONSULTATIONS AND VISITSNEUROSURGERYRateOffice101 Consultation ........................................................................................................................................ 108.67103 Trauma consultation............................................................................................................................ 130.24104 Major surgical consultation.................................................................................................................. 130.24112 General assessment ........................................................................................................................... 51.05113 Specific assessment ......................................................................................................................... 43.39114 General reassessment ........................................................................................................................ 47.22121 Partial assessment .............................................................................................................................. 27.03126 Partial assessment of a patient who received a WHSCC service during the same office visit ............ 16.82181 Detention per ¼ hour........................................................................................................................... 34.65Home201 Consultation ........................................................................................................................................ 108.67203 Trauma consultation............................................................................................................................ 130.24204 Major surgical consultation.................................................................................................................. 130.24212 General assessment ........................................................................................................................... 51.05213 Specific assessment ......................................................................................................................... 43.39214 General reassessment ........................................................................................................................ 47.22221 Partial assessment .............................................................................................................................. 27.03281 Detention per ¼ hour........................................................................................................................... 34.65Hospital In-Patient301 Consultation ........................................................................................................................................ 108.67303 Trauma consultation............................................................................................................................ 130.24304 Major surgical consultation.................................................................................................................. 130.24308 Intraoperative consultation .................................................................................................................. 108.67312 General assessment ........................................................................................................................... 51.05313 Specific assessment ......................................................................................................................... 43.39314 General reassessment ........................................................................................................................ 47.22Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3) ........................................................................... 21.10358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour........................................................................................................................... 34.65Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 108.67403 Trauma consultation............................................................................................................................ 130.24404 Major surgical consultation.................................................................................................................. 130.24412 General assessment ........................................................................................................................... 51.05413 Specific assessment ......................................................................................................................... 43.39414 General reassessment ........................................................................................................................ 47.22421 Partial assessment .............................................................................................................................. 25.75426 Partial assessment of a patient who received a WHSCC service during the same visit...................... 16.84481 Detention per ¼ hour........................................................................................................................... 34.65482 Escort of a critically ill patient per ¼ hour ............................................................................................ 69.30C-12

April 1, 2009CodeCONSULTATIONS AND VISITSOBSTETRICS & GYNECOLOGY AND GYNECOLOGICAL ONCOLOGYRateOffice101 Consultation........................................................................................................................................ 62.14104 Major surgical consultation.................................................................................................................. 99.85113 Specific assessment ........................................................................................................................... 35.02115 Specific reassessment ........................................................................................................................ 26.51181 Detention per ¼ hour .......................................................................................................................... 30.90Home201 Consultation........................................................................................................................................ 62.14204 Major surgical consultation.................................................................................................................. 99.85213 Specific assessment ........................................................................................................................... 35.02215 Specific reassessment ........................................................................................................................ 26.51281 Detention per ¼ hour .......................................................................................................................... 30.90Hospital In-Patient301 Consultation........................................................................................................................................ 62.14304 Major surgical consultation.................................................................................................................. 99.85308 Intraoperative consultation.................................................................................................................. 62.14313 Specific assessment ........................................................................................................................... 35.02315 Specific reassessment ........................................................................................................................ 24.72Subsequent visits:356 Up to 5 weeks - per diem (visit type 2)........................................................................................... 23.64357 6 th to 13 th week inclusive - per diem (visit type 3)........................................................................... 20.33358 After 13 th week - per diem (visit type 4).......................................................................................... 19.58Concurrent care. For billing purposes, use subsequent hospital visit codes.361 Newborn baby care in hospital (up to 10 days)................................................................................... 20.21381 Detention per ¼ hour .......................................................................................................................... 30.90Hospital Out-Patient and Emergency401 Consultation........................................................................................................................................ 62.14404 Major surgical consultation.................................................................................................................. 99.85413 Specific assessment ........................................................................................................................... 35.02415 Specific reassessment ........................................................................................................................ 24.72481 Detention per ¼ hour .......................................................................................................................... 30.90482 Escort of a critically ill patient per ¼ hour............................................................................................ 61.80C-13

April 1, 2009CodeCONSULTATIONS AND VISITSOPHTHALMOLOGYRateOffice101 Consultation* ....................................................................................................................................... 75.27106 Major ophthalmology consultation ....................................................................................................... 127.44113 Specific assessment............................................................................................................................ 41.13115 Specific reassessment......................................................................................................................... 28.34126 Partial assessment of a patient who received a WHSCC service during the same office visit ............ 16.14181 Detention per ¼ hour........................................................................................................................... 31.80Home201 Consultation* ....................................................................................................................................... 75.27213 Specific assessment............................................................................................................................ 41.13215 Specific reassessment......................................................................................................................... 28.34281 Detention per ¼ hour........................................................................................................................... 31.80Hospital In-Patient301 Consultation* ....................................................................................................................................... 75.27306 Major ophthalmology consultation ....................................................................................................... 127.44308 Intraoperative consultation .................................................................................................................. 75.27313 Specific assessment............................................................................................................................ 41.13315 Specific reassessment......................................................................................................................... 28.34Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3) ........................................................................... 21.10358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour........................................................................................................................... 31.80Hospital Out-Patient and Emergency401 Consultation* ....................................................................................................................................... 75.27406 Special ophthalmology consultation .................................................................................................... 127.44413 Specific assessment............................................................................................................................ 41.13415 Specific reassessment......................................................................................................................... 28.34426 Partial assessment of a patient who received a WHSCC service during the same visit...................... 14.35481 Detention per ¼ hour........................................................................................................................... 31.80482 Escort of a critically ill patient per ¼ hour ............................................................................................ 63.60*In addition to a physician, referrals will be accepted from an optometrist with the proviso that a copyof the consultation report be sent to the patient’s General Practitioner.C-14

April 1, 2009CodeCONSULTATIONS AND VISITSORTHOPAEDIC SURGERYRateOffice101 Consultation........................................................................................................................................ 70.63103 Trauma consultation ........................................................................................................................... 111.38104 Major surgical consultation.................................................................................................................. 111.38105 Back consultation for suspected spinal disorder ................................................................................. 93.03113 Specific assessment ........................................................................................................................... 39.64115 Specific reassessment ........................................................................................................................ 26.60126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 15.28181 Detention per ¼ hour .......................................................................................................................... 31.93Home201 Consultation........................................................................................................................................ 70.63203 Trauma consultation ........................................................................................................................... 111.38204 Major surgical consultation.................................................................................................................. 111.38205 Back consultation for suspected spinal disorder ................................................................................. 93.03213 Specific assessment ........................................................................................................................... 39.64215 Specific reassessment ........................................................................................................................ 26.60281 Detention per ¼ hour .......................................................................................................................... 31.93Hospital In-Patient301 Consultation........................................................................................................................................ 70.63303 Trauma consultation ........................................................................................................................... 111.38304 Major surgical consultation.................................................................................................................. 111.38305 Back consultation for suspected spinal disorder ................................................................................. 93.03308 Intraoperative consultation.................................................................................................................. 70.63313 Specific assessment ........................................................................................................................... 39.64315 Specific reassessment ........................................................................................................................ 26.60Subsequent visits:356 Up to 5 weeks - per diem (visit type 2)........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3)........................................................................... 21.10358 After 13 th week - per diem (visit type 4).......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour .......................................................................................................................... 31.93Hospital Out-Patient and Emergency401 Consultation........................................................................................................................................ 70.63403 Trauma consultation ........................................................................................................................... 111.38404 Major surgical consultation.................................................................................................................. 111.38405 Back consultation for suspected spinal disorder ................................................................................. 93.03413 Specific assessment ........................................................................................................................... 39.64415 Specific reassessment ........................................................................................................................ 26.60426 Partial assessment of a patient who received a WHSCC service during the same visit ..................... 13.59481 Detention per ¼ hour .......................................................................................................................... 31.93482 Escort of a critically ill patient per ¼ hour............................................................................................ 63.85C-15

April 1, 2009CodeCONSULTATIONS AND VISITSOTOLARYNGOLOGYRateOffice101 Consultation ........................................................................................................................................ 66.63113 Specific assessment............................................................................................................................ 36.54115 Specific reassessment......................................................................................................................... 26.82126 Partial assessment of a patient who received a WHSCC service during the same office visit ............ 18.04181 Detention per ¼ hour........................................................................................................................... 31.26Home201 Consultation ........................................................................................................................................ 66.63213 Specific assessment............................................................................................................................ 36.54215 Specific reassessment......................................................................................................................... 26.82281 Detention per ¼ hour........................................................................................................................... 31.26Hospital In-Patient301 Consultation ........................................................................................................................................ 66.63308 Intraoperative consultation .................................................................................................................. 66.63313 Specific assessment............................................................................................................................ 36.54315 Specific reassessment......................................................................................................................... 24.44Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3) ........................................................................... 21.10358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour........................................................................................................................... 31.26Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 66.63413 Specific assessment............................................................................................................................ 36.54415 Specific reassessment......................................................................................................................... 24.44426 Partial assessment of a patient who received a WHSCC service during the same visit...................... 18.04481 Detention per ¼ hour........................................................................................................................... 31.26482 Escort of a critically ill patient per ¼ hour ............................................................................................ 62.53C-16

April 1, 2009CodeCONSULTATIONS AND VISITSPAEDIATRICS (Except Developmental Paediatrics)RateOffice101 Consultation........................................................................................................................................ 152.58102 Major medical consultation.................................................................................................................. 157.09107 Prenatal consultation .......................................................................................................................... 142.53112 General assessment ........................................................................................................................... 98.72113 Specific assessment......................................................................................................................... 93.37114 General reassessment........................................................................................................................ 88.01115 Specific reassessment ........................................................................................................................ 88.01122 Visit for well baby care........................................................................................................................ 25.21141 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33181 Detention per ¼ hour .......................................................................................................................... 32.12Home201 Consultation........................................................................................................................................ 152.58202 Major medical consultation.................................................................................................................. 157.09207 Prenatal consultation .......................................................................................................................... 142.53212 General assessment ........................................................................................................................... 98.72213 Specific assessment......................................................................................................................... 93.37214 General reassessment........................................................................................................................ 88.01241 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33252 Extra patient seen ............................................................................................................................... 15.41281 Detention per ¼ hour .......................................................................................................................... 32.12Hospital In-Patient301 Consultation........................................................................................................................................ 152.58302 Major medical consultation.................................................................................................................. 157.09307 Prenatal consultation .......................................................................................................................... 142.53308 Intraoperative consultation.................................................................................................................. 152.58311 Pre-dental general assessment .......................................................................................................... 43.05312 General assessment ........................................................................................................................... 98.72313 Specific assessment......................................................................................................................... 93.37314 General reassessment........................................................................................................................ 88.01341 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit very 3 months).. 62.33Subsequent visits:356 Up to 5 weeks - per diem (visit type 2)........................................................................................... 22.82357 6 th to 13 th week inclusive - per diem (visit type 3)........................................................................... 19.63358 After 13 th week - per diem (visit type 4).......................................................................................... 18.90Concurrent care. For billing purposes, use subsequent hospital visit codes.361 Newborn baby care in hospital............................................................................................................ 43.31374 Attendance at high risk delivery (per infant)........................................................................................ 126.07381 Detention per ¼ hour .......................................................................................................................... 32.12C-17

April 1, 2009CodeCONSULTATIONS AND VISITSPAEDIATRICS (Except Developmental Pediatrics)RateHospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 152.58402 Major medical consultation.................................................................................................................. 157.09407 Prenatal consultation........................................................................................................................... 142.53411 Pre-dental general assessment........................................................................................................... 43.05412 General assessment ........................................................................................................................... 98.72413 Specific assessment ......................................................................................................................... 93.37414 General reassessment ........................................................................................................................ 88.01415 Specific reassessment......................................................................................................................... 88.01421 Partial assessment .............................................................................................................................. 26.24441 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33481 Detention per ¼ hour........................................................................................................................... 32.12482 Escort of a critically ill patient per ¼ hour ............................................................................................ 64.24Physician on Duty at Designated 24 Hour On-Site Emergency Department(see Appendix A)401 Consultation ........................................................................................................................................ 152.58402 Major medical consultation.................................................................................................................. 157.09407 Prenatal consultation........................................................................................................................... 142.53411 Pre-dental general assessment........................................................................................................... 43.05413 Specific assessment ......................................................................................................................... 93.37415 Specific reassessment......................................................................................................................... 88.01416 Complex assessment .......................................................................................................................... 51.00421 Partial assessment .............................................................................................................................. 26.24441 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33481 Detention per ¼ hour........................................................................................................................... 32.12482 Escort of a critically ill patient per ¼ hour ............................................................................................ 64.24C-18

April 1, 2009CodeCONSULTATIONS AND VISITSDEVELOPMENTAL PAEDIATRICSRateOffice101 Consultation........................................................................................................................................ 152.58102 Major medical consultation.................................................................................................................. 157.09107 Prenatal consultation .......................................................................................................................... 142.53112 General assessment ........................................................................................................................... 98.72113 Specific assessment......................................................................................................................... 93.37114 General reassessment........................................................................................................................ 88.01115 Specific reassessment ........................................................................................................................ 88.01122 Visit for well baby care........................................................................................................................ 25.21141 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33144 Scheduled interview with parent, guardian or other professional for investigation/management of apatient’s physical, cognitive or emotional disability - per ½ hour or major part thereof .................. 85.36181 Detention per ¼ hour .......................................................................................................................... 32.12Home201 Consultation........................................................................................................................................ 152.58202 Major medical consultation.................................................................................................................. 157.09207 Prenatal consultation .......................................................................................................................... 142.53212 General assessment ........................................................................................................................... 98.72213 Specific assessment......................................................................................................................... 93.37214 General reassessment........................................................................................................................ 88.01241 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33252 Extra patient seen ............................................................................................................................... 15.41281 Detention per ¼ hour .......................................................................................................................... 32.12Hospital In-Patient301 Consultation........................................................................................................................................ 152.58302 Major medical consultation.................................................................................................................. 157.09307 Prenatal consultation .......................................................................................................................... 142.53311 Pre-dental general assessment .......................................................................................................... 43.05312 General assessment ........................................................................................................................... 98.72313 Specific assessment......................................................................................................................... 93.37314 General reassessment........................................................................................................................ 88.01341 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33Subsequent visits:356 Up to 5 weeks - per diem (visit type 2)........................................................................................... 22.82357 6 th to 13 th week inclusive - per diem (visit type 3)........................................................................... 19.63358 After 13 th week - per diem (visit type 4).......................................................................................... 18.90Concurrent care. For billing purposes, use subsequent hospital visit codes.361 Newborn baby care in hospital............................................................................................................ 43.31374 Attendance at high risk delivery (per infant)........................................................................................ 126.07381 Detention per ¼ hour .......................................................................................................................... 32.12C-19

April 1, 2009CodeCONSULTATIONS AND VISITSDEVELOPMENTAL PAEDIATRICSRateHospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 152.58402 Major medical consultation.................................................................................................................. 157.09407 Prenatal consultation........................................................................................................................... 142.53411 Pre-dental general assessment........................................................................................................... 43.05412 General assessment ........................................................................................................................... 98.72413 Specific assessment ......................................................................................................................... 93.37414 General reassessment ........................................................................................................................ 88.01415 Specific reassessment......................................................................................................................... 88.01421 Partial assessment .............................................................................................................................. 26.24441 Interview with parent or guardian on behalf of seriously ill patient (maximum 1 visit every 3 months) 62.33481 Detention per ¼ hour........................................................................................................................... 32.12482 Escort of a critically ill patient per ¼ hour ............................................................................................ 64.24C-20

April 1, 2009CodeCONSULTATIONS AND VISITSPHYSICAL MEDICINERateOffice101 Consultation........................................................................................................................................ 94.42113 Specific assessment ........................................................................................................................... 47.39115 Specific reassessment ........................................................................................................................ 36.93126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 15.25181 Detention per ¼ hour .......................................................................................................................... 31.83Home201 Consultation........................................................................................................................................ 94.42213 Specific assessment ........................................................................................................................... 47.39215 Specific reassessment ........................................................................................................................ 36.93281 Detention per ¼ hour .......................................................................................................................... 31.83Hospital In-Patient301 Consultation........................................................................................................................................ 94.42313 Specific assessment ........................................................................................................................... 47.39315 Specific reassessment ........................................................................................................................ 36.93342 Interviewing and counseling of patients and/or relatives, per ½ hour or major part thereof ................ 39.53Subsequent visits:356 Up to 5 weeks - per diem (visit type 2)........................................................................................... 23.66357 6 th to 13 th week inclusive - per diem (visit type 3)........................................................................... 20.35358 After 13 th week - per diem (visit type 4).......................................................................................... 19.60Concurrent care. For billing purposes, use subsequent hospital visit codes.375 Physiatric management ...................................................................................................................... 2.71381 Detention per ¼ hour .......................................................................................................................... 31.83Hospital Out-Patient and Emergency401 Consultation........................................................................................................................................ 94.42413 Specific assessment ........................................................................................................................... 47.39415 Specific reassessment ........................................................................................................................ 36.93426 Partial assessment of a patient who received a WHSCC service during the same visit ..................... 13.55442 Interviewing and counselling of patients and/or relatives, per ½ hour or major part thereof ............... 39.53475 Physiatric management ...................................................................................................................... 2.71481 Detention per ¼ hour .......................................................................................................................... 31.83482 Escort of a critically ill patient per ¼ hour............................................................................................ 63.67C-21

April 1, 2009CodeCONSULTATIONS AND VISITSPLASTIC SURGERYRateOffice101 Consultation ........................................................................................................................................ 73.35104 Major surgical consultation.................................................................................................................. 146.72113 Specific assessment............................................................................................................................ 40.51115 Specific reassessment......................................................................................................................... 27.83126 Partial assessment of a patient who received a WHSCC service during the same office visit ............ 17.71181 Detention per ¼ hour........................................................................................................................... 32.43Home201 Consultation ........................................................................................................................................ 73.35204 Major surgical consultation.................................................................................................................. 146.72213 Specific assessment............................................................................................................................ 40.51215 Specific reassessment......................................................................................................................... 27.83281 Detention per ¼ hour........................................................................................................................... 32.43Hospital In-Patient301 Consultation ........................................................................................................................................ 73.35304 Major surgical consultation.................................................................................................................. 146.72308 Intraoperative consultation .................................................................................................................. 73.35313 Specific assessment............................................................................................................................ 40.51315 Specific reassessment......................................................................................................................... 26.88Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3) ........................................................................... 21.10358 After 13 th week - per diem (visit type 4) .......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour........................................................................................................................... 32.43Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 73.35404 Major surgical consultation.................................................................................................................. 146.72413 Specific assessment............................................................................................................................ 40.51415 Specific reassessment......................................................................................................................... 26.88426 Partial assessment of a patient who received a WHSCC service during the same visit...................... 15.75481 Detention per ¼ hour........................................................................................................................... 32.43482 Escort of a critically ill patient per ¼ hour ............................................................................................ 64.85C-22

April 1, 2009CodeCONSULTATIONS AND VISITSPSYCHIATRYRateOffice101 Consultation........................................................................................................................................ 170.17113 Specific assessment ........................................................................................................................... 68.46115 Specific reassessment ........................................................................................................................ 48.21126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 14.83130 Psychiatric care, per ½ hour or major part thereof .............................................................................. 68.46Psychotherapy131 Individual, per ½ hour or major part thereof ................................................................................... 68.46133 Group of 4 people, per member, per hour or major part thereof..................................................... 34.37134 Group of 5 people, per member, per hour or major part thereof..................................................... 27.50135 Group of 6-12 people, per member, per hour or major part thereof................................................ 22.91136 Family therapy, 2 or more family members, per ½ hour, per family............................................... 35.86137 Initial interview with parent or guardian (when seen separately) on behalf of emotionally disturbedchild................................................................................................................................................ 56.93138 Case consultation with a child welfare or correctional worker, teacher, community health nurse, orother allied professional, in person, on behalf of a child or adolescent - per ½ hour or major partthereof ............................................................................................................................................ 53.74139 Interview with child or adolescent - per ½ hour or major part thereof.................................................. 53.36140 Diagnostic or therapeutic interview with a parent, guardian, foster parent, or group home parent of achild or adolescent - per ½ hour or major part thereof ................................................................... 53.36181 Detention per ¼ hour .......................................................................................................................... 31.11Home201 Consultation........................................................................................................................................ 170.17213 Specific assessment ........................................................................................................................... 68.46215 Specific reassessment ........................................................................................................................ 48.21216 Specific assessment at the lock-up at the custodian’s request ........................................................... 116.26230 Psychiatric care, per ½ hour or major part thereof .............................................................................. 68.46Psychotherapy231 Individual, per ½ hour or major part thereof ................................................................................... 68.46233 Group of 4 people, per member, per hour or major part thereof..................................................... 34.37234 Group of 5 people, per member, per hour or major part thereof..................................................... 27.50235 Group of 6-12 people, per member, per hour or major part thereof................................................ 22.91238 Case consultation with a child welfare or correctional worker, teacher, community health nurse, orother allied professional, in person, on behalf of a child or adolescent - per ½ hour or major partthereof ............................................................................................................................................ 53.74239 Interview with child or adolescent - per ½ hour or major part thereof.................................................. 53.36240 Diagnostic or therapeutic interview with a parent, guardian, foster parent, or group home parent of achild or adolescent - per ½ hour or major part thereof ................................................................... 53.36252 Extra patient seen ............................................................................................................................... 12.44281 Detention per ¼ hour .......................................................................................................................... 31.11C-23

April 1, 2009CodeCONSULTATIONS AND VISITSPSYCHIATRYRateHospital In-Patient301 Consultation ........................................................................................................................................ 170.17313 Specific assessment............................................................................................................................ 68.46315 Specific reassessment......................................................................................................................... 48.21330 Psychiatric care, per ½ hour or major part thereof .............................................................................. 68.46Psychotherapy331 Individual, per ½ hour or major part thereof.................................................................................... 68.46333 Group of 4 people, per member, per hour or major part thereof ..................................................... 34.37334 Group of 5 people, per member, per hour or major part thereof ..................................................... 27.50335 Group of 6-12 people, per member, per hour or major part thereof ................................................ 22.91336 Family, where at least one member is an in-patient, 2 or more family members, per ½ hour, perfamily .......................................................................................................................................... 56.93338 Case consultation with a child welfare or correctional worker, teacher, community health nurse, orother allied professional, in person, on behalf of a child or adolescent - per ½ hour or major partthereof ............................................................................................................................................ 53.74339 Interview with child or adolescent - per ½ hour or major part thereof .................................................. 53.36340 Diagnostic or therapeutic interview with a parent, guardian, foster parent, or group home parent of achild or adolescent - per ½ hour or major part thereof ................................................................... 53.36Subsequent visits:356 Up to 5 weeks - per diem (visit type 2) ........................................................................................... 26.19357 6 th to 13 th week inclusive - per diem (visit type 3)............................................................................ 22.06358 After 13 th week - per diem (visit type 4)........................................................................................... 21.24Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour........................................................................................................................... 31.11Hospital Out-Patient and Emergency401 Consultation ........................................................................................................................................ 170.17413 Specific assessment............................................................................................................................ 68.46415 Specific reassessment......................................................................................................................... 48.21426 Partial assessment of a patient who received a WHSCC service during the same visit...................... 13.18430 Psychiatric care, per ½ hour or major part thereof .............................................................................. 68.46Psychotherapy431 Individual, per ½ hour or major part thereof.................................................................................... 68.46433 Group of 4 people, per member, per hour or major part thereof ..................................................... 34.37434 Group of 5 people, per member, per hour or major part thereof ..................................................... 27.50435 Group of 6-12 people, per member, per hour or major part thereof ................................................ 22.91436 Family therapy, 2 or more family members, per ½ hour, per family ............................................... 56.93438 Case consultation with a child welfare or correctional worker, teacher, community health nurse, orother allied professional, in person, on behalf of a child or adolescent - per ½ hour or major partthereof............................................................................................................................................. 53.74439 Interview with child or adolescent - per ½ hour or major part thereof .................................................. 53.36440 Diagnostic or therapeutic interview with a parent, guardian, foster parent, or group home parent of achild or adolescent - per ½ hour or major part thereof.................................................................... 53.36476 Psychiatry day care - per visit, per patient........................................................................................... 22.71481 Detention per ¼ hour........................................................................................................................... 31.11482 Escort of a critically ill patient, per ¼ hour ........................................................................................... 62.21*In addition to a physician, referrals for patients aged 2 to 17 years will be accepted from a child welfare orcorrectional worker, guidance counselor or teacher with the proviso that a copy of the consultation reportbe sent to the patient’s general practitioner.C-24

April 1, 2009CodeCONSULTATIONS AND VISITSUROLOGYRateOffice101 Consultation*....................................................................................................................................... 64.91104 Major surgical consultation.................................................................................................................. 105.86113 Specific assessment ........................................................................................................................... 42.35115 Specific reassessment ........................................................................................................................ 28.25126 Partial assessment of a patient who received a WHSCC service during the same office visit............ 18.87181 Detention per ¼ hour .......................................................................................................................... 31.42Home201 Consultation*....................................................................................................................................... 64.91204 Major surgical consultation.................................................................................................................. 105.86213 Specific assessment ........................................................................................................................... 42.35215 Specific reassessment ........................................................................................................................ 28.25281 Detention per ¼ hour .......................................................................................................................... 31.42Hospital In-Patient301 Consultation*....................................................................................................................................... 64.91304 Major surgical consultation.................................................................................................................. 105.86308 Intraoperative consultation.................................................................................................................. 64.91313 Specific assessment ........................................................................................................................... 42.35315 Specific reassessment ........................................................................................................................ 28.25Subsequent visits:356 Up to 5 weeks - per diem (visit type 2)........................................................................................... 24.53357 6 th to 13 th week inclusive - per diem (visit type 3)........................................................................... 21.10358 After 13 th week - per diem (visit type 4).......................................................................................... 20.32Concurrent care. For billing purposes, use subsequent hospital visit codes.381 Detention per ¼ hour .......................................................................................................................... 31.42Hospital Out-Patient and Emergency401 Consultation*....................................................................................................................................... 64.91404 Major surgical consultation.................................................................................................................. 105.86413 Specific assessment ........................................................................................................................... 42.35415 Specific reassessment ........................................................................................................................ 28.25426 Partial assessment of a patient who received a WHSCC service during the same visit ..................... 14.42481 Detention per ¼ hour .......................................................................................................................... 31.42482 Escort of a critically ill patient per ¼ hour............................................................................................ 62.84*Includes, when necessary, urethral calibration, catheterization and prostatic fluid examinations butnot to include endoscopic examination.C-25

April 1, 2009CodeCONSULTATIONS AND VISITSRADIOLOGYRateHospital In-Patient301 Consultation* ....................................................................................................................................... 115.21Hospital Out-Patient and Emergency401 Consultation* ....................................................................................................................................... 115.21*A diagnostic radiology consultation applies when radiographs made elsewhere are referred to aRadiologist for his/her written opinion. It is not payable for the reading of radiographs sent forreporting. As well, a consultation does not apply when the radiographs referred to above are usedfor comparison purposes with radiographs made in the consultant’s facilities. Claims for consultationmust be submitted IC and accompanied by a copy of the referring letter and the Radiologist’s report.C-26

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE NERVOUS SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.98100 Hypothermia - when employed, basic fee for anyprocedure on nervous system ..................................... 25 25BRAINAstrocytoma, oligodendroglioma, glioblastoma ormetastatic tumourCraniotomy plus excision98130 - supratentorial ............................................................. 89.87 1342.05 15 1598132 - infratentorial ............................................................... 89.87 1355.23 15 1598134 Craniotomy plus lobectomy................................................ 89.87 1231.14 15 1598136 Microsurgical removal..................................................add 237.36Meningioma and other tumourous lesionsCraniotomy plus excision98138 - supratentorial ............................................................. 89.87 1355.23 15 1598140 - infratentorial plus basal .............................................. 89.87 2106.31 15 1598142 - microsurgical removal ..........................................add 237.3698144 - lesion greater than 4 cm. diameter.......................add 412.1898146 - team fee for acoustic neuroma.............................add 627.65Intracranial aneurysm repair98150 - carotid circulation ....................................................... 89.87 1953.14 15 1598152 - vertebrobasilar circulation (including aneurysm ofvein of Galen)........................................................ 89.87 1973.84 15 1598154 - microsurgical approach ........................................add 237.36Cerebral arteriovenous malformationCraniotomy for obliteration and/or excision98156 - supratentorial ............................................................. 89.87 1953.14 15 1598158 - infratentorial ............................................................... 89.87 1501.30 15 1598160 - microsurgical approach ........................................add 237.3698164 Extracranial approach to include balloon catheter orembolization techniques............................................... 89.87 873.53 15 15Extracranial-intracranial microvascular anastomosis98168 - superficial temporal artery.......................................... 89.87 1203.09 15 1598170 - occipital artery ............................................................ 89.87 1255.30 15 1598174 - use of graft (autogenous vessel or synthetic).......add 246.00Carotid-cavernous fistula98178 - intracranial obliteration (to include combined cervicaland intracranial procedure) ................................... 89.87 1254.85 15 1598180 - extracranial approach................................................. 89.87 763.30 15 15Spontaneous Intracerebral HaemorrhageCraniotomy plus removal98182 - supratentorial ............................................................. 89.87 1174.57 15 1598184 - infratentorial ............................................................... 89.87 1385.05 15 1598186 Burr hole plus drainage...................................................... 89.87 531.37 15 15V-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE NERVOUS SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.BRAIN (Cont’d)Intracranial CystCraniotomy plus evacuation, to includeinterventriculostomy98188 - supratentorial............................................................. 89.87 899.87 15 1598190 - infratentorial............................................................... 89.87 1035.52 15 1598192 Burr hole plus aspiration.................................................... 89.87 407.76 15 15Brain Abscess98194 - crainiotomy and excision ........................................... 89.87 1174.25 15 1598196 - burr hole and aspiration............................................. 57.19 587.87 7 798198 - subsequent aspiration through existing burr holewithin 30 days....................................................... 57.19 237.36 7 7Miscellaneous Procedures98200 Craniotomy for brain biopsy (other than for tumour).......... 89.87 627.65 11 1198202 Hemispherectomy ............................................................. 89.87 1475.09 15 1598204 Temporal lobectomy and/or excision of cortical scar forepilepsy........................................................................ 89.87 1852.37 15 1598210 Craniotomy plus midline commissurotomy........................ 89.87 1035.40 15 1598212 Repair of encephalocoele.................................................. 89.87 743.14 15 1598216 Posterior fossa decompression for Arnold Chiarimalformation ................................................................ 89.87 1061.37 15 1598222 Stereotaxis - intracranial, to include ventriculography ....... 89.87 1377.58 11 1198232 Burr hole plus needling of brain for biopsy (IOP)............... 57.19 365.65 7 798234 Ventriculogram, includes burr holes, air or positivecontrast (IOP) .............................................................. 192.06 7 798236 Ventricular puncture through previous burr hole orfontanelle, or puncture and/or aspiration of cisternamagna (IOP) ................................................................ 90.49 7 798238 Ventriculoscopy, to include burr hole (IOP)....................... 338.56 7 798242 - with interventriculostomy ..................................... add 136.1198244 External ventricular drainage (IOP) ................................... 40.85 237.36 5 598250 Insertion of intracranial catheter or transducer forpurposes of monitoring (IOP)....................................... 40.85 350.45 5 598252 Subsequent revisions or replacements within 30 days(IOP) - each ................................................................. 40.85 237.36 5 598254 Re-opening of craniotomy for post-operative haematomaor infection, or for removal of bone flap........................ 89.87 496.89 11 1198256 Intracranial duraplasty (greater than 2 cm. diameter) toany intracranial procedure ..................................... add 265.6798260 Intra-operative electrophysiological monitoring and/orstimulation.............................................................. add 222.6498262 Repeat craniotomy (excluding 98254), add to benefit forabove surgery involving craniotomy............................. 237.36Cranio-Cerebral InjuriesReduction of skull fracture98272 - simple, depressed...................................................... 57.19 412.18 7 798274 - compound.................................................................. 89.87 559.68 11 1198276 - with repair of dural laceration........................ add 147.00 4 4Extracerebral haematoma98278 - drainage of burr hole(s) - unilateral............................ 57.19 595.70 7 798280 - drainage and/or removal by craniotomy..................... 89.87 880.88 11 11V-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE NERVOUS SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.BRAIN (Cont’d)Cerebral Injury98290 Removal of intracerebral haematoma and/or debridementof traumatized brain (includes management of anyskull fracture)................................................................ 89.87 971.86 15 1598292 Removal of foreign body from brain................................... 89.87 971.86 15 1598294 CSF leak - intracranial repair ............................................. 89.87 1069.90 15 1598296 Decompressive craniectomy (frontal, sub-temporal).......... 89.87 627.65 11 1198298 Subdural tap(s) - unilateral (IOP) ....................................... 58.6098300 Diagnostic burr hole(s), uni or bilateral (IOP)..................... 272.10 7 7SKULLRepair of skull defect:98310 - acrylic or metal cranioplasty....................................... 89.87 570.58 11 1198314 - replacement of bone flap............................................ 89.87 484.25 11 1198316 Skull tumour, excision........................................................ 89.87 412.18 11 11CraniosynostosisLinear Craniectomy98318 - 1 suture................................................................... 89.87 474.97 11 1198320 - multiple sutures....................................................... 89.87 621.36 15 15Morcellation procedure98322 - 1 suture ...................................................................... 89.87 476.40 11 1198324 - multiple sutures .......................................................... 89.87 750.64 15 15Lateral canthal advancement- unilateral98326 - 1 surgeon ............................................................ 89.87 767.86 15 1598328 - 2 surgeons - major portion of surgery ................. 89.87 439.79 15 1598330 - lesser portion of surgery................. 355.43- bilateral98332 - 1 surgeon ............................................................ 89.87 972.48 15 1598334 - 2 surgeons - major portion of surgery ................. 89.87 627.65 15 1598336 - lesser portion of surgery................. 470.7998338 Craniotomy for craniofacial repair ...................................... 89.87 1087.27 15 1598340 - with repair of frontonasal encephalocoele............add 219.79ORBITCraniotomy98350 - plus removal of orbital tumour .................................... 89.87 1139.94 15 1598352 - plus orbital decompression (roof of orbit with orwithout lateral wall)................................................ 89.87 1066.53 15 1598354 - for decompression of optic nerve(s) ........................... 89.87 1139.94 15 15V-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE NERVOUS SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.PITUITARY98360 Hypophysectomy or excision of tumour, any techniqueexcept transpenoidal.................................................... 89.87 1208.17 15 1598362 Hypophysectomy, transphenoidal, team fee ..................... 89.87 1190.87 15 15CAROTID AND VERTEBRAL ARTERIES98372 Temporal artery - biopsy, ligation or crysurgery (IOP)....... 84.47 4 498374 Carotid endarterectomy - with or without bypass .............. 81.70 465.50 10 1098378 - with patch or graft ...................................................... 81.70 471.21 10 1098380 Progressive carotid occlusion by Selverstone clamp (IOP) 81.70 284.65 10 10CSF SHUNTING PROCEDURES98390 Lumbo-peritoneal shunt..................................................... 89.87 502.69 11 1198392 - revision peritoneal end............................................... 89.87 281.70 7 798394 - revision lumbar end ................................................... 89.87 281.70 7 798396 - revision entire shunt................................................... 89.87 521.15 7 798398 Meningocoele-peritoneal shunt ......................................... 89.87 453.17 11 1198400 Ventriculo-peritoneal shunt................................................ 89.87 557.33 11 1198402 - revision ventricular end.............................................. 89.87 507.26 7 798404 - revision peritoneal end............................................... 89.87 507.26 7 798406 - revision entire shunt................................................... 89.87 493.55 7 798408 Ventriculo-atrial shunt........................................................ 89.87 796.67 11 1198410 - revision ventricular end.............................................. 89.87 278.96 7 798412 - revision atrial end....................................................... 89.87 278.96 7 798414 - revision entire shunt................................................... 89.87 474.45 7 798416 - removal...................................................................... 89.87 203.11 7 798420 Insertion CSF reservoir (Ommaya including burr holes).... 89.87 301.27 11 1198422 Third ventriculostomy ........................................................ 89.87 645.02 11 11CRANIAL NERVES98430 Percutaneous coagulation of gasserian (trigeminal)ganglion or root - unilateral .......................................... 89.87 402.91 11 1198432 Decompression gasserian ganglion .................................. 89.87 473.70 11 11Rhizotomy or differential section trigeminal nerve98434 - temporal approach..................................................... 89.87 473.70 11 1198436 - posterior fossa approach ........................................... 89.87 1021.89 11 1198438 - avulsion supraorbital nerve........................................ 32.68 168.20 4 498440 - avulsion infraorbital nerve.......................................... 32.68 168.20 4 498442 - avulsion mandibular nerve......................................... 32.68 195.34 4 4V-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE NERVOUS SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.CRANIAL NERVES (Cont’d)98446 Anastomosis hypoglossal to facial nerve ........................... 49.02 553.93 6 698450 Occipital and/or suboccipital craniectomy for compression,decompression or section of cranial nerves ................. 89.87 1021.89 11 1198452 Division vestibular nerve.................................................... 89.87 946.19 11 1198454 Division of glossopharyngeal nerve ................................... 49.02 946.19 6 698456 Division of nerves to sternomastoid in neck....................... 49.02 305.60 6 6PERIPHERAL NERVES98470 Biopsy and/or avulsion of peripheral nerve (IOP) .............. 24.51 99.95 4 4Brachial plexus exploration98472 - in posterior triangle..................................................... 49.02 342.41 6 698474 - in axilla ....................................................................... 49.02 348.38 6 698476 - in posterior triangle and axilla..................................... 49.02 471.21 6 698478 Decompression by scalenotomy ........................................ 49.02 235.60 6 698480 - excision of cervical rib ................................................ 81.70 428.01 6 698482 Exploration of major nerve (median, ulna, radial, sciatic,etc.) with or without neurolysis ..................................... 32.68 191.62 6 698484 Removal tumour major peripheral nerve............................ 32.68 279.87 4 4Suture of major peripheral nerve98486 - epineural repair .......................................................... 32.68 271.46 4 498488 - fascicular technique, first fascicle............................... 32.68 325.56 4 498490 - each additional fascicle repaired ..........................add 54.98Graft of major peripheral nerve98492 - epineural grafting........................................................ 32.68 445.50 4 498494 - fascicular grafting, first fascicle .................................. 32.68 491.20 4 498496 - each additional fascicle grafted ............................add 109.95Suture or decompression of small peripheral nerve (e.g.,digital)98498 - epineural technique.................................................... 24.51 171.63 4 498500 - fascicular repair, first fascicle. Use fee code 98490to claim for additional fascicles repaired................ 71.40Graft of small peripheral nerve98502 - epineural technique.................................................... 24.51 99.95 4 498504 - fascicular technique, including first fascicle. Use feecode 98496 to claim additional fascicles grafted ... 109.9598506 Delayed repair of graft (more than 4 weeks from date ofinjury),.....................................................................add 105.6698508 Microsurgical technique used ......................................add 254.0098510 Decompression median nerve at wrist............................... 24.51 191.62 4 498512 Decompression ulnar nerve at elbow................................. 24.51 128.51 4 498514 Transposition of ulnar nerve at elbow ................................ 24.51 235.60 4 498516 Decompression lateral femoral cutaneous nerve............... 32.68 139.93 4 498518 Division obturator nerve..................................................... 49.02 235.60 6 698520 Morton’s neuroma - excision.............................................. 32.68 157.07 4 498522 Excision of glomus tumour (IOP) ....................................... 99.10 4 498524 Neuroma - single, subcutaneous (IOP).............................. 99.10 4 498528 Implantation of electrode for peripheral nerve stimulation(IOP)............................................................................. 24.51 104.24 4 4V-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE NERVOUS SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.AUTONOMIC NERVOUS SYSTEMSympathectomy98540 Cervical ............................................................................. 49.02 314.14 6 698542 Cervicodorsal - unilateral................................................... 81.70 314.14 10 1098546 - thoracic approach ...................................................... 106.21 314.14 13 1398548 Lumbar - unilateral.......................................................... 49.02 279.87 6 698550 - bilateral............................................................ 49.02 414.09 6 6SPINAL CORD AND NERVE ROOTSFor operations on the spinal cord and nerve roots, thebasic Assistants’ and Anaesthesiologists’ fees willdepend on the surgical approach98570 - cervical ...................................................................... 65.36 10 1098572 - dorsal or lumbar......................................................... 57.19 8 8Tumours - partial or total98580 - extradural................................................................... 980.4398582 - intradural (extramedullary)......................................... 1242.0098584 - 3 segments or more............................................. add 175.74Intramedullary98590 - biopsy and/or decompression................................. 451.48 9 998592 - removal................................................................... 1563.52 12 1298594 - 3 segments or more.......................................... add 192.8898596 - with operating microscope (applies to intradural orintramedullary tumours) .................................. add 262.81AV malformation of cord98604 Excision or operative obliteration with or withoutevacuation of haematoma............................................ 1563.5298606 - 3 segments or more............................................. add 192.8898608 - with operating microscope ................................... add 262.8198612 Insertion/revision of implantable infusion pump................. 510.0098616 Implantation of permanent subcutaneous reservoirincluding laminectomy.................................................. 510.00Note: 98616 is not eligible for payment when renderedwith any decompressive codes.98626 Laminectomy for intradural neurolysis or unusual lesions,e.g., diastematomyelia, tethered conus, intramedullaryhaematoma etc. - uni or bilateral.................................. 976.4198628 - laminectomy extending over 3 segments or more(applies to tethered conus, diastematomyeliaextradural, intradural or intramedullary tumour, AVM,or other decompressive laminectomy) ................... add 192.8898630 - with operating microscope ................................... add 262.81V-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE NERVOUS SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SPINAL CORD AND NERVE ROOTS (Cont’d)Laminectomy and decompression of spinal cord98632 - no opening of dura ..................................................... 432.5598634 - with opening of dura (with or without dentateligament section) no tumour.................................. 594.75With fusion by same surgeon98638 - 1 level (payable in addition to fee codes above) ........ 264.9398640 - 2 levels or more (payable in addition to fee codesabove)................................................................... 333.41Fusion by separate surgeon98644 - 1 level......................................................................... 353.2498646 - 2 or more levels.......................................................... 410.9198648 Refusion of any of above ................................................... 219.8798650 Re-opening of laminectomy for post-op haematoma,infection or CSF leak .................................................... 201.8598656 Medullary spinal trigeminal tractotomy............................... 1146.5598658 - with operating microscope....................................add 243.3598664 Percutaneous cordotomy or tractotomy ............................. 594.7598668 Open myelotomy for lesion (e.g., tractotomy, midlinecommissurotomy, Bischoff’s longitudinal myelotomy,etc.) - uni or bilateral..................................................... 1175.1798676 Spinal intradural anterior and/or posterior rhizotomy - unior bilateral, any number of roots................................... 787.6298678 - 3 segments or more .............................................add 192.8898679 - with operating microscope....................................add 262.8198680 Repair of meningocoele..................................................... 583.93Repair of meningomyelocoele98682 - 1 surgeon ................................................................... 700.70- 2 surgeons98684 - neurosurgeon ...................................................... 460.1998686 - reconstructive surgeon ........................................ 309.8498688 Lumbar puncture (IOP) ...................................................... 75.0098690 - with instillation of medication (IOP) ............................ 88.03Percutaneous lumbar rhizotomy or neurectomy (IOP)98700 - first level..................................................................... 100.92 4 498702 - additional levels - (to a max. of 4 additional levels) -each....................................................................... 32.4498704 Interpretation of CSF smear in malignancy (IOP) .............. 25.18V-7

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE ENDOCRINE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.THYROID GLANDIncision98010 Aspiration, thyroid cyst (IOP) ............................................. 16.3598012 Biopsy, needle (IOP).......................................................... 27.25 6 698014 Abscess, complete care..................................................... 70.85 4 4ExcisionBiopsy98020 - surgical....................................................................... 49.02 202.85 6 6Thyroidectomy98022 - total ............................................................................ 49.02 615.90 8 898024 - subtotal....................................................................... 49.02 552.75 7 798026 - hemi ........................................................................... 49.02 385.93 7 798028 Excision of solitary nodule ................................................. 49.02 289.10 6 6PARATHYROID, THYMUS AND ADRENALGLANDSExcision98040 Exploration and/or removal, parathyroids or parathyroidtumour .......................................................................... 49.02 576.20 8 898042 - if requiring splitting of sternum ................................... 106.21 632.46 13 1398044 Thymectomy ...................................................................... 106.21 689.38 13 1398046 Adrenalectomy or exploration, unilateral............................ 81.70 402.00 10 1098048 - bilateral, with or without oophorectomy ...................... 81.70 623.10 11 1198050 Pheochromocytoma........................................................... 98.04 537.00 13 1398052 Thymus transplant (IOP).................................................... 44.69 4 4U-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE FEMALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.In composite operations such as repair of cystocoele andrectocoele and D & C, or cystocoele and rectocoele andcauterization of cervix and biopsy, the fee shall, unlessotherwise mentioned below, be that of the majorprocedure.VULVAIncision97660 Hymenotomy...................................................................... 32.56 4 4Abscess of vulva, Bartholin or Skene’s gland (IOP)97662 - local anaesthetic ........................................................ 10.61 11.7997664 - general anaesthetic.................................................... 44.91 4 497668 Perineotomy (IOP) ............................................................. 22.45Excision97674 Hymenectomy (with or without perineotomy)..................... 50.52 4 4Vulvectomy97676 - simple - partial or total................................................ 32.68 148.20 4 497678 - radical- without gland dissection - partial or completeresection......................................................... 49.02 316.09 6 697680- with complete dissection of glands - uni orbilateral............................................................ 49.02 546.75 7 797682 Cyst of Bartholin’s gland .................................................... 24.51 89.82 4 497684 Marsupialization of cyst (IOP)............................................ 40.42 44.91 4 4Condylomata - single or multiple (IOP)97686 Chemical - 1 ............................................................... 5.05 5.6197688 - 2 ............................................................... 7.59 8.4397690 - 3 or more .................................................. 10.11 11.23Surgical excision or electrodesiccation97692 - local anaesthetic.................................................. 22.50 25.0097694 - general anaesthetic ............................................. 70.00 4 497696 Cryosurgery - initial or subsequent treatment............... 13.50 15.00Laser destruction of vulval lesions97698 - local anaesthetic ..................................................... 22.4097700 - general anaesthetic................................................. 94.50 4 4Repair97710 Non-obstetrical injury to vulva and/or vagina, and/orperineum ...................................................................... IC IC IC IC97712 Ligation of varicose vein of labia - uni or bilateral .............. 44.91 4 4VAGINAEndoscopy (IOP)97716 Colpomicroscopy of vagina (includes cervix)..................... 60.00 4 497718 - with biopsy and/or endocervical curettage ................. 80.00 4 4T-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE FEMALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.VAGINA (Cont’d)Incision97720 Colpotomy, posterior, drainage or needle puncture .......... 41.54 4 497722 Culdotomy, incision and exploration.................................. 24.51 81.96 4 497724 Culdoscopy including biopsy (IOP).................................... 61.75 4 497726 Incision and drainage of cyst, abscess or haematoma...... 28.30 31.44 4 4ExcisionBiopsy(s) - when sole procedure (IOP)97730 - local anaesthetic........................................................ 12.13 13.4797732 - general anaesthetic ................................................... 31.44 4 497734 Local excision of cyst ........................................................ 24.51 89.82 4 497736 Excision of congenital vaginal septum............................... 24.51 90.38 4 497738 Colpectomy, partial or complete, for non-malignant lesions(not to be used to claim for biopsy).............................. 32.68 255.98 6 697740 Colpectomy, radical for malignancy................................... 65.36 480.00 8 897742 Laser treatment of vagina under general anaesthesia ...... 150.00 4 4Repair97750 Cystocoele or rectocoele................................................... 24.51 150.00 5 597752 Cystocoele and rectocoele................................................ 24.51 225.00 5 597754 Cystocoele, rectocoele and enterocoele ........................... 24.51 225.00 5 597756 Rectocoele and enterocoele.............................................. 24.51 210.00 5 597758 Cystocoele, rectocoele and prolapse (Fothergill) .............. 24.51 222.29 5 597760 Cystocoele, rectocoele and excision cervical stump ......... 24.51 224.54 6 697762 Vaginal vault prolapse (post hysterectomy) or enterocoele 24.51 254.00 6 697768 Rectocoele and repair of anal sphincter............................ 24.51 202.09 5 597770 Perineorrhaphy.................................................................. 24.51 67.36 4 497772 Colpocleisis ....................................................................... 40.85 177.39 5 597774 Operation for artificial vagina............................................. 32.68 235.77 6 6Closure of fistula- vesico-vaginal97776 - 1 surgeon............................................................ 32.68 263.83 6 697778 - 2 surgeons - vaginal surgeon ............................. 32.68 196.47 6 697780 - abdominal surgeon........................ 196.4797782 - recto-vaginal (any repair)........................................... 32.68 362.89 6 697784 - uretero-vaginal........................................................... 49.02 280.68 6 697786 - urethro-vaginal........................................................... 32.68 129.11 4 497788 Urethral caruncle or prolapse of mucosa........................... 59.50 4 497790 Retropubic urethropexy for stress incontinence ................ 32.68 301.35 5 5Combined abdominal - vaginal procedure for stressincontinence97794 - 1 surgeon................................................................... 49.02 301.35 7 797796 - 2 surgeons - vaginal surgeon .................................... 49.02 123.50 7 797798 - abdominal surgeon ............................... 215.56Manipulation97808 Examination and/or dilation - general anaesthetic (IOP) ... 28.07 4 4T-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE FEMALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FALLOPIAN TUBEExcision (unilateral or bilateral)97820 Salpingectomy and salpingo - oophorectomy .................... 49.02 262.41 6 697822 Partial salpingectomy for sterilization................................. 49.02 112.27 6 6RepairTubal plastic operation97830 - fimbriolysis - unilateral................................................ 49.02 132.48 6 697832 - salpingostomy - unilateral........................................... 49.02 188.61 6 697834 - resection with reanastomosis ..................................... 49.02 246.99 6 697838 Repair of extensive tubal and peritubal disease usingoperating microscope (not to be charged forreconstruction following previous sterilizationprocedures) uni or bilateral).......................................... 65.36 509.60 8 8Suture97844 Ligation of tubes, all methods, all approaches................... 181.59 49.02 201.77 6 6OVARYExcision (uni or bilateral)97850 Biopsy of ovaries by laparotomy ........................................ 40.85 257.05 6 697852 Wedge resection of ovaries (e.g. Stein-Leventhal) ............ 40.85 257.05 6 697854 Oophorectomy ................................................................... 49.02 305.90 6 697856 Oophorectomy with omentectomy for malignant disease... 49.02 410.40 6 697858 Oophorocystectomy........................................................... 49.02 305.90 6 697860 Para ovarian cyst ............................................................... 49.02 305.90 6 697862 Oophorectomy with or without omentectomy for malignantdisease and with pelvic and/or perioaorticlymphadenectomy ........................................................ 49.02 884.85 6 697864 Second look exploratory laparotomy including biopsies,when done as part of chemotherapy protocol forovarian carcinoma with or without total omentectomy .. 49.02 431.45 6 697866 Culdectomy (extensive removal of pelvic peritoneumrequired for evacuation of malignancy extension ofsecondaries)................................................................. 49.02 200.00 6 6UTERUS AND CERVIX UTERIEndoscopy (IOP)97870 Colpomicroscopy (includes vagina) ................................... 60.00 4 497872 - with biopsy and/or endocervical curettage ................. 80.00 4 497874 Hysteroscopy..................................................................... 111.0297876 - with biopsy ................................................................. 124.8997878 - with cannulization of tubes ......................................... 131.55T-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE FEMALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.UTERUS AND CERVIX UTERI (Cont’d)Incision97890 Endometrial biopsy (IOP) .................................................. 26.10 29.0097892 Biopsy, cervix (IOP)........................................................... 9.80 10.89 4 497910 Hysterotomy ................................................................... 49.02 185.25 6 697914 Cryoconization, electroconization with or withoutendocervical curettage (IOP) ....................................... 25.82 4 497916 CO 2 laser therapy with or without curettage for CIN(Cervical Intra-epithelial Neoplasia) (IOP).................... 51.64 4 4ExcisionNOTE: D & Cs are not billable in addition to code 97926or 97928.Diagnostic curettage97920 - (with or without cauterization biopsy of cervix,removal of polypi or Rubin’s test) (IOP).................... 58.50 65.00 4 497922 - and hystero-salpingography (IOP)............................. 65.00 4 497924 - with knife conization of cervix (includes additionalbiopsies) ................................................................... 24.51 132.35 4 4Therapeutic hysteroscopy/endometrial ablation97926 - initial .......................................................................... 207.00 6 697928 - repeat procedure within 1 year .................................. 145.00 6 6Hysterectomy (with or without adnexa or enterocoele)97930 Total, abdominal or vaginal ............................................... 49.02 355.30 6 697932 - with cystocoele and rectocoele.................................. 49.02 473.73 6 697934 - with cystocoele or rectocoele..................................... 49.02 414.52 6 697938 Partial or subtotal .............................................................. 49.02 266.41 6 697940 - with cystocoele and rectocoele.................................. 49.02 334.91 6 697942 - with cystocoele or rectocoele..................................... 49.02 289.24 6 697948 Radical (total hysterectomy plus lymphadenectomy) ........ 65.36 620.70 8 897950 Myomectomy..................................................................... 49.02 185.25 6 697952 Amputation of cervix.......................................................... 32.68 123.50 4 497954 Cervical stump - abdominal............................................. 49.02 157.18 6 697956 - vaginal .................................................. 32.68 166.16 4 4Introduction (IOP)97960 Insufflation - Rubin’s test................................................... 26.94 4 497962 Insufflation and endometrial biopsy................................... 43.19 4 497964 Insertion of IUCD .............................................................. 26.27 29.19Repair97970 Hysteropexy (uterine suspension)..................................... 49.02 145.95 6 697972 - with anterior and posterior repair ............................... 49.02 235.77 6 697974 - with anterior or posterior repair.................................. 49.02 190.86 6 697976 Cervix, incompetent........................................................... 24.51 80.83 4 497978 Trachelorrhaphy (plastic repair of cervix) - not immediatelyfollowing delivery.......................................................... 24.51 61.75 4 497982 Hysteroplasty - excision of septum (Strassman) ............... 49.02 196.47 6 697984 Unification of double uteri.................................................. 32.68 255.98 4 497986 Uterine inversion - manual .............................................. 85.89 95.43 4 497988 - operative ........................................... 32.68 196.47 6 697990 Presacral neurectomy ....................................................... 49.02 196.47 6 6T-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE FEMALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.UTERUS AND CERVIX UTERI (Cont’d)Cautery of Cervix (IOP)Office- chemical cautery ........................................................ VF VF97994 - electro-cautery or cryocautery.................................... 4.04 4.4997996 Hospital, general anaesthetic, dilation and cauterization orconization, single procedure......................................... 24.25 26.94 4 4T-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.PENISIncisionSlit of prepuce97410 - newborn ..................................................................... 7.6997412 - child or infant.............................................................. 7.56 4 497414 - adult ........................................................................... 13.84 15.38 4 4ExcisionCircumcision97422 - infant .......................................................................... 18.72 20.80 4 497424 - adult or child............................................................... 135.18 150.20 4 497426 Biopsy (IOP) ...................................................................... 13.86 4 4Amputation97428 - partial ......................................................................... 32.68 103.99 4 497430 - partial with inguinal glands ......................................... 32.68 271.52 5 597432 - radical with inguinal and femoral glands..................... 49.02 346.62 7 7Condylomata (IOP)97434 - local anaesthetic ........................................................ 17.68 19.6497436 - general anaesthetic.................................................... 47.37 4 497438 Excision plaque for Peyronies disease (graft extra)........... 32.68 167.53 4 4RepairHypospadias or EpispadiasOne Stage Repair97441 - with meatus to, but not into glans .......................... 49.02 287.75 6 697443 - with advancement of meatus into glans ................ 49.02 383.50 6 697444 - into glans using island flap pedicle (penoscrotal) 49.02 662.45 6 697446 - chordee repair ............................................................ 32.68 215.80 4 497448 Plastic reconstruction, urethra ........................................... 32.68 205.66 4 497450 Closure urethro-cutaneous fistula ...................................... 69.32 4 497452 Insertion of penile prosthesis ............................................. 32.68 299.24 4 497454 - with inflatable prosthesis ......................................add 53.7497456 Surgical removal of prosthesis........................................... 32.68 107.48 4 497460 Intracorporeal injection for impotence (IOP) ...................... 27.14TESTISIncision97470 Abscess (IOP).................................................................... 33.51 4 497472 Biopsy (IOP) - single..................................................... 34.66 4 497474 - bilateral.................................................. 48.53 4 497476 - with vasography .................................... 68.17 4 497478 Orchidectomy - unilateral................................................... 24.51 106.30 4 497480 Radical removal lymph nodes for testicular tumour ........... 49.02 344.31 8 897482 Radical orchidectomy for malignancy - unilateral............... 24.51 128.25 4 4S-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.TESTIS (Cont’d)Repair97490 Orchidopexy, any type, any stage .................................... 32.68 331.70 4 497494 Exploration for undescended testicle, without orchidopexy 32.68 260.85 4 497496 Reduction of torsion of testis or appendix testis and repair 24.51 235.35 4 497498 Ruptured testicle ............................................................... 24.51 170.65 4 497500 Insertion of testicular prosthesis................................... 49.02 170.65 6 6Note: Insertion of testicular prosthesis at the time oforchidectomy is not eligible for payment.EPIDIDYMISIncision97510 Abscess (IOP) ................................................................... 34.66 4 4Excision97520 Spermatocoele .................................................................. 24.51 103.99 4 497522 Epididymectomy - unilateral .............................................. 24.51 103.99 4 497524 Anastomosis epididymovasostomy ................................... 24.51 103.99 4 4TUNICA VAGINALISIncision97530 Hydrocoele aspiration (IOP).............................................. 6.24 6.93Excision97536 Hydrocoele - unilateral ...................................................... 32.68 109.76 4 4SCROTUMIncision97540 Abscess or haematocoele (IOP) ....................................... 34.66 4 497544 - and exploration - unilateral ........................................ 24.51 69.32 4 4Excision97550 Minor lesions, e.g., sebaceous cysts, fibromata, etc. ....... 47.95 4 497552 Resection of scrotum......................................................... 24.51 136.34 4 4Suture97556 Trauma-laceration - depending on extent andcomplications ............................................................... IC IC IC ICS-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.VAS DEFERENSIncision97560 Vasography (IOP) .............................................................. 33.51 4 4Repair97564 Anastomosis, unilateral...................................................... 24.51 136.34 4 497566 - including biopsy and vasography ............................... 24.51 171.00 4 4Note: Reconstruction following previous sterilizationprocedures is not an insured service.Suture97580 Ligation - bilateral (IOP)..................................................... 101.90 24.51 113.22 4 4SPERMATIC CORDExcision97590 Hydrocoele - single ............................................................ 24.51 103.99 4 497592 Varicocoele - single ........................................................... 24.51 103.99 4 4SEMINAL VESICLESIncision97600 Abscess (IOP).................................................................... 68.17 4 4Excision97606 Vesiculectomy.................................................................... 24.51 550.84 4 4PROSTATEIncision97610 Biopsy - needle (IOP)......................................................... 66.08 4 497611 - with ultrasound guidance......................................add 75.1097612 - with drainage abscess (IOP) ...................................... 32.68 73.94 4 497618 Biopsy, perineal, open ....................................................... 32.68 172.68 4 4S-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MALE GENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.PROSTATE (Cont’d)ExcisionProstatectomy (not to include investigative cystoscopy butto include vasectomy when indicated)97620 Perineal............................................................................. 49.02 272.67 6 697622 Perineal with vesiculectomy .............................................. 49.02 411.32 11 1197624 Suprapubic - 1 stage......................................................... 40.85 288.85 5 597626 - 2 stages - 1 st stage ..................................... 40.85 136.34 5 597628 - 2 nd stage .................................... 40.85 171.00 5 597630 Retropubic - simple .......................................................... 40.85 288.85 5 597632 - radical .......................................................... 40.85 649.48 5 597634 Transpubic total prostatovesiculectomy with pelvic lymphnode dissection............................................................ 65.36 496.82 11 1197636 Staging pelvic lymphadenectomy for prostatic cancer ...... 57.19 182.55 7 7Endoscopy (Cystoscopy included)97640 Transurethral electrosection.............................................. 486.78 5 597642 Transurethral drainage of abscess, complete care............ 68.17 5 5S-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE UROGENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.KIDNEYS AND PERINEPHRUM1. No additional claim should be made for nephroscopywhen done at the time of pyelolithotomy ornephrolithotomy.2. In a routine surgical approach to the kidney and relatedprocedures, no additional claim should be made for ribresection carried out for access purposes.3. When an adrenalectomy is performed in conjunction witha nephrectomy and is incidental to the removal of thekidney, there should be no additional claim for theadrenalectomy.Percutaneous Procedures (IOP)96802 Percutaneous nephrostomy ............................................... 144.7996804 Insertion of stent ................................................................ 103.3596806 Dilation of tract................................................................... 129.2696808 Selective catheterization of calyces ................................... 70.9996810 Nephroscopy...................................................................... 129.2696812 Removal of renal calculi..................................................... 40.85 226.16 6 696814 - if disintegrated by ultrasound ...............................add 129.26Incision96820 Renal biopsy, needle (IOP)................................................ 83.41 4 496822 Drainage of kidney abscess............................................... 57.19 213.64 7 796824 Drainage of perinephric abscess ....................................... 57.19 128.62 7 796826 Exploration of renal and perirenal tissues with or withoutbiopsy or unroofing of cyst............................................ 57.19 207.10 7 7Nephrotomy96828 - with drainage - nephrostomy ...................................... 57.19 207.10 7 796832 - with removal of calculus ............................................. 57.19 272.50 7 796836 Transection of aberrant renal vessels................................ 57.19 226.72 7 796838 Pyelotomy - with drainage ................................................ 57.19 213.64 7 796840 - with removal of calculus ............................... 57.19 256.15 7 796842 - with diversion of urine................................... 57.19 259.42 7 7Excision96850 Calycectomy with diversion of urine................................... 57.19 432.00 7 796852 Hemi-nephrectomy ............................................................ 57.19 470.47 7 796854 Partial or hemi-nephrectomy with total ureterectomy......... 57.19 487.10 7 7Nephrectomy96860 - simple......................................................................... 57.19 467.00 7 796865 - thoraco-abdominal or radical nephrectomy withor without gland dissection.................................... 106.21 875.00 13 1396868 - partial nephrectomy for malignancy............................ 106.21 697.95 13 1396872 Nephro-ureterectomy, total, without resection ofureterovesical junction.................................................. 57.19 305.20 10 1096874 Nephro-ureterectomy, total, with resection ofureterovesical junction................................................. 57.19 329.18 10 1096876 Excision of stenosed renal artery with reimplantation orhomograft ..................................................................... 57.19 414.20 15 15R-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE UROGENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.KIDNEYS AND PERINEPHRUM (Cont’d)Repair96880 Pyeloplasty........................................................................ 57.19 376.20 7 796884 Nephropexy ................................................................... 57.19 226.72 7 796886 Renal sympathectomy....................................................... 57.19 257.24 7 796888 Symphysiotomy, for horseshoe kidney with or withoutnephropexy and associated procedures. ..................... 57.19 259.42 7 7Suture96894 Ruptured or lacerated kidney - repair or removal .............. 57.19 257.24 7 7Litholapaxy96900 Staghorn (pelvic) with lithotripsy under x-ray control......... 57.19 381.50 9 9Extra Renal Procedures96910 Excision of retroperitoneal tumour..................................... 57.19 226.72 7 796912 Exploration of retroperitoneal tumour ................................ 57.19 178.22 7 796914 Sacro-coccygeal teratoma................................................. 49.02 259.42 6 696916 Renal hypothermia - extra ................................................. 32.70Extracorporeal Shock Wave Lithotripsy (IOP)96918 - unilateral, any mode, per session, per patient ........... 313.19 6 696920 - bilateral, any mode, per session, per patient ............. 558.00 6 6Kidney Transplants96940 Kidney transplant (team fees, these fees do not includeimmunosuppressive therapy, which is on a fee-forservicebasis ................................................................ 555.90 13 1396944 Donor nephrectomy (extra) team fee, uni or bilateral ........ 57.19 1050.00 16 1696948 Renal autotransplantation ................................................. 467.61 10 10R-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE UROGENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.URETERIncision96970 Peri-ureteral abscess......................................................... 49.02 130.80 6 6Ureterotomy, abdominal or vaginal exploratory or fordrainage96972 - upper 2/3 .................................................................... 49.02 163.50 6 696974 - lower 1/3..................................................................... 49.02 226.72 6 6with removal of calculus96976 - upper 2/3 .................................................................... 49.02 218.00 6 696978 - lower 1/3..................................................................... 49.02 277.95 6 6where ureter has been previously opened96980 - upper 2/3 .................................................................... 49.02 244.16 6 696982 - lower 1/3..................................................................... 49.02 289.94 6 6ExcisionUreterectomy96990 - including ureterovesical junction ................................ 57.19 285.28 7 796992 - other ........................................................................... 57.19 211.48 7 7Repair97000 Trimming of ureter ............................................................. 49.02 257.24 6 697002 Uretero-vesical anastomosis or reimplantation - unilateral 49.02 461.40 8 897004 Bifid ureter ......................................................................... 49.02 272.50 8 897006 Uretero-ileal conduit........................................................... 49.02 457.80 9 997008 Uretero-ileal conduit with total cystectomy......................... 49.02 512.06 15 1597010 Uretero-ileal conduit with ureterectomy and ilealreplacement.................................................................. 49.02 453.44 7 797012 Uretero-intestinal anastomosis or transplant - unilateral 49.02 194.02 6 697018 Uretero-ureterostomy......................................................... 49.02 352.87 8 897020 Ureterostomy, cutaneous, unilateral .................................. 49.02 161.32 6 697024 Uretero-vaginal fistula........................................................ 49.02 327.00 6 697026 Ureterolysis for periureteral fibrosis - unilateral.................. 49.02 257.24 6 697028 Ureteroplasty (Hutch), unilateral ........................................ 49.02 194.02 6 697030 Bladder flap (Baori)............................................................ 49.02 261.60 6 6SutureSpontaneous/traumatic rupture or transection97040 - immediate - upper 2/3 ............................................... 49.02 226.72 6 697042 - lower 1/3................................................ 49.02 257.24 6 697044 - late repair - upper 2/3 ............................................... 49.02 257.24 6 697046 - lower 1/3................................................ 49.02 292.12 7 7Endoscopic Procedures97050 Calibration and/or dilation - 1 or both sides........................ 166.26 4 497052Manipulation and/or removal of calculus including ureteralmeatotomy if required................................................... 166.26 4 4Cystoscopy and diagnostic ureteroscopy above97054 Intramural ureter (IOP)....................................................... 169.32 4 497056 - with removal of calculus .......................................add 226.1697058 - if disintegrated by ultrasound ...............................add 129.26R-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE UROGENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.BLADDEREndoscopy-CystoscopyDiagnostic Procedures, includes dilation for access(IOP)Note: Includes catheterization of ureters with or withoutcollection or ureteral specimens, intravenousfunction test and retrograde injection of opaquemedia and/or manometry and/or meatotomy.97070 Cystoscopy with or without urethroscopy .......................... 86.09 95.66 4 497072 Repeat within 30 days ....................................................... 43.05 47.83 4 497078 With transurethral biopsy, brush biopsy of renal pelvisand/or ureter and/or insertion of ureteral stent....... add 33.5497080 With retrograde pyelogram.......................................... add 20.6897088 With needle biopsy of prostate .................................... add 43.91Therapeutic Procedures(payable with, add-on to code 97070)97090 With electrocoagulation of tumour............................... add 67.2197092 With electrocoagulation of ulcer .................................. add 67.21With excision of tumour or tumours including base andadjacent muscles and electrocoagulation if necessary97096 - single tumour 1-2 cm. diameter ........................... add 107.3297098 - single tumour over 2 cm. diameter....................... add 216.3297100 - multiple tumours .................................................. add 216.3297102 With resection bladder neck - female ....................... add 134.3597104 - male .......................... add 350.88 1 197106 With electro-surgical ureteral meatotomy .................... add 134.3597108 With removal of foreign body or calculus..................... add 134.35Introduction (IOP)Catheterization97120 - office .......................................................................... 5.89 6.5497122 - home.......................................................................... 8.34 9.27- hospital ...................................................................... VF VF97126 Intravesicular chemotherapy ............................................. 9.81 10.90Incision97130 Aspiration (IOP)................................................................. 13.0897132 Cystotomy with trochar or cannula and insertion of tube... 57.88 64.31 5 597136 Incisional cystotomy or cystostomy ................................... 40.85 135.16 5 597138 Incisional cystotomy or cystostomy and electrocoagulationof tumour...................................................................... 40.85 194.02 5 597140 Cystolithotomy................................................................... 40.85 162.40 5 597142 Cutaneous vesicostomy .................................................... 40.85 231.08 5 597144 Reduction cystoplasty (bladder plication) .......................... 40.85 189.66 5 5R-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE UROGENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.BLADDER (Cont’d)ExcisionCystectomy97150 Partial for tumour or diverticulum (single or multiple)......... 49.02 249.50 6 697152 - with reimplantation of ureter ....................................... 49.02 322.64 7 797154 - with reimplantation of ureters ..................................... 49.02 354.25 7 797156 Complete cystectomy, without transplant........................... 49.02 259.42 10 1097160 - with uretero-ileal conduit ............................................ 65.36 1050.00 15 1597162 Complete cystectomy with Koch pouch urinary diversion .. 73.53 1432.45 15 1597164 Excision of urachal cyst or sinus with or without umbilicalhernia repair ................................................................. 49.02 155.87 6 697166 Excision of urachus, repair of bladder and diversion ofurine ............................................................................. 49.02 161.32 6 6Extrophy97168 - excision of bladder and repair of abdominal wall,inclusive of graft ....................................................... 49.02 113.36 6 697174 - plastic repair of extrophy using bladder and includingskin flaps ................................................................... 49.02 388.04 6 6Repair97228 Urinary diversion procedure using intestine, withoutcystectomy ................................................................... 73.53 983.75 15 1597230 Repair of ruptured bladder ................................................. 40.85 194.02 6 697232 Cystoplasty, using intestine ............................................... 40.85 388.04 9 997234 Suprapubic sphincterectomy for Marion’s disease............. 40.85 194.02 5 5Plastic repair of bladder neck97236 - child............................................................................ 40.85 194.02 5 597238 - adult or adolescent..................................................... 40.85 259.42 5 597240 - with diverticulectomy .................................................. 40.85 316.10 7 7Destruction97250 Litholapaxy, visual or tactile and removal of fragments...... 40.85 128.62 4 4SutureClosure of fistula97260 External, suprapubic .......................................................... 32.68 161.32 4 497262 Vesico-vaginal - vaginal approach................................... 32.68 234.35 6 697264 - trans-vesical approach .......................... 40.85 250.70 6 697266 Vesico-rectal or vesicosigmoid .......................................... 40.85 239.80 6 6R-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE UROGENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.URETHRAIncision97280 Biopsy of urethra without endoscopy (IOP) ....................... 13.08 4 497282 Urethrotomy, external........................................................ 24.51 128.62 4 497288 Urethrostomy ................................................................... 24.51 128.62 4 497290 Meatotomy and plastic repair ............................................ 29.43 4 497296 Peri-urethral abscess - complete care............................... 32.70 4 4Excision97300 Caruncle............................................................................ 24.51 65.40 4 497302 Urethral papilloma, single or multiple ................................ 65.40 4 4Stricture, including diversion97304 - 1 stage....................................................................... 24.51 226.72 4 497306 - 2 stage - first stage.................................................. 24.51 128.62 4 497308 - second stage............................................ 24.51 194.02 4 497310 Diverticulectomy - male or female ..................................... 161.32 4 497312 Posterior urethral valve ..................................................... 32.68 161.32 4 497314 Prolapse urethra, excision................................................. 59.95 4 497316 Urethrectomy - radical....................................................... 32.68 113.36 4 4Endoscopy97320 Urethroscopy - diagnostic (IOP) ....................................... 19.62 4 497322 - with biopsy (IOP)...................................... 45.78 4 497324 Internal urethrotomy .......................................................... 64.31 4 497326 Removal of foreign body or calculus ................................. 98.10 4 4Repair97330 Urethral sling ..................................................................... 24.51 282.04 4 497332 Marshall Marchetti............................................................. 40.85 293.82 5 597334 Insertion of artificial urinary sphincter ................................ 32.68 714.60 6 6Urethroplasty - 1 st stage97336 - posterior ........................................ 32.68 200.56 6 697338 - anterior .......................................... 32.68 151.51 4 497340 - 2 nd stage ............................................... 32.68 120.99 4 497342 One stage repair (to include skin graft if necessary) ......... 32.68 200.56 6 697344 Kauffman type procedures for urinary incontinence .......... 24.51 200.56 5 597346 - where perineum has been previously operated on forincontinence.......................................................... 24.51 231.08 5 597348 - removal of perineal incontinence prosthesis.............. 24.51 75.21 5 5Suture97360 Rupture, anterior urethra (diversion of urine, extra)........... 32.68 97.01 4 497362 Posterior urethra - immediate repair ............................... 32.68 257.24 4 497364 - late repair .......................................... 32.68 322.64 5 5Fistula97366 - penile urethra (diversion of urine, extra) .................... 64.31 4 497368 - perineal urethra.......................................................... 32.68 194.02 4 497370 - recto-urethral with diversion, colostomy and closureof colostomy.......................................................... 49.02 322.64 7 7R-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE UROGENITAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.URETHRA (Cont’d)Destruction97380 Urethro-vesicolysis ............................................................ 24.51 128.62 4 497382 Transurethral incision or resection of external sphincter(when sole operative procedure) .................................. 174.40 4 4Manipulation (IOP)Dilation of stricture, male97390 - local anaesthetic......................................................... 12.75 14.1797392 - general anaesthetic.................................................... 32.70 4 497394 Dilation of urethra, female.................................................. 5.89 6.5497396 - general anaesthetic.................................................... 21.80 4 4R-7

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.MOUTHIncision95450 Drainage of Ludwig’s Angina, complete care..................... 70.85 5 595452 Biopsy (IOP) .................................................................... 33.75 4 4Excision95460 Simple excision of lesion (IOP) .......................................... 32.68 67.55 4 495462 Excision of ranula .............................................................. 32.68 157.80 4 495464 Composite resection of lesion of oral cavity and/ororopharynx with partial resection of mandible .............. 81.70 695.95 12 1295466 Extended composite resection of lesion of oral cavity andoropharynx with partial resection of mandible andresection of maxilla....................................................... 81.70 775.60 12 1295468 Excision of intra-oral tumour (greater than 2.0 cm.average diameter) ........................................................ 32.68 325.80 6 6Oro-pharyngeal carcinoma95470 - excision floor of mouth, mandible and glands of neck 65.36 490.50 12 12Cryosurgery or treatment of premalignant or malignantlesion(s) of oral cavity or sinuses95474 - minor .......................................................................... 52.32 4 495478 - intermediate ............................................................... 132.98 4 495482 - major - initial ............................................................. 185.30 6 695484 - repeat within 30 days ................................... 92.65 6 6LIPSIncision95490 Biopsy (IOP) ...................................................................... 33.70 4 4Excision95500 Wedge resection of lip vermillion ....................................... 24.51 96.14 4 495502 Resection of lip with plastic repair...................................... 32.68 227.45 4 495504 Excision of lesion (IOP)...................................................... 81.42 32.68 90.47 4 495506 Lip shave (Leukoplakia) ..................................................... 32.68 180.70 4 4Reconstruction95510 Cleft lip - unilateral ............................................................. 65.36 325.40 8 895512 Reconstruction with lip switch flap ..................................... 65.36 398.20 8 895514 Complex reconstruction or revision of previous repair andexcision ........................................................................ IC IC IC ICQ-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.TONGUEIncision (IOP)95520 Biopsy ............................................................................... 30.38 33.75 4 4Tongue tie, release of95524 - local anaesthetic........................................................ 43.60 48.4595526 - general anaesthetic ................................................... 48.45 4 4ExcisionGlossectomy95530 - partial......................................................................... 65.36 187.95 8 895532 - complete .................................................................... 65.36 268.30 8 895534 Wedge resection of lesion (IOP) ....................................... 58.35 4 4Repair95540 Glossoplasty...................................................................... 32.68 187.95 4 4Suture95550 Extensive laceration .......................................................... 32.68 IC 4 4TEETH AND GUMSIncision95560 Drainage of alveolar abscess, general anaesthetic (IOP) . 48.45 4 4ExcisionExtraction of tooth (complete care)95564 - single ......................................................................... 30.00 4 495566 - each additional tooth............................................ add 15.00PALATE AND UVULAIncision95570 Palate abscess (IOP) ........................................................ 21.80 4 495572 Fenestration of palate for radiotherapy.............................. 4 495574 Biopsy of palate (IOP) ....................................................... 33.75 4 4Excision95580 Uvulectomy or biopsy of local lesion (IOP)........................ 33.75 4 4Repair95590 Cleft palate ........................................................................ 65.36 329.70 8 895592 Removal of sutures ........................................................... 35.40 4 495594 Bone graft to palate........................................................... 49.02 299.70 8 8Closure of fistula95600 - anterior alveolar ......................................................... 32.68 176.40 4 495602 - palate......................................................................... 49.02 251.30 6 6Q-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SALIVARY GLANDS AND DUCTSIncisionSialolithotomy95610 - simple......................................................................... 32.68 37.06 4 495612 - complicated ................................................................ 32.68 98.60 4 495614 Biopsy (IOP) ...................................................................... 32.68 32.70 4 4Excision95620 Submaxillary gland ............................................................ 32.68 273.80 4 4Parotid gland95622 - total - with preservation of facial nerve....................... 32.68 690.90 8 895624 - without preservation of facial nerve................. 32.68 593.00 8 895626 - subtotal - with preservation of facial nerve ............... 32.68 642.35 7 795630 - without preservation of facial nerve .......... 32.68 395.45 6 695634 Excision small tumour........................................................ 32.68 51.23 4 4Repair95640 Plastic repair of duct .......................................................... 32.68 192.50 4 495642 Dilation of duct (IOP).......................................................... 26.24 29.15 4 4Probing95650 Duct (IOP).......................................................................... 7.09PHARYNX, ADENOIDS AND TONSILSIncision95660 Drainage of retropharyngeal, intra-oral or peritonsillarabscess (IOP)............................................................... 48.45 4 495662 Drainage of lateral pharyngeal abscess............................. 32.68 145.95 4 495668 Biopsy of pharynx (IOP)..................................................... 33.75 4 4ExcisionBranchial95670 - cyst............................................................................. 32.68 292.00 4 495672 - sinus........................................................................... 32.68 292.00 4 495674 - fistula.......................................................................... 32.68 292.00 4 495676 Thyroglossal duct, cyst, sinus or fistula.............................. 32.68 292.00 4 495678 - recurrent procedure.................................................... 32.68 390.55 4 4Tonsillectomy, includes adenoidectomy95680 - child under 16............................................................. 148.53 4 495682 - adolescent or adult ..................................................... 152.65 4 495684 Adenoidectomy only - child or adult ................................... 80.30 4 495686 Secondary suture following T and A .................................. 56.60 4 495688 Excision of parapharyngeal space lesions withmobilization of parotid gland......................................... 32.68 583.05 8 895690 Pharyngectomy - trans-hyoid or lateral .............................. 65.36 752.75 11 1195692 Pharyngo-laryngectomy..................................................... 65.36 845.85 14 14Repair95696 Pharyngoplasty .................................................................. 65.36 343.05 8 8Q-3

Revised June 1, 2011SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.OESOPHAGUSFor procedures on the oesophagus the following basicfees for Anaesthesiologists and Assistants will applyexcept for endoscopies.95700 - cervical approach....................................................... 49.02 7 795702 - thoracic approach ...................................................... 106.21 13 1395704 - abdominal approach .................................................. 57.19 8 8Endoscopies with or without biopsies (IOP)95710 Oesophagoscopy .............................................................. 64.84 72.04 4 495712 - with removal of foreign body................................ add 36.20- with injection of varices95714 - initial.............................................................. add 38.6095716 - subsequent ................................................... add 38.6095718 - with dilation.......................................................... add 32.7095720 - with bronchoscopy ............................................... add 59.59 2 295722 - with gastroscopy and gastric photography, sameintubation ........................................................ add 41.5895724 - with gastroscopy and gastric photography, separateintubation ........................................................ add 52.3295726 - with gastroscopy with or without duodenoscopy.. add 34.30 38.11 2 295728 - with gastroduodenoscopy with cannulation ofpancreatic and/or common bile duct .................... add 242.76 2 295730 - management of uncomplicated uppergastrointestinal bleeding, by any technique….add 46.3095732 - management of complicated uppergastrointestinal bleeding by any technique inhaemodynamically unstable patients with activebleeding during endoscopy……………………...add 69.70IncisionOesophagostomy95750 - cervical - other than neonatal..................................... 154.4595752 - neonatal..................................................................... 213.6495754 - thoracic ...................................................................... 213.64Excision95770 Intrathoracic diverticulum .................................................. 283.4095772 Crico pharyngeal diverticulum ........................................... 371.2095776 Partial oesophageal resection and reconstruction(including intestinal transposition)................................ 1030.36 17 1795778 Resection of oesophagus.................................................. 607.1495780 Total resection of oesophagus .......................................... 932.54 17 1795781 - with reconstruction............................................... add 561.4995782 Oesophago-gastrectomy ................................................... 1123.09Repair95794 Oesophagoplasty .............................................................. 330.8995796 Heller procedure................................................................ 617.25Oesophageal hiatus hernia95798 - abdominal or transthoracic approach withfundoplication........................................................ 571.5395802 - recurrent .................................................................... 736.9795804 - with oesophagoplasty .......................................... add 110.3895806 Ruptured oesophagus ....................................................... 526.46Q-4

Revised June 1, 2011SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.OESOPHAGUS (Cont’d)95808 Oesophago-gastrostomy.................................................... 426.2395810 Oesophageal bypass, cervical ........................................... 559.9695812 Oesophageal stricture (Thal) - may include oesophagealhiatus hernia repair with or without gastroplasty,cervical ......................................................................... 389.97Suture95820 Closure of oesophago-tracheal fistula................................ 625.56Dilation of oesophagus without oesophagoscopy (IOP)95830 - (active) with or without guiding string ......................... 35.9795832 - (passive) using mercury filled tubes ........................... 26.1695836 - pneumatic dilatator ..................................................... 35.9795842 - retrograde dilatation ................................................... 14.17STOMACHEndoscopies (IOP)95850 Gastroscopy (with or without biopsy or photography) ........ 90.89 100.99 4 495856 Gastroscopy, removal of foreign body ............................... 92.05 4 495858 - subsequent (within 3 months following previousgastroscopy).............................................................. 41.58 4 495860 Endoscopic removal of gastric polyp................................. 41.58 4 4IncisionGastrotomy95870 - with removal of tumour or foreign body ...................... 57.19 211.26 7 795872 - with suture of bleeding peptic ulcer ............................ 57.19 387.55 9 995874 Pyloromyotomy (Ramstedt’s)............................................. 81.70 452.14 10 1095876 Gastrostomy ...................................................................... 57.19 291.53 7 795878 Full thickness revision gastrostomy ................................... 49.02 228.84 6 6ExcisionBiopsy (IOP)95890 - by gastroscopy ........................................................... 84.62 4 495892 - by gastrotomy............................................................. 47.09if sole procedure claim also 9663695894 - by intubation............................................................... 22.01Gastrectomy95900 - wedge resection for ulcer ........................................... 57.19 398.30 7 795906 - partial or subtotal, with or without vagotomy .............. 57.19 645.93 8 895914 - plus cholecystectomy at same time............................ 57.19 507.57 8 895916 - plus repair of hiatus hernia ......................................... 57.19 507.57 8 895918 - after previous gastroenterostomy............................... 57.19 515.42 8 895920 - after previous partial gastrectomy .............................. 57.19 534.51 8 895922 - total gastrectomy........................................................ 57.19 837.30 9 995932 Excision of gastroduodenal lesion, recurrent ulcer ............ 57.19 498.89 8 895934 Excision of gastrojejunal lesion, recurrent ulcer................. 57.19 498.89 8 895936 Vagotomy........................................................................... 57.19 387.55 7 7Bariatric Surgery95938 Gastric bypass for morbid obesity................................... 57.19 1000.00 10 1095940 Sleeve Gastrectomy......................................................... 57.19 1000.00 10 1095942 Adjustable gastric banding............................................. 57.19 1000.00 10 10Q-5

Revised June 1, 2011SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.STOMACH (Cont’d)Repair95950 Pyloroplasty ................................................................... 57.19 387.55 7 795952 Pyloroplasty and vagotomy ............................................... 57.19 516.73 7 795956 Gastroduodenostomy or gastrojejunostomy...................... 57.19 387.55 7 795962 Either of above plus vagotomy .......................................... 57.19 332.16 7 795964 Pyloroplasty and vagotomy plus repair of oesophagealhiatus hernia ................................................................ 57.19 460.70 7 795966 Pyloroplasty or gastroenterostomy with vagotomy andcholecystectomy .......................................................... 57.19 468.73 8 8Suture95980 Closure of gastrostomy or other external fistula ofstomach ....................................................................... 40.85 186.81 6 695982 Gastrorrhapy (for perforated ulcer or wound) .................... 57.19 387.55 7 795984 Closure of gastrocolic fistula ............................................. 57.19 373.62 7 7INTESTINES (EXCEPT RECTUM)Endoscopy, includes dilation for access (IOP)96000 Duodenoscopy, with or without biopsy .............................. 109.00 4 496004 - with cannulation of pancreatic and/or common bileduct........................................................................... 137.34 4 496006 Small bowel push enteroscopy…………………………… 185.14Colonoscopy using flexible scope96030 - of sigmoid to descending colon.................................. 46.94 52.16 4 496032 - to splenic flexure.................................................. add 51.7596034 - to hepatic flexure ................................................. add 37.1196036 - to caecum ............................................................ add 29.6996038 - into terminal ileum................................................ add 27.2496040 - if biopsy(s) and/or coagulation of angio-dysplasticlesion(s) ............................................................... add 18.6196041 - management of uncomplicated lowergastrointestinal bleeding, by any technique….add 46.3096042 - multiple screening biopsies (> 34 sites) formalignant changes in ulcerative colitis, to 96030only………………………………………………..….add 54.2596044 - hydrostatic - pneumatic dilatation of colonstricture(s) through colonoscope .................... .add 107.5096046 Fulguration or snaring of polyp through colonscope.......... 42.1096048 - each additional polyp, (max. of 4)........................ add 21.5096050 Excision of polyp through colonscope ............................... 133.10 4 496052 - each additional polyp, (max of 2)......................... add 68.70IncisionEnterotomy96060 Ileostomy........................................................................... 49.02 387.55 7 7Small intestine96062 - including excision of polyps or biopsy........................ 49.02 387.55 7 796064 Insertion of feeding enterostomy ....................................... 49.02 376.77 7 796066 - when done with another intraabdominal procedure ... 50.90Large intestine96068 - including excision of polyps ....................................... 49.02 249.44 7 796070 Colonoscopy with laparotomy ........................................... 49.02 221.84 7 796072 Exteriorization of intestine (Mickulicz) ............................... 49.02 228.84 6 696074 Colostomy ......................................................................... 49.02 478.45 6 696076 Caecostomy 49.02 178.17 6 6Q-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.INTESTINES (EXCEPT RECTUM) (Cont’d)96078 Revision of stenosis or obstruction more than 4 weeksafter original operation.................................................. 49.02 82.73 6 696080 Entero-enterostomy ........................................................... 49.02 387.55 7 7Excision96090 Biopsy by intubation (IOP) ................................................. 84.68 4 496092 Local excision of lesion of intestine.................................... 49.02 241.81 7 796094 Resection of exteriorized intestine ..................................... 49.02 165.44 6 6Enterectomy with anastomosisSmall intestine96096 - duodenum .................................................................. 49.02 526.13 7 796098 - other ........................................................................... 49.02 516.73 7 7Small and large intestine96100 - terminal ileum, caecum and ascending colon............. 49.02 645.91 7 796102 Large intestine - any portion .............................................. 49.02 645.91 7 796106 Ileostomy, subtotal colectomy............................................ 49.02 645.91 7 796108 Total colectomy with ileorectal anastomosis ...................... 65.36 860.50 9 996112 Ileostomy plus total colectomy plus abdomino-perinealresection....................................................................... 65.36 1184.18 10 1096114 - 2 stage procedure - (1 st stage) ................................... 65.36 664.33 10 1096116 - (2 nd stage)................................... 6 696118 - 2 surgeon team - abdominal....................................... 65.36 432.70 10 1096120 - perineal .......................................... 65.36 203.63Intestinal Obstruction96130 Without resection - adult................................................... 49.02 538.26 6 696132 - child ................................................... 49.02 476.15 6 696134 With entero-enterostomy.................................................... 49.02 538.26 7 796136 With resection .................................................................... 49.02 645.91 7 796140 Intestinal atresia (newborn)................................................ 49.02 380.63 7 796142 Meconium ileus.................................................................. 49.02 414.88 7 7Repair96150 Faecal fistula, radical with resection .................................. 49.02 380.63 7 7Revision of ileostomy or colostomy96152 - skin level .................................................................... 40.85 85.46 5 596154 - full thickness............................................................... 49.02 249.44 6 696162 Caecopexy or sigmoidopexy, independent operation ........ 49.02 151.78 6 696164 Formation of an ileal pouch and primary anastomosisfollowing total colectomy............................................... 1549.49 7 7Suture96170 Suture of intestine.............................................................. 49.02 301.50 6 696172 Suture of intestine with choledocotomy.............................. 49.02 241.76 7 7Closure of colostomy or enterostomy96174 - with resection ............................................................. 49.02 406.85 7 796176 - without resection ........................................................ 40.85 406.85 7 796178 Plication of small intestine for adhesions ........................... 49.02 376.71 7 7Manipulation (IOP)96190 Reduction of prolapse........................................................ 16.35 4 496192 Dilation of enterostomy, colostomy, etc. ........................... 16.63 4 496196 Intubation of small intestine ............................................... 39.62 44.03 4 4Q-7

Revised June 1, 2011SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.OPERATIONS ON THE ANUS (Cont’d)Repair96396 Excision of scar for stenosis.............................................. 24.51 91.07 4 496398 Anoplasty, for stenosis ...................................................... 32.68 193.82 4 496400 Repair of anal sphincter .................................................... 32.68 180.94 4 496402 Repair of anal sphincter and ano-rectal ring...................... 32.68 249.44Destruction (IOP)96410 Curettage of fissure or fistula ............................................ 29.78 33.09 4 496412 Cauterization of fissure...................................................... 23.31 25.90 4 496416 Fulguration of condylomata ............................................... 38.38 42.64 4 4Manipulation96420 Dilation of anal sphincter (IOP) ......................................... 6.38 7.09 4 4LIVERIncision96430 Biopsy - incisional (IOP).................................................... 42.0096432 - needle (IOP)........................................................ 59.68 4 496434 Hepatotomy....................................................................... 57.19 249.44 7 7ExcisionHepatectomy96436 - local excision of lesion ............................................... 57.19 429.54 7 796438 - lobectomy (includes cholecystectomy) ...................... 98.04 1022.69 8 8Formal Anatomical Resection96442 - one or two liver segments ...................................... 1184.60 12 1296444 - three or four liver segments ................................... 1652.15 12 1296448 - five or more liver segments .................................... 1784.60 12 12Note: Cholecystectomy is not eligible for payment inconjunction with liver lobectomy involving liversegments #4 and/or #5, or formal anatomic resectioninvolving liver segments #4 and/or #5.96450 Laparotomy, cholangiogram and biopsy (neonataljaundice) ...................................................................... 49.02 228.52 6 6Liver transplant96452 - donor ......................................................................... IC IC 16 1696454 - recipient ..................................................................... IC IC IC ICRepair96460 Marsupialization of cyst or abscess................................... 57.19 249.44 7 7Suture96470 Rupture or wound.............................................................. 65.36 249.44 8 8BILIARY TRACTEndoscopy, to include examination of stomach andduodenum (IOP)96480 Manipulation and/or removal of common bile duct stoneswith or without sphincterotomy..................................... 482.40 5 596482 Subsequent procedure (within 3 months of previousendoscopic procedure) ................................................ 76.30 5 5Q-10

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.BILIARY TRACT (Cont’d)Incision96504 Biliary duct calculus manipulation and/or removal via T-tube tract - when sole procedure performed (IOP) ....... 52.54 7 796508 Cholecystostomy ............................................................... 57.19 216.35 7 796510 Choledochotomy................................................................ 57.19 333.43 7 796514 Transduodenal sphincterotomy and choledochotomy(previous cholecystectomy) .......................................... 57.19 509.06 9 996516 Choledochoduodenostomy ................................................ 57.19 516.73 9 996518 Cholecystogastrostomy...................................................... 57.19 273.29 7 796520 Cholecystoenterostomy ..................................................... 57.19 334.35 7 796524 Hepatic choledochoenterostomy........................................ 57.19 705.42 9 9Excision96530 Cholecystectomy with or without cholangiogram ............... 57.19 482.17 7 796532 Cholecystectomy and choledochotomy.............................. 57.19 592.08 8 896534 Cholecystectomy, choledochotomy and transduodenalsphincterotomy ............................................................. 57.19 711.94 9 996536 Cholecystectomy and hiatus herniorraphy ......................... 57.19 657.46 7 796542 Choledochectomy .............................................................. 57.19 414.88 8 8Repair96550 Common duct stricture....................................................... 57.19 498.89 10 10PANCREASIncision96560 Biopsy - needle (IOP)......................................................... 52.1896562 - incisional (IOP) .................................................... 76.36 7 796564 Pancreatotomy................................................................... 57.19 228.84 7 7ExcisionPancreatectomy96570 - complete..................................................................... 57.19 1270.20 11 1196572 - partial resection of head ............................................. 57.19 1005.00 11 1196574 - “Whipple Type” operation ........................................... 57.19 1785.45 15 1596576 - local excision of lesion................................................ 57.19 483.06 8 896578 - islet cell tumour .......................................................... 57.19 411.00 8 896582 Resection of entire body and tail of pancreas, spleen ....... 73.53 986.05 11 1196584 Excision pancreatic cyst..................................................... 57.19 337.95 7 796586 Biopsy of other retroperitoneal lesion (IOP)....................... 76.36 7 7Repair96590 Pancreatic - cystogastrostomy ......................................... 57.19 430.61 8 896594 - cystojejunostomy.......................................... 57.19 333.43 8 896596 Marsupialization of cyst...................................................... 57.19 249.44 8 896598 Anastomosis of body and tail of pancreas to intestine(Puestow operation) ..................................................... 73.53 450.61 10 10Q-11

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ABDOMEN, PERITONEUM AND OMENTUMGeneral96610 Surgeon called to assist at an intra-proceduralemergency, e.g., acute bleed during an abdominalprocedure already in progress (claim IC) ..................... 178.22Paracentesis (IOP)96620 Aspiration for diagnostic sample ....................................... 17.25 19.1796622 Aspiration with therapeutic drainage with or withoutdiagnostic sample ........................................................ 35.66 39.62 4 496626 Paracentesis with lavage for diagnosis ............................. 50.71 4 4Incision96630 Biopsy of omentum (single or multiple) (IOP).................... 27.2596632 Needle biopsy of peritoneum (IOP) ................................... 22.1896634 Open lavage of peritoneal cavity for diagnosis withoutmanual exploration of peritoneal cavity (IOP) .............. 48.36 4 496636 Laparotomy (biopsy extra)................................................. 49.02 280.70 6 696642 Laparotomy for acute trauma ............................................ 49.02 365.40 6 696644 - with repair of intestine, single............................... add 131.00 3 396646 - multiple or with resection ..................................... add 194.30 3 396648 - with splenectomy ................................................. add 16.34 262.00 3 396650 - with repair of lacerated liver................................. add 16.34 172.90 3 396652 - with repair of diaphragm ...................................... add 16.34 112.30 2 2Peritoneal abscess96660 - subphrenic ................................................................. 57.19 197.22 7 796662 - abdominal .................................................................. 49.02 154.45 6 696664 Pelvic abscess, incision drainage - rectal or vaginalapproach (IOP) ............................................................ 64.31 4 496670 Removal of infected sutures from abdominal wall - generalanaesthetic (IOP)......................................................... 57.26 4 496672Umbilical vein intraabdominal dissection andcatheterization ............................................................. 49.02 134.27 6 6Insertion of peritoneo - jugular shunt for ascites96676 - primary....................................................................... 57.19 185.80 7 796678 - revision within 30 days............................................... 57.19 113.25 7 7Excision96690 Desmoid tumour, depending on extent.............................. 32.68 IC 6 696694 Umbilectomy - plastic ........................................................ 32.68 78.41 4 496700 Panniculectomy................................................................. 32.68 428.48 6 696701 - with repair of umbilical hernia .............................. add 120.0196702 Mesenteric cyst ................................................................. 49.02 197.22 6 6EndoscopyPeritoneoscopy or laparoscopy (IOP)96710 - without biopsy............................................................ 144.00 6 696712 - with biopsy and/or lysis of adhesions and/or removalof foreign body and/or cautery of endometrialimplants ................................................................. 161.16 6 696714 Laser treatment of extensive pelvic disease (includeslaparoscopy) ................................................................ 211.55 6 6Q-12

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE DIGESTIVE SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ABDOMEN, PERITONEUM AND OMENTUM(Cont’d)Repair96720 Omentopexy, as independent operation ............................ 49.02 130.80 6 6Herniotomy96722 - Inguinal or femoral - single ...................................... 32.68 281.62 4 496728 - with hydrocele......................... 32.68 354.18 4 496730 - Unilateral with exploration of other side - infants andchildren ................................................................... 32.68 300.00 4 4- Strangulated or incarcerated96732 - without resection of bowel ................................... 49.02 344.49 4 496734 - with resection of bowel ........................................ 49.02 598.07 7 796736 - Inguinal and femoral - same side ............................... 32.68 352.03 4 4- Umbilical96738 - adolescent or adult .............................................. 32.68 301.50 4 496740 - child (operative)................................................... 32.68 165.44 4 4Omphalocoele and gastrochisis96748 - 1 stage repair ............................................................. 57.19 249.44 7 7- multiple staged repair96750 - gross method of silon mesh................................. 57.19 249.44 7 796752 - second stage repair (completion of abdominalwall closure)........................................................... 57.19 253.79 7 7Diaphragmatic, other than oesophageal hernia - 1 stageprocedure96754 - trans-abdominal.......................................................... 73.53 330.89 9 996756 - trans-thoracic ............................................................. 106.21 330.89 13 1396760 Ventral ............................................................................... 49.02 401.12 6 696762 Massive incisional hernia................................................... 49.02 452.14 6 696766 Recurrent - all types, excepting diaphragmatic .................. 49.02 429.67 6 696770 Epigastric ........................................................................... 32.68 284.97 4 4Suture96780 Secondary closure for evisceration.................................... 49.02 231.11 6 6Q-13

Revised November 2011SURGICAL PROCEDURESOPERATIONS ON THE HAEMIC AND LYMPHATIC SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SPLEEN AND MARROWIncision (IOP)95350 Splenic puncture and aspiration......................................... 43.60 4 4Bone marrow95352 - aspiration.................................................................... 36.01 40.01 4 495354 - interpretation of marrow smear, includingassessment of peripheral smear and iron stain..... 25.6695356 - aspiration and interpretation....................................... 65.6795358 Core biopsy (with biopsy needle)....................................... 63.35 4 4Bone marrow transplantation - team fee95360 - aspiration from donor ................................................. IC IC IC IC95362 - infusion into recipient.................................................. IC IC IC ICExcision95370 Splenectomy ...................................................................... 57.19 502.50 7 795372 Bone button (IOP).............................................................. 35.97 4 4LYMPH CHANNELSExcision95380 Cystic hygroma .................................................................. 49.02 231.68 6 6LYMPH NODESIncision95400 Drainage of subfacial abscess (IOP) ................................. 77.23 4 4Excision95410 Neck - local......................................................................... 49.02 111.91 6 695412 - limited...................................................................... 49.02 352.35 6 695414 - radical ..................................................................... 65.36 843.27 8 895416 - modified radical including functional witpreservation of spinal accessory nerve.................. 65.36 906.45 8 895418 Ilioinguinal, radical resection.............................................. 49.02 308.91 8 895420 Axillary or inguinal nodes, radical resection ....................... 32.68 371.84 4 4Biopsy (IOP)95426 - cervical, axillary, inguinal............................................ 32.68 64.31 4 495428 - scalene....................................................................... 32.68 124.62 4 495430 - sentinel node biopsy (per draining basin)………… 49.02 330.45 6 695438 Staging pelvic lymphadenectomy ...................................... 57.19 172.22 7 7P-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE CARDIOVASCULAR SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.GENERAL FEES94800 With hypothermia and without bypass, basic fee forcardiovascular procedures ........................................... 25 2594802 With hypothermia - extra.................................................... 172.3194804 Pump bypass (extra for surgeon/basic foranaesthesiologists) - (bypass includes cannulating andde-cannulating heart or major vein, major artery,supervision of pump and pump run) ............................. 391.63 28 2894805 Coronary artery repair commenced on a beating heart(extra for surgeon/basic for Anaesthesiologist) ............ 391.63 28 2894806 Circulatory assist device e.g., intra-aortic balloon (includescannulation, post-operative care and supervision)(IOP)............................................................................. 245.94 5 594810 Decannulation of circulatory assist device (IOP)................ 97.12 5 594814 Repositioning of intra-aortic balloon pump (no claim to bemade for repositioning within 24 hours of originalinsertion)....................................................................... 98.82 5 594818 Re-operation for failed vascular grafts - for repair orreplacement of existing prosthesis (more than onemonth after original operation) in addition toappropriate benefit........................................................ 119.0794820 Removal of failed vascular graft - when sole procedure(IOP)............................................................................. 121.14 6 694822 Re-operation involving open heart procedures with pump(more than one month after initial operation) in additionto appropriate benefit) .................................................. 119.07HEART AND PERICARDIUM94830 Cardiotomy with exploration............................................... 147.06 478.14 20 2094832 - with removal of foreign body ...................................... 147.06 589.71 20 2094834 - with removal of tumour ............................................... 147.06 469.95 20 20Closure atrial septal defect94836 - secundum................................................................... 147.06 610.94 20 2094838 - endocardial cushion and valve defect ........................ 147.06 1002.56 20 2094840 - with anomalous pulmonary venous drainage ............. 147.06 798.91 28 2894842 Closure of ventricular septal defect.................................... 147.06 817.72 28 2894844 Total repair trilogy .............................................................. 147.06 646.72 28 2894846 Total repair Tetralogy of Fallot ........................................... 147.06 934.15 28 2894848 - with previous arterial shunt......................................... 147.06 1106.61 28 2894850 Repair total anomalous pulmonary venous drainage......... 147.06 934.15 28 2894852 Total correction transposition of great vessels................... 147.06 934.15 28 2894854 Pulmonary valvotomy......................................................... 147.06 560.49 28 2894856 Pulmonary valvotomy and infundibular resection............... 147.06 646.72 28 2894858 Tricuspid valvotomy ........................................................... 147.06 613.67 20 2094860 Tricuspid annuloplasty ....................................................... 147.06 546.12 20 2094862 Tricuspid valve replacement .............................................. 147.06 715.89 28 2894864 Mitral valvotomy................................................................. 147.06 613.67 20 2094866 Mitral valvotomy - re-stenosis ............................................ 147.06 689.84 20 2094868 Mitral annuloplasty............................................................. 147.06 689.84 20 2094870 Mitral replacement ............................................................. 147.06 924.24 28 2894872 Aortic valvotomy ................................................................ 147.06 675.46 20 2094874 Aortic infundibular resection (ventriculomyotomy) ............. 147.06 776.07 28 28O-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE CARDIOVASCULAR SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.HEART AND PERICARDIUM (Cont’d)94876 Aortic valve replacement ................................................... 147.06 1124.76 28 2894878 Aortic and mitral valvotomy - closed.................................. 147.06 790.43 20 2094880 Aortic, mitral and tricuspid valvotomy - closed .................. 147.06 934.15 20 2094900 Coronary - endarterectomy ............................................... 147.06 747.32 20 2094902 - done in conjunction with coronary artery repair ... add 156.65Coronary artery repair (aortic-coronary bypass graft)(includes internal mammary)94904 - 1 ................................................................................ 147.06 861.58 20 2094906 - 2................................................................................. 147.06 1331.53 20 2094908 - 3 or more .................................................................. 147.06 1511.69 20 20Implantation of internal mammary - sole procedure94910 - single ......................................................................... 147.06 573.43 20 2094912 - double........................................................................ 147.06 704.21 20 2094914 Aspiration of pericardium (IOP) ......................................... 151.4794916 Open biopsy of pericardium and drainage (transthoracicor epigastric) ................................................................ 147.06 250.64 13 1394918 Ventricular tumor............................................................... 147.06 517.37 28 2894920 Ventricular aneurysm ........................................................ 147.06 847.93 28 2894922 Aneurysm of sinus of Valsalva .......................................... 147.06 747.32 28 28Pericardectomy94924 - 1 side open ................................................................ 106.21 516.94 20 2094926 - both sides open or sternal split .................................. 106.21 1018.23 20 2094940 Implantation of epicardial electrode(s) - plus implantationof pack ......................................................................... 49.02 511.63 20 20Pack replacement - see fee code 5435894942 Replacement or repair of epicardial pacemaker lead (IOP) 24.51 79.04 5 594943 Implantation of cardioverter-defibrillator by transvenousapproach...................................................................... 40.85 712.54 12 1294944 Removal and/or replacement of implantable cardiovertordefibrillator(IOP).......................................................... 24.51 411.77 5 5Ligation or division of patent ductus94950 - child ........................................................................... 106.21 430.80 20 2094952 - adolescent or adult .................................................... 106.21 717.21 20 20Resection coarctation94954 - child ........................................................................... 106.21 560.49 20 2094956 - infant under 1 year..................................................... 106.21 646.72 20 2094958 - adolescent or adult .................................................... 106.21 790.43 20 20Congenital heart shunt procedures94960 - Potts .......................................................................... 106.21 621.57 20 2094962 - Blalock ....................................................................... 106.21 556.11 20 2094964 - Glenn ......................................................................... 106.21 565.81 20 2094968 Creation of ASD - by balloon septostomy.......................... 73.53 273.06 9 994970 Orthotopic cardiac transplantation..................................... IC IC IC IC94972 Donor cardiectomy ............................................................ IC IC IC IC94974 Cardiopulmonary transplantation ...................................... IC IC IC IC94976 Donor heart-lung removal.................................................. IC IC IC IC94980 Cardiac massage - open ................................................... 106.21 184.85 13 1394984 Thoracotomy - with or without biopsy................................ 106.21 310.16 13 1394986 - for post-operative hemorrhage................................... 106.21 310.16 13 13O-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE CARDIOVASCULAR SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.HEART AND PERICARDIUM (Cont’d)94988 Pulmonary artery banding.................................................. 106.21 426.84 20 2094990 - with pressure studies by Anaesthesiologist, extra...... 5 594992 Correction of cor triatriatum ............................................... 147.06 596.42 20 2094994 Vascular ring...................................................................... 147.06 610.94 20 20Repair95000 Complete A-V canal........................................................... 147.06 1006.01 28 2895002 Single ventricle .................................................................. 147.06 1131.05 28 2895004 Double outlet - right/left ventricle ....................................... 147.06 1006.01 28 2895006 - ventricle with transposition........................ 147.06 1131.05 28 2895008 Truncus arteriosus ............................................................. 147.06 1131.05 28 2895010 Interrupted aortic arch........................................................ 147.06 1006.01 28 2895012 Aorto-pulmonary window ................................................... 147.06 630.92 28 2895014 R-V outflow tract with valve and tubular graft..................... 147.06 704.21 28 2895016 Debanding arterioplasty of pulmonary artery ..................... 147.06 632.35 28 28ARTERIESCannulation for infusion chemotherapy95050 - superficial temporal artery .......................................... 24.51 73.65 4 495052 - hepatic artery ............................................................. 49.02 178.17 6 695054 - carotid ........................................................................ 40.85 114.28 5 595056 Regional isolation perfusion, e.g. iliac................................ 81.70 321.19 10 1095058 Exploration of major artery................................................. 49.02 194.98 IC ICIncision95070 Arteriotomy (IOP)............................................................... 90.19 4 4NOTE:95070 is not allowed in addition to other majorcardiovascular surgery when performed at sametime.Repair - traumatic95080 Suture of lacerated major artery or microscopic repair ofdigital artery.................................................................. 32.68 208.73 10 1095082 Repair of lacerated major artery (including patchangioplasty) .................................................................. 81.70 328.35 10 1095084 - by by-pass or interposition graft ................................. 81.70 467.08 10 10Ligation95090 Ligation of artery (as sole procedure) ................................ 24.51 120.02 8 895092 - internal maxillary artery (Caldwell-Luc approach)....... 57.79 388.40 10 1095094 - anterior ethmoid artery ............................................... 49.02 285.35 6 695096 - internal iliac artery (uni or bilateral) ............................ 57.19 269.70 10 10O-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE CARDIOVASCULAR SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ARTERIES (Cont’d)Excision and/or RepairPreamble:1. Repair of arteries implies either endarterectomyand/or by-pass graft.2. Fee for gas endarterectomy of coronary artery shouldbe the same fee as for coronary endarterectomy.3. The fee listed for by-pass grafts includeendarterectomy and/or thrombectomy of the arterybeing repaired.4. (a) Common femoral artery repair (e.g. 95158,95160) includes repair to the profunda femorisartery as far as the first major branch.(b) If the repair extends beyond the first majorbranch of the profunda femoris artery, 95110may be claimed in addition.(c) If the repair extends beyond the second majorbranch of the profunda femoris artery,95188 instead of 95110 may be claimed inaddition.For procedures involving the application of a completeaortic cross clamp, the anaesthetic basic fee will dependon:a) the level of application of the cross clamp,b) the surgical exposure and extent of the aortic repair.Surgical ExposureAortic Cross Clamp95100 - Abdominal - Supracoeliac......... 20 2095102 - Infracoeliac ........... 17 1795106 - Thoracic .......................................................................... 25 2595108 - Thoraco-abdominal ......................................................... 30 3095110 Anterioplasty with or without patch graft includingmicrovascular anastomosis, arterial and/or venous,(other than listed below)............................................... 81.70 405.96 10 1095112 Carotid - endarterectomy................................................... 81.70 603.48 10 1095114 - carotid body tumour............................................ 81.70 607.66 10 1095116 - aneurysm - reconstruction or excision with graft. 81.70 647.80 10 10Aortic arch reconstruction95118 Innominate ................................................................... 81.70 678.72 10 1095120 Subclavian ................................................................... 81.70 667.09 10 1095122 Vertebral ...................................................................... 81.70 612.01 10 1095124 - with thoracotomy........................................... add 24.51 119.31 7 795126 - ruptured ........................................................ add 188.15 3 3Thoracic aorta aneurysm - repair or excision with graft95128 - ascending .................................................................. 81.70 1119.39 20 2095130 - arch............................................................................ 81.70 1389.88 20 2095132 - descending with or without temporary shunt.............. 81.70 889.02 20 2095134 - ruptured ............................................................... add 188.15 3 395136 Thoraco - abdominal aneurysm......................................... 147.06 1879.43 30 30O-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE CARDIOVASCULAR SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ARTERIES (Cont’d)Excision and/or Repair (Cont’d)95138 Abdominal aorta - aneurysm................................................. 81.70 920.52 17 1795140 - plus unilateral common femoral repair ....................... 81.70 1003.00 17 1795142 - plus bilateral common femoral repair ......................... 81.70 1082.51 17 1795144 - plus implantation of inferior mesenteric artery......add 136.4195146 - ruptured................................................................add 244.31 3 3Mesenteric or celiac artery repair95150 - aneurysm ................................................................... 81.70 289.78 10 1095152 - excision of celiac ganglion or removal of band only ... 81.70 289.78 10 1095154 - endarterectomy or graft .............................................. 81.70 667.09 10 10Aorto-iliac repair95156 - including common iliac repair (uni or bilateral) ........... 81.70 778.13 17 1795158 - plus unilateral common femoral repair ....................... 81.70 913.33 17 1795160 - plus bilateral common femoral repair ......................... 81.70 1010.98 17 1795162 - plus implantation of inferior mesenteric artery......add 136.4195164 - embolectomy or thrombectomy of bifurcation (aortaor graft) .................................................................. 81.70 354.82 10 1095166 Total removal of infected aortic graft (stem and limbs)(arterial reconstruction extra)........................................ 81.70 648.57 17 1795168 Closure of duodenum ..................................................add 89.6695170 Partial removal of infected aortic graft (one limb only)(arterial reconstruction extra)........................................ 81.70 264.63 10 1095172 Renal artery - aneurysm - reconstruction or excision withgraft .............................................................................. 81.70 612.01 10 1095174 Renal artery repair ............................................................. 81.70 612.01 10 1095176 Splenic artery aneurysm - reconstruction or excision withgraft .............................................................................. 81.70 289.78 10 1095178 Iliac repair to include internal iliac aneurysm ..................... 81.70 619.46 10 1095180 Ilio-femoral by-pass graft ................................................... 81.70 619.46 10 10Per-obturator ilio-femoral graft95182 - with saphenous vein................................................... 81.70 691.61 10 1095184 - with prosthetic graft .................................................... 81.70 619.33 10 1095186 Common femoral/profunda femoris repair (profundoplasty)when sole procedure performed................................... 430.05 10 1095188 Extended profundoplasty ................................................... 81.70 599.93 10 1095190 Axillo-femoral, femoro-femoral or axillo-axillary graft ......... 81.70 592.09 10 1095192 Aorto-femoral unilateral graft (for bilateral see 95160)....... 81.70 667.09 17 1795194 Femoral aneurysm - reconstruction or excision with graft.. 81.70 461.58 10 1095196 Repair of false aneurysm at groin anastomosis ................. 81.70 687.15 10 1095198 Femoral-popliteal endarterectomy ..................................... 81.70 584.08 10 10Femoro-popliteal (with or without endarterectomy) 81.7095200 - with saphenous vein................................................... 81.70 659.30 10 1095204 - with prosthetic graft .................................................... 81.70 573.23 10 10Femoro-anterior/posterior tibial/peroneal by-pass graft(with or without endarterectomy)95206 - with saphenous vein................................................... 81.70 773.75 10 1095210 - with prosthetic graft .................................................... 81.70 686.83 10 1095212 Popliteal aneurysm ............................................................ 57.19 619.46 10 1095214 Peripheral arteries other than listed - aneurysm ................ 57.19 315.68 10 1095216 Embolectomy - artery or graft (as sole procedure)............. 57.19 439.18 10 1095218 Thrombectomy - artery or graft (as sole procedure) .......... 57.19 441.37 10 10O-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE CARDIOVASCULAR SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ARTERIES (Cont’d)Excision and/or Repair (Cont’d)95220 Embolectomy and/or thrombectomy when done inconjunction with other vascular procedures ........... add 80.6995222 Gastric devascularisation - when sole procedure.............. 81.70 422.52 10 10In-situ saphenous vein arterial by-pass95224 - popliteal ..................................................................... 81.70 988.56 17 1795226 - tibial ........................................................................... 81.70 1146.18 17 17VEINSExcisionResection of AV aneurysm or fistula with or without majorgraft95240 - major aneurysm......................................................... 81.70 827.23 17 1795242 - minor aneurysm......................................................... 81.70 414.88 10 10Ligation95250 Saphenous (IOP) .............................................................. 40.90 4 495252 Femoral (IOP) ................................................................... 24.51 58.09 4 495254 Popliteal (IOP)................................................................... 24.51 58.09 4 495256 Internal jugular (IOP)......................................................... 40.85 114.28 5 595258 Internal iliac ....................................................................... 49.02 303.69 10 1095260 IVC - transabdominal....................................................... 49.02 349.52 10 1095262 - transvenous (umbrella)........................................... 49.02 330.89 10 1095264 High ligation and stripping of long saphenous vein withgroin dissection............................................................ 32.68 208.61 4 495266 Stripping of short saphenous vein with popliteal dissection 32.68 82.66 4 495268 Multiple ligation and avulsion ............................................ 161.23 32.68 179.14 4 495270 Recurrent varicose veins - multiple ligation and/orstripping ....................................................................... 40.85 271.99 5 595272 Extra fascial and sub-fascial incompetent perforators byfull fascial technique.................................................... 40.85 295.99 6 695274 - plus stripping........................................................ add 98.43Repair95290 Lacerated major vein, e.g., femoral, popliteal, vena cava,axillary, subclavian, brachial or microscopic repair ofdigital vein.................................................................... 32.68 231.89 4 495292 - including patch........................................................... 81.70 382.42 10 1095294 - by vein graft ............................................................... 81.70 466.69 10 1095296 SVC by-pass graft ............................................................. 57.19 535.62 17 1795298 Pulmonary embolectomy................................................... 147.06 611.41 20 2095300 Ilio-femoral thrombectomy with or without femoral veinligation ......................................................................... 81.70 343.36 10 1095304 Thrombectomy, other than above ..................................... IC IC IC IC95306 Distal spleno-renal shunt................................................... 81.70 889.18 10 10O-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE CARDIOVASCULAR SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.VEINS (Cont’d)Anastomosis95320 Porto-caval......................................................................... 81.70 648.32 10 1095326 Meso-caval ........................................................................ 693.54 10 1095328 Creation of AV fistula ......................................................... 32.68 440.00 6 695330 Obliteration of AV fistula ....................................................... 82.55 4 495332 Ligation or removal of by-pass graft...................................... 82.55 4 4O-7

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE RESPIRATORY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.NOSE94200 EUGA of nasopharynx for malignant disease includingbiopsies (IOP)............................................................... 41.25 4 494202 EUGA of nasopharynx, if only procedure performed (IOP) 27.54 4 494208 Insertion of prosthesis for nasal septal perforation (IOP)... 18.3094210 Fibre-optic endoscopy of nasopharynx (IOP)..................... 27.54Incision (IOP)94220 Drainage of abscess or haematoma of septum - generalanaesthetic................................................................... 52.90 4 494222 Submucous turbinectomy .................................................. 52.90 4 494224 Biopsy................................................................................ 48.45 4 4ExcisionNasal polyp (IOP)Excision under local anaesthetic94230 - single....................................................................... 20.0094232 - multiple (unilateral).................................................. 52.90Excision under general anaesthetic94234 - single....................................................................... 52.90 4 494236 - multiple (unilateral).................................................. 56.71 4 494238 - single choanal polyp................................................ 52.90 4 4Septum94260 - submucous resection including septoplasty ............... 242.79 4 4All procedures connected with SMR such as nasalpolypectomy, turbinectomy, ethmoidectomy, etc. - add50% of other procedural charges.94262 Partial septorhinoplasty (excluding osteotomies)............... 475.73 7 794264 Complete septorhinoplasty ................................................ 503.37 7 794266 - with autogenous bone graft........................................ 656.95 7 794268 bone graft autogenous.................................................. 32.68 343.05 4 494270 - non-autogenous - prosthetic implant .......................... 32.68 220.80 4 494276 Septodermoplasty.............................................................. 292.00 4 494278 Closure of septal perforation.............................................. 341.30 4 494280 Localization of cerebrospinal rhinorrhea (fluoresceininjection)....................................................................... 86.10 4 494284 Narrowing operations or implant for atrophic rhinitis -unilateral....................................................................... 241.85 4 494286 Excision of intranasal lesions by lateral rhinotomyapproach ...................................................................... 32.68 470.00 7 7Excision of choanal atresia94290 - anterior nasal approach.............................................. 32.68 343.05 4 494292 - puncture and insertion of tube only ............................ 58.86 4 494296 Biopsy under local anaesthetic (IOP)................................. 17.9494298 Biopsy under general anaesthetic (IOP) ............................ 48.45 4 4Repair94310 Choanal atresia - dilation ................................................... 70.25 4 494314 Rhinoplasty for reconstruction of cleft lip nasal deformityin adolescence or adulthood......................................... 32.68 354.25 7 7N-1

June 2012SURGICAL PROCEDURESOPERATIONS ON THE RESPIRATORY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.NOSE (Cont’d)Removal of Foreign Body (IOP)- simple ........................................................................ VF VF94330 - complicated, or involving general anaesthesia .......... 43.61 48.45 4 4Destruction (IOP)94340 Cauterization of turbinates - uni or bilateral....................... 47.62 52.90 4 494342 Cryosurgery of turbinates - uni or bilateral ........................ 52.90 4 4Treatment of Epistaxis (IOP)94350 Cauterization of nasal septum chemical or electrocautery 9.85 10.95 4 494352 Anterior packing ................................................................ VF 4 494356 Anterior and posterior packing only................................... 30.38 33.75 4 494360 Ligation of external carotid artery ...................................... 49.02 282.85 6 6ACCESSORY NASAL SINUSESAntrum or sinus lavage (IOP)94370 - Proetz displacement .................................................. 5.4594372 - Antrum or sinus lavage under local anaesthetic -unilateral ...................................................................... 41.1094374- Antrum or sinus lavage under general anaesthetic -uni or bilateral .............................................................. 41.10 4 4Sinusotomy, sinusostomy, sinusectomy as indicatedMaxillary94380 - intranasal - unilateral ................................................. 32.68 119.09 4 494382 - radical, Caldwell-Luc - unilateral................................ 32.68 235.40 4 494384 - maxillectomy.............................................................. 81.70 739.10 10 10Frontal94388 - trephine and sinusectomy.......................................... 134.24 4 494390 - radical........................................................................ 438.00 5 594392 - external fronto - ethmoidal with sphenoid if necessary 32.68 438.00 6 694394 Coronal and/or osteoplastic procedure for frontalsinusectomy, reconstruction or obliteration - unilateralor bilateral.................................................................... 57.19 681.60 10 10Ethmoidal94398 - intranasal - unilateral ................................................. 150.60 4 494400 - external - unilateral .................................................... 32.68 343.05 4 494406 Sphenoidal - intranasal...................................................... 158.46 4 4Introduction94420 Radium application to nasopharynx (IOP)......................... 11.99 4 4SutureClosure of antro-oral fistula94430 - very simple ................................................................ 28.34 4 494432 - with Caldwell-Luc....................................................... 203.83 5 594434 - with palatal flap.......................................................... 232.17 5 5Repair94436 Trans-nasal endoscopic repair of CSF rhinorrhea(includes harvesting of graft material) with or without3D CT/MRI image guided system…………………………. 822.45 15 15N-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE RESPIRATORY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.LARYNXEndoscopies (IOP)LaryngoscopyDirect94440 - with or without biopsy................................................. 57.17 63.52 6 694442 - with removal of foreign body ...................................... 78.48 106.45 6 694444 - with removal of benign growth(s) ............................... 148.60 6 694446 - with dilation of larynx and bronchoscopy.................... 202.35 6 6Indirect94448 - with biopsy ................................................................. 20.60 22.89 6 694450 - with simple removal of bone....................................... 10.79 11.99 6 694452Using operating microscope - add to charges forlaryngoscopy ................................................................ 28.34Introduction94456 Teflon augmentation larynx................................................ 163.20 6 6ExcisionLaryngectomy94460 - total ............................................................................ 49.02 838.90 13 1394462 - partial (laryngo-fissure)............................................... 49.02 444.85 8 894464 - with block dissection................................................... 49.02 514.48 8 894466 - hemilaryngectomy ...................................................... 49.02 845.85 9 994468 Arytenoidectomy ................................................................ 49.02 395.05 8 894470 Excision of benign growth(s).............................................. 49.02 135.15 8 8Repair (including laryngoscopy)94480 Laryngoplasty - e.g., repair of stenosis and fractures,transections (not to be billed with 94464 or 94466)...... 629.85 6 694482 Arytenoidopexy .................................................................. 375.95 8 894484 Creation of tracheo oesophageal fistula............................. 24.51 187.95 4 494486 Insertion of voice prosthesis (IOP)..................................... 24.60N-3

Revised April 2012SURGICAL PROCEDURESOPERATIONS ON THE RESPIRATORY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.TRACHEA AND BRONCHIEndoscopy (IOP)Bronchoscopy94500 - with or without biopsy, suction or injection of contrastmaterial 130.65 6 694502 - with removal of foreign body……………………....add 40.53 6 694504 - with dilatation of stricture…………………….....add 38.8094506 - with selective endobronchial blocker or catheterinsertion…………………………………………….add 46.2594508 - with palliative endobronchial tumour resectionincluding laser or cryotherapy……………….…add 61.4594510 - with selective brushings of all 18 segmentalbronchi for occult carcinoma in situ; specimenslabelled as to site………………………………….add 70.7094512 - with broncho alveolar lavage for obtainingspecimens suitable for differential cellularanalysis (for assessment of interstitial lungdisease)……………………………………………..add 120.50 6 694513 - with transbronchial lung biopsy under imageintensification only………………………............add 76.1594514 - transbronchial needle aspiration (TBNA) ofmediastinal and/or hilar lymph nodes………...add 104.0094515 - TBNA of lung mass…………………...................add 104.0094516 Endobronchial ultrasound (EBUS), for guided biopsyof hilar and/or mediastinal lymph nodes………………. 203.0594517- additional biopsy(s) performed by EBUS, to amaximum of 3, to 94516………………………..…..add 50.7594520 Tracheo-bronchial toilet..................................................... 28.3494522 Transtracheal aspiration.................................................... 11.9994524 Triendoscopy (where 3 separate instruments are used toexamine the larynx, esophagus and bronchi) .............. 173.2594526 Closure of persistent tracheostoma................................... 127.4594528 Change of tracheostomy tube ........................................... 9.68 10.75IncisionTracheostomy (IOP)94530 - emergency................................................................ 40.85 181.94 5 594532 - elective ..................................................................... 40.85 181.94 5 594536 Insertion of Montgomery “T” tube or similar laryngeal ortracheal stent ............................................................... 32.68 205.65 8 8Excision94540 Segmental resection of cervical trachea............................ 73.53 772.95 10 1094542 - with resection of cricoid ...................................... add 229.0094546 Resection of mediastinal trachea with either sternotomy orthoracotomy ................................................................. 73.53 684.52 13 13Repair94550 Tracheal rupture, transcervical.......................................... 73.53 365.00 10 10N-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE RESPIRATORY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.CHEST WALL AND MEDIASTINUMIncision94560 Excisional biopsy of rib for tumour (IOP)............................ 24.51 137.67 4 4Excision94570 Chest wall tumor involving ribs or cartilage andreconstruction of chest wall .......................................... 73.53 500.86 13 1394578 Excision of first rib and/or cervical rib to includescalenotomy when required.......................................... 49.02 395.02 6 694580 Mediastinal tumor .............................................................. 106.21 640.06 13 1394582 Anterior mediastinotomy - sole procedure ......................... 24.51 191.84 6 6Endoscopies (IOP)94590 Mediastinoscopy ................................................................ 49.02 181.38 6 694592 - with bronchoscopy...................................................... 49.02 240.35 6 694593 - with transbronchial biopsy under image intensification(including bronchoscopy).............................................. 49.02 271.15 6 694594 - with mediastinotomy................................................... 49.02 344.46 6 694596 - with bronchoscopy and mediastinotomy..................... 49.02 338.55 6 6RepairChest Wall94600 - pleura - closed............................................................ IC 5 594602 - pleura - open.............................................................. IC 13 1394610 Pectus excavatum or carinatum repair (by reconstruction,not implant.................................................................... 49.02 668.31 11 11Surgical CollapseThoracoplasty94620 - 1 stage ....................................................................... 81.70 213.64 10 1094622 - multi-stage - each....................................................... 73.53 141.70 9 9Pneumolysis94626 - intra pleural ................................................................ 40.85 141.70 5 594628 - extra pleural ............................................................... 40.85 213.64 5 5Apicolysis94630 - extra fascial................................................................ 40.85 213.64 5 594632 - extra pleural ............................................................... 40.85 213.64 5 594634 Phrenicotomy (IOP) ........................................................... 40.85 59.95 5 5N-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE RESPIRATORY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. AnaesLUNGS AND PLEURAIntroduction - Thoracentesis (IOP)Thoracic94660 - aspiration for diagnostic sample ................................ 18.23 20.2694662 - therapeutic drainage including sample ...................... 31.16 34.62 4 4Administration of chemotherapy, including therapeuticdrainage and sample94664 - initial .......................................................................... 55.14 4 494666 - repeat ........................................................................ 24.53 4 494668 Lung lavage with or without bronchoscopy for pulmonaryalveolar proteinosis...................................................... 184.94 13 13Endoscopy (IOP)94680 Thoracoscopy or pleuroscopy with or without pleuralbiopsy, suction, etc. ..................................................... 201.00 5 594682 Transbronchial lung biopsy(s) including bronchoscopy..... 160.00 6 6Incision94690 Biopsy of lung, needle (IOP) ............................................. 68.14 4 494694 Biopsy of pleura, needle (IOP) .......................................... 35.17 4 4Thoracotomy94700 - insertion of chest tube (IOP) ...................................... 72.36 24.51 80.40 4 494702 - rib resection for drainage or biopsy (IOP).................. 49.02 289.44 6 694704 - exploratory or removal of foreign body ...................... 106.21 378.12 13 1394706 - thoracotomy with or without biopsy............................ 106.21 378.12 13 1394708- thoracotomy for post operative haemorrhage orempyema..................................................................... 106.21 378.12 13 1394710 - thoracotomy with repair of ruptured diaphragm ......... 106.21 512.85 13 1394712 Insertion of permanent pleural drainage catheter……. 200.00 6 694714 Removal of permanent pleural drainage catheter……. 67.39 6 6Notes:i) Not to be billed for simple thoracocentesis orplacement of a temporary pigtail drainage catheterii) The fees for codes 94712 & 94714 include paymentfor local anaesthesia, thoracocentesis, aspiration,drainage and ultrasonic guidance by the physicianwho performs the procedure94716 Decortication of lung with muscle graft and closure ofpleural fistula................................................................ 122.55 574.54 15 1594718 Intercostal drainage with sclerosing agent (IOP)............... 49.02 132.97 6 6ExcisionBiopsy of pleura or lung94730 - peripheral or parietal - including thoracotomy (IOP) .. 106.21 196.53 13 1394732 - hilar - including thoracotomy...................................... 106.21 286.49 13 1394734 Pneumonectomy - complete.............................................. 106.21 926.17 14 14Lobectomy94746 - complete.................................................................... 106.21 926.17 13 1394748 - segmental resection................................................... 106.21 926.17 13 1394750 - wedge resection......................................................... 106.21 482.40 13 1394754 - plus decortication....................................................... 122.55 IC 15 1594770 Excision of broncho-pleural fistula..................................... 81.70 IC 13 1394772 Pleurectomy-pleural decortication ..................................... 81.70 562.80 15 1594774 Sleeve resection with lobectomy ....................................... 114.38 993.90 13 1394780 Lung transplantation.......................................................... IC IC IC ICN-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.GENERAL FEESBone/Fascial/Dermis GraftsNOTE: The benefit for obtaining a bone graft is not tobe claimed in cases of pseudoarthrosis repair,fusions or for listings in which the bone graftingis included.90800 Autogenous - separate incision....................................... 84.3890802 - same incision............................................ 56.9090804 - different surgeon (IOP)............................................... 187.8490806 Homogenous - bank.....................................................add 24.2090808 Allograft - donor- 85% of excision fee .............................. IC90810 - cadaver - each long bone ................................ 140.90Fixation90830 Methyl methacrylate (not arthroplasty)............................... 57.7690832 Rigid external fixation (excluding casts) for closedreduction.................................................................add 55.9390834 Cast - bracing with closed reduction ............................add 50.34 55.9390836 Percutaneous pinning ..................................................add 41.9590838 Rigid external fixation - pseudoarthrosis............................ 74.11Removal of internal fixation device90840 - general anaesthetic.................................................... 24.51 154.45 4 490842 - local anaesthetic ........................................................ 104.2790844 Removal of extensive external fixation device undergeneral anaesthetic ...................................................... 47.32 4 490846 Insertion traction pin - excludes fractures and dislocations(IOP)............................................................................. 32.86Wound Care90860 Secondary closure ............................................................. 94.5490862 Closed irrigation during a surgical procedure..................... 61.4190866 Excision of foreign body..................................................... 104.76 4 4Electrical Stimulation90870 External or internal (IOP) ................................................... 187.84 4 4Casts (IOP)Note: Corrective splints must be “corrective” to qualifyfor benefits. The corrective splint listings are notapplicable to simple immobilization such as with aJones bandage or a metal finger splint followingsoft tissue injury.90900 Finger................................................................................. 10.76 11.9690902 Hand .................................................................................. 16.16 17.95 4 490904 Arm, forearm or wrist ......................................................... 25.85 28.72 4 490906 Foot.................................................................................... 16.16 17.95 4 490908 Below knee, knee splints (Stove pipe, etc.) ....................... 25.85 28.72 4 490910 Whole leg (mid thigh to toes) ............................................. 31.35 34.83 4 490912 Toes................................................................................... 10.76 11.9690914 Head and torso .................................................................. 105.17 24.51 116.85 4 4M-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.GENERAL FEES (Cont’d)Casts (IOP) (Cont’d)90916 Shoulder spica................................................................... 105.17 24.51 116.85 4 490918 Body cast........................................................................... 62.34 69.27 4 490920 Hip spica - unilateral.......................................................... 105.17 116.85 4 490922 - bilateral............................................................ 131.61 146.23 4 490924 Wedging of casts in other than fracture treatment............. 10.76 11.9690926 Application of Unna’s paste............................................... 16.16 17.9590928 Application of cast brace (must include hinge) .................. 73.11 81.2390930 Removal of plaster (not associated with fractures ordislocations within 4 weeks of initial treatment)............ 10.76 11.96M-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.HAND AND WRISTAmputation90950 Phalanx.............................................................................. 157.14 4 490952 - each additional .....................................................add 45.8290954 Metacarpal or metaphalangeal joint................................... 185.10 4 490956 - each additional ...................................................add 80.4190958 Transmetacarpal 2 nd or 5 th ray ........................................... 271.47 4 490960 Hand - all metacarpals....................................................... 24.51 281.79 4 490962 Wrist................................................................................... 32.68 281.79 5 5Arthrodesis90970 Finger, thumb..................................................................... 24.51 249.74 4 490972 Wrist................................................................................... 24.51 379.35 4 4Arthroplasty90980 Wrist - interposition ......................................................... 24.51 364.02 5 590982 - total...................................................................... 49.02 415.05 6 690984 Removal only..................................................................... 24.51 187.84 6 690986 Hand - interposition - single .......................................... 24.51 247.16 5 590988 - multiple ....................................... 24.51 447.11 6 690990 Single joint - total ............................................................... 24.51 282.71 5 590992 Multiple joints - total max ................................................... 24.51 753.74 6 690994 Removal only..................................................................... 24.51 140.90 4 490996 Carpal replacement ........................................................... 24.51 312.98 5 590998 Revision of arthroplasty ...............................................add 139.82Arthroscopy91010 Diagnostic arthroscopy (sole procedure) ........................... 24.51 178.86 4 491012 Synovial biopsy.................................................................. 42.8191014 Removal of loose body, screw........................................... 187.8491016 Drilling of defect (includes removal of loose body)............. 245.5591018 Debridement - local .......................................................... 245.5591020 - total........................................................... 318.6991022 Synovectomy - partial........................................................ 191.3991024 - total........................................................... 469.5891026 Pinning of osteochondral fragment .................................... 245.5591028 Arthroscopy in association with surgery including 91012 to91026 - same surgeon............................................add 134.26Arthrotomy91040 Finger................................................................................. 163.05 4 491042 Wrist................................................................................... 24.51 207.26 4 4Biopsy91050 Bones - punch, x-ray control (IOP) ................................... 70.45 4 491052 - open biopsy or taking of bone graft by other thanoperating surgeon (IOP) ................................. 32.68 140.90 4 491054 Joint - via arthroscope ....................................................... 10.6591056 - needle (IOP)............................................................ 47.4391058 - open finger.............................................................. 163.05 4 491060 - open wrist................................................................ 24.51 207.26 4 491062 Muscle (IOP)...................................................................... 103.05 4 4M-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.HAND AND WRIST (Cont’d)Decompression - Denervation91070 Decompression median nerve at wrist .............................. 24.51 177.95 4 491072 Exploration and/or decompression and/or transpositionand/or neurolysis of major nerve (excluding mediannerve at wrist) .............................................................. 32.68 243.93 4 4Incision and Drainage (e.g. Osteomyelitis)Incision and drainage91080 - phalanx/metacarpal/carpus........................................ 24.51 177.68 4 4Sequestrectomy91082 - phalanx/metacarpal/carpus........................................ 24.51 140.90 4 4Saucerization and bone graft91084 - phalanx/metacarpal/carpus........................................ 24.51 235.76 4 491086 Incision and drainage - joint (finger)................................ 163.05 4 491088 - joint (wrist) ................................. 24.51 207.26 4 491090 Tendon sheath .................................................................. 24.51 163.07 4 4Examination/Manipulation91100 Manipulation - hand/wrist - under general anaesthetic(IOP) ............................................................................ 23.02 4 4Excision - Bone91110 Proximal row carpectomy.................................................. 24.51 329.66 5 591112 Carpal - bone (1) ............................................................... 24.51 208.66 4 491114 Dorsal exostosis (triquetrum) ............................................ 24.51 204.64 4 491116 Radial styloid..................................................................... 24.51 228.12 4 491118 Phalanx/metacarpal........................................................... 24.51 207.58 4 491120 Bone tumour...................................................................... IC IC IC ICExcision - JointSynovectomy/capsulectomy/debridement91130 - finger joint.................................................................. 24.51 219.95 4 491132 2 or more joints ................................................................. 24.51 330.09 4 491134 Synovectomy - extensor or flexor tendons ........................ 219.09 4 491136 Synovectomy/debridement - wrist ..................................... 24.51 334.39 4 491138 Radio-ulnar menisectomy.................................................. 24.51 225.60 4 4Excision - Muscle and Tendon91150 Muscle - simple ................................................................ 24.51 187.84 4 491152 - complex .............................................................. 32.68 471.52 6 6Tendon sheath91154 - single ......................................................................... 24.51 235.76 4 491156 - each additional (max of 1) ................................... add 83.8991158 Fascia for Dupuytrens - simple or complex with or withoutflaps or grafts ............................................................... 24.51 401.22 4 4Excision - Ganglion91170 Simple or complex............................................................. 136.02 24.51 151.13 4 4M-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.HAND AND WRIST (Cont’d)Reconstruction - BoneOsteotomy91180 - phalanx - terminal....................................................... 173.03 4 491182 - phalanx - middle, proximal or metacarpal.................. 24.51 188.44 4 491184 - each additional ..............................................add 41.5291186 Pseudoarthrosis - phalanx, metacarpal.............................. 24.51 253.35 4 491188 - scaphoid................................................ 24.51 309.23 4 4Reconstruction - Ligaments91200 Simple/single repair - wrist................................................. 24.51 256.36 4 491202 Extensive/multiple repair - wrist ......................................... 24.51 434.73 4 491204 Metacarpal phalangeal repair ............................................ 24.51 269.24 4 4Reconstruction - Tendon91210 Tenoplasty - 1 ................................................................... 24.51 217.91 4 491212 - each additional .......................................add 74.6491214 Tendon graft - 1................................................................ 24.51 324.86 4 491216 - each additional (max of 1)...................add 117.8891218 Reconstruction of flexor tendon pulley, per finger.............. 96.58 4 491220 Silicone rod insertion - 1..................................................... 24.51 287.17 4 491222 - each additional.........................add 209.0291224 Transplant/transfer - single.............................................. 24.51 278.08 4 491226 - each additional ( max. of 1)......add 200.6991228 Tendon repair - extensor - single ...................................... 125.54 139.49 4 491230 - each additional..................add 60.3191232 Tendon repair - flexor - single.......................................... 24.51 261.46 4 491234 - each additional .....................add 109.61Mallet finger - closed VF VF91238 - K-wire........................................................ 130.68 4 491240 - open.......................................................... 24.51 143.59 4 4Boutonniere - closed ....................................................... VF VF91242 - open ......................................................... 24.51 156.51 4 491244 - late............................................................ 24.51 240.60 4 4Reconstruction - Extremities91250 Pollicization........................................................................ 49.02 577.14 6 691252 Digital reimplantation involving microvascular and neuroanastomosis ................................................................. 65.36 1548.15 8 891254 Revision of 91250 or 91252............................................... 65.36 IC 8 891258 Reconstruction and plastic repair of traumaticallyamputated extremities .................................................. 65.36 IC 8 8M-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.HAND AND WRIST (Cont’d)Release - Tendon91270 Tenolysis - flexor and/or extensor tendon of 1 digit ........... 24.51 189.40 4 491272 - each additional digit (max of 2).................. add 140.4291274 Flexor tenolysis with pulley preservation........................... 24.51 282.49 4 4Tenotomy or fasciotomy (closed) (IOP)91276 - finger - 1................................................................... 48.40 4 491278 - 2................................................................... 71.31 4 491280 - 3 or more ..................................................... 96.80 4 491282 - palmar or plantar........................................................ 71.85 4 4Tendon release (open)91284 - finger, palm................................................................ 152.18 4 491286 - wrist ........................................................................... 24.51 190.08 4 491288 - more than 1 ......................................................... add 126.44Reduction - Fractures91300 Phalanx - no reduction, rigid immobilization .................... 43.66 48.5191302 - closed.............................................................. 87.70 97.44 4 491304 - each additional ................................... add 21.4091306 - open ................................................................ 32.68 211.40 4 491307 - extensive debridement of compound fracture.................................................................... add 38.9891308 Metacarpal - no reduction, 1 or more, rigid immobilization 43.66 48.5191310 - closed, 1 or more ......................................... 87.70 97.44 4 491312 - open............................................................. 32.68 186.02 4 491314 - each additional (open) .................... add 121.4791315 - extensive debridement of compound fracture................................................................. add 38.9891316 Intra-articular - closed ..................................................... 76.6991318 - open ......................................................... 32.68 164.24 4 491319 - extensive debridement of compoundfracture ........................................... add 30.6791320 Bennett’s - no reduction, rigid immobilization .................... 48.5191322 - closed.............................................................. 97.88 24.51 116.97 4 491324 - open ................................................................ 32.68 237.87 4 491325 - extensive debridement of compound fracture.................................................................... add 46.7991326 Carpus - no reduction, rigid immobilization........................ 40.59 48.5191328 - closed, 1 or more ................................................ 111.96 4 491330 - open, 1 or more................................................... 32.68 215.86 4 491331 - extensive debridement of compound fracture........................................................................ add 44.7991332 Scaphoid - no reduction, rigid immobilization................. 43.66 48.5191334 - open............................................................. 32.68 267.71 4 491336 - excision........................................................ 32.68 187.90 4 4M-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.HAND AND WRIST (Cont’d)Reduction - Dislocations91350 Finger - closed - 1 ........................................................... 51.01 56.68 4 491352 - each additional................................add 9.9091354 - open .................................................................... 24.51 191.77 4 491355 - extensive debridement of compound fracture add 22.6791356 Metacarpal/phalangeal - closed - 1 .................................. 50.91 56.57 4 491358 - each additional........add 9.9091360 - open ........................................... 24.51 177.04 4 491361 - extensive debridement ofcompound fracture ..........add 22.6391362 Carpal - closed.................................................................. 124.66 4 491364 - open .................................................................... 24.51 234.79 4 491365 - extensive debridement of compound fractureadd 49.86M-7

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ELBOW AND FOREARMAmputation91370 Through radius and ulna ................................................... 32.68 298.03 5 591372 Elbow disarticulation.......................................................... 32.68 281.79 5 5Arthrodesis91380 Elbow ......................................................................................... 24.51 379.35 4 4Arthroplasty91390 Ulna replacement (lower end) ........................................... 24.51 289.00 4 491392 Implant radial head............................................................ 24.51 244.79 4 491394 Removal of total replacement............................................ 24.51 392.04 7 791396 Complete arthroplasty replacement .................................. 49.02 476.47 8 891398 Interposition arthroplasty................................................... 49.02 424.30 7 791400 Revision of elbow arthroplasty .................................... add 125.84Arthroscopy91410 Diagnostic arthroscopy (sole procedure)........................... 24.51 178.86 4 491412 Synovial biopsy ................................................................. 42.8191414 Removal of loose body, screw .......................................... 187.8491416 Drilling of defect (includes removal of loose body) ............ 245.5591418 Debridement - local.......................................................... 245.5591420 - total ......................................................... 318.6991422 Synovectomy - partial ....................................................... 191.3991424 - total .......................................................... 469.5891426 Pinning of osteochondral fragment.................................... 245.5591428 Arthroscopy in association with surgery including 91412 to91426 - same surgeon........................................... add 134.26Arthrotomy91440 Elbow, loose body, etc. .................................................... 24.51 194.24 4 4Biopsy91450 Bone - needle (IOP)........................................................ 70.9991452 - open (IOP) .......................................................... 32.68 140.90 4 491454 Joint - via arthroscope ................................................... 10.6591456 - open.................................................................... 24.51 167.46 4 491458 Muscle/soft tissue (IOP) .................................................... 103.05 4 4Decompression/Denervation91470 Fasciotomy for compartments syndrome (not includingsecondary closure wound)........................................... 24.51 312.55 4 491472 Secondary closure............................................................. 103.05 4 491474 Catheter - insertion (IOP) ................................................. 47.43- monitoring........................................................ VF VF91478 Exploration and/or decompression and/or transpositionand/or neurolysis of ulnar nerve (elbow)...................... 32.68 207.37 4 491480 Denervation - elbow .......................................................... 24.51 250.60 4 4M-8

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ELBOW AND FOREARM (Cont’d)Incision and Drainage (osteomyelitis)91490 Acute, incision and drainage.............................................. 24.51 294.43 4 491492 Sequestrectomy................................................................. 24.51 345.90 4 491494 Saucerization and bone grafting ........................................ 24.51 440.33 4 491496 Soft tissue or bursa, incision and drainage ........................ 94.54 4 491498 Elbow, incision and drainage ............................................. 24.51 194.24 4 4Examination/Manipulation91510 Manipulation under general anaesthetic (IOP)................... 23.02 4 4Excision - Bone91520 Radial head........................................................................ 24.51 211.83 4 491522 Radial styloid ..................................................................... 24.51 228.12 4 491524 Ulna lower end................................................................... 24.51 187.84 4 491526 Olecranon .......................................................................... 24.51 202.31 4 491528 Olecranon with fascial repair.............................................. 24.51 300.78 4 4Excision - Bursae91540 Olecranon .......................................................................... 88.87 24.51 98.74 4 4Excision - Joint Contents91550 Synovectomy/capsulectomy/debridement, etc. ................. 24.51 303.52 4 4Excision - Muscles91560 Myositis ossificans ............................................................. 32.68 281.79 5 591562 Foreign body removal ........................................................ 104.76 4 4Excision - Soft Tissues Tumours91570 - superficial ................................................................... 191.23 4 491572 - deep ........................................................................... 40.85 471.52 6 6Excision - Bone Tumours91580 Exostosis ........................................................................... 32.68 160.31 4 491582 Simple excision.................................................................. 32.68 281.36 4 491584 Extensive with replacement ............................................... 32.68 659.42 6 6Reconstruction - Bone - Pseudoarthrosis91590 Radius or ulna.................................................................... 24.51 295.99 4 491592 Radius and ulna................................................................. 24.51 400.21 4 4Reconstruction - Bone - Osteotomy91600 Radius or ulna.................................................................... 24.51 289.54 4 491602 Radius and/or ulna and reconstruction congenitalabnormality, synostosis, etc. ........................................ 24.51 386.98 4 4Reconstruction - Fascial Defects91610 - small ....................................................................... 24.51 141.97 4 491612 - large with or without synthetic graft or rotation flap .... 32.68 282.22 5 5M-9

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ELBOW AND FOREARM (Cont’d)Reconstruction - Ligaments91620 Simple/single repair........................................................... 24.51 225.81 4 491622 Extensive/multiple repair ................................................... 24.51 382.57 4 4Reconstruction - Tendons91630 Suture extensor tendon - single...................................... 111.51 24.51 123.90 4 491632 - each additional ................. add 45.8291634 Suture flexor tendon - single ..................................... 24.51 251.00 4 491636 - each additional ................. add 93.5591638 Tenoplasty - single ........................................................... 24.51 217.91 4 491640 - each additional....................................... add 74.6491642 Tenolysis - single ........................................................... 24.51 196.93 4 491644 - each additional (max. of 2)..................... add 84.86Transposition/transplantation/transfer91646 - single ......................................................................... 24.51 278.08 4 491648 - each additional (max. of 1) .................................. add 89.7091650 Steindler flexoplasty .......................................................... 24.51 336.49 5 5Release91660 Muscles and tendons - simple ........................................ 32.68 132.78 4 491662 - radical, e.g., muscle slide........... 40.85 306.21 5 5Reduction - Dislocations91670 Elbow joint - closed reduction........................................... 74.15 82.39 4 491672 - open reduction, acute .................................. 24.51 245.44 4 491674 - repair chronic, recurrent............................... 24.51 369.45 4 491676 Radial head - closed reduction ....................................... 34.65 38.50 4 491678 - open reduction - acute............................ 24.51 187.84 4 491680 - recurrent ...................... 24.51 221.24 6 691682 - late........................................ 32.68 347.72 6 6Reduction - FracturesEpicondyle91690 - no reduction.............................................................. 65.7291692 - closed reduction......................................................... 24.51 122.40 4 491694 - open reduction........................................................... 32.68 208.23 4 491695 - extensive debridement of compound fracture...... add 48.96Transcondylar/condylar91696 - no reduction............................................................... 59.15 65.7291698 - closed reduction......................................................... 24.51 200.91 4 491700 - closed reduction with traction .................................... 24.51 304.38 4 491702 - open reduction........................................................... 32.68 375.80 4 491703 - extensive debridement of compound fracture...... add 80.37Olecranon91704 - no reduction, rigid immobilization............................... 122.40 4 491706 - closed reduction......................................................... 24.51 125.52 4 491708 - open reduction........................................................... 32.68 218.55 4 491709 - extensive debridement of compound fracture...... add 50.21M-10

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ELBOW AND FOREARM (Cont’d)Reduction - Fractures (Cont’d)Radius and ulnar shaft91710 - no reduction, rigid immobilization ............................... 65.7291712 - closed reduction ......................................................... 130.05 24.51 144.50 4 491714 - open reduction ........................................................... 32.68 358.59 4 491715 - extensive debridement of compound fracture ......add 57.80Radius and ulna-Monteggia91716 - no reduction, rigid immobilization ............................... 65.7291718 - closed reduction ......................................................... 126.81 140.90 4 491720 - open reduction of ulna plus closed reduction radialhead....................................................................... 24.51 235.76 4 491721 - extensive debridement of compound fracture ......add 56.36Radius or ulna91722 - no reduction, rigid immobilization ............................... 59.15 65.7291724 - closed reduction ......................................................... 103.00 24.51 114.44 491726 - open reduction ........................................................... 32.68 222.21 491727 - extensive debridement of compound fracture ......add 45.78Radius-distal, Colles’, Smith’s, Barton’s, etc.91728 - no reduction, rigid immobilization ............................... 59.15 65.7291730 - closed reduction ......................................................... 107.54 24.51 119.49 4 491732 - open reduction ........................................................... 32.68 281.15 4 491733 - extensive debridement of compound fracture ......add 42.7291734 Osteochondral - open reduction......................................... 32.68 244.58 5M-11

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SHOULDER/ARM/CHESTAmputation91750 Forequarter ....................................................................... 81.70 477.87 15 1591752 Shoulder disarticulation..................................................... 73.53 362.68 9 991754 High humerus ................................................................... 32.68 359.45 5 5Arthrodesis91760 Shoulder............................................................................ 32.68 456.14 6 6Arthroplasty91770 Humeral prosthesis ........................................................... 32.68 436.94 6 691772 Total prosthesis................................................................. 49.02 676.09 10 1091774 Revision total arthroplasty shoulder .................................. 49.02 917.71 10 1091776 Removal prosthesis/no replacement ................................. 24.51 386.55 8 891778 Revision of prosthesis ................................................. add 194.67Arthroscopy91790 Diagnostic arthoscopy (sole procedure)............................ 24.51 178.86 4 491792 Synovial biopsy ................................................................. 42.8191794 Removal of loose body, screw .......................................... 187.8491796 Drilling of defect (includes removal of loose body) ............ 245.5591798 Debridement - local.......................................................... 245.5591800 - total .......................................................... 318.6991802 Synovectomy - partial ....................................................... 191.3991804 - total .......................................................... 469.5891806 Pinning of osteochondral fragment.................................... 245.5591808 Arthroscopy in association with surgery including 91792 to91806 - same surgeon ........................................... add 134.26Arthrotomy91820 Shoulder............................................................................ 24.51 217.42 4 4Biopsy91830 Bones - needle/punch, x-ray control (IOP) ....................... 70.45 4 491832 - open (IOP) .......................................................... 32.68 140.90 4 491834 Joint - via arthroscope ................................................... 10.6591836 - open.................................................................... 32.68 217.42 4 491838 Soft tissue - open (IOP)..................................................... 103.05 4 4Incision and Drainage91850 Humerus/clavicle/scapula - incision and drainage............. 32.68 255.66 4 491852 Sequestrectomy ................................................................ 32.68 282.22 4 491854 Saucerization with bone graft............................................ 32.68 377.52 4 491856 Bursae/soft tissue.............................................................. 85.09 94.54 4 491858 Joint................................................................................... 32.68 217.42 4 4Examination and Manipulation91870 Manipulation under general anaesthetic (IOP).................. 47.43 4 4M-12

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SHOULDER/ARM/CHEST (Cont’d)Excision - Clavicle or Acromion91880 Simple (includes ligament)................................................. 32.68 205.70 4 491882 Major tumour...................................................................... 40.85 282.22 6 691884 Malignant tumour with reconstruction ................................ 40.85 471.52 6 6Excision - Humerus91890 Head .................................................................................. 32.68 291.80 5 591892 Exostosis ........................................................................... 32.68 160.31 4 491894 Benign tumour ................................................................... 32.68 281.36 4 491896 Malignant tumour with reconstruction ................................ 32.68 662.97 6 6Excision - Joint91900 Synovectomy and debridement ......................................... 32.68 413.23 5 591902 Excision of subacromial bursae ......................................... 24.51 205.43 4 491904 Muscle/fascia - simple ....................................................... 24.51 204.75 4 491906 - complex .................................................... 32.68 471.52 6 691908 Rotator cuff exploration (includes acromioplasty, excisionof coraco-acromial ligament)..................................... 32.68 201.45 4 491910 Acromio/sterno-clavicular menisectomy............................. 24.51 204.14 4 4Reconstruction - Pseudoarthrosis and Osteotomy91920 Pseudoarthrosis - clavicle............................................... 32.68 261.47 4 491922 - humerus............................................. 32.68 336.97 4 491924 Osteotomy - humerus ....................................................... 32.68 284.27 4 491926 - clavicle ......................................................... 32.68 205.70 4 491928 - glenoid.......................................................... 32.68 271.47 4 4Reconstruction - Muscles/Soft Tissues91940 Muscle transplant - pectoralis major .................................. 49.02 422.26 6 691942 Muscle/tendon release....................................................... 40.85 306.21 5 591944 Release- sternomastoid..................................................... 40.85 287.71 5 591946 Scapulopexy - congenital evaluation ................................. 49.02 374.83 6 691948 Trapezius/sternomastoid/transplant................................... 32.68 329.66 4 491950 Tendon repair - biceps....................................................... 24.51 221.51 4 491952 Rotator cuff repair - simple, end to end or side to side(includes acromioplasty, excision of coraco-acromialligament)....................................................................... 32.68 308.04 5 591954 Rotator cuff repair - complex (includes implantation intobone, and as required, acromioplasty, excision ofcoraco-acromial ligament, excision of distal clavicle).... 32.68 453.88 5 5Reduction - Fractures91960 Tuberosity - no reduction.................................................. 59.15 65.7291962 - closed reduction ........................................... 103.24 24.51 114.71 4 491964 - open reduction (without cuff tear)................. 32.68 282.22 4 491965 - extensive debridement of compound fracture.................................................................add 45.88M-13

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SHOULDER/ARM/CHEST (Cont’d)Reduction - Fractures (Cont’d)Neck without dislocation of head91966 - no reduction............................................................... 59.15 65.7291968 - closed reduction......................................................... 116.64 129.60 4 491970 - open reduction........................................................... 40.85 296.50 6 691971 - extensive debridement of compound fracture...... add 51.84Neck with dislocation of head91972 - no reduction............................................................... 65.7291974 - closed reduction......................................................... 24.51 178.86 4 491976 - open reduction........................................................... 40.85 385.15 6 691977 - extensive debridement of compound fracture...... add 71.5591978 Shaft - no reduction ........................................................ 65.7291980 - closed reduction.................................................. 24.51 143.59 4 491982 - open reduction 32.68 314.54 4 491983 - extensive debridement of compound fracture........................................................................ add 57.43Clavicle - no reduction..................................................... VF VF91984 - closed reduction with anaesthetic.................... 24.51 60.88 4 491986 - open reduction................................................. 32.68 224.90 4 491987 - extensive debridement of compound fracture.................................................................... add 24.3591988 Scapula - no reduction..................................................... 65.7291990 - closed reduction with anaesthetic.................... 24.51 112.88 4 491992 - open reduction................................................. 32.68 235.76 5 591993 - extensive debridement of compound fracture.................................................................... add 45.1591994 Sternum - no reduction..................................................... 65.7291996 - closed reduction .............................................. 112.8891998 - open reduction - pleura open......................... 73.53 IC 13 1392000 - pleura closed ...................... 32.68 IC 4 492001 - extensive debridement of compound fracture.................................................................... add 45.15Ribs - no reduction............................................................ VF VF92004 - complicated - pleura open .................................. 73.53 IC 13 1392006 - pleura closed ................................. 32.68 IC 4 4Reduction - DislocationsAcromio-clavicular/sterno-clavicular92010 - no reduction ............................................................... 65.7292012 - closed with anaesthetic.............................................. 32.68 130.73 4 492014 - open reduction ........................................................... 32.68 224.90 4 492016 - open reduction - late................................................. 32.68 279.10 4 4Glenohumeral joint92018 - closed reduction - without anaesthetic .................... 42.69 47.4392020 - with anaesthetic ......................... 97.28 108.09 4 492022 - open reduction - early........................................... 32.68 314.81 6 692024 - late............................................. 32.68 565.42 7 792026 - recurrent .................................... 40.85 369.45 5 5M-14

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SKULL AND MANDIBLEArthroplasty92040 Temporo-mandibular joint - unilateral ............................. 40.85 336.49 5 5Biopsy (IOP)92050 Bones - punch, simple ...................................................... 41.81 4 492052 - punch, x-ray control............................................. 103.05 4 492054 - open .................................................................... 32.68 204.75 4 4Incision and Drainage92060 Mandibular sequestrectomy (IOP) ..................................... 57.19 271.25 7 7Excision92070 Bone - tumour.................................................................... IC IC IC IC92072 Maxilla, with exenteration of orbit and skin graft ................ 32.68 513.04 7 792074 Maxilla advancement ......................................................... 32.68 424.09 8 892076 Mandible ........................................................................... 32.68 340.52 7 792078 Mandibular condyle............................................................ 32.68 266.63 5 592080 Temporo-mandibular menisectomy ................................... 24.51 240.82 5 5Reconstruction92090 Facial paralysis - static slings............................................ 32.68 295.94 5 592092 - dynamic slings....................................... 32.68 384.40 6 692094 Composite repair for facial paralysis, plication ofparalyzed muscles, and resection for paralysis ofover active muscles................................................... 32.68 491.74 7 792096 - with meloplasty .................................................add 83.89Orthognathic SurgeryAnterior dento-alveolar osteotomy, maxilla or mandible92100 - 1 segment................................................................... 49.02 775.15 10 1092102 - 2 segments................................................................. 49.02 898.84 10 10Posterior dento-alveolar osteotomy, maxilla92104 - 1 side.......................................................................... 49.02 775.15 10 1092106 - both sides, single segment ......................................... 49.02 898.84 10 1092108 - both sides, separate segments................................... 49.02 1143.95 10 10Posterior dento-alveolar osteotomy, mandible92110 - 1 side.......................................................................... 49.02 775.15 10 1092112 - both sides ................................................................... 49.02 1143.95 10 10Total U dento-alveolar osteotomy92114 - mandible..................................................................... 49.02 1183.10 10 1092116 - maxilla ........................................................................ 49.02 1267.43 10 1092118 Mandibular or maxillary visor osteotomy for alveolarhypoplasia..................................................................... 49.02 1104.05 10 10Genioplasty92120 - 1 segment................................................................... 49.02 246.62 10 1092122 - 2 segments, or for laterognathia................................. 49.02 369.67 10 1092124 - 3 segments................................................................. 49.02 492.76 10 10Mandibular osteotomies for prognathism92126 - subcondylar ................................................................ 24.51 404.73 6 692128 - vertical ramus ............................................................. 49.02 897.98 10 1092130 - sagittal split................................................................. 49.02 897.98 10 10M-15

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SKULL AND MANDIBLE (Cont’d)Orthognathic Surgery (Cont’d)Mandible osteotomies for retrognathia, any technique92140 - advancement - up to 10 mm .................................. 49.02 897.98 10 1092142 - 10 to 20 mm ................................. 49.02 1020.48 10 1092144 - greater than 20 mm ...................... 49.02 1307.44 10 1092146 - for apertognathia or laterognathia........................ add 246.62LeFort I advancement92148 - in 1 segment .............................................................. 81.70 774.40 20 2092150 - in 2 segments ...................................................... add 285.7792152 - in 3 segments ...................................................... add 572.51LeFort I intrusion92154 - in 1 segment .............................................................. 81.70 1020.48 20 2092156 - in 2 segments ...................................................... add 285.7792158 - in 3 segments ...................................................... add 572.51LeFort I extrusion92160 - in 1 segment .............................................................. 81.70 1267.43 20 2092162 - in 2 segments ...................................................... add 285.7792164 - in 3 segments ...................................................... add 572.51LeFort I cleft palate92166 - in 1 segment .............................................................. 81.70 1469.09 20 2092168 - in 2 segments ...................................................... add 246.6292170 - in 3 segments ...................................................... add 493.2592172 - with SMR.............................................................. add 197.5292174 - with pharyngoplasty ............................................. add 295.9492176 - with closure alveolar fistula with or without bone graft............................................................................... add 369.6792178 - with closure hard palate fistula with or without bonegraft ............................................................. add 493.2592180 Naso-maxillary osteotomy without LeFort I ....................... 49.02 774.40 10 1092182 LeFort II maxillary osteotomy and advancement............... 81.70 1390.90 20 2092184 Construction glenoid fossa and zygomatic arch................ 81.70 1350.89 20 2092186 Construction absent condyle and ascending ramus.......... 49.02 774.40 10 1092188 Combined LeFort I and LeFort III osteotomy in hemifacialmicrosomia................................................................... 81.70 1469.09 20 2092200 Mandibular condylotomy ................................................... 32.68 197.31 5 592202 Coronoidotomy.................................................................. 32.68 197.31 5 592204 Coronoidectomy ................................................................ 32.68 295.94 5 5Reconstruction mandible with bone grafts and/or plate orprosthesis92210 - unilateral - partial.................................................... 32.68 394.62 10 1092212 - complete............................................... 32.68 789.13 10 1092214 - bilateral - partial.................................................... 32.68 789.13 10 1092216 - complete............................................... 32.68 985.85 10 10Oral vestibuloplasty92218 - with secondary epithelization ..................................... 32.68 197.31 5 592220 - with skin graft ............................................................. 32.68 295.94 5 5Temporomandibular ankylosis92222 - excision bone or fibrous block.................................... 24.51 444.31 6 692224 - with insertion of prosthetic device or muscle flap ....... 32.68 493.25 8 892226 - with construction of condyle and ascending ramus.... 32.68 641.67 10 10M-16

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SKULL AND MANDIBLE (Cont’d)Orthognathic Surgery (Cont’d)Onlay bone grafts to face when not part of standardosteotomy for reconstruction92230 - mandible - unilateral ................................................... 345.6892232 - bilateral ..................................................... 444.3192234 - maxilla - unilateral ................................................... 345.6892236 - bilateral ..................................................... 444.3192238 - zygoma - unilateral ................................................... 295.9492240 - bilateral ..................................................... 394.6292242 - temporal - unilateral ................................................... 394.6292244 - bilateral ..................................................... 493.2592246 - frontal - unilateral ................................................... 394.6292248 - bilateral ..................................................... 493.25Application of dental arch bars, or splint, for facialosteotomy (IOP)92260 - 1 arch bar................................................................... 32.68 128.10 4 492262 - 2 arch bars ................................................................. 32.68 197.31 4 492264 Interdental wiring for temporomandibular joint disorder ..... 24.51 148.00 5 592266 Removal intermaxillary fixation devices under generalanaesthesia - as sole procedure .................................. 98.20 4 4Orbito-cranial SurgeryBilateral periorbital correction Treacher-Collins Syndrome92280 - with or without bone grafts (extra-cranial) .................. 81.70 1604.07 20 2092282 - with skull and muscle transpositions (includes skullreconstruction) (intracranial).................................. 81.70 2044.08 25 2592284 Pericranial flap to orbit or face - unilateral....................... 295.94 4 492286 - bilateral......................... 394.62 4 4- when in conjunction with coronal approach for mainoperation92288 - unilateral..................................................................... 172.4192290 - bilateral....................................................................... 285.7792292 LeFort III total maxillary advancement ............................... 98.04 1962.02 25 2592294 LeFort III and subcranial hypertelorism correction............. 98.04 2494.95 25 2592296 LeFort III and LeFort I maxillary advancement................... 98.04 2248.87 25 2592298 LeFort II, subcranial hypertelorism correction, LeFort Imaxillary advancement.............................................. 98.04 2820.84 25 25Upper LeFort III advancement without occlusal change92300 - unilateral..................................................................... 49.02 897.98 10 1092302 - bilateral....................................................................... 98.04 1390.90 25 25Forehead advancement (bone grafts not included)92304 - unilateral..................................................................... 98.04 1143.95 25 2592306 - bilateral....................................................................... 98.04 1390.90 25 2592308 Cranial vault reshaping - anterior or posterior half............. 81.70 1469.09 20 2092310 Total cranial vault reshaping.............................................. 98.04 2001.97 25 2592320 Medial transnasal canthopexy - unilateral.......................... 24.51 398.71 6 692322 - when done in conjunction with another procedure...... 148.0092324 Lateral canthoplasty - unilateral ......................................... 24.51 197.31 6 692326 - when done in conjunction with another procedure...... 97.66M-17

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SKULL AND MANDIBLE (Cont’d)Orbito-cranial Surgery (Cont’d)Hypertelorism correction92328 - intracranial approach ................................................. 98.04 2248.87 25 2592330 - subcranial U osteotomies .......................................... 98.04 1878.55 25 2592332 - medial orbital wall osteotomies.................................. 81.70 1183.10 20 2092334 - medial and lateral orbital wall osteotomies ................ 81.70 1553.42 20 2092336 Orbital dystopia - intracranial approach ............................ 98.04 1878.55 25 2592338 - extracranial approach ........................... 81.70 1430.91 20 20Late correction traumatic enophthalmos - total periorbitalstripping and bone grafts92340 - intracranial ................................................................. 98.04 1923.83 25 2592342 - extracranial ................................................................ 81.70 1390.90 20 20Harvesting of bone graft when not included92350 - iliac bone graft ........................................................... 96.1592352 - rib graft - 1 rib ......................................................... 148.0092354 - each subsequent rib................................. 74.0092356 - costochondral or chondral graft - 1 rib ...................... 221.9992358 - subsequent rib...... 148.0092360 - split cranial graft......................................................... 197.31Surgery for Correction of Down’s Syndrome FacialStigmataAugmentation of zygoma (bilateral)92370 - with prosthetic implant ............................................... 173.8692372 - with autogenous bone or cartilage............................. 217.48Augmentation of chin92380 - with prosthetic implant................................................ 144.9892382 - with autogenous bone or cartilage ............................. 178.8692384 Horizontal resection, red lower lip ..................................... 173.86Reduction - FracturesOrbitOpen reduction rim/wall fracture92400 - zygomatic fracture dislocation.................................... 32.68 399.48 6 692402 - with miniplate(s) per major fracture line ............... add 67.7692406 - blowout fracture of floor.............................................. 32.68 393.40 6 692408 - secondary repair by combined or orbital approach .... 40.85 459.10 6 6Nasal bones (including septum)92410 - closed reduction......................................................... 88.33 98.14 4 492412 - open reduction ........................................................... 246.62 5 592414 - with miniplate(s) per major fracture line ............... add 62.7092415 - extensive debridement of compound fracture ...... add 39.2692426 Middle 1/3 facial ................................................................ 40.85 451.12 8 892428 Cranial-facial separation.................................................... 40.85 522.72 10 10M-18

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SKULL AND MANDIBLE (Cont’d)Reduction - Fractures (Cont’d)Mandible92430 - closed reduction (includes wiring of teeth) ................. 246.62 5 5- open reduction (may include wiring of teeth)92432 - 1 side .................................................................. 32.68 449.25 5 592434 - with miniplate(s) per major fracture line.........add 83.8992436 - complicated ......................................................... IC IC IC IC92438 - removal of interdental wire ......................................... 5 592439 - extensive debridement of compound fracture ......add 98.65Maxilla92440 - closed reduction and dental wiring ............................. 246.6292442 - open reduction - simple.............................................. 32.68 142.94 5 592444 - with wiring and local fixation....................................... 40.85 386.77 6 692446 - with miniplate(s) per major fracture line................add 96.4892447 - extensive debridement of compound fracture ......add 98.65Temporo-mandibular joint92450 - closed reduction ......................................................... 49.37 4 492452 - open reduction ........................................................... 40.85 246.62 5 5M-19

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SPINEArthrodesis92470 Anterior or posterior fusion of 1 level................................. 57.19 440.46 10 1092472 Fusion of C1-2................................................................... 65.36 621.16 10 1092474 Each additional level (max. of 2) ................................. add 95.55Fusion with other procedure(s) - by same surgeon92476 - 1 level .................................................................. add 272.1192478 - multiple levels ...................................................... add 346.4692480 - anterior cervical interbody fusion, per level.......... add 90.92Fusion by different surgeon92482 - 1 level ........................................................................ 347.9992484 - multiple levels ............................................................ 409.2992486 - anterior cervical interbody fusion, per level.......... add 134.5192488 Repeat fusion .............................................................. add 225.7492490 With instrumentation.................................................... add 154.49Biopsy92500 Bone - needle (IOP) ........................................................... 32.68 162.03 4 492502 - open - posterior approach ................................... 32.68 271.12 7 792504 - anterior approach ..................................... 49.02 346.76 8 892506 Soft tissue - open (IOP)..................................................... 108.73 4 4Decompression - Anterior, Anterolateral orPosterolateral92510 Simple anterior cervical discectomy .................................. 65.36 445.65 10 1092512 Simple anterior lumbar discectomy ................................... 49.02 548.43 10 1092514 Anterior cervical spinal cord or nerve root decompression,including removal of disc or vertebral body, single disclevel.............................................................................. 65.36 676.21 10 1092516 Anterior decompression with instrumentation.................... 73.53 1618.96 13 1392518 Anterolateral or posterolateral decompression, lumbar orthoracic spine, single disc level .................................... 73.53 1210.41 13 1392520 - each additional disc level decompressed - to 92510,92512, 92514, 92518 ...................................... add 291.90Decompression - Posterior92540 Cervical hemilaminectomy for disc disease, with orwithout foraminotomy ................................................... 49.02 639.84 10 1092542 Lumbar hemilaminectomy for disc disease includingremoval of soft disc or osteophyte................................ 49.02 467.42 8 892544 - multiple levels, to 92540, 92542........................... add 80.5392546 - bilateral, to 92540, 92542..................................... add 86.7192548 Posterior laminectomy 1 or 2 levels, cervical, thoracic,lumbar .......................................................................... 49.02 676.21 9 9M-20

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SPINE (Cont’d)Decompression - Posterior (Cont’d)92550 Repeat posterior exploration or reopening of posteriorexploration, more than six months after originalprocedure, includes foraminotomy, discectomy orneurolysis ................................................................ 65.36 729.27 10 1092552 - laminectomy extending over 3 or more laminae, to92548, 92550 ......................................................... add 175.0292554 - foraminotomy, to 92542, 92548 and 92550 perforamen decompressed.......................................... add 89.8092556 - opening of dura (associated with any decompressiveprocedure).............................................................. add 189.6892558 - spinal duroplasty (applies to any spinal procedure)........................................................................ add 288.66Incision and Drainage (Osteomyelitis)92570 Bone - incision and drainage only................................... 32.68 337.55 4 4Sequestrectomy92572 - anterior....................................................................... 57.19 704.28 10 1092574 - posterior..................................................................... 32.68 401.99 4 4Saucerization with bone grafting92576 - anterior....................................................................... 49.02 867.43 10 1092578 - posterior..................................................................... 32.68 490.30 5 592580 Soft tissue.......................................................................... 118.50Examination/Manipulation92590 Manipulation under sedation/anaesthesia (IOP)................ 43.36 4 4Excision - Bone92600 Spinous process................................................................ 32.68 271.37 4 492602 Lamina or transverse process ........................................... 49.02 433.16 8 892604 Part of body or pedicle....................................................... 49.02 649.99 8 892606 Total body (includes replacement)..................................... 73.53 1082.65 13 13Excision - Muscle/Soft Tissue92610 Tumours - simple .............................................................. 49.02 239.57 8 892612 - radical resection .............................................. 73.53 591.06 13 13Reconstruction - Osteotomy (includes fixation/fusion)92620 Anterior - via chest .......................................................... 73.53 811.28 13 1392622 - via abdomen.................................................... 73.53 867.43 9 992624 - via chest and abdomen.................................... 73.53 976.52 13 1392626 Posterior............................................................................ 73.53 767.61 9 992628 - with rib or transverse release ............................... add 137.9292630 Circumferential .................................................................. 73.53 1300.22 9 992632 Cervical ............................................................................. 81.70 1138.92 12 12M-21

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SPINE (Cont’d)Instrumentation - DeformitiesAnterior - includes fusion/disectomy92640 - via chest or abdomen ................................................. 73.53 1422.79 17 1792642 - via chest and abdomen............................................... 73.53 1569.54 17 1792644 Posterior (Harrington) - with or without fusion (92648,92650, 92652 may be billed as appropriate.................. 65.36 863.22 12 1292646 Readjustment of instrumentation ....................................... 162.03 4 492648 - Harrington instrumentation to sacrum or pelvis(payable in addition to 92644 or 92646 only, ..add 86.7192650 - Harrington instrumentation, for each level over 6(payable in addition to 92644 or 92646 only).....add 21.0392652 - with posterior osteotomy (payable with 92650 only)................................................................................add 164.6392654 Segmental procedure - with fusion..................................... 65.36 1307.38 12 1292656 - segmental instrumentation to pelvis, add to 92654..... 172.4292658 - segmental instrumentation, for each level over 6 add 34.0792660 Removal of - anterior instrumentation................................ 65.36 324.06 8 892662 - posterior instrumentation.............................. 65.36 292.89 8 8Revision of entire instrumentation92664 - with fusion.................................................................. 65.36 1354.39 12 1292666 - without fusion............................................................. 65.36 1082.65 12 1292682 Removal of electrodes....................................................... 65.36 285.11 8 892684 Muscle stripping spine prior to surgery.............................. 49.02 216.02 8 892686 Halo traction prior to surgery (complete care) ................... 24.51 325.68 4 4NOTE: 92684 and 92686 allow full benefit if followed bysurgery for correction of scoliosis in samehospitalization.Anterior release including Halo traction92690 - via chest or abdomen ................................................ 73.53 610.77 13 1392692 - via chest and abdomen.............................................. 73.53 758.34 13 1392694 Localizer cast .................................................................... 148.55 4 4Reduction - Fractures or Fracture DislocationsFracture of spine without procedure.................................. VF VF92702 Skull calipers (IOP)............................................................ 56.0492704 Halo traction (IOP)............................................................. 89.8092706 Reapplication of Halo traction (IOP).................................. 56.0492708 - counter traction pins or vest................................. add 119.9892710 Closed reduction ............................................................... 40.85 226.48 5 5M-22

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SPINE (Cont’d)Reduction - Fractures or Fracture Dislocations (Cont’d)Open reduction92712 - posterior approach...................................................... 40.85 347.99 10 1092714 - anterior approach ....................................................... 57.19 409.29 10 1092716 - with spinal cord injury (when total care by operatingsurgeon) ..........................................................add 174.0392718 - with irrigation, including opening of dura, to fractureswhen combined with decompressive procedures.........................................................................add 347.99- fusion by same surgeon92720 - 1 level............................................................add 272.1192722 - 2 or more levels.............................................add 346.46- fusion by different surgeon92724 - 1 level............................................................add 347.9992726 - 2 or more levels.............................................add 409.2992728 - with instrumentation..............................................add 154.4992729 - extensive debridement of compound fracture.......add 90.59M-23

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.PELVIS AND HIPAmputation92740 Hemipelvectomy - hindquarter .......................................... 81.70 774.99 15 1592742 Hip disarticulation.............................................................. 81.70 476.86 10 10Arthrodesis92750 Sacro-iliac joint.................................................................. 40.85 384.83 5 592752 Symphysis pubis ............................................................... 40.85 376.66 6 692754 Hip..................................................................................... 40.85 684.69 8 8Arthroplasty92760 Unipolar............................................................................. 49.02 577.48 8 892762 Bipolar............................................................................... 65.36 679.21 8 892764 Total hip replacement with take down of fusion................. 65.36 948.58 10 1092766 Revision total arthroplasty hip ........................................... 65.36 1422.88 10 1092768 Total hip arthroplasty......................................................... 65.36 825.59 8 892770 - bone graft to acetabulum..................................... add 98.2092772 - acetabular reconstruction (extensive, including bonegrafts)..................................................................... add 188.9792774 Reattachment of greater trochanter (late) ......................... 282.22 8 892776 Removal only - non-cemented .......................................... 24.51 435.38 8 892778 - cemented ................................................. 24.51 542.83 8 8Arthroscopy92790 Hip joint, sole procedure (IOP) .......................................... 178.86 4 492792 - preceding surgery, same surgeon........................ add 134.26Arthrotomy92800 Sacro-iliac joint.................................................................. 40.85 282.22 6 692802 Hip - with removal of loose body ....................................... 40.85 293.52 6 692810 Hip - infant or child, under general anaesthesia................ 24.51 61.84 4 4Biopsy92820 Bone - punch needle (IOP) ................................................ 70.4592822 - under general anaesthetic (IOP)............................. 70.45 5 592824 - open (IOP).............................................................. 32.68 140.90 4 492826 Joint - via arthroscope....................................................... 10.6592828 - open ....................................................................... 40.85 293.52 6 692830 Soft tissue - open .............................................................. 94.54 4 4Denervation/Decompression92840 Decompression of lateral femoral cutaneous nerve .......... 32.68 146.33 4 492842 Exploration and/or decompression of sciatic nerve ........... 49.02 410.11 6 692844 Exploration and/or decompression and/or transpositionand/or neurolysis of major nerve .................................. 32.68 243.93 4 492846 Denervation of hip ............................................................. 32.68 376.66 5 5M-24

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.PELVIS AND HIP (Cont’d)Incision and Drainage92850 Bone, incision and drainage............................................... 24.51 282.22 4 492852 Sequestrectomy................................................................. 32.68 368.91 4 492854 Saucerization and bone graft............................................. 32.68 610.59 5 592856 Bursae/soft tissue (IOP)..................................................... 94.54 4 492858 Joint ................................................................................... 40.85 293.52 6 6Examination/Manipulation92870 Manipulation - under general anaesthetic (IOP) ................ 37.70 4 4Excision - Bone92880 Simple cyst, etc. ................................................................ 32.68 329.66 4 492882 Major resection tumour ...................................................... 32.68 471.52 6 692884 Radical resection tumour ................................................... 65.36 754.28 8 892886 Coccyx ............................................................................... 32.68 202.96 4 492888 Head and neck, femur........................................................ 32.68 440.33 6 6Excision - Muscle92900 Simple................................................................................ 24.51 187.84 4 492902 Complex............................................................................. 32.68 471.52 6 692904 Myositis.............................................................................. 32.68 281.79 5 5Excision - Joint92910 Synovectomy/debridement ................................................ 40.85 457.97 5 5Excision - Bursae92920 GT trochanteric/ischial ....................................................... 24.51 195.53 4 4Reconstruction - Pseudoarthrosis92930 Pelvis ................................................................................. 65.36 565.42 10 1092932 Hip ..................................................................................... 49.02 464.74 6 6Reconstruction - Osteotomy92940 Pelvis - infant.................................................................... 388.38 8 892942 - other .................................................................... 65.36 565.42 8 892944 Hip ..................................................................................... 40.85 524.76 7 7Reconstruction - Muscle/Tendon92950 Muscle release................................................................... 40.85 306.21 5 592952 Closed adductors - tenotomy (IOP) ................................... 47.43 4 492954 Open adductors - tenotomy (IOP)...................................... 94.54 4 492956 Iliopsoas - tenotomy........................................................... 40.85 259.21 5 5Reconstruction - Tendon Transfer92970 Iliopsoas............................................................................. 40.85 506.26 6 692972 Abductor ............................................................................ 40.85 330.09 6 6M-25

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.PELVIS AND HIP (Cont’d)Reduction - FracturesCoccyx - no reduction ........................................................ VF VF92982 - excision............................................................... 32.68 202.96 4 4Pelvic ring - no reduction................................................. VF VF92986 - closed reduction........................................... 24.51 431.73 4 492988 - open reduction............................................. 49.02 680.30 8 892989 - extensive debridement of compound fracture................................................................. add 172.69Sacrum - no reduction....................................................... VF VFFemoral neck trochanteric, subtrochanteric- no reduction............................................................... VF VF92994 - closed reduction/traction............................................ 24.51 415.48 4 492996 - open reduction - pin only.......................................... 49.02 432.34 8 892998 - pin and plate.................................. 49.02 487.56 8 893000 - primary prosthesis ..................................................... 49.02 540.39 8 893002 - delayed/staged graft .................................................. 49.02 281.79 8 893003 - extensive debridement of compound fracture...... add 166.19Slipped epiphysis93004 - closed reduction/traction............................................ 49.02 376.66 8 893006 - closed reduction/internal fixation................................ 49.02 376.66 8 893008 - open reduction/fixation............................................... 49.02 565.42 8 893009 - extensive debridement of compound fracture...... add 150.66Reduction - DislocationsAcetabulum - no reduction VF VF93022 - open reduction - lips .................................... 57.19 596.18 8 893024 - 1 pillar................................................... 32.68 967.90 10 1093026 - 2 pillars ................................................. 65.36 1451.45 12 1293028 Hip - closed reduction ..................................................... 260.61 4 493030 - open reduction........................................................ 57.19 395.16 7 793032 - late .................................................................. 57.19 754.28 10 1093033 - extensive debridement of compound fracture... add 104.24Sacro-iliac93034 - closed, traction, spica, etc. ....................................... 417.74 5 593036 - open reduction ........................................................... 40.85 577.14 5 593037 - extensive debridement of compound fracture ...... add 167.10Sacro-coccygeal- closed reduction......................................................... VF VF93040 - open, removal of coccyx ............................................ 40.85 187.84 5 593041 - extensive debridement of compound fracture ...... add 6.64Congenital hip93042 - closed reduction (includes tenotomy and cast) .......... 185.32 4 493044 - repeat (includes cast)................................................. 128.47 4 493046 - open reduction (includes tenotomy and arthrotomy) .. 57.19 459.58 7 793048 Application Pavlik Harness or CDH splint.......................... 23.45M-26

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FEMURAmputation93060 Gritti-Stokes or Callander................................................... 40.85 379.64 5 593062 Through femur ................................................................... 40.85 348.30 5 5Biopsy (IOP)93070 Bone - core, punch ............................................................. 37.70 4 493072 - x-ray control/general anaesthetic ............................ 94.54 4 493074 - open........................................................................ 32.68 187.84 4 493076 Soft tissue - open............................................................... 94.54 4 493078 Injection into bone cysts..................................................... 113.79Incision and Drainage (Osteomyelitis)93090 Incision and drainage, bone............................................... 24.51 317.07 4 493092 Sequestrectomy................................................................. 24.51 384.29 4 493094 Saucerization and graft...................................................... 40.85 603.38 6 693096 Soft tissue.......................................................................... 103.05 4 4Excision - Bone93100 Simple cyst/exostosis......................................................... 32.68 219.47 4 493102 Bone tumour - simple ....................................................... 32.68 471.52 6 693104 - with reconstruction/graft............................ 65.36 754.28 8 8Excision - Muscle93110 Simple................................................................................ 24.51 187.84 4 493112 Complex............................................................................. 32.68 471.52 6 6Reconstruction - Pseudoarthrosis93114 Reconstruction - pseudoarthrosis ...................................... 49.02 464.74 6 6Reconstruction - Fascial93120 Simple................................................................................ 24.51 187.84 4 493122 Complex with or without synthetic graft or rotation flap...... 49.02 392.04 5 5Reconstruction - Osteotomy93130 Femoral shaft..................................................................... 32.68 518.52 5 593132 Supracondylar.................................................................... 49.02 376.66 6 6Reconstruction - Leg Length Operations93140 Femoral shortening - all types............................................ 32.68 467.86 4 493142 Femoral lengthening - all types.......................................... 32.68 527.45 4 493144 Femoral epiphysiodesis ..................................................... 32.68 293.09 5 593146 Tibial and femoral epiphsiodesis........................................ 32.68 415.48 5 593148 Femoral stapling ................................................................ 32.68 304.86 4 493150 Tibial and femoral stapling................................................. 32.68 376.66 5 5M-27

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FEMUR (Cont’d)Reconstruction - Muscle/Tendons93160 Quadriceps repair - simple ................................................ 24.51 221.51 4 493162 - reconstructive.................................... 24.51 376.66 4 493164 Quadricepsplasty - all types .............................................. 32.68 371.28 5 593166 Ilio-tibial band .................................................................... 24.51 183.81 4 493168 Closed release of ilio-tibial band (IOP).............................. 47.43 4 493170 Tenotomy of hamstrings - single...................................... 24.51 163.91 4 493172 - multiple................................... 24.51 188.11 4 4Lengthening of hamstrings93174 - single ......................................................................... 24.51 217.91 4 493176 - each additional..................................................... add 74.64Tendon or muscle transfer93178 - single ......................................................................... 24.51 298.73 5 593180 - each additional (max. of 1) .................................. add 84.8693182 Excision of myositis........................................................... 32.68 281.79 5 5Reduction - FracturesFemoral shaft/supracondylar- no reduction, cast ...................................................... VF VF- closed reduction - traction93202 - infant or child....................................................... 24.51 251.09 4 493204 - adult or adolescent.............................................. 24.51 396.55 4 493206 - closed reduction, cast ................................................ 24.51 252.00 4 493208 - open reduction ........................................................... 49.02 493.80 8 893209 - extensive debridement of compound fracture, infantor child............................................................. add 100.4393210 - extensive debridement of compound fracture, adult oradolescent....................................................... add 158.62M-28

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.KNEEAmputation93220 Through knee - disarticulation............................................ 40.85 296.74 5 5Arthrodesis93230 Knee .................................................................................. 24.51 391.55 5 5Arthroplasty93240 Patellar arthroplasty........................................................... 24.51 235.76 5 593242 Hemi-arthroplasty - single component .............................. 49.02 342.35 6 693244 - double component ............................. 49.02 435.38 6 693246 Total replacement/both compartments............................... 65.36 612.30 8 893248 Total knee replacement with take down of fusion .............. 65.36 815.70 8 893250 Revision total arthroplasty knee......................................... 65.36 1223.54 8 893252 With associated patellar replacement or patelloplasty .add 91.6493254 Removal of hemi-arthroplasty - without replacement......... 32.68 235.76 5 593256 Removal of total arthroplasty - without replacement .......... 32.68 358.59 5 593258 Revision of arthroplasty ...............................................add 169.94Arthroscopy93270 Diagnostic arthroscopy (sole procedure) ........................... 192.37 4 493272 Synovial biopsy.................................................................. 42.8193274 Trimming of plica, tissue, meniscus ................................... 62.2793276 Removal of loose body, screw........................................... 187.8493278 Resection of plica .............................................................. 86.4293280 Lateral release ................................................................... 140.4193282 Synovectomy - anterior - 1 compartment........................ 127.9993284 - anterior - more than 1 compartment....... 256.4193286 - total, anterior and posterior....................... 469.5893288 Drilling of defect, includes removal of loose body.............. 245.5593290 Pinning of osteochondral fragment .................................... 245.5593292 Debridement - 1 compartment.......................................... 284.2993294 - more than 1 compartment......................... 377.8693296 With abrasion arthroplasty ................................................. 281.7993298 Menisectomy...................................................................... 337.7093300 Repair medial or lateral meniscus...................................... 320.1793302 Arthroscopy in association with surgery including 93272 to93300 - same surgeon............................................add 144.40Arthrotomy93320 Knee - with or without removal of loose body .................... 24.51 202.31 4 493322 Osteochondritis dissecans with drilling and/or internalfixation .......................................................................... 24.51 260.18 4 4Biopsy93330 Bone/joint - needle (IOP)................................................. 94.54 4 493332 - open (IOP).................................................... 32.68 187.84 4 493334 - via arthroscope............................................. 10.6593336 Soft tissue - open (IOP).................................................... 94.54 4 4M-29

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.KNEE (Cont’d)Denervation/Decompression93340 Denervation - of knee ..................................................... 24.51 250.60 4 493342 - of gastrocnemius...................................... 32.68 243.93 4 4Incision and Drainage93350 Soft tissue (IOP)................................................................ 85.09 94.54 4 493352 Joint .................................................................................. 24.51 187.84 4 4Examination/Manipulation93360 Manipulation - under general anaesthetic (IOP)................ 23.02 4 4Excision93370 Baker’s cyst - simple....................................................... 24.51 144.50 4 493372 - extensive .................................................. 32.68 256.95 6 693374 Cysts of meniscus ............................................................. 24.51 122.83 4 493376 Menisectomy ..................................................................... 24.51 234.36 4 493378 Debridement of joint without synovectomy........................ 24.51 282.71 4 493380 Synovectomy..................................................................... 24.51 418.60 5 593382 Pre-patellar bursae............................................................ 24.51 145.20 4 493384 Patella - to include fascial repair ....................................... 24.51 269.16 4 493386 Exostosis/cyst patella........................................................ 24.51 122.83 4 4Reconstruction - Meniscus93390 Suturing of medial or lateral meniscus .............................. 24.51 235.76 5 5Reconstruction - Muscles/Tendons93400 Tenoplasty - 1 .................................................................. 24.51 140.90 4 493402 - each additional....................................... add 74.64Suture of patellar or quadriceps tendon93404 - early ........................................................................... 24.51 221.51 4 493406 - late ............................................................................. 24.51 376.66 4 4Transplant of tendon93408 - single.......................................................................... 24.51 298.73 5 593410 - each additional (max. of 1)................................... add 84.8693416 Tenotomy - open - 1 .................................................... 24.51 225.60 4 493418 - multiple .......................................... 24.51 246.62 4 493420 Release patellar retinaculum............................................. 40.85 157.14 5 5Reconstruction - Ligaments93430 Simple - 1 ......................................................................... 24.51 351.81 4 493432 Extensive/multiple (including synthetics)........................... 32.68 504.00 6 693434 Synthetic anterior/posterior cruciate.................................. 49.02 480.02 6 693436 Removal of synthetics ....................................................... 32.68 207.74 4 4M-30

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.KNEE (Cont’d)Reduction - Fractures93450 Patella - no reduction......................................................... 65.7293452 - open reduction/excision with/without repair......... 32.68 267.81 4 493453 - extensive debridement of compound fracture...................................................add 37.8293454 Osteochondral fracture - open reduction............................ 32.68 244.58 5 5Reduction - Dislocations93460 Knee - closed reduction .................................................. 202.10 4 493462 - open reduction..................................................... 40.85 300.29 5 5Patella- closed reduction93464 - without anaesthetic.............................................. 54.41 60.4593466 - with anaesthetic................................................... 94.54 4 493468 - open reduction - early ............................................... 282.22 5 593470 - late ................................................. 32.68 471.52 6 693472 - repair recurrent dislocation,includes inspection of joint ............... 32.68 382.68 5 593474 Congenital dislocation - knee (open) ................................. 32.68 471.52 6 6M-31

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FIBULA AND TIBIAAmputation93490 Tibia/fibula......................................................................... 40.85 348.30 5 5Biopsy93500 Bone - simple - punch..................................................... 94.54 4 493502 - open.................................................................... 32.68 187.84 4 493504 Soft tissue - open .............................................................. 94.54 4 493506 Injection into bone cysts.................................................... 113.79Decompression/Denervation93510 Decompression of fascial compartments........................... 24.51 312.55 4 493512 Secondary closure............................................................. 94.5493514 Catheter insertion (IOP) .................................................... 47.73Monitoring of pressure monitoring device.......................... VF VF93518 Decompression of posterior tibial or common perinealnerve............................................................................ 32.68 160.31 4 4Incision and Drainage (Osteomyelitis)93530 Incision and drainage, bone .............................................. 24.51 299.86 4 493532 Sequestrectomy ................................................................ 24.51 320.62 4 493534 Saucerization and bone grafting........................................ 24.51 399.89 4 493536 Soft tissue ......................................................................... 94.54 4 4Excision93540 Exostosis/cyst ................................................................... 24.51 195.53 4 493542 Fibular head ...................................................................... 24.51 187.84 4 493544 Tumour - simple.............................................................. 32.68 281.36 4 493546 - extensive with repair........................................ 40.85 659.20 6 693548 Excision bone ridge to include interpositional materials .... 40.85 374.83 6 693550 Muscle/soft tissue - simple................................................ 24.51 187.84 4 493552 - complex............................................. 32.68 513.96 6 6Reconstruction - Pseudoarthrosis93560 Tibia/fibula......................................................................... 32.68 338.69 5 593562 By-pass fibular graft .......................................................... 32.68 331.91 6 693564 Congenital pseudoarthrosis............................................... 32.68 471.52 6 6Reconstruction - Osteotomy93570 Tibia and fibula.................................................................. 24.51 366.28 4 493572 Repair recurrent dislocation, includes inspection of thejoint .......................................................................... 32.68 382.68 6 6Reconstruction - Leg Length Operations93580 Tibial lengthening .............................................................. 32.68 457.97 4 493582 Tibial shortening................................................................ 32.68 376.66 4 493584 Tibial and femoral epiphysiodesis ..................................... 32.68 415.48 5 593586 Tibial epiphysiodesis ......................................................... 32.68 313.41 5 593588 Tibial stapling - 1 side........................................................ 32.68 187.84 4 493590 - both sides................................................. 32.68 235.76 4 493592 Tibial and femoral stapling ................................................ 32.68 376.66 5 5M-32

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FIBULA AND TIBIA (Cont’d)Reduction - FracturesTibia with or without fibula93610 - no reduction, rigid immobilization ............................... 113.1593612 - closed reduction ......................................................... 24.51 175.21 4 493614 - open reduction - shaft ............................................... 32.68 407.25 5 593616 - medial or lateral tibial plateau ........ 32.68 394.45 5 593618 - both tibial plateaus, same knee...... 32.68 591.67 5 593619 - extensive debridement of compound fracture ......add 70.0893620 Fibula - no reduction, rigid immobilization ........................ 59.15 65.7293622 - closed reduction .................................................. 97.98 4 493624 - open reduction..................................................... 32.68 223.82 4 493625 - extensive debridement of compound fracture add 39.19M-33

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FOOT AND ANKLEAmputation93640 Metatarsal/phalanx disarticulation ..................................... 32.68 151.76 4 493642 - each additional..................................................... add 45.8293644 Ray (single) ....................................................................... 32.68 234.38 4 493646 Symes ............................................................................... 40.85 302.70 5 593648 Transmetatarsal/transtarsal............................................... 32.68 270.22 4 493650 Terminal Symes ................................................................ 40.85 200.68 5 5Arthrodesis93660 Ankle ................................................................................. 24.51 379.35 4 493662 Interphalangeal ................................................................. 24.51 154.02 4 493664 - each additional..................................................... add 40.6693666 Metatarsophalangeal......................................................... 24.51 262.00 4 493668 Midtarsal/subtarsal ............................................................ 24.51 342.78 4 493670 Triple ................................................................................. 24.51 376.66 5 593672 Pan-talar - 1 stage............................................................. 24.51 609.73 6 6Arthroplasty93680 Ankle - total replacement................................................... 49.02 415.05 6 693682 Revision total arthroplasty ankle ....................................... 49.02 549.18 6 693684 Removal of prosthesis without replacement...................... 24.51 187.84 6 6Metatarsophalangeal interposition93686 - single.......................................................................... 24.51 140.90 5 593688 - each additional..................................................... add 37.4393690 Metatarsophalangeal......................................................... 24.51 281.79 5 593700 - multiple....................................................................... 24.51 376.66 6 693702 Removal - prosthesis without replacement........................ 24.51 140.90 4 493704 Revision of arthroplasty............................................... add 124.76Arthroscopy93710 Diagnostic arthroscopy (sole procedure)........................... 24.51 178.86 4 493712 Synovial biopsy ................................................................. 42.8193714 Removal of loose body, screw .......................................... 187.8493716 Drilling of defect (includes removal of loose body) ............ 245.5593718 Debridement - local.......................................................... 245.5593720 - total .......................................................... 318.6993722 Synovectomy - partial ....................................................... 191.3993724 - total .......................................................... 469.5893726 Pinning of osteochondral fragment.................................... 245.5593728 Arthroscopy in association with surgery including 93712 to93726 - same surgeon ........................................... add 134.26Arthrotomy93740 Ankle - removal of loose body, etc. .................................. 24.51 162.09 4 493742 - with osteotomy of malleolus ................................. add 114.4493744 Mid tarsals......................................................................... 24.51 140.90 4 493746 Metatarsal/phalangeal....................................................... 24.51 140.90 4 4M-34

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FOOT AND ANKLE (Cont’d)Biopsy93760 Bone - needle - punch (IOP)............................................... 37.70 4 493762 - punch - under general anaesthetic.......................... 94.54 4 493764 - open ....................................................................... 32.68 187.84 4 493766 Joint - via arthroscope ....................................................... 10.6593768 - open........................................................................ 163.05 4 493770 Soft tissue - open (IOP) 94.54 4 4Incision and Drainage93780 Incision and drainage - bone.............................................. 24.51 221.03 4 493782 Sequestrectomy................................................................. 32.68 187.84 4 493784 Saucerization and bone graft............................................. 32.68 376.66 4 493786 Bursae (IOP)...................................................................... 94.54 4 493788 Joints ................................................................................. 24.51 176.67 4 493790 Soft tissue (IOP) ................................................................ 94.54 4 4Examination/Manipulation (IOP)93800 - under general anaesthetic.......................................... 23.02 4 4Club foot, etc. - manipulation and cast/strapping93810 - without anaesthetic..................................................... 19.3693812 - with anaesthetic ......................................................... 37.70 4 4Excision - Bone93820 Phalanx.............................................................................. 24.51 123.90 4 493822 Metatarsal head ................................................................. 24.51 170.26 4 493824 - each additional .....................................................add 40.6693826 Accessory navicular (scaphoid) ......................................... 24.51 151.54 4 493828 Bunion/bunionette.............................................................. 24.51 146.54 4 493830 Calcaneal spur................................................................... 24.51 135.52 4 493832 Exostosis (dorsal, subungual)............................................ 24.51 97.77 4 493834 Os calcis, talus................................................................... 24.51 276.42 4 493836 Sesamoid, 1 or both........................................................... 24.51 137.78 4 493838 Tarsal bar .................................................................... 24.51 224.04 4 493840 Tumour (foot)..................................................................... 24.51 234.79 4 4Excision - Joint93850 Ankle synovectomy............................................................ 24.51 266.20 4 4Metatarsophalangeal synovectomy93852 - 1 ................................................................................. 24.51 219.95 4 493854 - 2 or more .................................................................... 24.51 330.09 4 4Excision - Soft Tissue93860 Ganglio - simple or complex .............................................. 24.51 117.23 4 493862 Bursa ................................................................................. 24.51 145.20 4 493864 Fascia (Dupuytrens) - partial or complete.......................... 24.51 322.66 4 493866 Muscle - simple.................................................................. 24.51 187.84 4 493868 - complex............................................................... 32.68 471.52 6 6M-35

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FOOT AND ANKLE (Cont’d)Reconstruction - Pseudoarthrosis93880 Malleoli.............................................................................. 24.51 287.92 4 493882 Tarsals/metatarsals/phalanx ............................................. 24.51 253.35 4 4Reconstruction - Osteotomy93890 Os calcis............................................................................ 24.51 289.54 4 493892 Metatarsals and phalanx ................................................. 24.51 140.90 4 493894 - each additional..................................................... add 40.6693896 Midtarsal/tarsal.................................................................. 24.51 235.76 4 493898 Shortening metatarsal - 1 ................................................ 32.68 219.47 4 493900 - 2 or more ................................... 32.68 265.55 4 4Reconstruction - Forefoot93910 Claw and hammer toe ....................................................... 24.51 147.24 4 493912 - each additional hammer toe ................................ add 40.6693914 Hallux Valgus - e.g., Mayo, Keller ..................................... 24.51 211.35 4 493916 - e.g., Joplin, McBride................................. 24.51 297.37 4 493918 Major forefoot reconstruction, must include the first MPjoint and a minimum of 2 other MP joints..................... 24.51 447.17 5 593920 Overlapping 5th toe........................................................... 24.51 132.78 4 4Reconstruction - Club Foot93930 Posterior or medial release ............................................... 32.68 304.38 4 493932 Posteromedial release, lateral shortening, tendontransfers and fusion...................................................... 32.68 360.85 4 493936 Plantar fascia release........................................................ 24.51 161.01 4 4Reconstruction - Ligaments93950 Ankle - 1 ......................................................................... 24.51 225.81 4 493952 - extensive/multiple ............................................... 24.51 382.57 4 4Reconstruction - Tendons93960 Exploration - tendon sheath .............................................. 24.51 122.83 4 493962 Tenolysis - extensive release - 1 ...................................... 24.51 196.93 4 493964 - each additional digit (max. of 2) ........................... add 84.8693966 Tendon transfer foot and ankle - single............................. 24.51 246.62 4 493968 - each additional (max. of 1)................................... add 92.3993970 Tenodesis.......................................................................... 24.51 252.00 4 493972 Graft .................................................................................. 32.68 246.62 4 493974 - each additional..................................................... add 92.3993976 Lengthening or shortening - 1 ......................................... 24.51 217.91 4 493978 - each additional.............. add 74.6493980 Suture extensor tendon - 1 ............................................ 24.51 122.83 4 493982 - each additional ................. add 46.0393984 Suture flexor tendon - 1 ................................................... 24.51 230.28 4 493986 - each additional ........................ add 85.8393988 Achilles tendon repair - early........................................... 24.51 221.51 4 493990 - late ............................................. 24.51 376.66 4 4M-36

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FOOT AND ANKLE (Cont’d)Reconstruction - Tendons (Cont’d)93992 Tenotomy - open - 1 toe................................................... 84.86 4 493994 - more than 1 toe ................................. 187.84 4 493996 - closed - 1 toe (IOP) ..................................... 47.43 4 493998 - more than 1 toe (IOP) .................... 94.54 4 494000 Achilles or tibialis anterior/posterior tenotomy - open........ 24.51 166.60 4 494002 - closed ..... 128.69 4 4Reduction - Fractures94020 Ankle - no reduction, rigid immobilization ........................ 59.15 65.7294022 - closed reduction .................................................. 24.51 140.90 4 494024 - open - 1 malleolus ............................................... 32.68 231.24 4 494026 - open - multiple malleoli or ligaments ................... 32.68 303.52 5 594027 - extensive debridement of compound fracture add 56.36Ankle fracture with tibial Plafond burst94028 - closed reduction ......................................................... 24.51 235.76 4 494030 - open reduction ........................................................... 32.68 362.95 6 694031 - extensive debridement of compound fracture ......add 94.3094032 Metatarsus - no reduction - 1 or more................................ 47.4394034 - with rigid immobilization ............................................. 59.15 65.7294036 - closed reduction - 1 or more....................................... 24.51 95.29 4 494038 - open reduction - 1..................................................... 32.68 172.95 4 494040 - 2 or more........................................ 32.68 242.54 4 494041 - extensive debridement of compound fracture.......add 38.1294042 Os calcis - no reduction, rigid immobilization..................... 85.33 32.68 94.8194044 - closed reduction............................................... 157.14 4 494046 - open reduction ................................................. 394.15 4 494047 - extensive debridement of compound fracture.....................................................................add 62.86Phalanx- no reduction, rigid immobilization94048 - 1 ......................................................................... 43.56 48.4094050 - each additional .................................................... 10.55 11.7294052 - closed reduction - 1 ................................................. 64.37 71.52 4 494054 - each additional .....................add 13.07 14.5294056 - open reduction............................................................ 32.68 168.11 4 494057 - extensive debridement of compound fracture.......add 28.61Tarsus excluding os calcis94058 - no reduction - rigid immobilization .............................. 95.8394060 - closed reduction ......................................................... 24.51 160.31 4 494062 - open reduction............................................................ 32.68 230.81 4 494063 - extensive debridement of compound fracture.......add 64.12Intraarticular fracture - IP joint94064 - closed reduction ......................................................... 76.3694066 - open reduction ......................................................... 24.51 140.90 4 494067 - extensive debridement of compound fracture.......add 30.55M-37

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE MUSCULOSKELETAL SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.FOOT AND ANKLE (Cont’d)Reduction - DislocationsAnkle94080 - closed reduction......................................................... 32.68 108.58 4 494082 - open reduction........................................................... 32.68 245.23 4 494084 - recurrent dislocation and/or subuxation..................... 32.68 357.19 5 5Interphalangeal94086 - closed reduction......................................................... 50.63 56.25 4 494088 - each additional.............................................. add 8.61 9.5794090 - open reduction........................................................... 32.68 147.67 4 4Metatarsophalangeal94092 - closed reduction......................................................... 55.71 4 494094 - each additional.............................................. add 9.5794096 - open reduction........................................................... 32.68 158.97 4 4Tarsus94098 - closed reduction......................................................... 143.16 4 494100 - open reduction................................................................ 32.68 245.87 4 4M-38

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Incision (IOP)Abscess or HaematomaLocal anaesthetic90100 - subcutaneous - 1.................................................... 18.35 20.3990102 - 2.................................................... 27.74 30.8290104 - 3 or more....................................... 37.22 41.3590106 - perianal ..................................................................... 18.35 20.3990108 - ischiorectal or pilonidal .............................................. 40.48 44.9890110 - palmar or plantar spaces........................................... 40.48 44.98General anaesthetic90112 - subcutaneous - 1.................................................... 40.48 44.98 4 490114 - 2 or more....................................... 66.35 73.73 4 490116 - perianal ..................................................................... 44.11 49.03 4 490118 - ischiorectal or pilonidal .............................................. 65.87 73.19 4 490120 - palmar or plantar spaces........................................... 71.80 79.77 4 4Comedones, Acne Pustules, Millia90122 - ten or less.................................................................. 3.57 3.9790124 - eleven or more .......................................................... 12.44 13.82Foreign body removal - not to be claimed for the routineremoval of sutures within 42 days of surgery90126 - local anaesthetic........................................................ 17.13 19.0390128 - general anaesthetic ................................................... 81.07 24.51 90.07 4 490130 - complicated ............................................................... IC 32.68 IC 4 490132 Intramuscular abscess or haematoma.............................. 92.79 103.10 4 490134 Aspiration of superficial lump for cytology......................... 25.80 28.66Biopsy(s)90140 - when sutures are used * ........................................... 13.87 15.4190141 - when sutures are not used (maximum of 1 unit) ....... 13.87 15.4190142 - extensive, complicated or requiring generalanaesthetic,when sole procedure ........................................... IC IC IC 4 490144 - for malignant hyperthermia, 3 or more (fee code90036 not payable in addition) ............................. 139.60 155.11 10 10* Fee code 90140 may be allowed more than once on anIC basis if medically necessary (in order to make adiagnosis or plan treatment), to biopsy more than onelesion or to obtain a second biopsy from an extensivelesion. If claimed, may be allowed with chemicaltreatment of lesion (code 90560).L-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ExcisionWhen excision of benign or malignant lesions arecorrected by advancement, rotation, transposition, “Z”plasty, flap or graft, claim appropriate benefit listed underRepair Section instead of excision benefits.Excision of Benign LesionsSingle or multiple sites, uni or bilateral (with orwithout biopsy)Group 1 - verruca, papilloma, benign keratosis, pyogenicgranuloma, spider naevus, Campbell de Morgan spots(IOP)Removal by excision and suture90150 - single lesion............................................................... 13.46 14.96 4 490152 - 2 lesions .................................................................... 20.29 22.55 4 490154 - 3 or more lesions ....................................................... 33.75 37.50 4 4Paring of warts and corns without complete removal VF VFRemoval by electrocoagulation and/or curetting and/orcryosurgery and/or laser surgery90156 - single lesion............................................................... 8.76 9.73 4 490158 - 2 lesions .................................................................... 12.78 14.20 4 490160 - 3 or more lesions ....................................................... 21.15 23.50 4 4Groups 2 - naevus (IOP)Removal by excision and suture90162 - single lesion............................................................... 11.88 13.20 4 490164 - 2 lesions .................................................................... 17.91 19.90 4 490166 - 3 or more lesions ....................................................... 29.79 33.10 4 490168 - congenital (extensive) - state measurement and site. IC IC IC ICGroup 3 - palmar or plantar verruca (IOP)Paring of warts and corns without complete removal VF VFRemoval by excision and suture90170 - single lesion............................................................... 23.45 26.05 4 490172 - 2 lesions .................................................................... 35.01 38.90 4 490174 - 3 or more lesions ....................................................... 58.14 64.60 4 4Removal by electrocoagulation, and/or curetting and/orcryosurgery and/or laser surgery90176 - single lesion............................................................... 16.20 18.00 4 490178 - 2 lesions .................................................................... 24.39 27.10 4 490180 - 3 or more lesions ....................................................... 48.24 53.60 4 4L-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Excision of Benign Lesions (Cont’d)Group 4 - cyst, haemangioma, lipoma (IOP)Face or neckLocal anaesthetic90182 - single lesion ............................................................... 25.92 28.8090184 - 2 lesions ..................................................................... 38.34 42.6090186 - 3 or more lesions........................................................ 52.65 58.50General anaesthetic90188 - single lesion ............................................................... 52.88 24.51 58.75 4 490190 - 2 lesions ..................................................................... 79.47 24.51 88.30 4 490192 - 3 or more lesions........................................................ 105.66 24.51 117.40 4 490194 - extensive or massive.................................................. 24.51 IC 5 5Other AreasLocal anaesthetic90196 - single lesion ............................................................... 22.64 25.1590198 - 2 lesions ..................................................................... 34.77 38.6490200 - 3 or more lesions........................................................ 45.68 50.76General anaesthetic90202 - single lesion ............................................................... 45.68 24.51 50.76 4 490204 - 2 lesions ..................................................................... 59.92 24.51 66.57 4 490206 - 3 or more lesions........................................................ 98.14 24.51 109.06 4 490208 - extensive or massive.................................................. IC 24.51 IC 5 5Lipoma90210 - 5 to 10 cm. ................................................................ 67.40 24.51 74.89 4 490212 - over 10 cm. ............................................................... 101.05 24.51 112.28 5 5Congenital dermoid cyst90214 - adult ........................................................................... 113.60 24.51 126.22 4 490216 - infant or child.............................................................. 183.55 24.51 203.94 4 490218 - midline, e.g. nasal ...................................................... 249.12 24.51 276.79 4 490220 Giant cell tumour................................................................ 113.60 24.51 126.22 4 4Excision of Pressure sore or decubitus ulcer (IOP)90224 - minor, less than 1 cm. average diameter ................... 30.54 33.93 4 490226 - intermediate, 1-5 cm. average diameter..................... 65.48 72.75 4 490228 - major or complex........................................................ IC IC 5 5Pilonidal cyst90234 - simple excision or marsupialization............................ 160.98 24.51 178.87 4 490236 - excision and skin shift ................................................ 24.51 242.96 4 4Inguinal, perineal or axillary skin and sweat glands forhyperhydrosis and/or hidradenitis90240 - unilateral..................................................................... 24.51 222.90 5 590242 - with skin graft(s) or rotation flap(s) ............................. 24.51 338.60 6 6L-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Excision of Malignant and Premalignant LesionsSingle or multiple sites, uni or bilateral(Includes biopsy of each lesion)Simple excisionFace or Neck90246 - single lesion............................................................... 66.44 24.51 73.82 4 490248 - 2 lesions .................................................................... 109.21 24.51 121.34 4 490250 - 3 or more lesions ....................................................... 218.52 24.51 242.80 4 4Other areas90252 - single lesion............................................................... 53.13 24.51 59.03 4 490253 - 2 lesions .................................................................... 87.39 24.51 97.10 4 490254 - 3 or more lesions ....................................................... 174.78 24.51 194.20 4 490256 - in hospital excision tumour for tumour free marginswith frozen section (payable in addition to excisionor repair fees) ....................................................... 56.65Curettage, electrodesiccation or cryosurgery ofmalignant and premalignant lesionsFace or Neck90258 - single lesion............................................................... 56.35 24.51 62.61 4 490260 - 2 lesions .................................................................... 91.08 24.51 101.20 4 490262 - 3 or more lesions ....................................................... 182.07 24.51 202.30 4 4Other areas90264 - single lesion............................................................... 44.37 24.51 49.30 4 490266 - 2 lesions .................................................................... 73.08 24.51 81.20 4 490268 - 3 or more lesions ....................................................... 168.15 24.51 186.83 4 490270 Chemosurgery (Mohs technique) ...................................... IC IC ICRepair90300 Severe contracture release by excision of scar, e.g., joint 100.00 4 4Debridement and Dressing (IOP) (not chargeable inaddition to any surgical procedure unless complicationsrequire such care in excess of the usual post-operativecare)- minor.......................................................................... VF VF90304 - major.......................................................................... 11.16 12.4090306 - requiring general anaesthetic .................................... 32.68 50.40 4 490308 - extensive ................................................................... IC 32.68 IC 5 5L-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Repair (Cont’d)Suture of Laceration (IOP)90310 - up to 5 cm. ................................................................. 13.57 15.07 4 490312 - up to 5 cm. if on face and/or requires tying ofbleeders and/or closure in layers........................... 32.53 36.14 4 490314 - 5.1 to 10 cm. ............................................................. 32.53 36.14 4 490316 - 5.1 to 10 cm. if on face and/or requires tying ofbleeders and/or closure in layers........................... 65.16 72.40 4 490318 - 10.1 to 15 cm. ............................................................ 46.09 51.21 4 490320 - 10.1 to 15 cm. if on face and/or requires tying ofbleeders and/or closure in layers........................... 92.59 102.88 4 490322 - more than 15 cm. ...................................................... IC IC 4 490324 - if inhalation general anaesthesia (other than 50%N 2 0/0 2 mixture) is used....................................add 50.23 55.8390326 - when rendered in private office or home ..............add 9.46 10.51NOTE: The above benefits include the use of sutures,local anaesthetic and tetanus toxoid.Muscle Repair90330 - simple muscle repair to include repair of involved skin 24.51 79.30 4 490332 - complex...................................................................... IC 32.68 IC 6 6Scar Revision - any method of closureUp to 2.5 cm.90336 - face or neck................................................................ 24.51 106.30 4 490338 - other areas ................................................................. 24.51 71.10 4 42.6 to 5 cm.90340 - face or neck................................................................ 24.51 179.15 4 490342 - other areas ................................................................. 24.51 119.60 4 45.1 to 10 cm.90344 - face or neck................................................................ 24.51 255.40 5 590346 - other areas ................................................................. 24.51 170.60 5 590348 Greater than 10 cm. .......................................................... 32.68 IC 6 6Tissue Expanders90352 Insertion by separate incision ............................................ 24.51 195.19 5 590358 Percutaneous inflation of tissue expander, per visit (IOP) . 22.8890360 Inflation of each additional expander to a maximum of 3...............................................................................add 11.4490362 Replacement of tissue expander by permanent prosthesis(IOP)............................................................................. 194.28 4 4L-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Repair (Cont’d)Skin FlapsAdvancement flaps (to include undermining of morethan 2.5 cm. per side) is intended to includeexcision of a lesion if this is technique of closureDefect 2.1 to 5 cm.90370 - face or neck ............................................................... 24.51 82.60 4 490372 - other areas ................................................................ 24.51 61.90 4 4Defect 5.1 to 10 cm.90374 - face or neck ............................................................... 24.51 227.10 5 590376 - other areas ................................................................ 24.51 148.60 5 590378 Defect larger than 10 cm. ................................................. 32.68 IC 6 6Rotations, Transpositions, “Z” plasties (includesundermining)Defect less than 2 cm.90382 - face or neck ............................................................... 24.51 183.45 4 490384 - other areas ................................................................ 24.51 122.60 4 4Defect 2.1 to 5 cm.90386 - face or neck ............................................................... 24.51 308.10 4 490388 - other areas ................................................................ 24.51 205.30 4 4Defect 5.1 to 10 cm.90390 - face or neck ............................................................... 32.68 439.90 4 490392 - other areas ................................................................ 32.68 292.70 4 490394 Defect larger than 10 cm. ................................................. 32.68 IC 5 5Pedicle Flaps90398 Small, e.g., cross finger..................................................... 32.68 132.32 4 490400 - each subsequent stage.............................................. 32.68 98.11 4 490402 Intermediate, e.g. cervical finger ....................................... 32.68 291.41 5 590404 - each subsequent stage.............................................. 32.68 221.58 5 590406 Large, e.g., cross leg, deltopectoral, forehead .................. 32.68 413.05 6 690408 - each subsequent stage.............................................. 32.68 309.01 6 690410 Preparation of a contracted recipient site, add to 90402 or90406........................................................................... 24.51 133.73 4 490412 Delay of tube or pedicle..................................................... 24.51 62.65 4 490414 Delay, intermediate flap..................................................... 24.51 131.35 4 490416 Delay, major flap ............................................................... 32.68 289.58 5 5Myocutaneous flaps (to include closure by anymeans)90420 Sternomastoid, tensor fascia lata, gluteus maximus,gracilis, satorius, rectus femoris, gastrocnemius,trapezius ...................................................................... 24.51 613.30 5 590422 Pectoralis major, latissimus dorsi, unilateral rectusabdominus ................................................................... 32.68 734.95 6 690424 Lower transverse rectus abdominus flap........................... 49.02 984.55 8 890426 - repair of abdominal defect - same surgeon.............. 321.0090428 - different surgeon.......... 377.6590430 Myocutaneous - osseous flaps.......................................... 49.02 720.00 8 890432 Other ................................................................................. IC IC 8 8L-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Repair (Cont’d)Skin Grafts (includes taking the skin for grafting)Split Thickness Grafts90440 Very minor, very small areas ............................................. 92.30 4 490442 Minor, medium sized areas, e.g. small or averagevaricose ulcer, breast, etc............................................. 24.51 140.25 4 490444 Intermediate or large areas on the trunk, arms, legs, etc... 32.68 259.10 4 490446 Major or complex areas on the face, neck, hands, etc....... 32.68 527.27 5 590448 Extensive major, very large areas...................................... 32.68 567.95 6 6Full Thickness Grafts90450 Minor - less than 1 cm. average diameter.......................... 93.41 4 490452 Intermediate - 1 to 5 cm. average diameter ....................... 24.51 131.60 4 490454 Major - over 5 cm. ............................................................. 40.85 280.15 6 690456 Complex - eyelid, nose, lip, face ........................................ 32.68 258.25 6 690460 Appendage or tissue revascularization involvingmicroanastomosis with or without micro neuroanastomosis................................................................. IC IC IC IC90462 - revision of above ........................................................ IC IC IC ICStasis Ulcer90464 - with skin graft - per leg ............................................... 24.51 180.00 5 590466 - multiple ligation and skin graft - per leg ...................... 40.85 333.54 5 5Neurovascular Island Transfer90470 - minor, e.g., finger tip................................................... 24.51 129.00 4 490472 - intermediate finger to thumb....................................... 32.68 238.30 5 590474 - major foot to heel........................................................ 32.68 396.00 6 6Free Island FlapsSkin and subcutaneous tissue90490 - elevation and closure of donor site............................. 81.70 765.50 10 1090492 - preparation of microvascular site................................ 810.0090494 - transplant with microvascular anastomosis ................ 810.00Innervated skin and subcutaneous tissue flap90496 - elevation..................................................................... 81.70 900.10 10 1090498 - preparation of site....................................................... 900.1090500 - transplantation............................................................ 841.50Skin and muscle flap90502 - elevation..................................................................... 81.70 765.50 10 1090504 - preparation of site....................................................... 810.0090506 - transplantation............................................................ 765.50Muscle with tendon and nerve90508 - elevation..................................................................... 81.70 1035.55 10 1090510 - preparation of site....................................................... 1035.5590512 - transplantation............................................................ 1035.55L-7

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Repair (Cont’d)Skin Grafts (includes taking the skin for grafting)(Cont’d)Free Island Flaps (Cont’d)Bone flap90514 - elevation .................................................................... 81.70 765.50 10 1090516 - preparation of site...................................................... 810.0090518 - transplantation ........................................................... 900.10Skin and bone flap90520 - elevation .................................................................... 81.70 918.30 10 1090522 - preparation of site...................................................... 918.3090524 - transplantation ........................................................... 918.30Free toe or finger90526 - elevation .................................................................... 81.70 918.30 10 1090528 - preparation of site...................................................... 918.3090530 - transplantation ........................................................... 1080.1090532 Revision of free island flaps .............................................. 81.70 IC 10 1090534 Flaps other than above...................................................... IC IC IC IC90540 Digital reimplantation......................................................... 65.36 1439.40 10 10DestructionFinger or toenail (IOP)Simple, partial or complete90550 - 1................................................................................. 19.17 21.30 4 490552 - multiple ...................................................................... 28.71 31.90 4 4Radical, including destruction of nail bed90554 - 1................................................................................. 47.79 53.1090556 - multiple ...................................................................... 66.69 74.10 4 44 4Chemical and/or cryotherapy treatment of minor skinlesions (IOP)90560 - 1 or more lesions, per treatment................................ 8.91 9.90Plastic planing, dermabrasion - face for acne. Maximumper session equivalent to rate for whole face90576 - forehead or nose or chin or single cheek................... 93.20 4 490578 - both cheeks ............................................................... 189.00 4 490580 - whole face ................................................................. 288.00 4 490582 - single area, e.g., trauma scar .................................... 51.65 4 490584 Rhinophyma, removal by shaving ..................................... 231.40 4 4Webbed Fingers90590 - 1 web space .............................................................. 32.68 267.34 5 5Webbed Toes90596 - 1 web space .............................................................. 32.68 122.83 4 4L-8

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Repair (Cont’d)BurnsResuscitation - major burn90600 - initial 24 hours (IOP)................................................... 102.6490602 - continuing care (up to 3 days) per day, (IOP)............. 51.38For burn care requiring Anaesthesiologist’s and/orassistant’s services, the following fees apply:90610 Minor burns - up to 15% .................................................... 32.68 5 590612 Moderate burns - 16% to 30% .......................................... 49.02 10 1090614 Major burns - more than 30% ........................................... 65.36 15 1590620 Debridement and excision, per % of total body treated(other than hand, head or neck) ................................... 28.60Debridement and excision90622 - hand, each digit.......................................................... 28.6090624 - dorsum palm - each.................................................... 47.6090626- nose, cheek, lip, ear, forehead, scalp, neck, eyelid -each....................................................................... 28.6090640 Grafting of burn, per % of total body treated (other thanhand, head or neck)...................................................... 47.60Graft of burn90644 - hand, each digit.......................................................... 57.1090646 - palm, dorsum - each................................................... 114.3090648 - nose, lip(s) - each....................................................... 190.5590650 - cheek(s) - forehead - each ......................................... 190.5590652 - ear .............................................................................. 190.5590654 - eyelid.......................................................................... 190.5590656 - scalp, less than 10% ................................................ 95.3090658 - up to 50% ........................................................... 238.2090660 - over 50% ............................................................ IC90662 - neck, less than 10% .................................................. 95.3090664 - up to 50% ........................................................... 209.4990666 - over 50% ........................................................... ICSubdermal Birth Control Devices (IOP)90668 - implantation................................................................ 40.0090669 - explantation................................................................ 60.00L-9

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE INTEGUMENTARY SYSTEMPlastic Surgery ProceduresThe setting of fees covering the various procedures of plastic surgery is very difficult, if not an impossible problem. Thecharging of the repair of lacerations by the inch, or of free grafts by the square inch has no legal basis since theimportance of location and function is not considered. Since many procedures are divided into stages which have to beconsidered in assessing a fee, it is felt that all such plastic surgical procedures should be classed by the responsiblespecialist as very minor, minor, intermediate, major, or extensive major. Fees should be charged according to proceduresset forth in the tariff, except in cases which are difficult to define.All claims for plastic surgery procedures must be accompanied by an IC form stating the medical indication for theprocedure and giving a description of the procedure as performed. A copy of the operative report may be forwarded inplace of the description.The minimum fee for each class of plastic surgical procedures is as follows:Spec. G.P.Code G.P. Assist Spec. Anaes. Anaes.90670 Very minor plastic surgery procedures.............................. 97.68 4 490672 Minor ................................................................................. 24.51 148.40 4 490674 Intermediate ...................................................................... 32.68 274.25 4 490676 Major ................................................................................. 32.68 410.57 5 590678 Extensive major................................................................. 32.68 602.04 6 6L-10

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON THE BREASTSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.Incision90680 Needle biopsy - 1 or more (IOP) ........................................ 21.88 24.3190682 Aspiration of cyst - 1 or more (IOP) ................................... 20.07 22.30Drainage of intramammary abscess single ormultiloculated (IOP)90684 - local anaesthetic......................................................... 20.07 22.3090686 - general anaesthetic .................................................... 55.08 61.20 4 4Excision90700 Tumour or tissue for biopsy (single or multiple - samebreast) .......................................................................... 112.15 24.51 124.62 4 490701 - with wire/needle localization.................................add 76.3890702 Partial mastectomy or wedge resection ............................. 24.51 221.10 4 490704 - with radical axillary node dissection .....................add 383.12 2 2Mastectomy - male (benign)90706 - unilateral - simple ....................................................... 24.51 241.20 4 490708 - subcutaneous with nipple preservation ...................... 32.68 265.31 5 5Mastectomy - female (with or without biopsy)90710 - simple......................................................................... 238.78 24.51 265.31 5 590712 - subcutaneous with nipple preservation ...................... 24.51 265.31 5 590714Mastectomy, radical or modified radical (with or withoutbiopsy).......................................................................... 24.51 562.80 6 6RepairPost-mastectomy breast reconstruction90720 - breast mound creation by prosthesis and/or softtissue ..................................................................... 32.68 333.47 5 590724 - breast skin reconstruction by local flaps or grafts....... 32.68 438.58 5 590726 - with breast mound creation by prosthesis and or softtissue ................................................................add 101.7890728 - revision of breast mound ............................................ 24.51 253.40 4 4Nipple-areolar90730 - preservation and tissue banking................................. 24.51 116.57 4 490732 - reimplantation of banked nipple-areola ...................... 24.51 135.99 4 490734 - nipple reconstruction by grafts ................................... 24.51 228.49 4 490740 Reduction mammoplasty (female, to include nippletransplantation or grafting) - unilateral.......................... 40.85 490.10 7 790744 Augmentation mammoplasty - unilateral............................ 32.68 198.92 4 490748 Removal of breast prosthesis and/or fibrous capsule (IOP) 24.51 85.76 4 4Breast capsulotomy, closed (IOP)90750 - no anaesthetic............................................................ 12.2590752 - general anaesthetic .................................................... 24.51 78.68 4 490754 Open capsulectomy with or without replacement of breastprosthesis (IOP) ........................................................... 24.51 194.28 4 490756 Myocutaneous flaps, pectoralis major, latissimus dorsi,unilateral rectus ............................................................ 32.68 729.07 6 6L-11

SURGICAL PROCEDURESApril 1, 2009SURGICAL PREMIUMSSpecial Visit PremiumsPlease see Visit Premiums, 18.2 of the Preamble. Anaesthesiologists, please note that visit premium fees do not applyto maintenance procedural fee codes.After Hours Surgical Procedure PremiumsSurgical procedures that are non-elective, unscheduled and which either require the services of an Anaesthesiologist, orare performed using one of the regional nerve blocks specified in fee code 54150 for local anaesthetic purposes, qualifyfor premiums when commenced between 6:00 p.m. and 7:00 a.m. and on Sundays or Statutory Holidays or areperformed by Specialist Surgeons and commenced between 7:00 a.m. and 6:00 p.m. on Saturdays.Prem Spec. G.P.Code G.P. Assist Spec. Anaes. Anaes01 Procedures that qualify and commence between 6:00 p.m.and midnight or on Sundays or Statutory Holidays or arerendered by Specialist Surgeons between 7:00 a.m. and6:00 p.m. on Saturday............................................... add 30% 30% 30%02 Procedures that qualify and commence between 6:00 p.m.and midnight or on Sundays or Statutory Holidays or arerendered by Specialist Surgeons between 7:00 a.m. and6:00 p.m. on Saturday(Anaesthesiologists only) ....... add 46% 46%03 Procedures that qualify and commence any night betweenmidnight and 7:00 a.m............................................... add 50% 50% 50% 50% 50%K-1

April 1, 2009SURGICAL PROCEDURESSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SPECIAL PROCEDURES90008 Examination under general anaesthesia (when notelsewhere specified and when sole procedure) (IOP).. 28.34 4 490010 Insertion of radium............................................................. 4 490012 General anaesthetic for CAT Scan/MRI ............................ 5 590014 Anaesthetic wake-up test ............................................. add 6 690016 Fibreoptic intubation..................................................... add 10 1090018 One-lung anaesthesia .................................................. add 6 690020 Anaesthesiologist or assistant standby at the request ofthe attending physician (IC).......................................... 24.51 3 390022 Monitoring under IV sedation ............................................. 4 490024 Anaesthesiology additional fee for children under 1 year ofage .........................................................................add 3 390026 Anaesthesiology additional fee for adults 70 or older..add 1 190028 For patients of any age with an incapacitating systemicdisease that is a constant threat to life or to a moribundpatient who is not expected to survive for 24 hours,with or without the operation...................................add 1 190030 For patients undergoing anaesthesia in the prone orsitting position ........................................................add 1 190032 For patients undergoing anaesthesia who weigh less than5 kg ........................................................................add 3 390034 Controlled hypotension................................................add 10 1090036 Malignant hyperthermia set up and management .......add 5 590038 Anaesthesiology management for the emergency relief ofacute upper airway obstruction .................................... 10 1090040 Anaesthetic begun and operation cancelled prior tocommencement of surgery........................................... 24.51 4 4K-2

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesFor rules applicable to billing for Anaesthesiologists’ services including premiums, pleaserefer to the Anaesthesiology Services Section of the PreambleEXTRACTIONS84040 Removal of erupted tooth, uncomplicated procedure............................................................ 4 484044 Surgical removal of erupted tooth, requires elevation of mucoperiosteal flap, and removal ofbone and/or sectioning of tooth...................................................................................... 4 484046 Removal of residual roots - covered by soft tissue............................................................. 4 484050 - covered by bone..................................................................... 4 4EXTRACTION OF IMPACTED TEETH84060 Impaction, requires incision of overlying soft tissue and removal of tooth............................. 4 484062 Impaction, requires incision of overlying soft tissue, elevation of flap, and either removal ofbone or sectioning and removal of tooth ........................................................................ 4 484064 Impaction, requires incision of overlying soft tissue, elevation of flap and removal ofcompletely bone covered tooth ...................................................................................... 4 484066 Impaction, requires incision of overlying soft tissue, elevation of flap, removal of boneand/or sectioning of tooth for removal and/or presents unusual circumstances ordifficulties ....................................................................................................................... 4 4SURGICAL EXPOSURE OF TEETHSurgical exposure84070 - uncomplicated, soft tissue coverage.............................................................................. 4 484072 - complex, hard tissue coverage ...................................................................................... 4 484074 - unerupted tooth with orthodontic attachment................................................................. 4 4SURGICAL MOVEMENT OF TEETH84080 Repositioning, surgical.......................................................................................................... 4 484082 Transplantation - erupted tooth.......................................................................................... 4 484084 - unerupted tooth...................................................................................... 4 44 4REMODELLING AND RECONTOURING ORAL TISSUES84100 Alveoloplasty - in conjunction with extractions ..................................................................... 4 484102 - not in conjunction with extractions ............................................................... 4 4Remodelling of Bone84104 Mylohyoid ridge, remodelling ................................................................................................ 4 484106 Genial tubercles, remodelling ............................................................................................... 4 4Excision of Bone84108 Nasal bone............................................................................................................................ 4 484110 Torus palatinus ..................................................................................................................... 4 484112 Torus mandibularis ............................................................................................................... 4 484114 Removal of Bone, Exostosis, Multiple .............................................................................. 4 484116 Reduction of Bone, Tuberosity.......................................................................................... 4 4J-1

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesREMODELLING AND RECONTOURING ORAL TISSUES (Cont’d)Gingivoplasty and/or Stomatoplasty84120 Gingivoplasty......................................................................................................................... 4 484122 Gingivectomy......................................................................................................................... 4 484124 Excision of vestibular hyperplastic tissue .............................................................................. 4 484126 Surgical shaving of papillary hyperplasia of the palate.......................................................... 4 484128 Excision of pericoronal gingiva (for retained tooth/implant)................................................... 4 4Remodelling Floor of Mouth84130 Full arch lowering of the floor of the mouth ........................................................................... 10 10Vestibuloplasty84132 Submucosal, uncomplicated ................................................................................................. 4 484134 Secondary epithelialization, uncomplicated........................................................................... 4 484136 Vestibuloplasty - with labial inverted flap (secondary epithelialization, complicated)........... 5 584138 - with skin graft............................................................................................ 5 584140 - with mucosal graft..................................................................................... 5 5Alveolar Ridge Reconstruction84142 Alveolar ridge reconstruction, with autogenous bone/arch.................................................... 10 1084144 Ceramic grafting.................................................................................................................... 4 4TESTS, HISTOLOGICAL84150 Biopsy - soft oral tissue, by incision ...................................................................................... 4 484152 - hard oral tissue, by incision..................................................................................... 4 4SURGICAL EXCISIONSSurgical Excision, Tumours, Benign84160 Tumours, benign, scar tissue, inflammatory or congenital lesions of soft tissue- less than 2 cm. ............................................................................................................. 4 484162 - over 2 cm. .................................................................................................................... 4 484164 Tumours, benign, bone tissue - less than 2 cm. .................................................................. 4 484166 - over 2 cm. ......................................................................... 5 584168 Extra large lesions over 3 cm. or complicated....................................................................... 5 5Surgical Excisions, Tumours, Malignant84170 Tumours, malignant, soft tissue - less than 2 cm. .............................................................. 4 484172 - over 2 cm. ...................................................................... 4 484174 Tumours, malignant, bone tissue - less than 3 cm. ........................................................... 5 584176 - 3 to 6 cm. ................................................................... 5 584178 Large Lesions over 6 cm. or complicated.............................................................................. 10 10Cheiloplasty (lip shave)84180 Cheiloplasty - partial ........................................................................................................... 4 484182 - total .............................................................................................................. 4 484190 Grafts, bone, to the jaw....................................................................................................... 10 10J-2

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesSURGICAL EXCISIONS (Cont’d)Augmentations, Prosthetic, of the Jaw84200 Implantation of intraosseous prosthesis (continuity defect)................................................... 10 1084202 Removal of intraosseous prosthesis ..................................................................................... 4 484204 Augmentation of the chin ...................................................................................................... 4 4Surgical Excision of Cysts/Granulomas84210 Less than 2 cm. ................................................................................................................... 4 484212 Over 2 cm. .......................................................................................................................... 4 484214 Cyst, complicated (over 6 cm.) ............................................................................................. 5 584216 Marsupialization.................................................................................................................... 4 4SURGICAL INCISIONSSurgical Incision and Drainage and/or Exploration, Intraoral84220 Intraoral surgical exploration, soft tissue............................................................................... 4 484222 Intraoral abscess - soft tissue ............................................................................................. 4 484224 - in major anatomical area with drain ...................................................... 5 5Surgical Incision and Drainage and/or Exploration, Extraoral84230 Extraoral abscess - superficial, soft tissue.......................................................................... 4 484232 - deep, soft tissue, with drain................................................................ 5 5Surgical Incision for Removal of Foreign Bodies84240 From skin or subcutaneous alveolar tissue........................................................................... 4 484242 Of reaction-producing foreign bodies.................................................................................... 4 484244 Of needle from musculoskeletal system ............................................................................... 4 4Sequestrectomy (for Osteomyelitis)84250 Sequestrectomy - for osteomyelitis.................................................................................... 7 784252 - and saucerization ................................................................................. 7 784254 Extraoral sequestrectomy (complicated)............................................................................... 7 7Mandibulectomy84260 - partial (3-6 cm.) ............................................................................................................. 4 484262 - hemi (6-12 cm.) ............................................................................................................. 5 584264 - total (more than 12 cm.)................................................................................................. 7 7Maxillectomy84270 - partial (3-6 cm.) ............................................................................................................. 4 484272 - hemi (6-12 cm.) ............................................................................................................. 5 584274 - total (more than 12 cm.)................................................................................................. 7 7Apicoectomy84280 Apicoectomy and/or apical curettage - 1 root .................................................................... 4 484282 - 2 roots .................................................................. 4 484284 - 3 roots or more ..................................................... 4 4J-3

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesTREATMENT OF FRACTURES84300 Intermaxillary fixation............................................................................................................. 5 584302 Intramaxillary suspension (wiring) ......................................................................................... 5 584304 Circumzygomatic wiring ........................................................................................................ 5 584306 Removal of wire, plate and screw.......................................................................................... 5 584308 Removal if intermaxillary fixation........................................................................................... 5 584310 Occlusal equilibration ............................................................................................................ 5 5Fractures, Reduction, Mandible84330 - closed (simple) ............................................................................................................. 5 584332 - open (simple)................................................................................................................ 5 584334 - open (multiple).............................................................................................................. 5 5Fractures, Reduction, MaxillaHorizontal, LeFort I84340 - closed (simple)............................................................................................................... 5 584342 - open (simple) ................................................................................................................ 6 684344 - open (multiple) ............................................................................................................... 6 684346 Compound fracture of maxilla (requiring reduction and soft tissue repair) ............................ 8 8Pyramidal, LeFort II84350 - closed (simple)............................................................................................................... 5 584352 - open (unilateral) ............................................................................................................. 8 884354 - open (bilateral) ............................................................................................................... 8 8Fractures, Reduction, Naso-orbital84360 - closed (simple)............................................................................................................... 5 584362 - open (single) .................................................................................................................. 5 584364 - open (multiple) ............................................................................................................... 6 6Fractures, Reduction, Malar Bone84370 - closed (simple)............................................................................................................... 5 584372 - open (simple) ................................................................................................................. 5 584374 - open, complicated, orbit involved................................................................................... 6 6Fractures, Reduction, Zygomatic Arch84380 - closed............................................................................................................................. 5 584382 - open............................................................................................................................... 5 5Fractures, Reduction, Craniofacial Dysfunction, LeFort III Transverse84390 - closed............................................................................................................................. 5 584392 - open............................................................................................................................... 10 10Fractures, Reduction, Alveolar84400 Fracture, alveolar, debride, teeth removed - no fixation ....................................................... 4 484402 Reduction, alveolar - closed, with teeth............................................................................... 4 484404 - open, with teeth ............................................................................... 4 484406 Replantation, avulsed tooth................................................................................................... 4 484410 Repositioning of traumatically displaced teeth ...................................................................... 4 484412 Repairs, lacerations - uncomplicated, 5 cm. or less ............................................................. 4 484414 - complicated, up to 5 cm. .................................................................. 4 484416 - complicated, over 5 cm. ................................................................... 4 4J-4

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesTREATMENT OF MAXILLOFACIAL DEFORMITIESOsteotomy, Ostectomy, Ramus of Mandible84426 Osteotomy - unilateral.......................................................................................................... 8 884428 - subcondylar, closed......................................................................................... 10 1084430 - subcondylar, open........................................................................................... 10 1084432 - ramus, oblique, extraoral................................................................................. 10 1084434 - ramus, oblique, intraoral.................................................................................. 10 1084436 Osteotomy/ostectomy body of mandible............................................................................... 10 1084438 Osteotomy - coronoidectomy............................................................................................... 5 584440 - condylar neck .................................................................................................. 10 1084442 - saggital split..................................................................................................... 10 10Osteotomy, Miscellaneous84444 - oblique with bone graft................................................................................................... 10 1084446 - inverted “L” ................................................................................................................... 10 1084448 - “C”.................................................................................................................................. 10 10Osteotomy, Maxilla84450 Osteotomy - maxilla, LeFort I............................................................................................... 20 2084452 - maxilla, LeFort II.............................................................................................. 20 2084454 - maxilla, LeFort III............................................................................................. 20 2084464 Closure or cleft fistula - alveolar.......................................................................................... 4 484466 - palatal............................................................................................ 6 684468 Pharyngoplasty ................................................................................................................... 8 884470 Submucous resection ........................................................................................................... 4 4Osteotomy, Maxilla/Mandible, SegmentalMaxilla84480 Osteotomy, segmental - anterior .......................................................................................... 10 1084482 - posterior ........................................................................................ 10 1084484 Osteotomy, midpalate split - anterior ................................................................................... 10 1084486 - complete................................................................................. 10 10Mandible84488 Osteotomy, segmental - anterior with transfer of mental eminence...................................... 10 1084490 - anterior without transfer of mental eminence................................. 10 1084492 - posterior ........................................................................................ 10 1084494 Osteotomy, lower border, mandible ...................................................................................... 10 1084496 Osteotomy, total dento-alveolar ............................................................................................ 10 10Osteotomy, with “Interpositional Graft”84500 - using bone..................................................................................................................... 10 1084502 - using alloplast................................................................................................................ 10 1084504 - using cartilage ............................................................................................................... 10 10Genioplasty84510 Genioplasty - sliding........................................................................................................... 10 1084512 - reduction...................................................................................................... 10 1084514 - augmentation with graft ............................................................................... 10 1084516 Myotomy, suprahyoid............................................................................................................ 10 10J-5

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesTREATMENT OF MAXILLOFACIAL DEFORMITIES (Cont’d)Miscellaneous Treatment of Maxillofacial Deformities84520 Corticotomy, per 9 cuts ......................................................................................................... 10 1084522 Interdental septotomy............................................................................................................ 4 484524 Surgical expansion of the palate ........................................................................................... 8 8Palatorraphy84530 Palatorraphy - anterior (closure of palatine fissure) ............................................................. 8 884532 - posterior ....................................................................................................... 8 884534 - total .............................................................................................................. 8 884536 - with bone graft separate............................................................................... 8 884538 - with bone graft to anterior alveolar ridge separate ....................................... 8 8Frenectomy84540 Frenectomy ........................................................................................................................... 4 484542 Frenoplasty ........................................................................................................................... 4 4Glossectomy84550 Glossectomy - partial, anterior wedge.................................................................................. 8 884552 - full postero-anterior wedge........................................................................... 8 8Cleft Surgery84560 Primary unilateral cleft lip repair ............................................................................................ 8 884562 Secondary unilateral cleft lip repair ....................................................................................... 8 884564 Primary bilateral cleft lip repair .............................................................................................. 8 884566 Secondary bilateral cleft lip repair ......................................................................................... 8 884568 Reconstruction of cleft lip with lip switch flap......................................................................... 8 884570 Complex reconstruction or revision of cleft lip ....................................................................... 8 884572 Closure of alveolar cleft......................................................................................................... 8 8Oronasal Fistula84580 Primary closure at time of initial surgery................................................................................ 4 484582 Secondary closure - with palatal flap.................................................................................. 4 484584 - with pharyngeal flap........................................................................... 4 484586 - with tongue flap ................................................................................. 4 484588 - with buccal flap.................................................................................. 4 4TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTIONSTMJ, Dislocation, Management84600 TMJ, dislocation - open reduction (exposure of joint) ............................................................ 5 584602 - closed reduction, uncomplicated .............................................................. 4 484604 - closed reduction under general anaesthetic ............................................. 4 484608 TMJ, luxation reduction, under general anaesthetic.............................................................. 4 484610 TMJ, manipulation under general anaesthesia...................................................................... 4 484612 TMJ, fixation (arch bars)........................................................................................................ 5 5TMJ, Capsule, Management of84616 Menisectomy ......................................................................................................................... 5 584618 Capsulorraphy....................................................................................................................... 5 584620 Myotomy, lateral pterygoid muscle........................................................................................ 5 584622 Plication, posterior attachment of the disk of the TMJ, in cases of internal derangement ..... 5 5J-6

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesTREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTIONSTMJ, Condylar, Surgical84626 Condylectomy ....................................................................................................................... 5 584628 Condylotomy......................................................................................................................... 5 584630 Osteotomy, oblique, with silastic interposition for ankylosis (graft) ....................................... 10 10TMJ, Articular Eminence, management of84634 Reconstruction of the glenoid fossa, zygomatic arch and temporal bone (Obwegesertechnique) ...................................................................................................................... 5 584636 Articular eminence, arthroplasty ........................................................................................... 5 5TMJ, Arthrocentesis84640 Puncture and aspiration........................................................................................................ 4 4TMJ, Management by Injection84644 Anti-inflammatory drugs........................................................................................................ 4 484646 With sclerosing agent............................................................................................................ 4 4TMJ Appliance Splints (for use ONLY in post surgical cases)84650 Maxillary................................................................................................................................ 5 584652 Mandibular............................................................................................................................ 5 584654 Occlusal adjustment.............................................................................................................. 5 5TREATMENT OF SALIVARY GLANDS84670 Salivary duct - dilation ......................................................................................................... 4 484672 - insertion of polyethylene tube ...................................................................... 4 484674 - sialodochoplasty .......................................................................................... 4 484676 - reconstruction .............................................................................................. 4 484678 - sialolithotomy anterior 1/3 of canal .............................................................. 4 484680 - sialolithotomy posterior 2/3 of canal............................................................. 4 484682 - external approach ........................................................................................ 4 484684 Excision - submandibular gland........................................................................................... 4 484686 Excision - sublingual gland.................................................................................................. 4 484688 Excision - mucocele ............................................................................................................ 4 484690 Excision - ranula.................................................................................................................. 4 484692 Marsupialization of ranula..................................................................................................... 4 484694 Salivary gland removal, parotid............................................................................................. 4 4NEUROLOGICAL DISTURBANCESTrigeminal Nerve84700 Injection for destruction......................................................................................................... 4 484702 Avulsion at periphery ............................................................................................................ 4 484704 Alcoholization of a branch..................................................................................................... 4 484706 Infiltration of a branch for diagnosis ...................................................................................... 4 4Inferior Dental Nerve84716 Complete avulsion ................................................................................................................ 4 4J-7

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesNEUROLOGICAL DISTURBANCES (Cont’d)Surgery84720 Injured nerve repair - primary .............................................................................................. IC IC84722 - secondary.......................................................................................... IC IC84724 Neural transposition and decompression .............................................................................. IC IC84726 Implantation of electrode for peripheral nerve stimulation..................................................... IC IC84728 Excision of tumour or neuroma.............................................................................................. 4 484732 Nerve repair with graft........................................................................................................... IC ICANTRAL SURGERYRecovering Foreign Bodies84740 Immediate recovery of dental root or foreign body from the antrum...................................... 4 484742 Immediate closure of antrum by another dental surgeon ...................................................... 4 484744 Delayed recovery of a dental root with oral antrostomy......................................................... 4 484746 Antral surgery with nasal antrostomy .................................................................................... 4 4Oro-antral Fistula Closure (same session)84758 Closure - with buccal flap.................................................................................................... 4 484760 - with gold plate ..................................................................................................... 4 484762 - with palatal flap.................................................................................................... 4 4Oro-antral Fistula Closure (subsequent session)84766 Closure - with buccal flap.................................................................................................... 4 484768 - with gold plate ..................................................................................................... 4 484770 - with palatal flap.................................................................................................... 4 4HAEMORRHAGE CONTROL84780 Secondary haemorrhage control ........................................................................................... 4 484782 Haemorrhage control - using compression and haemostatic agent.................................... 4 484784 - using haemostatic substances and sutures (includes removal ofbony tissues if necessary)........................................................... 4 4GRAFTS, SURGICALHarvesting of Intraoral Tissue for Grafting to Operative Site84800 Bone...................................................................................................................................... 4 484802 Cartilage................................................................................................................................ 4 4Harvesting of Extraoral Tissue for Grafting to Operative Site (to include illium, rib,etc.)84820 Bone...................................................................................................................................... 4 484822 Cartilage................................................................................................................................ 4 4EMERGENCY PROCEDURES84850 Tracheotomy ......................................................................................................................... 5 584852 Crico-thyroidotomy ................................................................................................................ 5 5J-8

CodeANAESTHESIA FOR SURGICAL DENTAL PROCEDURSApril 1, 2009Spec. G.P.Anaes AnaesSPECIAL PROCEDURES84920 Anaesthetic standby at the request of the attending physician ............................................. 3 384922 Monitoring under IV sedation ................................................................................................ 4 484926 Anaesthetic additional fee for adults 70 or older............................................................. add 1 184930 For patients undergoing anaesthesia in the prone or sitting position .................................... 1 184934 Controlled hypotension ................................................................................................... add 10 10J-9

OBSTETRICSApril 1, 2009Spec. G.P.Code G.P. Assist Spec. Anaes. Anaes.OBSTETRICAL CARE80002 Multiple births - each child extra..................................... 56.57 62.8680004 Delivery .......................................................................... 448.49 448.4980006 Vaginal birth following a Caesarean Section............add 24.33 27.0380007 Premium on deliveries occurring between 6:00 p.m. andmidnight .................................................................... 75.00 No Fee80008 Premium on deliveries occurring between midnight and7:00 a.m. .................................................................. 125.00 125.00This premium is not chargeable in addition to theobstetrical fee(s) if labour is induced by medical and/orsurgical means by the same physician unless the reasonfor the induction is foetal distress, diabetes, pre-maturerupture of membrane, severe pre-eclampsia -hypertension or abruption.A forewater ARM or oxytocin augmentation of labourcarried out on a patient in desultory labour does notconstitute induction.80010 Post-natal care in hospital.............................................. 32.00 34.8080012 Post-natal care in office.................................................. 13.50 17.0080014 Attendance at labour (may be claimed in addition tosubsequent assist at Caesarean Section or otheroperative delivery...................................................... 423.10 No Fee80016 Attendance at delivery.................................................... 44.91High risk pregnancies80018 Fetal Doppler arterial flow frequency analysis (IOP) ...... 15.0080020 Fetoscopy (may include fetal blood sample, cell harvestor amniocentesis) (IOP) ............................................ 146.1080024 Double set up examination to rule out placenta previa -patient subsequently allowed to labour (samephysician).................................................................. 50.0080026 Double set up - trial of forceps - failed leading toCaesarean Section (same physician)........................50.0080028 Chorionic villus sampling (IOP) ...................................... 81.6080030 Application of scalp electrode in high risk pregnancy..... 15.16 16.8480032 Insertion of intrauterine catheter..................................... 16.8480034 Foetal scalp blood sampling........................................... 27.00 30.00I-1

OBSTETRICSApril 1, 2009Spec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ANAESTHESIOLOGY80040 Anaesthesia for delivery .................................................... 5 580042 Continuous conduction anaesthesia for labour, introductionof catheter......................................................................... 5 580044 Maintenance of continuous conduction anaesthesia (1 unitfor each subsequent injection or ¼ hour of maintenance,maximum of 12 units) per unit............................................ 1 180046If the patient has an operative delivery, a maximum of 12one-quarter hour units for epidural prior to delivery, plus theunits of time for the delivery, plus, if necessary, anothermaximum of 12 one-quarter hour epidural units postdelivery,are payable for management of pain. (Claim ICwhen total epidural/anaesthetic time units in the abovecombination exceed 12).Anaesthesiologist called to attend obstetrical deliverywithout participation (IC)...............................................Anaesthesiology Notes re delivery following epidural:1. The subsequent operative delivery or delivery byCaesarean Section is considered to constitute aseparate anaesthetic procedure.2. Time units for the subsequent delivery will be consideredas additional to the total number of quarter-hour units ofepidural anaesthetic and payable at double the time unitrate when in excess of 2 hours anaesthetic time.4units+timeI-2

OBSTETRICSApril 1, 2009Spec. G.P.Code G.P. Assist Spec. Anaes. Anaes.OPERATIVE DELIVERY, excluding low or outletforceps delivery81002 - Caesarean Section with or without sterilization,procedure and post-operative care only ................ 449.50 49.02 499.45 6 681004 - Caesarean Section, plus hysterectomy ..................... 527.33 49.02 585.93 8 881006 - Operative delivery - other than Caesarean Section... 435.93 49.02 484.37 5 581008 Premium on Caesarean Sections and operative deliveriesoccurring between midnight and 7:00 a.m. .................. 125.00 125.00This premium is not chargeable in addition to theobstetrical fee(s) if labour is induced by medical and/orsurgical means by the same physician unless the reasonfor the induction is foetal distress, diabetes, prematurerupture of membrane, severe pre-eclampsia -hypertension or abruption.A forewater ARM or oxytocin augmentation of labourcarried out on a patient in desultory labour does notconstitute induction.I-3

OBSTETRICSApril 1, 2009Spec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SURGICAL OBSTETRICSInductionNotes:1. Only the first induction may be claimed per patient perpregnancy, regardless of the number of attempts atinduction or the number of physicians involved.2. Induction is only payable when the physicians who billfor induction and delivery (other than CaesareanSection) are in different specialties.3. Induction cannot be claimed by the physician who billsfor delivery (other than Caesarean Section).81010 Surgical induction of labour............................................... 28.07 3 381012 Medical induction of labour (oxytocin infusion).................. 42.44 47.15Abortion- complete - under 20 weeks VF VF81014 - D&C for incomplete abortion (IOP)............................. 58.50 65.00 4 481016 - therapeutic ................................................................. 112.78 131.91 4 481018 Amniocentesis (IOP) ......................................................... 51.9081020Hysterotomy - abdominal or vaginal with or withoutsterilization ................................................................... 49.02 194.10 6 681022 Missed abortion, with or without intra-uterine hypertonicsolution.........................................................................131.91 4 481024 Repair of third degree laceration ....................................... 69.61 4 481026 Repair of vaginal laceration and/or large haematoma....... 42.44 47.15 4 481028 Retained placenta removal................................................ 42.44 47.15 4 4Fee codes 81024, 81026 and 81028 are not payable tothe same physician in addition to the delivery fee.81030 Ectopic pregnancy............................................................. 181.98 49.02 202.20 6 681032 Suture of incompetent cervix during pregnancy ................ 111.15 24.51 123.50 4 481034 Emergency removal of sutures (except at delivery)........... 4 481036 Sterilization - post partum (same physician), in addition todelivery and post partum fee ........................................ 49.02 114.50 6 681038 Uterine inversion, manual replacements ........................... 95.43 4 4I-4

April 1, 2009NUCLEAR MEDICINECodeRateFee code items which read “with computer data manipulation” may be claimed in addition to precedingfee code item(s) if quantification or data manipulation is carried out in addition to visual inspection ofimaging studies. Such activity must add significant diagnostic information not available by inspectionalone and does not include simple image enhancement techniques such as smoothing, backgroundsubtraction, etc. Recording of images on video tape for replay and production of images on the videodisplay of a computer do not in themselves justify claims for “computer data manipulation”.Cardiovascular System75000 Venography - peripheral and superior vena cava .................................................................................. 41.2875001 - with computer data manipulation................................................................................................ add 12.2275002 First transit without blood pool images................................................................................................... 16.3175003 First transit with blood pool images........................................................................................................ 32.6075004 - when done in conjunction with an organ scan.................................................................................. 16.3175005 - with computer data manipulation............................................................................................... add 9.7875006 Cardioangiography - first pass for shunt detection, cardiac output and transit studies .......................... 58.62Myocardial perfusion scintigraphy75007 - immediate post stress ...................................................................................................................... 53.9175008 - delayed............................................................................................................................................. 28.6975009 - with computer data manipulation................................................................................................ add 23.0975010 Myocardial scintigraphy - acute infarction injury..................................................................................... 41.2875011 Myocardial wall motion studies .............................................................................................................. 57.3075012 - repeat same day (max. of 3 repeats) ............................................................................................... 28.6975013 Myocardial wall motion studies with ejection fraction ............................................................................. 89.8075014 - repeat same day (max. of 3 repeats) ............................................................................................... 43.9875015 - with computer data manipulation................................................................................................ add 26.0275016 Detection of venous thrombosis with radioiodinated fibrogen - up to 10 days........................................ 43.9875018 Intravenous Dipyridamole Stress test- includes monitoring time spent with the patient by the Nuclear Medicine Physician (EKGinterpretation payable in addition).............................................................................................. 25.33Endocrine System75020 Adrenal scintigraphy with iodocholesterol .............................................................................................. 66.1575021 - with iodocholesterol and dexamenthasone suppression .................................................................. 66.1575022 - with MIBG......................................................................................................................................... 58.62Thyroid uptake75023 - initial................................................................................................................................................. 21.2675024 - repeat............................................................................................................................................... 10.63Thyroid scintigraphy75025 - with TC99m or I-131......................................................................................................................... 38.6075026 - with I-123.......................................................................................................................................... 43.60Parathyroid scintigraphy75027 - dual isotope technique with T1201 and TC99m iodine..................................................................... 73.2875028 - with computer data manipulation................................................................................................ add 21.9975029 Metastatic survey with I-131................................................................................................................... 61.62Gastrointestinal System75034 C15 breath test for Helicobacter pylori................................................................................................... 17.13Schilling test75035 - single isotope ................................................................................................................................... 17.9675036 - dual isotope...................................................................................................................................... 16.01Malabsorption test75037 - with C14 substrate ........................................................................................................................... 17.9675038 - with whole body counting ................................................................................................................. 22.54H-1

April 1, 2009NUCLEAR MEDICINECodeRateGastrointestinal System (Cont’d)75039 Gastrointestinal protein loss ................................................................................................................... 26.8875040 Gastrointestinal blood loss Cr51............................................................................................................. 12.0475041 Calcium absorption - Ca45..................................................................................................................... 12.0475042 Calcium47 absorption/excretion ............................................................................................................. 43.9875043 Esophageal motility studies - 1 or more.................................................................................................. 123.3075044 Gastrointestinal transit............................................................................................................................ 51.1275045 Gastroesophageal reflux ........................................................................................................................ 49.6075046 Gastroesophageal aspiration.................................................................................................................. 33.10Abdominal scintigraphy for gastrointestinal bleed75047 - TC99m sulphur colloid or TC04 ........................................................................................................ 40.0675048 - labelled RBCs................................................................................................................................... 55.6475049 - LeVeen shunt potency...................................................................................................................... 43.9875050 Biliary scintigraphy.................................................................................................................................. 69.7375051 Liver/spleen scintigraphy........................................................................................................................ 40.0675053 Salivary gland scintigraphy..................................................................................................................... 32.6075054 With computer data manipulation .....................................................................................................add 14.66Genitourinary System75060 Dynamic renal imaging........................................................................................................................... 73.2875061 Computer renal function (includes first transit) ....................................................................................... 73.2875062 - repeat after pharmacological intervention......................................................................................... 21.0275063 Static renal scintigraphy ......................................................................................................................... 13.3175064 ERPF by blood sample method.............................................................................................................. 10.6375065 GFR by blood sample method................................................................................................................ 21.6075066 Cystography for vesicoureteric reflux ..................................................................................................... 32.6075067 Testicular and scrotal scintigraphy (includes first transit) ....................................................................... 55.9375068 With computer data manipulation .....................................................................................................add 21.99Hematopoietic System75069 Plasma volume....................................................................................................................................... 8.9975070 Red cell volume...................................................................................................................................... 8.9975071 Ferrokinetics - clearance, turnover and utilization .................................................................................. 42.0875072 Red cell, white cell or platelet survival.................................................................................................... 26.0275073 Red cell survival with serial surface counts ............................................................................................ 35.9575074 Bone marrow scintigraphy 64.6875075 Single site............................................................................................................................................... 47.8875076 In-III leukocyte scintigraphy - whole body............................................................................................. 69.2175077 - single site 54.1175078 Indium-CL scintigraphy........................................................................................................................... 47.8875079 With computer data manipulation .....................................................................................................add 13.43Musculoskeletal System75080 Bone scintigraphy - general survey ..................................................................................................... 61.3875081 - single site ............................................................................................................. 47.0075082 Gallium scintigraphy - general survey.................................................................................................. 65.1975083 - single site ......................................................................................................... 56.3975084 Bone mineral density, by single photon method..................................................................................... 10.6375085 Total bone calcium - neutron activation.................................................................................................. 75.1875086 Bone mineral content by dual photon absorptiometry - single site ....................................................... 43.4575087 - 2 or more sites................................................ 55.0075088 With computer data manipulation .....................................................................................................add 15.11H-2

April 1, 2009NUCLEAR MEDICINECodeRateNervous SystemCSF circulation75090 - with TC99 m or I-131 HSA ............................................................................................................... 54.4275091 - with Indium-III................................................................................................................................... 57.2875092 - via shunt puncture............................................................................................................................ 61.6275093 Brain scintigraphy .................................................................................................................................. 38.6075094 - cerebral blood flow study............................................................................................................ add 19.8875095 - with computer data manipulation................................................................................................ add 14.6675096 HMPAO regional brain perfusion with SPECT ....................................................................................... 67.92Respiratory System75100 Perfusion lung scintigraphy.................................................................................................................... 46.6675101 Ventilation lung scintigraphy .................................................................................................................. 46.6675102 Perfusion and ventilation scintigraphy - same day................................................................................. 88.3775103 With computer data manipulation..................................................................................................... add 10.99Miscellaneous75200 Radionuclide lymphangiogram............................................................................................................... 69.2675201 Ocular tumor localization........................................................................................................................ 77.2575202 Tear duct scintigraphy............................................................................................................................ 55.9575203 Total body counting................................................................................................................................ 62.6775205 Other scan (approved but not currently listed) .................................................................................... 55.9575206 With computer data manipulation..................................................................................................... add 10.99SPECT75210 SPECT - Single Photon Emission Computerized Tomography.............................................................. 34.3375212 SPECT - with transmission attenuation correction................................................................................. 45.32Notes: 1. SPECT includes quantification and data manipulation.2. The specific organ or system imaged can be claimed using the applicable fee code inaddition to 75210 or 75212.3. Only one of 75210 and 75212 can be claimed for SPECT imaging.Special Visit Premiums75227 Daytime special visit (Monday to Saturday) ........................................................................................... 31.5775228 Evening (6 p.m. to midnight) and Sunday and Statutory Holidays ......................................................... 105.2375229 Night (midnight to 8 a.m.)....................................................................................................................... 157.85Note: The above special visit premiums are payable in addition to nuclear medicine fees, however,only one premium per trip is payable regardless of the number of services provided.Therapy using RadioisotopesThe rate listed includes treatment planning, dosage calculation and preparation of materials.Appropriate visit and procedural benefits (e.g., paracentesis) may be claimed in addition. Thyroidbenefits (75250, 75251 and 75252) include administration(s) within any 3 month period.75250 Thyroid malignancy................................................................................................................................ 87.8075251 Hyperthyroidism ..................................................................................................................................... 79.8175252 Induction of hypothyroidism ................................................................................................................... 79.8175255 Prostate malignancy .............................................................................................................................. 79.8175256 Polycythaemia........................................................................................................................................ 45.5775257 Metastatic disease of bone .................................................................................................................... 72.6375260 Ascites and/or pleural effusion(s) due to malignancy............................................................................. 56.8675261 Arthritis - single or multiple site .............................................................................................................. 37.5175262 Metastatic disease with radioactive lymphogram................................................................................... 56.86H-3

April 1, 2009RADIOLOGYCodeRateGENERAL RADIOLOGYHead and Neck70100 Skull - routine (includes Towne’s views) ................................................................................................ 13.5370101 Sella turcica ........................................................................................................................................... 6.7770110 Facial bones........................................................................................................................................... 10.8470111 Nose....................................................................................................................................................... 6.7770112 Mandible ................................................................................................................................................ 8.1370113 Temperomandibular joints...................................................................................................................... 10.8470120 Sinuses .................................................................................................................................................. 9.5070121 Mastoids - acute.................................................................................................................................. 10.8470122 - chronic ............................................................................................................................... 10.8470130 Teeth - up to ¼ set................................................................................................................................ 2.7370131 - up to ½ set ................................................................................................................................ 6.0970132 - full set .......................................................................................................................... 12.1870133 - bitewing..................................................................................................................................... 4.0570140 Eye, for foreign body.............................................................................................................................. 12.1870141 - for localization (stereo-optics), additional......................................................................................... 24.1170142 Optic foramina........................................................................................................................................ 9.5070150 Salivary gland region.............................................................................................................................. 8.1370160 Neck for soft tissues............................................................................................................................... 8.1370170 Internal auditory canal............................................................................................................................ 10.8470190 Special additional view of any head and neck item................................................................................ 2.89Spine and Pelvis70200 Cervical spine ........................................................................................................................................ 13.5370210 Thoracic spine........................................................................................................................................ 13.5370220 Lumbar or lumbosacral spine................................................................................................................. 13.5370225 Sacrum and/or coccyx............................................................................................................................ 6.7770230 Pelvis - single view................................................................................................................................. 8.1370235 Pelvis and hips....................................................................................................................................... 10.8470240 Sacroiliac joints ...................................................................................................................................... 8.1370245 Spine - scoliosis series........................................................................................................................... 21.6470250 Ribs - unilateral ................................................................................................................................... 8.1370251 - for bilateral, extra ...................................................................................................................... 5.4270260 Sternum ................................................................................................................................................. 8.1370270 Special additional view of any spine and pelvis item.............................................................................. 2.89Extremities70300 Clavicle .................................................................................................................................................. 8.1370301 Sternoclavicular joint.............................................................................................................................. 8.1370303 Acromioclavicular joints - bilateral (with or without weighted distraction) ............................................... 8.1370310 Shoulder................................................................................................................................................. 8.1370320 Scapula.................................................................................................................................................. 8.1370330 Humerus ................................................................................................................................................ 8.1370331 Elbow .................................................................................................................................................... 8.1370332 Ulna and radius...................................................................................................................................... 8.1370333 Wrist .................................................................................................................................................... 8.1370334 Wrist and Hand ...................................................................................................................................... 8.1370335 Hand .................................................................................................................................................... 8.1370336 Finger .................................................................................................................................................... 5.4170337 Thumb, including metacarpals ............................................................................................................... 6.7770338 Scaphoid................................................................................................................................................ 8.1370350 Hip .................................................................................................................................................... 8.1370351 Hip pinning, interpretation only............................................................................................................... 8.13G-1

April 1, 2009RADIOLOGYCodeRateGENERAL RADIOLOGY (Cont’d)Extremities (Cont’d)70352 Femur..................................................................................................................................................... 8.1370353 Orthoroentgenogram .............................................................................................................................. 10.8470360 Knee (including patella).......................................................................................................................... 10.6570364 Tibia and fibula....................................................................................................................................... 8.1370366 Ankle ...................................................................................................................................................... 8.1370368 Calcaneous ............................................................................................................................................ 8.1370370 Foot ........................................................................................................................................................ 8.1370380 Toe ......................................................................................................................................................... 5.4170390 Special additional view of any item in the section headed “extremities” ............................................. 2.8970395 Post reduction check ........................................................................................................................... 8.13Skeletal SurveysSkeletal survey for bone age70430 - single film.......................................................................................................................................... 6.7770431 - 2 or more films or views.................................................................................................................... 10.84Other Surveys70440 - basic for rheumatoid survey.............................................................................................................. 3.1270450 - basic for metabolic survey ................................................................................................................ 3.1270460 - basic for metastatic survey ............................................................................................................... 3.1270465 - plus per film or view for either of the above ...................................................................................... 3.12Chest70501 Single film............................................................................................................................................... 5.8270502 2 views ................................................................................................................................................... 8.7170503 3 or more views ...................................................................................................................................... 11.5970520 Mammography - unilateral.................................................................................................................. 17.6070522 - bilateral.................................................................................................................... 27.9970525 Screening mammography program ........................................................................................................ 16.79NOTE:Fee code 70525 should be claimed for screening mammograms performed at either theHealth Care Corporation in St. John’s or at the James Paton Memorial Hospital as part ofthe screening program established by the Department of Health and Community Services.All other mammograms performed and reported at these and other sites should continue tobe billed as either fee code 70520 or 70522.Abdomen70600 Survey film (not to be billed in addition to 70601)................................................................................... 8.1370601 Additional film studies (acute abdomen)................................................................................................. 9.5070610 Oesophagus ........................................................................................................................................... 21.0170620 Stomach and duodenum ........................................................................................................................ 28.7570621 Stomach and duodenum with small intestinal series .............................................................................. 41.6170625 Small bowel only .................................................................................................................................... 23.2170626 Upper GI - double contrast ..................................................................................................................... 39.5770630 Colon - barium enema............................................................................................................................ 27.0670631 - with air study ............................................................................................................................. 42.5370634 Defecography ......................................................................................................................................... 25.4570640 Cholecystogram ..................................................................................................................................... 10.8470645 T-Tube cholangiogram ........................................................................................................................... 21.6470650 Operative cholangiogram, interpretation only......................................................................................... 10.8470651 Intravenous cholangio - tomography ...................................................................................................... 16.2670652 Intravenous cholangiogram .................................................................................................................... 16.26G-2

April 1, 2009RADIOLOGYCodeRateGENERAL RADIOLOGY (Cont’d)GU Tract70700 Survey film ............................................................................................................................................. 8.1370705 Retrograde pyelogram ........................................................................................................................... 10.8470710 Intravenous pyelogram........................................................................................................................... 23.1170714 - with nephrotomogram....................................................................................................................... 69.2970721 Diuretic washout or infusion IVP ............................................................................................................ 69.2970724 - with nephrotomogram....................................................................................................................... 32.4770730 Urethrocystogram .................................................................................................................................. 8.1370735 Stress urethrocystogram........................................................................................................................ 20.6170738 Voiding urethrocystogram ...................................................................................................................... 20.6170741 Vasography............................................................................................................................................ 8.1370745 Nephrostogram ...................................................................................................................................... 13.53Obstetrics and Gynaecology70800 Survey film ............................................................................................................................................. 6.6970810 Pelviometry ............................................................................................................................................ 21.6470814 Placentogram......................................................................................................................................... 8.9170824 Hysterosalpingogram ............................................................................................................................. 13.5370830 Intra-uterine foetal transfusion - radiological control .............................................................................. 28.15G-3

February 2011RADIOLOGYCodeRateSPECIAL PROCEDURESArteriography - GeneralFlush aortograph - includes aortic root, thoracic, lumbar and retrograde femoral71100 - procedure ......................................................................................................................................... 109.0771101 - interpretation..................................................................................................................................... 42.36Translumbar aortography71105 - procedure ......................................................................................................................................... 109.0771106 - interpretation..................................................................................................................................... 42.36Single selective arteriogram (renal, celiac, mesenteric, carotid, vertebral, splenic, subclavian, femoraland hepatic, etc)71111 - procedure ......................................................................................................................................... 217.4471112 - interpretation..................................................................................................................................... 56.29Bilateral and multiple selective arteriograms71116 - procedure ......................................................................................................................................... 391.3771117 - interpretation..................................................................................................................................... 112.62Percutaneous femoral71120 - procedure ........................................................................................................................................ 43.4971121 - interpretation .................................................................................................................................... 56.29Percutaneous brachial71125 - procedure ......................................................................................................................................... 43.5071126 - interpretation..................................................................................................................................... 56.29Percutaneous angioplasty71130 - procedure ......................................................................................................................................... 434.6071131 - interpretation..................................................................................................................................... 56.2971140 Embolization, e.g., for treatment of haemangioma or renal carcinoma (add to angiographic proceduralfees)................................................................................................................................................. 108.2671150 Percutaneous removal of intravascular foreign bodies........................................................................ 303.7371160 Intra-arterial infusion of drugs, e.g., for control of gastrointestinal haemorrhage, charge appropriateangiographic procedural and radiological fees plus a per diem supervision fee of ............................. 22.8271190 Percutaneous transhepatic catheter portal venography ......................................................................... 240.33Venous StudiesVena cavagram71200 - procedure ......................................................................................................................................... 144.9471201 - interpretation..................................................................................................................................... 56.2971202 Percutaneous insertion of vena cava filter.............................................................................................. 459.12Selective venography (spinal, hepatic, axillary, lumbar, renal and thymic, etc.)71204 - procedure ......................................................................................................................................... 217.4471205 - interpretation..................................................................................................................................... 56.29Selective bilateral and multiple (e.g., renal vein studies)71210 - procedure ......................................................................................................................................... 391.3771211 - interpretation..................................................................................................................................... 42.36Single peripheral venogram (lower limb, orbital, etc.)71216 - procedure ......................................................................................................................................... 32.7371217 - interpretation..................................................................................................................................... 42.36Bilateral peripheral and pelvic71220 - procedure ......................................................................................................................................... 54.5371221 - interpretation..................................................................................................................................... 70.57Splenoportogram71225 - procedure ......................................................................................................................................... 54.5371226 - interpretation..................................................................................................................................... 28.23Lympangiogram - single71230 - procedure ......................................................................................................................................... 54.5371231 - interpretation..................................................................................................................................... 28.23G-4

February 2011RADIOLOGYCodeRateSPECIAL PROCEDURES (Cont’d)Venous Studies (Cont’d)Lymphangiogram - bilateral71232 - procedure......................................................................................................................................... 109.0771233 - interpretation .................................................................................................................................... 56.49Cardiac AngiographyAll cardiac angiography except bilateral coronary studies71301 - interpretation .................................................................................................................................... 53.78Bilateral coronary angiography71306 - interpretation .................................................................................................................................... 110.34NOTE: These codes only apply when cardiac and/or bilateral coronary angiograms are referred to aRadiologist by a Cardiologist or Cardiac Surgeon for his/her written opinion.Neuro Angiography71390 Percutaneous embolization of spinal or cerebral AV malformations ...................................................... 370.3771394 Carotid or vertebral artery occlusion by detachable balloon - percutaneous.......................................... 259.19Percutaneous carotid angiogram - single (brachial)71400 - procedure ........................................................................................................................................ 168.5671401 - interpretation .................................................................................................................................... 56.29Percutaneous carotid angiogram - bilateral71402 - procedure......................................................................................................................................... 303.4071403 - interpretation .................................................................................................................................... 93.78For repeat angiograms (oblique vies, stereo magnification, basil, etc.)71404 - procedure - single ............................................................................................................................ 202.2671405 - interpretation - single........................................................................................................................ 56.2971406 - procedure - bilateral ......................................................................................................................... 364.0971407 - interpretation - bilateral..................................................................................................................... 93.78Myelogram (complete) prone71410 - procedure......................................................................................................................................... 89.9071411 - interpretation .................................................................................................................................... 37.51Myelogram - supine (second puncture)71415 - procedure................................................................................................................................... add 33.81Posterior fossa myelogram71421 - procedure................................................................................................................................... add 33.81Discography71425 - procedure......................................................................................................................................... 50.7271426 - interpretation .................................................................................................................................... 28.23Discography (each additional level)71427 - procedure................................................................................................................................... add 25.37Risagram71451 - interpretation .................................................................................................................................... 84.75Gastro-IntestinalSialogram71500 - procedure......................................................................................................................................... 21.8171501 - interpretation .................................................................................................................................... 14.11Insertion of nasogastric tube71504 - procedure......................................................................................................................................... 7.61Ba. swallow H-type fistula71508 - procedure......................................................................................................................................... 33.8171509 - interpretation .................................................................................................................................... IC71510 Percutaneous gastrostomy .................................................................................................................... 230.24G-5

February 2011RADIOLOGYCodeRateSPECIAL PROCEDURES (Cont’d)Gastro-Intestinal (Cont’d)Hypotonic duodenography71514 - procedure ......................................................................................................................................... 21.8171515 - interpretation..................................................................................................................................... IC71518 Biliary duct calculus removal via T-Tube tract ........................................................................................ 69.5471519 Percutaneous transhepatic biliary drainage including biliary stenting..................................................... 386.24Transhepatic cholangiogram71520 - procedure ......................................................................................................................................... 72.4671521 - interpretation..................................................................................................................................... 37.5171522 Change of biliary drainage tube.............................................................................................................. 144.9471523 Injection of biliary drainage tube for reassessment ................................................................................ 37.5171524 ERCP - total procedure performed by a Radiologist ........................................................................... 216.3771525 - interpretation.......................................................................................................................... 9.65Small bowel enema71528 - procedure ........................................................................................................................................ 63.8271529 - interpretation ................................................................................................................................ 14.11Reduction of intussusception71534 - procedure ......................................................................................................................................... 33.8071535 - interpretation..................................................................................................................................... IC71536 Oral or percutaneous placement of jejunostomy tube ............................................................................ 63.82Gastrografin enema71538 - procedure ......................................................................................................................................... 33.8071539 - interpretation..................................................................................................................................... ICPneumoperitoneal and retroperitoneal air insufflation71541 - procedure ......................................................................................................................................... 76.3771542 - interpretation..................................................................................................................................... 42.36Sinogram71549 - procedure ......................................................................................................................................... 21.8171550 - interpretation..................................................................................................................................... 14.11Dacrocystogram71560 - procedure ......................................................................................................................................... 21.8171561 - interpretation..................................................................................................................................... 14.1171570 Abscess management (intra-abdominal or deep organ) i.e. localization, placement of tube, drainageunder fluoroscopy, ultrasound and/or CT............................................................................................ 124.23Respiratory SystemLaryngogram71600 - procedure ......................................................................................................................................... 21.8171601 - interpretation..................................................................................................................................... 28.39Single bronchogram71612 - procedure ......................................................................................................................................... 21.8171613 - interpretation..................................................................................................................................... 28.39Bilateral bronchogram71614 - procedure ......................................................................................................................................... 32.7371615 - interpretation..................................................................................................................................... 42.36Percutaneous lung biopsy71618 - procedure ......................................................................................................................................... 76.3771619 - interpretation..................................................................................................................................... ICInjection of air into the anterior mediastinum71624 - procedure ......................................................................................................................................... 54.5371625 - interpretation..................................................................................................................................... 14.11G-6

February 2011RADIOLOGYCodeRateSPECIAL PROCEDURES (Cont’d)Respiratory System (Cont’d)Injection of contrast into pleural cavity71626 - procedure......................................................................................................................................... 32.7371627 - interpretation .................................................................................................................................... 14.11Genito-UrinaryHysterosalpingogram71700 - procedure (fluoroscopy) ................................................................................................................... 14.1171701 - interpretation .................................................................................................................................... 14.11Kidney film71710 - procedure (fluoroscopy) ................................................................................................................... 14.1171711 - interpretation .................................................................................................................................... 14.1171714 Percutaneous antegrade insertion of ureteric stent................................................................................ 102.0271715 Change of nephrostomy tube................................................................................................................. 144.94Cyst puncture (renal)71718 - procedure ........................................................................................................................................ 109.0771719 - interpretation .................................................................................................................................... ICInjection of dye into cystic cavity71724 - procedure......................................................................................................................................... 32.7371725 - interpretation .................................................................................................................................... 14.11Loopogram71728 - procedure......................................................................................................................................... 10.9371729 - interpretation .................................................................................................................................... 10.93Catheterization71730 - procedure......................................................................................................................................... 7.6171731 - interpretation .................................................................................................................................... ICPercutaneous nephrostomy71740 - performed by a Radiologist .............................................................................................................. 175.70Orthopaedic71800 - procedure......................................................................................................................................... 32.7371801 - interpretation .................................................................................................................................... 30.99G-7

April 1, 2009RADIOLOGYCodeRateOTHER ITEMSOther71840 Mammary ductography........................................................................................................................... 26.6871850 Intra-mammary needling for localization under mammographic control (procedure and interpretation- unilateral........................................................................................................................................... 33.46Special Visit Premiums71927 Daytime special visit (Monday to Saturday)............................................................................................ 33.1271928 Evening (6:00 p.m. to midnight) and Sunday and Statutory Holidays..................................................... 110.3771929 Night (midnight to 8:00 a.m.) .................................................................................................................. 165.56NOTE: The above special visit premiums are payable in addition to the x-ray examination fees;however, only one premium per trip is payable regardless of the number of x-rays examined.IV Injections71941 Adult ....................................................................................................................................................... 13.9871942 Cut-down................................................................................................................................................ 9.4271948 Paediatric IV injection............................................................................................................................. 9.4271949 Scalp vein or cut-down ........................................................................................................................... 18.8071950 Catheterization ....................................................................................................................................... 9.4271951 Injection - bursae, joints or tendon sheath.............................................................................................. 14.45Tomography71960 1 plane.................................................................................................................................................... 10.9271961 2 planes.................................................................................................................................................. 21.77Fluoroscopy71980 Fluoroscopy alone, of any part ............................................................................................................ 18.7571985 Fluoroscopy control of a procedure done by another physician, per ¼ hour or part thereof (IC requiredindicating the name of the procedure, the physician who did the procedure and the amount of timeinvolved.) ............................................................................................................................................ 24.91G-8

April 1, 2009RADIOLOGYCodeRateDIAGNOSTIC ULTRASOUNDProcedure codes indicated as IC must be billed IC indicating why the procedure had to be done by theRadiologist. See item 11.4 of the Preamble.General72050 Ultrasound control of a procedure, done by another physician, per ¼ hour or part thereof (IC requiredindicating the name of the procedure, the physician who did the procedure and the amount of timeinvolved).............................................................................................................................................. 24.91Head and NeckEchoencephalography - midline, A-mode72100 - interpretation .................................................................................................................................... 10.9572101 - procedure (IC).................................................................................................................................. 23.22Complete (midline and ventricular size)72104 - interpretation .................................................................................................................................... 16.4772105 - procedure (IC).................................................................................................................................. 23.22Echography - ophthalmicQuantitative, A-mode72110 - interpretation .................................................................................................................................... 45.1072111 - procedure (IC).................................................................................................................................. 23.22B-scan immersion72112 - interpretation .................................................................................................................................... 60.1272113 - procedure (IC).................................................................................................................................. 23.22B-scan contact72114 - interpretation.................................................................................................................................... 30.0872115 - procedure (IC).................................................................................................................................. 23.22Biometry (axial length - A-mode)72116 - interpretation .................................................................................................................................... 40.0972117 - procedure (IC).................................................................................................................................. 23.22Foreign body localization72118 - interpretation .................................................................................................................................... IC72119 - procedure (IC).................................................................................................................................. 23.22Echography - neck (e.g., thyroid, neck mass or other pathology including A and/or B scans)72130 - interpretation .................................................................................................................................... 21.9072131 - procedure (IC).................................................................................................................................. 23.22Neonatal/paediatric cranial scan - complete72140 - interpretation .................................................................................................................................... 36.5072141 - procedure (IC).................................................................................................................................. 23.22Neonatal/paediatric spinal scan - complete72150 - interpretation .................................................................................................................................... 36.5072151 - procedure (IC).................................................................................................................................. 23.22Heart/Major Blood VesselEchography, pericardial effusion, M-mode72200 - interpretation .................................................................................................................................... 24.3272201 - procedure (IC).................................................................................................................................. 23.22Ultrasound pericardiocentesis72210 - procedure and interpretation ............................................................................................................ 45.76EchocardiographyComplete study - 1 dimension72220 - interpretation .................................................................................................................................... 40.8272221 - procedure (IC).................................................................................................................................. 17.92Complete study - 2 dimensions72222 - interpretation .................................................................................................................................... 80.0472223 - procedure (IC).................................................................................................................................. 21.081 and 2 dimension study on same patient visit72224 - interpretation .................................................................................................................................... 92.1372225 - procedure (IC).................................................................................................................................. 26.00G-9

April 1, 2009RADIOLOGYCodeRateDIAGNOSTIC ULTRASOUND (Cont’d)Heart/Major Blood Vessel (Cont’d)Limited study 1 or 2 dimensions for follow-up studies72226 - interpretation..................................................................................................................................... 18.7672227 - procedure (IC) .................................................................................................................................. 15.46Doppler echocardiography72228 - interpretation..................................................................................................................................... 47.5172229 - procedure (IC) .................................................................................................................................. 20.21Aorta only72230 - interpretation..................................................................................................................................... 52.1972231 - procedure (IC) .................................................................................................................................. 23.22Vena cava only72232 - interpretation..................................................................................................................................... 52.1972233 - procedure (IC) .................................................................................................................................. 23.22Peripheral Vascular SystemExtra-cranial vessel assessment (bilateral, carotid and/or subclavian and/or vertebral arteries)72240 - Doppler scan or B scan .................................................................................................................... 22.9472241 - frequency analysis............................................................................................................................ 22.9472242 - frequency analysis with Doppler scan............................................................................................... 31.2972243 - duplex scan, i.e. simultaneous real time, B-mode imaging and spectral analysis............................. 56.37Duplex Doppler assessment of hepatic and portal venous systems72244 - interpretation..................................................................................................................................... 14.7972245 - procedure ......................................................................................................................................... 19.72Post-operative organ transplant arterial and/or venous Doppler assessment (assessment of thevascularity to the organ transplant rather than the ultrasound examination of the organ itself)72246 - interpretation..................................................................................................................................... 14.7972247 - procedure ......................................................................................................................................... 19.72Transcranial Doppler assessment72248 - interpretation..................................................................................................................................... 19.4872249 - procedure ......................................................................................................................................... 26.06Peripheral artery evaluation (not to be billed routinely with 72241, 72242 or 72243)72250 - Doppler scan or B-scan .................................................................................................................... 18.9872251 - frequency analysis............................................................................................................................ 15.6972252 - frequency analysis with Doppler scan............................................................................................... 26.0872253 - duplex scan, i.e. simultaneous real time, B-mode imaging and spectral analysis............................. 30.44Venous evaluation - duplex scan i.e. simultaneous real time, B-mode imaging72254 - interpretation..................................................................................................................................... 18.4872255 - procedure ......................................................................................................................................... 31.43Duplex Doppler assessment of post-operative shunts72256 - interpretation..................................................................................................................................... 14.7972257 - procedure ......................................................................................................................................... 19.72Doppler assessment of intra-abdominal vessels72258 - interpretation..................................................................................................................................... 25.7672259 - procedure ......................................................................................................................................... 22.36ThoraxChest masses, pleural effusion - A and B-mode72340 - interpretation..................................................................................................................................... 36.5072341 - procedure (IC) .................................................................................................................................. 23.22Ultrasonic thoracentesis72350 - procedure and interpretation............................................................................................................. 21.65Breast masses - scan B-mode (per breast)72360 - interpretation..................................................................................................................................... 32.6572361 - procedure (IC) .................................................................................................................................. 33.96G-10

April 1, 2009RADIOLOGYCodeRateDIAGNOSTIC ULTRASOUND (Cont’d)Abdomen and RetroperitoneumAbdominal scan, major (includes multiple organs and/or spaces)72400 - interpretation .................................................................................................................................... 51.7472401 - procedure (IC).................................................................................................................................. 60.83Abdominal scan, limited (e.g. single organ or follow-up study)72403 - interpretation .................................................................................................................................... 37.2972404 - procedure (IC).................................................................................................................................. 23.22ScrotumTesticular (1 or both) or scrotal scanning72450 - interpretation .................................................................................................................................... 43.1072451 - procedure (IC).................................................................................................................................. 23.22Obstetrics, Gynaecology and PelvisEchography - Scan B-modeEarly pregnancy diagnosis72500 - interpretation .................................................................................................................................... 41.8772501 - procedure (IC).................................................................................................................................. 33.36Foetal age determination72510 - interpretation .................................................................................................................................... 25.7672511 - procedure (IC).................................................................................................................................. 21.44Placenta localization72520 - interpretation .................................................................................................................................... 25.7672521 - procedure (IC).................................................................................................................................. 22.36IUCD localization72530 - interpretation .................................................................................................................................... 25.7672531 - procedure (IC).................................................................................................................................. 22.36Pregnancy, complete72540 - interpretation .................................................................................................................................... 33.7072541 - procedure (IC).................................................................................................................................. 22.36Foetal assessment in - utero for physical condition of the fetus (requested by the specialist)72545 - interpretation and procedure ............................................................................................................ 41.31Pelvic mass72570 - interpretation .................................................................................................................................... 41.8672571 - procedure (IC).................................................................................................................................. 22.36Endocavitary Scan72575 - interpretation .................................................................................................................................... 73.9472576 - procedure......................................................................................................................................... 22.3672578 Transvaginal sonohysterography, includes procedure, interpretation and introduction of saline or otherintracavitary contrast media................................................................................................................ 112.02Ultrasonic amniocentesis72580 - interpretation and procedure ............................................................................................................ 23.45G-11

April 1, 2009RADIOLOGYCodeRateDIAGNOSTIC ULTRASOUND (Cont’d)ExtremitiesExtremities, per limb (excluding vascular study)72610 - interpretation..................................................................................................................................... 15.7472611 - procedure (IC) .................................................................................................................................. 23.22Scan of popliteal space72620 - interpretation..................................................................................................................................... 21.9072621 - procedure (IC) .................................................................................................................................. 23.22NOTES:1. A-mode - implies a one-dimensional ultrasonic measurement procedure.2. M-mode - implies a one-dimensional ultrasonic measurement procedure with movement of thetrace to record amplitude and velocity of moving echo-producing structures.3. Scan B-mode - implies a two-dimensional ultrasonic scanning procedure with a two-dimensionaldisplay.THERAPEUTIC ULTRASOUND72650 Occlusion of femoral or brachial pseudo-aneurysm under colour Doppler ultrasound guidance............ 136.55COMPUTED TOMOGRAPHYHead73800 - without IV contrast ............................................................................................................................ 50.6673801 - with IV contrast................................................................................................................................. 75.9473802 - with and without IV contrast.............................................................................................................. 88.68Complex head73805 - without IV contrast ............................................................................................................................ 75.9473806 - with IV contrast................................................................................................................................. 88.6873807 - with and without IV contrast.............................................................................................................. 101.28Neck73810 - without IV contrast............................................................................................................................ 50.6673811 - with IV contrast................................................................................................................................. 75.9473812 - with and without IV contrast.............................................................................................................. 88.68Thorax73815 - without IV contrast ............................................................................................................................ 75.9473816 - with IV contrast................................................................................................................................. 88.6873817 - with and without IV contrast.............................................................................................................. 101.28Abdomen73820 - without IV contrast ............................................................................................................................ 101.2873821 - with IV contrast................................................................................................................................. 113.8873823 - with and without IV contrast.............................................................................................................. 126.62Extremities (1 or more)73825 - without IV contrast ............................................................................................................................ 50.6673826 - with IV contrast................................................................................................................................. 75.9473827 - with and without IV contrast.............................................................................................................. 88.68Spine(s)73830 - without IV contrast ............................................................................................................................ 101.2873831 - with IV contrast................................................................................................................................. 113.8873832 - with and without IV contrast.............................................................................................................. 126.62Pelvis73835 - without IV contrast ............................................................................................................................ 101.2873836 - with IV contrast................................................................................................................................. 113.8873837 - with and without IV contrast.............................................................................................................. 126.62G-12

April 1, 2009RADIOLOGYCodeRateMAGNETIC RESONANCE IMAGINGHead73850 - multislice SE (1 or 2 echos).............................................................................................................. 94.9273851 - multislice IR...................................................................................................................................... 61.8273852 - repeat (another plane, different pulse sequence - max. 2)............................................................... 47.3673853 - when gating is performed, (fee = 30% of applicable imaging fee).................................................... ICNeck73855 - multislice SE (1 or 2 echos).............................................................................................................. 94.9273856 - multislice IR...................................................................................................................................... 61.8273857 - repeat (another plane, different pulse sequence - max. 2)............................................................... 47.36Thorax73860 - multislice SE (1 or 2 echos).............................................................................................................. 110.6273861 - multislice IR...................................................................................................................................... 94.9273862 - repeat (another plane, different pulse sequence - max. 2)............................................................... 55.2673863 - when gating is performed, (fee = 30% of applicable imaging fee).................................................... ICAbdomen73865 - multislice SE (1 or 2 echos).............................................................................................................. 110.6273866 - multislice IR...................................................................................................................................... 94.9273867 - repeat (another plane, different pulse sequence - max. 2)............................................................... 55.2673868 - when gating is performed, (fee = 30% of applicable imaging fee).................................................... ICPelvis73870 - multislice SE (1 or 2 echos).............................................................................................................. 110.6273871 - multislice IR...................................................................................................................................... 94.9273872 - repeat (another plane, different pulse sequence - max. 2)............................................................... 55.26Extremity73875 - multislice SE (1 or 2 echos).............................................................................................................. 94.9273876 - multislice IR...................................................................................................................................... 61.8273877 - repeat (another plane, different pulse sequence - max. 2)............................................................... 47.36SpineSpinal segments recognized are cervical, thoracic, and lumbo-sacralLimited spine -1 segment73880 - multislice SE (1 or 2 echoes)............................................................................................................ 110.6273881 - multislice IR...................................................................................................................................... 94.9273882 - repeat (another plane, different pulse sequence - max 2)................................................................ 55.26Intermediate spine - 2 adjoining segments73886 - multislice SE..................................................................................................................................... 128.9273887 - multislice IR...................................................................................................................................... 145.7673888 - repeat (another plane, different pulse sequence - max. 2)............................................................... 64.40Complex spine - 2 or more non-adjoining or complete segments73891 - multislice SE..................................................................................................................................... 191.6673892 - multislice IR...................................................................................................................................... 145.7673893 - repeat (another plane, different pulse sequence - max. 2)............................................................... 95.4173895 When gating of spine is performed, (fee = 30% of applicable imaging fee) ........................................... ICG-13

June 2012RADIOLOGYCode Spec. Anaes.INTERVENTIONAL RADIOLOGY74100 Endovascular obliteration of cerebral aneurysms by any technique.. 1901.39 I.C.NOTES:1. Includes all neurological exams done in association withthe procedure, any diagnostic angiography performed attime of procedure, fluoroscopy and any other necessaryimaging performed at the time of the procedure;2. Separate micro catheterization and stenting included ifrequired;3. Multiple aneurysms paid as follows: 2 nd at 50%, 3 rd at 25%(to a maximum of three aneurysms);4. Radiological specialist assists are billable in Capacity “1”at 75% of the listed rate for code 74100 as per GeneralPreamble;74300 Percutaneous image guided radiofrequency ablation of solidtumor………………………………………………………………………… 575.00NOTES:1. Payable only for non-resectable liver, kidney, lung tumours,colorectal metastases and osteoid osteoma;2. Payable to a maximum of 3 lesions treated at same session –100% for first lesion, 50% for second and third lesion;3. Includes all imaging guidance by any method necessary tocomplete the procedure.DIAGNOSTIC BIOPSY74520 Image-guided biopsy, any organ, by any radiographic technique………….. 103.69 SeebiopsycodesG-14

April 1, 2009IN-HOSPITAL DIAGNOSTIC AND THERAPEUTIC SERVICESCodeRateELECTROCARDIOGRAMS56000 Electrocardiogram interpretation............................................................................................................ 7.9556010 Stress electrocardiogram (physician present during testing procedure)Before and after exercise (Masters criteria, Levy Ischemia or Frasher Exercise test) includescomplete resting tracing and multiple leads taken immediately and 3 and 6 minutes post exercise. 20.7056020 Maximal stress testing - with treadmill or ergometer and oscilloscopic continuous monitoring, includingECGs taken during the procedure and resting ECGs before and after the procedure........................ 60.05Continuous Ambulatory ECG Monitoring56050 Interpretation of continuous ambulatory ECG scan................................................................................ 30.9156060 Partial review of scan and interpretation ................................................................................................ 37.4056070 Complete review of scan and interpretation........................................................................................... 63.25ELECTROMYOGRAPHY AND NERVE CONDUCTION56500 Complete procedure, e.g. conduction studies on 2 or more nerves and EMG of multiple muscles;detailed study of neuromuscular transmission.................................................................................. 164.5956525 Limited procedure, e.g. conduction studies on a single nerve plus limited needle electrode examinationin 1 area; or conduction studies on 2 nerves without EMG ............................................................... 109.7256550 Short procedure, e.g. stimulation of a single nerve; or repeat EMG of 1 or 2 muscles without nerveconduction ......................................................................................................................................... 44.1756575 Single fibre EMG.................................................................................................................................... 128.01ELECTROENCEPHALOGRAPHY57000 Electroencephalogram interpretation ..................................................................................................... 41.1657010 - with use of sleep inducing drugs and/or sleep deprivation ......................................................... add 28.3857020 - inserting subtemporal needle electrodes.................................................................................... add 28.3857025 - videotape recording of clinical signs in association with EEG .................................................... add 33.33Polygraphic recording of parameters in addition to EEG, e.g., respiration, eye movement, ECGmuscle movement57030 - 1 item ......................................................................................................................................... add 16.2157035 - 2 items........................................................................................................................................ add 32.4357040 - 3 or more items .......................................................................................................................... add 47.21SLEEP APNEA STUDIES57050 Sleep apnea (overnight study) with continuous monitoring of oxygen saturation and ventilation- to include physician attendance at set up, monitoring and interpretation (extra or special visits notchargeable).................................................................................................................................... 223.2357060 - interpretation only............................................................................................................................. 83.04EVOKED POTENTIAL STUDIES57500 Simple average evoked potential studies with 1 sensory modality of stimulation (interpretation byphysician)......................................................................................................................................... 42.6957510 Complex evoked potential studies involving several sensory modalities, multiple thresholddeterminations of more than 4 simultaneous channels of recording (partial supervision byphysician and interpretation............................................................................................................. 53.8257520 Complex evoked potential studies performed completely under the direct supervision of a physicianand interpretation............................................................................................................................ 107.93F-1

February 2011IN-HOSPITAL DIAGNOSTIC AND THERAPEUTIC SERVICESCodeRateOPHTHALMOLOGY57780 Ocular Coherence Tomography - interpretation, uni or bilateral................................................................ 25.00NOTE: This fee code can only be claimed by Ophthalmologists for evaluation in hospital of maculardiseases of the retina or patients with previously documented features of glaucoma such as ocularhypertension, established visual field defects and optic nerve morphology consistent with a diagnosisof glaucoma. Screening of patients with ocular coherence tomography is not an insured service.57782 Corneal Pachymetry, uni or bilateral ......................................................................................................... 2.50NOTE: This fee code can only be claimed in hospital once per calendar year per patient, by amaximum of one Ophthalmologist for measurement of corneal thickness in glaucoma patients. Claimsby a second Ophthalmologist are not payable unless billed IC with an explanation of the medicalnecessity for the second measurement. Screening of patients with corneal pachymetry is not aninsured service.OBSTETRICS AND GYNECOLOGY57700 Non-stress test - interpretation only........................................................................................................ 6.84If the non-stress test is done in conjunction with a consultation, the interpretation is considered to beincluded in the consultation feeMaternal Fetal Medicine (MFM)The fee codes listed in this section can only be billed by MFM Specialists who have been designatedby their hospital to provide imaging services.Echography - Scan B-mode, per fetus (bill each additional fetus I.C. at 85% of the listed rate)First trimester scan for viability and dating, transvaginal or transabdominal57710 - interpretation..................................................................................................................................... 41.8757711 - procedure ........................................................................................................................................ 33.36Nuchal translucency determination by MFM Specialist (once per pregnancy)57712 - interpretation..................................................................................................................................... 25.3057713 - procedure ......................................................................................................................................... 40.00NOTE: Routine screening of Nuchal translucency without biochemical markers in singletonpregnancies is not an insured service.Placenta localization57714 - interpretation..................................................................................................................................... 25.7657715 - procedure ........................................................................................................................................ 22.36Transvaginal assessment of cervical length in pregnancy at increased risk for preterm birth by MFMSpecialist57716 - interpretation..................................................................................................................................... 16.1557717 - procedure ........................................................................................................................................ 25.00NOTE: Routine screening of cervical length of pregnancy is not an insured service.F-2

February 2011IN-HOSPITAL DIAGNOSTIC AND THERAPEUTIC SERVICESCodeRateOBSTETRICS AND GYNECOLOGY (Cont’)Maternal Fetal Medicine (MFM) (Cont’d)Fetal anatomy scan by MFM Specialist57718 - interpretation .................................................................................................................................... 33.7057719 - procedure ........................................................................................................................................ 22.36Fetal Doppler evaluation of middle cerebral artery, and/or IVC and/or ductus venosus57720 - interpretation .................................................................................................................................... 31.6057721 - procedure ........................................................................................................................................ 32.90NOTE: These codes are only eligible for payment when rendered by a MFM Specialist for assessmentof fetal anemia, intrauterine growth retardation measuring below the 10 th percentile or twin-twintransfusion syndrome.Fetal assessment in - utero for physical condition of the fetus57730 - interpretation and procedure ............................................................................................................ 41.31ORGANIZED PAIN CLINICNotes:1. These fee codes may only be billed by Anaesthesiologists working in an organized hospital painclinic approved by the Regional Health Board.2. Fees listed for Organized Pain Clinics must be coded as capacity “0” on claims.3. These codes may not be used when claiming for a procedural anaesthetic.4. Anaesthetic time units do not apply.5. When alcohol or other sclerosing solutions are used, add 50% to the appropriate nerve block feeas listed.6. Therapeutic Anaesthesiology services provided in settings other than approved organizedhospital pain clinics must be billed using the applicable fee code listed in the Diagnostic andTherapeutic Procedures Section of this Payment Schedule.57800 Epidural steroid injection........................................................................................................................ 90.4957802 Intercostal nerve block(s) (maximum 2 units)......................................................................................... 82.1157804 Paravertebrae nerve block of thoracic and lumbar roots - each (maximum 4 units) .............................. 72.3957806 Peripheral nerve block for chronic pain (maximum 2 units).................................................................... 72.3957808 Cranial nerve/branch block for chronic pain (maximum 2 units)............................................................. 90.4957810 Stellate ganglion block .......................................................................................................................... 90.4957812 Intravenous sympathetic block by injection and infusion of Bretylium, Guanethidine and Reserpine .... 108.5957814 Intravenous injection and infusion with lidocaine for the treatment of chronic pain................................ 135.72OTOLARYNGOLOGY57840 Laryngeal Videostroboscopy (procedure and interpretation).................................................................. 108.50F-3

April 1, 2009IN-HOSPITAL DIAGNOSTIC AND THERAPEUTIC SERVICESPULMONARY FUNCTION STUDIESThe benefits for simple spirometry and standard lung mechanics represent the best of three recorded test results with orwithout bronchodilator.The benefit for standard lung mechanics includes simple spirometry.Vital capacity and flow volume loop cannot be claimed at the same time.CodeRate58000 Simple spirometry, e.g., vital capacity, without permanent record by transducer equipment FVC, FEV,MVV (MBC), etc................................................................................................................................ 1.61Standard lung mechanics (with permanent record)58010 - Vital capacity, FEV, FEV/FVC......................................................................................................... 4.1458015 - Repeat of 58010 after bronchodilator.............................................................................................. 1.6758020 - 58010 plus MMEFR calculation....................................................................................................... 6.8758025 - Repeat of 58020 after bronchodilator.............................................................................................. 2.6758030 - MVV done together with 58010 or 58020........................................................................................ .8158040 - Flow volume loop (FVC, FEV, FEV/FVC, V 30, V 25,)......................................................................... 10.4058050 - Repeat of 58040 after bronchodilator.............................................................................................. 3.67Complex Lung Mechanics`58100 - Functional residual capacity by gas dilution method ....................................................................... 10.6758110 - Functional residual capacity by body plethysmography .................................................................. 10.6758120 - Airways resistance by plethysmography or estimated using esophageal catheter.......................... 5.8758130 Lung Compliance (pressure volume curve of the lung from TLC to FRC) .............................................. 27.7258140 Carbon monoxide diffusing capacity by steady state of rest................................................................... 6.6758150 Carbon monoxide diffusing capacity by single breath method................................................................ 10.67Pulmonary Function Response to O 2 and CO 258160 CO 2 ventilatory response................................................................................................................... 8.4058170 O 2 ventilatory response (physician must be present) ........................................................................ 12.54Exercise Assessment - physician must be in attendance at all times58180 - Exercise diffusing capacity.............................................................................................................. 10.0658200 - Stage I: Graded exercise to maximum tolerance exercise (must include HR, ventilation and ECGat rest and at each workload: ECG monitored at least 5 minutes post exercise.......................... 31.8558210 - Same as 58200 plus 58010, 58020 or 58040 before and after exercise...................................... 37.7258220 - Stage II: Repeated steady state graded exercise (must include heart rate, ventilation, VO 2, VCO 2,BP, ECG endtidal and mixed venous CO 2 at rest, 3 levels of exercise and recovery)................. 43.6458230 - Stage III: Same as 58220 plus arterial blood gases, PH and bicarbonate or lactate....................... 65.4458240 Exercise induced asthma assessment (workload sufficient to achieve a heart rate of 85% of max.;measurement of 58010, 58020 or 58040 before exercise and 5-10 minutes post exercise .............. 15.54Gas Analysis58270 - Arterial puncture for blood gas analysis .......................................................................................... 6.5258300 - A-a oxygen gradient (measurement of RQ by sampling mixed expired gas and using alveolar airequation) ..................................................................................................................................... 16.7958310 - Estimate of venous admixture (Qs/Qt) breathing pure oxygen........................................................ 10.9358320 - Mixed venous PCO 2 by the rebreathing method ............................................................................. 2.5358330 - O 2 saturation by oximeter (at rest and exercise) ............................................................................. 6.5258340 - Standard O 2 consumption and CO 2 production............................................................................... 5.5258350 - Histamine or methylcholine threshold test....................................................................................... 22.54F-4

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.54000 Visit for diagnostic and therapeutic service(s) only ............................. 4.60 4.60ALLERGY54004 Acute desensitization; e.g., ATS penicillin .......................................... 4.42 4.9154006 Direct nasal tests, (maximum of 3 tests)............................................. .9854008 Hyposensitization, (1 or more injections) visit fee and/or fee code54000 not payable in addition........................................................ 11.77 13.0854016 Ophthalmic tests, (maximum 5 tests).................................................. .9854018 - quantitative ............................................................................... 7.8554020 Passive transfer tests.......................................................................... 28.3454022 Patch test, (maximum 50 tests) .......................................................... 1.55 1.7154026 Provocative testing - per session (limit of 6 sessions per patient)....... 9.2754030 Repository therapy, per injection ........................................................ 67.53 75.0054032 Skin tests (maximum 50 tests/session) scratch or intradermal ........... 2.09 2.32E-1

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.ANAESTHESIOLOGY/THERAPEUTIC54054 Hypothermia (therapeutic) induction and management....................... 62.07Nerve Blocks1. Fees listed in the GP or Spec. columns must be coded ascapacity “0” on claims.2. These codes may not be used when claiming for a proceduralanaesthetic except for fee code 54150.3. Anaesthetic time units to not apply unless specified.4. When alcohol or other sclerosing solutions are used, add 50% tothe appropriate nerve block fee as listed with the exception of54130, 54132, 54134 and 54150.5. Therapeutic Anaesthesiology services provided in approvedorganized hospital pain clinics must be billed using theapplicable fee code listed in the In-Hospital Diagnostic andtherapeutic services Section of this Payment Schedule.54060 Arnold’s .............................................................................................. 55.1054062 Brachial Plexus ................................................................................... 54.6554064 Coeliac Ganglion................................................................................. 106.8054066 Epidural/Spinal Block .......................................................................... 75.1054067 Introduction of intraspinal narcotic (not to be billed in addition to spinalanaesthesia)................................................................................... 44.75 49.7054068 24-hour monitoring of spinal narcotic given for analgesia ................... 59.6454072 Gasserian Ganglion............................................................................. 55.1054073 Intrapleural Block - single injection ................................................ 44.2554074 - with the introduction of a catheter for thepurpose of continuous analgesia ................ 77.2554076 Ilioinguinal and iliohypogastric nerves................................................. 54.6554078 Infraorbital ........................................................................................... 30.78 34.2054080 Intercostal nerve root .......................................................................... 30.78 34.2054082 - for each additional one ................................................................. 16.9554084 Intrathecal Spinal ................................................................................ 75.1054086 Lumbar, sacral and coccygeal nerves................................................. 34.2054088 Mandibular .......................................................................................... 67.59 75.1054090 Mental branch of mandibular nerve..................................................... 34.2054092 Occipital .............................................................................................. 30.78 34.2054094 Other cranial nerve blocks................................................................... 84.0054096 Paravertebral nerve block of thoracic and lumbar roots - each(maximum of 4 units)...................................................................... 54.6554098 Pudendal............................................................................................. 54.6554102 Sciatic nerve........................................................................................ 54.6554106 Single somatic or infiltration of tissues ................................................ 53.70 59.6454108 Spheno-palatine ganglion.................................................................... 55.1054110 Splanchnic........................................................................................... 55.1054112 Stellate ganglion ................................................................................. 55.1054114 Supraorbital......................................................................................... 30.78 34.2054116 Sympathetic block (lumbar or thoracic) ............................................... 64.0854118 - bilateral ........................................................................................ 85.4454120 Transverse scapular nerve.................................................................. 55.1054122 Intravenous injection and infusion with lidocaine for the treatment ofchronic pain.................................................................................... 55.1054124 Auditory ganglion ................................................................................ 55.10E-2

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.ANAESTHESIOLOGY/THERAPEUTIC (Cont’d)Nerve Blocks (Cont’d)54126 Femoral nerve - unilateral................................................................. 54.6554128 - bilateral .................................................................. 81.9554130 Intrathecal or epidural injection of phenol in iodized oil....................... 165.5054132 Introduction of epidural catheter for relief of pain, institution............... 5 554134 Maintenance: claim 1 unit for each subsequent injection or ¼ hour ofmaintenance; maximum 12 units per day, per unit ........................ 1 154138 Lateral femoral cutaneous nerve ........................................................ 55.1054140 Lumbar sympathetic chain.................................................................. 85.4454142 Maxillary nerve at its foramen............................................................. 64.0854144 Maxillary or mandibular division of trigeminal nerve ........................... 75.1054146 Obturator nerve - unilateral................................................................ 54.6554148 - bilateral.................................................................. 82.4554150 Retrobulbar, femoral, sciatic, ilioinguinal, iliohypogastric, ulnar, medianradial, stellate ganglion block for local anaesthetic purposes orepidural for delivery block .............................................................. 49.07 54.5254152 Retrobulbar injection of alcohol for acute glaucoma ........................... 34.2054154 Trigeminal ganglion ............................................................................ 84.7554156 Superior laryngeal nerve..................................................................... 34.2054158 Epidural blood patch ........................................................................... 75.1054160 Insertion of catheter to provide sustained regional nerve block forrelief of pain (Rate payable for insertion is 50% of the fee for theappropriate nerve block - claim also the fee code and fee for thatnerve block). (Applicable nerve block fee code must be indicated inthe comments section and it must be billed as IC giving thisinformation)54162 Maintenance of sustained regional nerve block - per half hour tomaximum of 3 hours per day ......................................................... 13.7854164 Intubation - not associated with anaesthesia ...................................... 49.59 55.10Patient controlled analgesia is an acute pain management modalityutilized in lieu of traditional intramuscular narcotic injection for painmanagement. It allows the patient to exercise control of their acutepain. Initiation of PCA involves patient assessment, education, andthe actual activation of the PCA apparatus by an Anaesthesiologist.Maintenance of PCA involves 24-hour coverage of patients on PCA.This includes visits and telephone consultation by same or differentAnaesthesiologist.Initiation or maintenance of PCA is only payable once per day, sameor different Anaesthesiologist. Also, it is not payable in addition to aconsultation, visit, ICU or hospital care by the same Anaesthesiologist.PCA services are payable to the same Anaesthesiologist on the sameservice date as general anaesthesia if at a separate session.Patient Controlled Analgesia (PCA) - for parenteral control of acutepain54166 - initiation ....................................................................................... 47.7554167 - maintenance................................................................................ 10.61E-3

DIAGNOSTIC AND THERAPEUTIC SERVICESMarch 1, 2012Spec. G.P.Code G.P. Spec. Anaes. Anaes.HYPERBARIC OXYGEN THERAPY (HBOT) - Being in constantattendance with the patient (either inside or outside the chamber) forthe time billed to provide hyperbaric therapy, including ongoingmonitoring of the patient’s condition and intervening as appropriate.Physician in chamber with patient, per dive per patient54180 first ¼ hour ..................................................................................... 83.8054182 after first ¼ hour (per ¼ hour or major part thereof) .................... 41.9054184 after 2 hours in chamber (per ¼ hour or major part thereof)........ 83.80Physician not in chamber with the patient, per dive per patient54188 first ¼ hour ..................................................................................... 71.8554190 after first ¼ hour (per ¼ hour or major part thereof) .................... 35.9054192 after 2 hours (per ¼ hour or major part thereof)……………… 71.85After Hours Hyperbaric Premiums54194 Physician attendance commences between 6:00 p.m. and midnight oron Saturdays, Sundays or Statutory Holidays…. add 46% to total fee claimed per patient54196 Physician attendance commences any night between midnight and7:00 a.m. .............................add 50% to total fee claimed per patientMedical Assessments54198 Initial medical assessment of a patient referred for HBOT……… 121.0054199 Medical reassessment of a patient undergoing HBOT…………... 36.92Notes: HBOT is not an insured benefit for treatment of someconditions. For a list of currently insured conditions, please seeAppendix G.Fee codes 54184 and 54192 are billable in cases of trueemergency only: decompression sickness, arterial air embolismand carbon monoxide poisoning.When a patient is referred for consideration of HBOT by aphysician to another physician qualified to administer HBOT, thesecond physician may bill fee code 54198 if: i) he or sheperforms an examination commensurate with the presentingcomplaint and; ii) he or she advises the referring physician of hisor her opinion in writing.Special visit premium(s), and other separately billable procedures maybe claimed on a per patient basis when these services are rendered.Fees listed for HBOT must be coded as capacity “0” on claims.E-4

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.CARDIOVASCULARVascular Cannulation54202 Arterial Puncture ............................................................................... 7.38 8.2054204 Cannulation of artery or central vein ................................................... 37.14 41.2754206 Arterial cut down ............................................................................... 57.7754208 Umbilical artery catheterization (including obtaining of blood sample) 27.2554210 Umbilical vein catheterization ............................................................. 9.8154212 Insertion of Swan-ganz catheter (not included in anaesthesiologyrespiratory or critical care benefits)................................................ 159.30 4 454214 - measurement of cardiac output either thermal or dye dilutiondone at same setting (maximum 2 units payable) .............add 28.6654218 Therapeutic venisection (phlebotomy) ................................................ 5.30 5.8954220 Insertion of permanent feeding line under general anaesthesia (e.g.Hickman or Broviac catheter)......................................................... 135.76 150.84 4 454222 Surgical removal of permanent feeding line or catheter...................... 36.34 4 454226 Anticoagulant Supervision - long term - per month............................. 12.40 13.78Blood TransfusionsExchange transfusions54250 - initial (includes consultation and continuing care)........................ 132.4454252 - subsequent .................................................................................. 105.9554254 - multiple ........................................................................................ IC54256 Assistant at exchange transfusion ...................................................... IC54258 Indirect transfusion ............................................................................. 12.92 14.3654260 Intra-uterine foetal transfusion ............................................................ 98.1054264 Plasmapheresis (includes cannulation) donor cell pheresis (plateletsor leukocytes) ................................................................................ 9.16Therapeutic plasma exchange54266 - initial and repeat (maximum of 5 per year), each......................... 60.7854268 - more than 5 per year, each.......................................................... 22.8954270 Manual plasmapheresis...................................................................... ICCardioversion54274 Cardioversion or defibrillation (maximum 3 per patient, per day)........ 74.84 83.16 5 5Cardiac CatheterizationWhen more than one procedure is carried out by the same physicianat one sitting, the additional procedures (codes 54280 to 54362)are to be charged at 50% of the listed fees.Hemodynamic/Flow/Metabolic StudiesRight heart54280 - pressures only ............................................................................. 116.92 5 5Left heart54284 - retrograde aortic .......................................................................... 164.85 5 554286 - transseptal................................................................................... 201.70 5 554288 Dye dilution densitometry and/or thermal dilution studies - coronaryflow index benefit covers all studies on the same day (inconjunction with Swan-Ganz insertion use fee code 54214).......... 54.5054290 Oxymetry and/or Fick determination ................................................... 57.2354294 Metabolic studies; e.g., coronary sinus lactate and pyruvatedeterminations ............................................................................... 54.5054296 Exercise studies during catheterization .............................................. 54.50E-5

DIAGNOSTIC AND THERAPEUTIC SERVICESFebruary 2011Spec. G.P.Code G.P. Spec. Anaes. Anaes.CARDIOVASCULAR (Cont’d)Angiography54310 Angiograms (any number of injections)............................................... 77.2354312 By-pass graft angiogram (including internal mammary artery implant)- per graft injection.......................................................................... 66.5054314 Selective coronary catheterization ...................................................... 186.59 5 554316 - with drug interventional studies..............................................add 80.7054318 His bundle ECG .................................................................................. 83.9354320 Specialists assisting at cardiac catheterization ................................... 65.4054322 Translumenal coronary angioplasty including angiography with orwithout pressure measurements, per vessel....................................... 438.43 5 554324 Coronary angioplasty stent, per stent............................................add 67.00Electrophysiologic Pacing, Mapping and AblationIncludes percutaneous access, insertion of catheters andelectrodes, electrocardiograms, intracardiac echocardiogramsand image guidance when rendered.54330 - atrial pacing and mapping…………………………………………. 317.0854332 - ventricular pacing and mapping……………………………………. 395.3854333 - with the use of an advanced nonfluroscopic computerizedmapping and navigation system (“advanced mappingsystem”) and/or procedure duration >4 hours………………….. 690.25 10 10Note: 54333 is only eligible for payment when rendered with54330 or 54332. See Preamble for additional terms andconditions.54334 - catheter ablation therapy.............................................................. 333.9954336 - repeated....................................................................................... 105.4754338 External cardiac pacing (temporary transthoracic) once per 24-hourperiod (Note: not to be claimed with CPR) ..................................... 43.9254340 Electrophysiologic measurements (includes 1 or all of sinus noderecovery times, conduction times and refractory periods). Includesinsertion of electrodes .................................................................... 219.75Arrhythmias: Induction of arrhythmias to include programmedelectrical stimulation, drug provocation and termination ofarrhythmia, if necessary, once per patient per 24 hours.(Note: CPR not payable with these services)54342 - induction of atrial arrhythmias ...................................................... 314.0454344 - induction of ventricular arrhythmias.............................................. 363.6354346 Testing of arrhythmia inductability by acute administration of antiarrhythmiadrugs - to a maximum of 2 per 24 hours.......................140.8354350 Insertion of endocardial electrodes ..................................................... 110.28 5 554352 Repositioning ...................................................................................... 44.88 5 554354 Implantation of pack ............................................................................ 119.19 5 554356 Insertion of endocardial electrode and implantation of pack (includesinsertion of temporary transvenous lead at same surgicalprocedure by same surgeon) ......................................................... 212.22 5 554358 Replacement of pack........................................................................... 103.93 5 554360 Intracardiac electrocardiography and/or atrial pacing.......................... 54.5054362 Atrio-ventricular sequential pacemaker with permanent atrial andventricular endocardial electrodes.................................................. 405.20 5 5Endomyocardial Biopsy54366 Transvenous endomyocardial biopsy.................................................. 99.19Vasomotor Syncope Testing54368 Tilt Table Testing of Vasomotor Syncope to include arterialcannulation, provocative and blocking drugs (physician must becontinually present) ........................................................................ 103.00E-6

DIAGNOSTIC AND THERAPEUTIC SERVICESJune 2012Spec. G.P.Code G.P. Spec. Anaes. Anaes.CARDIOVASCULAR (Cont’d)Cardiography: (includes technical component)54370 Apex.................................................................................................... 19.6254374 Echo.................................................................................................... 24.5354375 Saline study (including venipuncture) ................................................. 9.45 10.8354376 Insertion of oesophageal transducer................................................... 23.94 27.4154377 Transoesophageal echocardiography................................................. 16.55Umbilical arterial catheterization54378 - (including obtaining of blood sample) .......................................... 26.16Electrocardiogram54380 Office - technical component............................................................. 8.22 9.1354382 - professional component ....................................................... 8.34 9.2754384 Home - technical component............................................................. 10.66 11.8454386 - professional component ....................................................... 11.12 12.3654388 Ballisto cardiogram ............................................................................. 21.80Before and after exercise54390 - technical component.................................................................... 10.9054392 - professional component............................................................... 10.90Maximal stress ECG or submaximal stress ECG54394 - technical component.................................................................... 19.0854396 - professional component............................................................... 30.5254397 - dobutamine stress test - when rendered outside of hospital..add 37.2654400 Dipyridamole Thalium Stress Test ...................................................... 64.7554402 12 to 23 hour arrhythmia tapings (interpretation)................................ 30.52Interpretation of telephone transmitted ECG rhythm strip54406 - professional component............................................................... 3.2054408 - technical component ................................................................... 1.60Single chamber reprogramming including electrocardiography54410 - professional component............................................................... 8.5054412 - technical component.................................................................... 8.50Dual chamber reprogramming including electrocardiography54414 - professional component............................................................... 12.7054416 - technical component.................................................................... 11.30Pacemaker pulse wave analysis including electrocardiography54418 - professional component............................................................... 8.5054420 - technical component.................................................................... 8.50Interrogation, Reprogramming of Automatic ImplantableDefibrillator54421 Interrogation of automatic implantable defibrillator……………….. 27.8054422Interrogation and reprogramming of automatic implantabledefibrillator…………………………………………………………………45.21NOTES:1. The fees for codes 54421 and 54422 include payment forelectrocardiography.2. Fee code 54421 can be billed when a Cardiologist orInternist with appropriate training situated in a hospitalperforms remote interrogation of an automaticimplantable defibrillator. It can also be billed when apatient presents to a hospital and a Cardiologist orInternist with appropriate training interrogates anautomatic implantable defibrillator but does notreprogram the device.3. Fee codes 54421 and 54422 are not payable for the samepatient on the same date.E-7

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.Vascular Laboratory Fees54425 Ankle pressure determination - not chargeable during surgery orduring the patient’s post-operative stay in hospital......................... 9.6454426 Ankle pressure measurements with segmental pressure recordingsand/or pulse volume recordings and/or Doppler recordings........... 27.1454427 Ankle pressure measurements with exercise and/or quantitativemeasurements added to above...................................................... 11.75Venous Evaluation - Duplex Scan i.e. Simultaneous Real Time B-Mode Imaging for Suspected DVT, or for Evaluation for DialysisGrafting, or for Suspected Thrombosed Dialysis Graft54428 - interpretation................................................................................ 16.7554429 - procedure..................................................................................... 28.48E-8

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.DERMATOLOGYLaser Treatment of Insured Vascular Lesions54430 First ½ hour or portion thereof ............................................................ 135.5854432 Each additional 15 minutes after the initial ½ hour .......................add 67.79Laser treatment of specific congenital vascular malformations is billable according to the rules listed below. Lasertreatment of pigmented congenital lesions such as naevi, café-au-laid spots, etc., it not an insured service.General Rules(a) A visit fee is not payable in addition to the listed fees.(b) All congenital vascular lesions with the exception of spider naevi, in children less than 18 years of age, areinsured.(c) All congenital vascular lesions that present with recurrent bleeding, ulceration, or are complicated by functionaldefect (e.g. peri-orbital strawberry haemangioma) are insured.Insured Vascular Lesions1. Port Wine Stains - Bill using remarks code 26. Over the age of 18, only lesions on the face and neck areinsured.2. Strawberry haemangiomas - Bill using remarks code 27. Over the age of 18, lesions are insured only if acomplication as listed above is present.3. Blue Rubber Bleb Syndrome - Bill using remarks code 28. Over the age of 18, this familial condition usuallypresents in the elderly as painful bluish tumours. Treatment of all such haemangiomas is insured.4. Angiofibromas of Tuberous Sclerosis - Bill using remarks code 29. Over the age of 18, insured when on theface and neck only.5. Cherry Haemangiomas - Bill using remarks code 30. Over the age of 18, insured only if complications.6. Haemangio-Lymphangiomas - Bill using remarks code 31. Over the age of 18, these large congenital tumoursare insured only when complications are present, i.e. lymphatic vessel leakage, or as listed above.7. Facial Telangiectasias - Bill using remarks code 32. Over the age of 18, these lesions are uninsured unlessassociated with the following:(a) Lupus, Rendu-Osler-Weber Syndrome, CRST Syndrome (Calcinosis Curtis-Raymaud’s Phenomena-Sclerodactyly-Telangiectasia).(b) Rosaceaous Telangiectasis, over the age of 18 are insured only when the major contributing factor is acnerosacea and not aging and/or sun damage.8. Arterio-Venous Malformations - Bill using remarks code 33. Over the age of 18, lesions are insured only whencomplicated by soft tissue hypertrophy.Any other lesions considered for laser treatment not covered by the specific or general guidelines in this section requirepreauthorization from the Director of Physicians Services or Assistant Medical Director of MCP.E-9

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.DIALYSIS: team fees to include listed items. (This does not includepreliminary investigation of the case)Haemodialysis54450 Initial acute (to include surgical components....................................... 584.8854452 Repeat acute....................................................................................... 198.8254454 Insertion of Cannula or Screibner Shunt (included in the initial fee).... 158.05 6 654456 Medical component (included in the initial fee).................................... 426.8354458 Chronic .............................................................................................. 54.02Management of cannula, shunt, or by pass-graftRevision of Cannula or Screibner Shunt54460 - single............................................................................................ 61.04 4 454462 - both.............................................................................................. 87.20 4 454464 De-clotting of Cannula or Screibner Shunt.......................................... 44.15 53.4654465 Removal of cannula or AV shunt......................................................... 72.00 4 454466 By-pass graft for haemodialysis - complete surgical care ................... 290.54 7 7Peritoneal dialysis54480 Acute (up to 48 hours) - includes stylette cannula insertion (temporary) 198.8254482 Repeat acute....................................................................................... 198.8254484 Chronic - maximum of 2 per week....................................................... 56.14Management of peritoneal cannula or catheter54486 Insertion of peritoneal cannula by laparotomy - complete surgical care 112.28 6 654488 Insertion of Tenchkov type peritoneal catheter - chronic - by trocar.... 49.60 4 454490 Removal of Tenchkov type peritoneal catheter ................................... 27.03 4 4Home Dialysis54492 Monthly retainer for administration and supervision ............................ 98.10Claim date must be last date of each completed month of supervision.Satellite Haemodialysis54494 Weekly fee for administration and supervision of SatelliteHaemodialysis patients, per patient.................................................. 37.28NOTES:1. Fee code 54494 is the benefit for managing chronichaemodialysis where the patient undergoes dialysis at aDOHCS approved satellite site remote from the site wherethe billing physician is located.2. For the purpose of claiming this code “remote” meanspatient and physician are located in different municipalitiesand the physician does not attend the patient’s dialysissessions at the satellite site in person.3. All claims for fee code 54494 must include the facilitynumber of the satellite site where the patient is located. Seethe MCP Physician Information Manual for a list of numbers.4. For MCP billing purposes, the claim date must be the lastdate of each completed week of supervision where a weekbegins 12:00 a.m. Monday and ends 11:59 on Sunday.5. If the billing physician provides in person dialysis services tothe patient at the satellite site, the amount that can beclaimed for code 54494 that week must be reduced by 50%.54496 Teledialysis assessment with patient, once per week, per patient ...... 54.02E-10

DIAGNOSTIC AND THERAPEUTIC SERVICESFebruary 2011Spec. G.P.Code G.P. Spec. Anaes. Anaes.ENDOCRINOLOGY AND METABOLISM54500 Antidiuretic hormone response test .................................................... 14.7254502 Basal metabolic rate ........................................................................... 9.8154504 Benzodioxine test ............................................................................... 9.8154514 Histamine test..................................................................................... 11.9954518 Implantation of hormone pellets.......................................................... 10.79 11.9954520 Insulin sensitivity test .......................................................................... 26.1654526 Pentagastrin Stimulation for calcitonin................................................ 37.8054532 Rogetine test....................................................................................... 11.9954538 Water tolerance test............................................................................ 11.99GASTROENTEROLOGY54550 Oesophageal tamponade (insertion of Blakemore bag)...................... 44.3654552 Oesophageal motility test.................................................................... 65.40Oesophageal pH study for reflux54560 - adult............................................................................................. 24.5354562 - paediatric ..................................................................................... 45.0054563 - with 24-hour pH monitoring....................................................add 5.5054564 Oesophageal potential difference test ................................................ 24.5354566 Oesophageal perfusion test................................................................ 21.8054568 Duodenum aspiration -by intubation for secretion test (after 1 hour,charge detention extra).................................................................. 11.99Gastric lavage:54570 - diagnostic .................................................................................... 5.40 6.5454572 - therapeutic................................................................................... 18.64 20.71Gastric secretion studies (Augmented Histamine or Histalog, orPentagastrin)54576 - procedure, supervision and interpretation.................................... 18.5354578 Combined pH and motility test............................................................ 73.5854580 Combined pH motility and potential difference test............................. 88.2954582 Fluorescent string test for gastro intestinal bleeding........................... 24.5354584 Ano-rectal manometry......................................................................... 35.0054586 Capsule endoscopy……………………………………………………… 342.10NOTES:1. Payable for review of imaging done in hospital andreport to the referring physician.2. A visit cannot be claimed at the same sitting as theinitiation of capsule endoscopy.3. Fee code 54586 is only insured for patients who havepreviously undergone some or all of the following:esophagogastroduodenoscopy, colonoscopy, smallbowel enteroscopy and/or small bowel seriesradiography & fluoroscopy.E-11

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.GENERAL PRACTICEMethadone Maintenance Therapy - Monthly stipend for overseeingpatients on methadone for opioid dependency.54590 First 3 months - per patient, once per month (lifetime maximum ..of 3months) ............................................................................................... 40.0054592 Second 3 months - per patient, once per month (lifetime maximum of3 months) ............................................................................................ 30.0054594 Thereafter - per patient, once per month............................................. 20.00Notes:1. Entitlement to these monthly stipends is limited to physicians who:(a) have a current valid licence to prescribe methadone foraddiction;(b) are actively supervising the patient’s continuing use ofmethadone.2. Only one physician will be paid the monthly stipend. Changeof physician does not affect level of payment.3. Visits for each patient contact would be paid as at present.4. Not eligible for premiums or surcharges.5. No restarts in the payment program, i.e. if the patient leavesthe program and then at a later date re-enters the program, hisor her payment would resume at the same level as when he/sheopted out.6. This payment stops when the patient stops taking methadone.GYNECOLOGY54600 Artificial insemination........................................................................... 15.48 17.2054606 Huhner’s test....................................................................................... 8.1854614 Papanicolaou smear (no charge if done as part of a consultation,repeat consultation, general or specific assessment or routine postnatalvisit ........................................................................................ 11.00 5.9154616 Vaginal insufflation .............................................................................. 4.42 4.91E-12

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.INJECTIONS OR INFUSIONSLateral discography54626 - lumbosacral disc as first disc ....................................................... 76.68 4 454628 - any other disc as first disc............................................................ 40.06 4 454630 - second and subsequent discs, each............................................ 20.60Injection of chemonucleolysis54632 - initial injection .............................................................................. 10.31 11.4554634 - any subsequent injection at other levels, each ............................ 5.7254636 Injection of extensive keloids .............................................................. 18.45 20.5054638 - under general anaesthesia .......................................................... 37.50 4 454640 BCG inoculation, including tuberculin tests......................................... 4.91 5.4554644 Injection of bursa, joint or tendon sheath (not to be billed in addition tosame site surgical benefits when performed at time of surgery),including preliminary aspiration...................................................... 16.80 18.6754646 - each additional site or area (maximum 8 injections per visit).add 4.91 5.4554650 Influenza immunization of target population; visit fee and/or fee code54000 not payable in addition........................................................ 17.16 14.66Botulinum Toxin Injection for Dystonia54652 - single muscle............................................................................... 75.0054654 - more than 1 muscle ..................................................................... 135.00Intradermal, intramuscular or subcutaneous - with visit - first injection No Charge54656 - each additional injection ........................................................add 1.18 1.31Intradermal, intramuscular or subcutaneous sole reason54658 - first injection................................................................................. 2.36 2.6254656 - each additional injection ........................................................add 1.18 1.3154660 Intralesional infiltration (1 or more lesions) ......................................... 13.43 14.92IntravenousNo fee is payable for injections into an established IV apparatus.54664 Newborn or infant ............................................................................... 9.60 10.6754666 - scalp vein..................................................................................... 13.82 15.3654668 - cut down ...................................................................................... 18.23 20.2654670 Child, adolescent or adult ................................................................... 3.44 3.8254674 - cut down ...................................................................................... 15.70 19.01Chemotherapy (marrow suppressant) - with each injection supervisedby a physician for intravenous infusion for treatment of malignantor autoimmune disease. Physicians must be physically present inthe clinic in which the injection is administered, at the time ofinjection and for the duration of the infusion and must during all ofthat period be available to intervene immediately, if required.54688 - single injection (for agents other than adriamycin, cisplatin,bleomycin, high dose methotrexate, or similarly toxic agents)... 12.51 13.9054690 - each additional injection (other than above drugs)..............add 6.30 7.00E-13

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.INJECTIONS OR INFUSIONS (Cont’d)Intravenous (Cont’d)Chemotherapy and patient assessment provided by physician inhospital based clinics or to in-patients (the following benefits includepatient assessment for a 24-hour period, drug administration andestablishment of intravenous)54692 - single agent intravenous chemotherapy i.e. adriamycin, cisplatin,bleomycin or similarly toxic agents.......................................... 42.48 47.2054694 - multiple agent intravenous chemotherapy including at least one ofeither adriamycin, cisplatin, bleomycin or similarly toxic agents 56.84 63.1554696 - special single agent chemotherapy utilizing either high-dosemethotrexate with folinic acid rescue - methotrexate given in adose of greater than 1 g/m 2 or high dose of cisplatin greaterthan 75 mg/m 2 given concurrently with hydration and osmoticdiuresis.................................................................................... 80.60 89.5554700 Supervision of chemotherapy - monthly .............................................. 10.22 11.3554702 Pneumothorax - initial ....................................................................... 15.8254704 - subsequent............................................................. 15.8254706 Pneumoperitoneum - initial................................................................. 15.8254708 - subsequent...................................................... 9.81Varicose veins (per visit)54710 - single injection ............................................................................. 4.91 5.4554712 - two or more injections (unilateral or bilateral)............................... 6.87 7.63E-14

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.NEUROLOGY54800 Electrocorticogram - supervision and interpretation............................ 153.75Electroencephalography54802 - complete procedure ..................................................................... 28.8954804 - interpretation................................................................................ 11.4554806 - with activating drugs; e.g., megamide ............................add 11.4554808 - inserting subtemporal needle electrodes........................add 11.4554810 - attendance and supervision of ECG during major surgery .......... 114.4554816 - tensilon testing............................................................................. 18.0054820 Amytal test - bilateral - supervision and coordination of tests ............. 62.95OPHTHALMOLOGYContact lens fitting is not an insured service except for the followingconditions:(a)(b)(c)(d)Aphakia, monocular and binocularhigh myopia, greater than nine (9) dioptresirregular astigmatism (post-corneal grafting or cornealscarring resulting from disease states), andkeratoconusNOTE: Fee codes 54850, 54852 and 54854 must be billed ICindicating the condition for which the procedure was done.54850 Contact lens fitting (with follow-up for 3 months) ................................ 156.9054852 One eye only, when the other eye has been previously fitted by thesame physician (with follow-up for 3 months) ................................ 80.8054854 Hydrophilic “Bandage” lens fitting ....................................................... 72.72 80.80Note: Fee code 54000 will not apply for fee code 54860 to 5489654860 Intravenous fluorescein angiography - professional and technicalcomponent..................................................................................... 52.2054864 Glaucoma provocative tests, including water drinking tests................ 17.4454868 Ophthalmodynamometry ................................................................... 5.4554870 Orthoptics (assessment or treatment)................................................. 4.36Radioactive phosphorous examination54872 - anterior approach ........................................................................ 28.8954874 - posterior approach....................................................................... 57.7754876 Sonography ........................................................................................ 42.6754878 Static perimetry (uni or bilateral) ......................................................... 40.0354880 Tonography (to include tonometry) ..................................................... 12.2654882 - with water .................................................................................... 17.4454884 Tonometry (uni or bilateral)................................................................. 4.14 4.60(not to be charged if done in conjunction with an ophthalmologicalconsultation, specific assessment or reassessment)54888 Subconjunctival or sub-Tenons capsule injection ............................... 14.3054896 Botulinum toxin injection of extra ocular muscle with electromyographiccontrol, per muscle ..................................................... 75.00E-15

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.OPHTHALMOLOGY (Cont’d)Ocular Photodynamic Therapy (PDT) - is, subject to the limitations setout below, an insured service when rendered by an Ophthalmologist.PDT includes retinal photography, establishment of intravenousaccess, supervision of drug infusion and personal application of nonthermaldiode laser for activation of verteporfin.PDT is insured only if the patient’s clinical condition meets all of thefollowing criteria:(i) the patient has predominantly classic subfoveal choroidalneovascularization (CNV) secondary to either age-relatedmacular degeneration (AMD) or occult or ‘minimally classic’AMD less than 4 disc diameters. ‘Predominantly’ meansthat the area of classic subfoveal CNV is equal to or greaterthan 50% of the total CNV lesion, as determined byfluorescein angiography and documented by retinalphotographs;(ii) treatment is commenced within 12 months after initialdiagnosis of predominantly classic subfoveal CNVsecondary to either AMD or occult or ‘minimally classic’AMD less than 4 disc diameters;(iii) the patient’s visual acuity is equal to or worse than 20/40;and(iv) for each repeat therapy, recurrent or persistent CNVleakage is detected by fluorescein angiography anddocumented by retinal photographs.Retinal photographs must be made prior to the procedure andpermanently retained. Maximum one PDT (unilateral or bilateral) perpatient, per day.54897 - unilateral PDT per patient, per day............................................... 300.0054898 - bilateral PDT per patient, per day ................................................ 375.00Notes:1. Intravenous injection fee codes are not payable for the samepatient on the same date as fee codes 54897 and 54898.2. Fee codes 54897 and 54898 cannot both be claimed for the samepatient on the same date.3. Assessments and angiography are payable in addition to PDT.Retinal photography is insured as a specific element of theassessment and is not payable separately.E-16

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.OTOLARYNGOLOGY54900 Particle repositioning manoeuvre for benign paroxysmal positionalvertigo............................................................................................ 17.54 19.49Audiometric testsFee code 54000 will not apply for fee codes 54904 to 54910Pure tone air and bone conduction54904 - technical component.................................................................... 6.26 6.9554906 - professional component............................................................... 4.05 4.5054908 - technical component with speech tests ....................................... 8.7554910 - professional component with speech tests .................................. 11.93Impedance audiometry54914 - technical component.................................................................... 4.20 4.6754916 - professional component............................................................... 7.35 8.17Advanced testing (may include recruitment sisi, tone decay,malingering, Bekesy test) (per test to a maximum of 2 tests)54922 - technical component.................................................................... 6.4554924 - professional component............................................................... 5.00Hearing aid evaluation, including pure tone air and bone conductionand speech tests54930 - technical component.................................................................... 3.0054932 - professional component............................................................... 2.45Cortical audiometry54938 - technical component.................................................................... 28.20 3 354940 - professional component............................................................... 15.40Vestibular function testsCaloric testing with electronystagmography54952 - professional component............................................................... 16.80Minimal caloric54954 - professional component............................................................... 4.58Fitzgerald-Hallpike method54956 - professional component............................................................... 14.44Electronystagmography54958 - technical component.................................................................... 14.7954960 - professional component 14.10Electrogustometry54962 - professional component............................................................... 9.27E-17

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.PHYSICAL MEDICINE54970 Nerve stimulation ................................................................................ 22.89Therapeutic Procedures54976 Manipulation - major joint................................................................... 7.16 7.9654978 - minor joint................................................................... 3.53 3.9254980 Miscellaneous therapeutic procedures not exceeding one hour aslisted below .........................................................................................- Intermittent positive pressure breathing treatments (office)- Heat-diathermy, heat cabinets, heat cradles or bakers,radiant heat, whirlpool baths, paraffin baths, microtherm, etc.- Pulsed-diathermy Light-Ultraviolet - general, local, orifical,etc.- Electrotherapy - Galvanic, Faradic and sinusoidal currents,iontophoresis, etc.- Ultrasound- Hydrotherapy - contrast baths - hotpacks; Local (arm and leg,whirlpool baths): general (Hubbard) for body immersion orBody Tanks; therapeutic pool, under water exercises,cryotherapy- Mechano Therapy - massage, mechanical device traction,pulleys and weights, treadles stationary bicycles, shoulderwheels- Therapeutic Exercise- Occupational Therapy - Programme adapted to individual’sneeds- Activities of daily living (ADL.) functional and supportiveprogramme, woodwork, metal, leather, basketry, looms, etc.- Inhalation Therapy4.50 5.00Thermography of area (e.g. hand, foot or large joint) 1 or more areas54982 - technical component .................................................................... 13.0054984 - professional component............................................................... 6.50E-18

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009Spec. G.P.Code G.P. Spec. Anaes. Anaes.PSYCHIATRY54990 ECT..................................................................................................... 74.98 3 3Charges for hospital visits, home or office fees do not apply on a daywhen ECT or individual psychotherapy is charged. (same diagnosis,same physician)UROLOGY55024 Cystometrogram and/or voiding pressure studies (micturition studies) 56.7255034 Prostatic massage .............................................................................. 5.20 5.7855036 Penile pressure recordings - 2 or more pressures .............................. 8.68 9.64VENIPUNCTURE55040 Newborn or infant ............................................................................... 4.91 5.4555042 - scalp vein..................................................................................... 10.5755044 Child, adolescent or adult ................................................................... 4.73 5.2655046 Therapeutic venisection...................................................................... 5.89 6.54Finger prick blood sampling is not considered to be a “venipuncture”.Venipuncture fees are not payable for the office collection of blood ifthe sample is collected less than 16 kilometers from the nearesthospital or satellite laboratory unless a patient’s illness or disabilitydoes not permit him/her to travel to the normal collection site.E-19

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTICRADIOLOGICAL EXAMINATIONSThis section is for the use of physicians other than Radiologists and those physicians designated by individual hospitalsto provide imaging services.These procedural fees are intended to cover compensation for the professional service of placing an instrument andintroducing contrast media (except oral or rectal administration for study of the alimentary tract).When the following listings involve bilateral procedures, add 50% to the listed fee(s).Fee code 54000 is not payable in addition to the following procedures:Spec. G.P.Code G.P. Spec. Anaes. Anaes.55050 Arthrogram .......................................................................................... 17.44 4 455056 Bronchogram....................................................................................... 11.45 6 655060 Cerebral angiogram............................................................................. 45.78 5 555064 Dacryocystogram ................................................................................ 11.45 4 455066 Discogram ........................................................................................... 40.33 4 455074 Hypotonic duodenogram ..................................................................... 22.89 4 455076 Hysterosalpingogram .......................................................................... 50.11 4 455080 Laryngogram ....................................................................................... 11.4555082 Lymphogram ....................................................................................... 26.1655088 Myelogram .......................................................................................... 26.16 4 455094 Nephrotomogram ................................................................................ 4 455106 Percutaneous transphepatic cholangiogram ....................................... 28.51 4 455108 Peripheral angiogram.......................................................................... 17.44 4 455110 Peritoneal pneumogram...................................................................... 17.44 4 455118 Tomogram........................................................................................... 5 555120 Urethocystogram................................................................................. 5.7855122 Vasogram............................................................................................ 28.89 5 5Thoracic or abdominal angiogramIntroduction by55140 - translumbar aorto or venogram.................................................... 45.78 5 555142 - percutaneous arterial or venous needle (or cut-down onsuperficial peripheral vein) ...................................................... 45.70 5 5- percutaneous arterial or venous catheter (or cut-down onsuperficial vein)55150 - non selective ................................................................................ 57.77 5 555152 - selective....................................................................................... 87.20 5 5Exposure of major artery55154 - non selective ................................................................................ 87.20 5 555156 - selective....................................................................................... 114.45 5 5E-20

DIAGNOSTIC AND THERAPEUTIC SERVICESApril 1, 2009PULMONARY FUNCTION STUDIESThese fees are payable by MCP only when services are rendered outside of hospital.The fee of pulmonary function examination includes the supplying of equipment, premises and technical services;responsibility for quality control and technical training, interpretation of the results of tests, and consultation between thephysician responsible for tests and the referring doctor concerning the results of the tests.Fee code 54000 is not payable in addition to these procedures.Code G.P. Spec.Standard Measurements55200 Vital capacity and subdivisions (IC, ERV)........................................................................ 4.5855202 - plus resting ventilation and oxygen consumption ................................................... 6.9855204 Functional residual capacity and/or residual volume ....................................................... 13.9555210 Timed vital capacity (FEV 0.5, FEV 0.75, FEV 1, peak flow, MMFR, etc.................................. 6.87 7.6355212 Maximum voluntary ventilation......................................................................................... 5.78Exercise Tests55232 Simple progressive exercise tests at several work-loads, with measurement of heart rateby ECG and of ventilation ................................................................................................ 34.88Arterial Blood Gas Tests55252 Blood analysis for pH, PO 2, PCO 2, HCO 3, with interpretation.......................................... 11.4555254 - plus oxygen saturation with interpretation.................................................................. 11.4555256 - plus expired gas analysis and computation of A-a and/or a-A gas tension differences 51.2355258 Exercise in a steady rate at two or more workloads with heart rate measurements byECG, and ventilation VO 2, VCO 2, entidal and mixed venous PCO 2, plus arterial bloodgas analysis..................................................................................................................... 87.2055260 Blood analysis for oxygen content and capacity............................................................... 19.62Oximetry (ear)55264 - Change of arterial oxygen saturation on exercise .......................................................... 5.45E-21

April 1, 2009CRITICAL CARENEONATAL INTENSIVE CARECode G.P. Spec.Level A: Infant in Neonatal Intensive Care Unit maintained by artificial ventilation(all modalities) and with full invasive monitoring and parenteral alimentation.51730 - first day ......................................................................................................... 344.56 382.8451732 - 2 nd day to 10 th day (inclusive), per diem........................................................ 172.22 191.3551734 - 11 th day onwards, per diem ........................................................................... 86.11 95.68Level B: Infant in Neonatal Intensive Care Unit requiring full monitoring bothinvasive and non-invasive with O 2 administration and IV therapy but withoutVentilatory Support51738 - first day ......................................................................................................... 222.78 247.5351740 - 2 nd day onwards, per diem............................................................................. 63.00 70.00Level C: Infant in Neonatal Intensive Care Unit requiring O 2 administration andnon-invasive monitoring and gavage feeding51744 - first day.......................................................................................................... 149.39 165.9951746 - 2 nd day onwards, per diem............................................................................. 31.16 34.62Concurrent Care (NICU)51790 Physician rendering care concurrently with the physician in-charge, per diem....... 22.62 25.14D-1

April 1, 2009CRITICAL CAREICU AND CCUCode G.P. SpecComprehensive Care: is the service rendered by an Intensive Care physicianwho provides complete care (both Critical Care and Ventilatory Support to CriticalCare Area patients)51750 - first day.......................................................................................................... 271.13 301.2651752 - 2 nd day to 10 th day, per diem ......................................................................... 135.57 150.6251754 - 11 th day onwards, per diem............................................................................ 67.78 75.32Critical Care: is the service rendered by a physician for providing, in a CriticalCare Area, all aspects of care of a critically ill patient excluding VentilatorySupport51756 - first day.......................................................................................................... 184.11 204.5751758 - 2 nd to 10 th day, per diem................................................................................. 92.06 102.2951760 - 11 th day onwards, per diem............................................................................ 46.03 51.15Observatory Care: ICU or CCU patient without invasive monitoring and withoutassisted ventilation51766 - first day .......................................................................................................... 104.42 116.0251768 - 2 nd day to 10 th day, per diem.......................................................................... 52.21 58.0151770 - 11 th day onwards, per diem............................................................................ 26.10 29.00Ventilatory Support: is the provision of Ventilatory Care by a physician otherthan the one claiming Critical Care. It includes assessment of the patient and useof artificial ventilator and all necessary measures for its supervision51774 - first day .......................................................................................................... 87.01 96.6851776 - 2 nd day to 10 th day, per diem.......................................................................... 43.51 48.3451778 -11 th day onwards, per diem............................................................................. 21.75 24.17Concurrent Care (ICU, CCU))51790 Physician rendering care concurrently with the physician in-charge, per diem....... 22.62 25.14D-2

April 1, 2009CRITICAL CARECode G.P. SpecCARDIO-PULMONARY RESUSCITATIONCardiac Arrest51820 First unit (0 to 15 minutes or any portion thereof)................................................... 55.54 61.7051822 Subsequent units (each subsequent 15 minutes or part thereof) ........................... 25.59 28.44(1) Units are timed from the onset of the arrest and the presence ofthe physician.(2) A maximum of three physicians will be paid for each time unit(3) The unit fees include all necessary resuscitative measures, e.g.,defibrillation, cardioversion, cut-downs, etc.PROVINCIAL PERINATAL HIGH RISK UNITPhysician in Charge51920 - first day ......................................................................................................... 79.0051922 - subsequent days........................................................................................... 36.55Concurrent Care (ICU, CCU, Provincial Perinatal High Risk Unit)51790 Physician rendering care concurrently with the physician-in-charge, per diem ..................... 22.62 25.14D-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EYESpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.98800 Examination and unlisted minor procedures under generalanaesthetic, when sole procedure (IOP) ..................... 70.22 4 4EYEBALLExcision98810 Enucleation, donor eye, post-mortem (1 or both)............... 129.50Repair98820 Removal of intraocular foreign body .................................. 32.68 572.54 6 698822 - non-magnetic-posterior segment................................ 32.68 584.65 6 6Penetrating wound98824 - with prolapse of intraocular tissue .............................. 32.68 303.68 6 698826 - without prolapse of intraocular tissue ......................... 32.68 243.16 6 6CORNEAIncision98830 Paracentesis (IOP) ............................................................ 51.55 4 4Removal embedded foreign body (IOP)Note: Not to be claimed for the routine removal ofsutures within 42 days of procedure.98832 - local anaesthetic - 1 foreign body............................. 32.42 36.0298834 - 2 or more foreign bodies............. IC98836 - general anaesthetic.................................................... 72.82 4 4Chelation of band keratopathy with EDTA (IOP)98838 - local anaesthetic ........................................................ 25.7598840 - general anaesthetic.................................................... 72.82 4 4Excision98850 Pterygium - simple (unilateral) ........................................... 136.32 4 498852 - with partial keratectomy.............................................. 32.68 372.50 4 498854 - with lamellar graft ....................................................... 32.68 445.52 8 898856 - with autogenous conjunctival transplant...............add 79.5298858 - with mucous membrane graft...............................add 111.6598860 Keratectomy....................................................................... 32.68 303.68 4 4Excision of dermoid98862 - with partial keratectomy.............................................. 303.68 4 498864 - with lamellar graft ....................................................... 32.68 445.52 8 8Cauterization of ulcer (IOP)98866 - local anaesthetic ........................................................ 25.7598868 - general anaesthetic.................................................... 72.82 4 4ReplacementCorneal transplant98880 - penetrating ................................................................ 32.68 682.30 8 898882 - with artificial prosthesis ........................................add 51.5598884 - lamellar....................................................................... 32.68 445.52 8 898886 Division of iris to cornea..................................................... 158.93 4 4W-1

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EYESpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.SCLERAIncision98890 Sclerotomy, posterior ........................................................ 163.69 4 498892 Anterior chamber - open evacuation of clot....................... 32.68 363.40 6 6IRIS AND CILIARY BODY98900 Laser iridotomy.................................................................. 32.68 252.97 4 498902 Laser angle surgery........................................................... 390.88 4 498904 Iridectomy - surgical - when sole procedure...................... 32.68 303.68 4 498906 Glaucoma filtering procedures .......................................... 32.68 571.45 6 698908 - with intraocular implant of seton .......................... add 78.7098910 Extraocular glaucoma procedures..................................... 32.68 180.02 4 498912 Ciliary body reattachment.................................................. 32.68 498.31 8 8CRYSTALLINE LENSIncision98920 Needling (discission) - primary or subsequent .................. 158.93 5 598922 Capsulotomy (any method) ............................................... 32.68 285.58 4 4ExcisionCataract98930 - all types of, by any procedure.................................... 32.68 473.09 8 898932 - dislocated lens extraction .......................................... 32.68 597.98 6 698934 - insertion of intraocular lens.................................. add 101.3898936 Fixation of intraocular lens (McCannell suture procedure) 32.68 263.76 6 698938 Excision of secondary membrane with corneal sectionfollowing cataract extraction......................................... 32.68 259.05 6 698940 Removal of intraocular lens............................................... 32.68 309.31 6 698942 Repositioning, surgical of dislocated intraocular lens........ 158.93 4 498946 Insertion of secondary intraocular lens.............................. 32.68 303.68 8 8VITREOUS98950 Vitrectomy by infusion suction cutter technique ................ 32.68 1264.79 8 898952 - with transscleral retinal suturing........................... add 210.5498954 Vitreous aspiration, posterior with needle for cultureand/or injection of medication, with or without cryopexy 32.68 232.90 5 598956 Anterior vitrectomy (planned) when done in conjunctionwith another intraocular procedure......................... add 88.0798958 Preretinal membrane peeling or segmentation to includeposterior vitrectomy and coagulation ........................... 32.68 1724.39 8 898960 Vitreous exchange (air, gas or artificial vitreoussubstance) - add to vitrectomy..................................... 120.31W-2

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EYESpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.RETINA98970 Reattachment of retina and choroid by diathermy,photocoagulation or cryopexy as initial procedure........ 49.02 459.55 6 698972 Scleral resection or buckling procedure.............................- with or without diathermy, photocoagulation orcryopexy, primary or subsequent procedure.......... 49.02 1554.70 6 698974 Secondary operation following unsuccessful operation orfresh detachment in the same eye by a differentsurgeon with or without diathermy, photocoagulation orcryopexy ....................................................................... 49.02 1123.80 6 698976 Removal of scleral implant................................................. 255.07 4 498978 Photocoagulation - 1 eye ................................................... 297.20 6 698980 Cryopexy - extraocular or subconjunctival - 1 eye ............. 216.03 6 6EXTRAOCULAR MUSCLESRepairStrabismus procedures98990 - 1 muscle, 1 or both eyes ............................................ 24.51 365.56 5 598992 - 2 muscles, 1 or both eyes .......................................... 24.51 365.56 5 598994 - 3 or more muscles, 1 or both eyes ............................. 24.51 405.16 5 598996 - for adjustable suture.............................................add 80.7698998 Repeat strabismus procedure (more than 2 previousrepairs by different surgeon)...................................add 121.60ORBITIncision99010 Drainage of abscess .......................................................... 195.06 6 6Excision99020 Enucleation, with or without primary implant...................... 32.68 362.68 4 499022 Evisceration, with or without primary implant..................... 32.68 362.68 4 499024 Exenteration....................................................................... 32.68 292.11 6 699026 - with major plastic repair........................................add 292.1199028 Secondary orbital implant .................................................. 32.68 366.87 4 499030 Tumour or foreign body - anterior route........................... 32.68 303.68 6 699032 - posterior exposure .................. 32.68 506.54 6 699034 Biopsy - anterior ................................................................ 158.93 4 499036 - posterior exposure............................................... 303.68 4 499038 Lateral orbitotomy (Kronlein).............................................. 24.51 417.60 6 699040 Decompression - 2 walls................................................... 32.68 486.30 6 699042 - 3 walls................................................... 32.68 567.12 6 6W-3

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EYESpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.ORBIT (Cont’d)Reconstruction99050 Dermis fat graft - immediately following enucleation ........ 187.2899052 - delayed................................................. 32.68 506.97 6 699054 Fornix reconstruction......................................................... 243.16 4 499056 - with mucous membrane graft .................................... 316.66 4 499058 - with autogenous conjunctival transplant .............. add 79.52Free mucous membrane graft99060 - full thickness ............................................................. 219.08 4 499062 - split thickness ............................................................ 292.11 4 499064 Alloplastic volume replacement......................................... 405.16 4 4EYELIDSIncisionDrainage of abscess (IOP)99070 - local anaesthetic........................................................ 36.32 40.3599072 - general anaesthetic ................................................... 80.76 4 4ExcisionVerrucae, papilloma, keratosis, etc. (IOP) - see Skinand Subcutaneous Tissue-Integumentary System alsoLid Tumours or Unlisted Plastic ProceduresChalazion - single or multiple (IOP)99080 - local anaesthetic........................................................ 36.32 40.3599082 - general anaesthetic ................................................... 80.76 4 4Epilation99084 - by hyfrecator, electrolysis (IOP)................................. 23.17 25.75 4 499086 - by cryopexy ............................................................... 64.91 4 4Suture99090 Tarsorrhaphy..................................................................... 109.59 4 499092 Double adhesion ............................................................... 158.93 4 4Repair99100 Ptosis 32.68 308.01 4 499102 - repeat or second repair.............................................. 32.68 386.67 6 699104 Distichiasis - unilateral....................................................... 32.68 238.01 4 499106 Trichiasis, repair by tarsal transplantation......................... 32.68 238.01 4 499108 Entropion, other than Zeigler puncture.............................. 32.68 301.21 4 499110 - repeat by second surgeon ................................... add 51.5599112 - with mucous membrane graft .............................. add 111.6599114 Ectropion, other than Zeigler puncture 32.68 281.42 4 499116 - repeat by second surgeon ................................... add 51.55- with skin graft, see Plastic Surgery Procedures -Integumentary SystemW-4

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EYESpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.EYELIDS (Cont’d)Repair (Cont’d)99120 Zeigler punctures (for entropion/ectropion) (IOP) .............. 25.75 4 499122 Laceration - full thickness .................................................. 128.85 4 499124 - including lid margin..................................................... 259.05 4 499126 Laceration of eyelid including levator palpebrae superioriswith ptosis..................................................................... 32.68 324.78 4 4Blepharoplasty99128 - excision of skin, with/without partial excision of theorbicularis oculi muscle - 1 lid................................ 81.58 4 499130 - plus removal of orbital fat and/or lid foldreconstruction - 1 lid ....................................... 32.68 202.32 4 499132 Lid lengthening procedure ................................................. 32.68 283.56 4 499134 - with scleral graft ...................................................add 79.5299136 Primary closure of full thickness lid defect ......................... 32.68 263.76 4 499138 - with cantholysis ....................................................add 52.3699140 - with releasing rotation flap including cantholysis..add 87.6399142 Transconjunctival flap and skin graft (Hughes).................. 32.68 476.90 6 699144 - second stage.............................................................. 106.56 4 499146 Lower or upper eyelid bridge flap....................................... 32.68 476.90 6 699148 - second stage.............................................................. 106.56 4 499150 Temporal rotation flap........................................................ 32.68 506.97 6 699152 - with free posterior lamellar graft ...........................add 171.8199154 Free tarsal, scleral or cartilage graft with local skinmobilization .................................................................. 49.02 527.53 8 899156 Free composite eyelid graft................................................ 49.02 527.53 8 899158 Medial canthoplasty (skin and muscle) .............................. 32.68 253.49 4 4Medial canthal tendon99160 - tendon repair only....................................................... 32.68 263.76 4 499162 - fixating to bone........................................................... 32.68 405.60 6 699164 - when done in conjunction with another procedure 150.38Lateral canthal surgery99166 Canthotomy - not to be claimed with 98930, 98932........... 50.68 4 499168 Cantholysis - when primary procedure............................... 105.70 4 499170 Lateral canthopexy ............................................................ 200.14 4 499172 - when done in conjunction with another procedure.................................................................add 100.51CONJUNCTIVARemoval of foreign body VF VFExcision99190 Peritomy (Gunderson conjunctival flap) ............................. 109.59 4 499192 Biopsy (IOP) ...................................................................... 25.75 4 4W-5

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EYESpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.CONJUNCTIVA (Cont’d)Repair99200 Excision of conjunctival lesion........................................... 79.52 4 499202 - with mucous membrane graft .............................. add 111.6599204 - with autogenous conjunctival transplant .............. add 79.52LACRIMAL TRACTIncision99210 Dacryocystotomy - general anaesthetic (IOP)................... 51.55 4 499212 Three “Snip” punctum procedure (IOP)............................. 64.48 4 4Excision99220 Dacryocystectomy............................................................. 32.68 250.89 4 4Repair99230 Lacerated canaliculus - immediate repair ........................ 32.68 208.81 4 499232 - delayed repair ............................ 32.68 405.16 5 599234 Dacryocystorhinostomy..................................................... 40.85 542.88 5 599236 - repeat procedure by second surgeon .................. add 85.9099238 - with lacrimal by-pass procedure (e.g., Lester Jones)or canalicular reconstruction........................... add 79.5299240 Lacrimal by-pass procedure (e.g., Lester Jones)- when sole procedure ................................................. 178.73 4 4Manipulation99250 Irrigation of nasolacrimal system - uni or bilateral ............. 20.66Probing and dilation of duct - initial or repeat99252 - local anaesthetic - unilateral ...................................... 22.2899254 - general anaesthetic - uni or bilateral.......................... 79.52 4 499256 - with insertion of inlying tube or filament..................... 158.06 4 499258 Reinsertion of Lester Jones tube....................................... 51.55W-6

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EARSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.EXTERNAL EAREndoscopyRemoval of foreign body- simple......................................................................... VF VF99302 - complicated - general anaesthetic, when soleprocedure (IOP)..................................................... 28.34 4 499304 - post auricular approach.............................................. 125.35 4 499306 - from middle ear space................................................ 125.35 4 499308 Removal of drainage tubes under general anaesthesia(IOP)............................................................................. 17.44 4 499310 Debridement of ear(s) under microscopy (IOP) ................. 25.5599312 - under general anaesthesia (IOP) ............................... 48.45 4 4NOTE: “Debridement of ears” may only be claimed forremoval of impacted cerumen by means otherthan syringing, or suction, or for the therapeuticremoval of debris resulting from infection.Incision99320 Biopsy, ear canal (IOP)...................................................... 24.60 4 499326 Limited incision for perichondritis, removal of cartilage anddrainage ....................................................................... 83.93 4 499328 Radical surgery for perichondritis ...................................... 167.86 5 5Excision99330 Local excision polyp - office (IOP)..................................... 24.6099332 - hospital (IOP) ................................. 48.45 4 499338 Amputation - partial ........................................................... 83.93 4 499340 - complete....................................................... 106.82 4 499342 Exostosis, simple endomeatal surgery and removal anddrilling out of exostosis ................................................. 187.95 4 499344 - with multiple removal, with necessary grafting ........... 235.40 4 499346 - posterior auricular approach....................................... 171.13 5 599348 Pre-auricular sinus (IOP) ................................................... 29.6099350 - requiring general anaesthetic ..................................... 185.90 5 5RepairMicrotia99360 - minor repair................................................................ 40.85 199.70 5 599362 - major repair or first stage of a major repair ................ 40.85 314.50 5 599364 - subsequent stages of a major repair (maximum of 2subsequent stages) ................................................ 40.85 269.11 5 599366 Congenital atresia of canal, includes necessary mastoidsurgery ......................................................................... 40.85 348.80 5 599368 Otoplasty for correction of outstanding ears - unilateral..... 40.85 212.30 5 5Note:Otoplasty for correction of outstanding ears isinsured for patients 0-17 years of age. It is notan insured service for patients 18 years of ageand older.99372 Meatoplasty or canalplasty for congenital malformation .... 40.85 290.16 5 599374 - with grafting of canal ............................................add 197.54 1 199376 - with tympanoplasty and/or ossiculoplasty and/ormastoidectomy .................................................add 390.31 2 2W-7

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EARSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.MIDDLE EARIntroduction (IOP)Eustachian Catheterization99380 - unilateral - local anaesthetic ...................................... 5.4599382 - uni or bilateral - general anaesthetic.......................... 21.80 4 4Insufflation of eustachian tube........................................... VF VF99383 Intratympanic injections..................................................... 150.00Incision (IOP)Myringotomy, to include aspiration when indicated99390 - local anaesthetic........................................................ 40.1099392 - with insertion of ventilation tube using operatingmicroscope....................................................... 38.8099394 - general anaesthetic - with/without operatingmicroscope, unilateral........................................... 28.34 4 499396 - with insertion of drainage tube using operatingmicroscope, unilateral ...................................... 74.14 4 499398 Aspiration of serous otitis .................................................. 11.45 4 4ExcisionMastoidectomy- simple99410 - child .................................................................... 32.68 328.50 6 699412 - adult or adolescent.............................................. 32.68 328.50 6 699414 - radical or modified radical.......................................... 32.68 489.80 7 799416 - revision mastoidectomy with revision of middle earand regrafting........................................................ 32.68 526.45 7 799420 - with meatoplasty and/or canalplasty ............. add 103.8699422 - with ossiculoplasty ........................................ add 83.28Repair99430 Myringoplasty .................................................................... 32.68 198.90 5 599432 Tympanoplasty including necessary mastoid or middle earsurgery......................................................................... 49.02 651.23 7 799440 Ossiculoplasty ................................................................... 32.60 415.49 7 799442 Facial nerve decompression ............................................. 49.02 611.35 9 999444 Facial nerve graft............................................................... 49.02 939.90 9 999446 Closure of mastoid fistula.................................................. 32.68 239.95 4 499448 Exploratory tympanotomy.................................................. 225.35 4 499450 Section tympanic plexus.................................................... 352.20 6 699452 Tympanotomy with round or oval window fistula repair(IOP) ............................................................................ 375.95 6 6W-8

April 1, 2009SURGICAL PROCEDURESOPERATIONS ON ORGANS OF SPECIAL SENSESOPERATIONS ON THE EARSpec. G.P.Code G.P. Assist Spec. Anaes. Anaes.INNER EARIncisionLabyrinthotomy or labyrinthectomy99470 Surgical including Tack or Fick procedures or ultrasound.. 49.02 521.95 7 7Repair99482 Fenestration of semicircular canals ................................... 348.80 6 699484 Stapes mobilization - unilateral .......................................... 233.26 6 699486 Stapedectomy with prosthesis ........................................... 644.54 6 699490 Endolymphatic shunt or sac decompression...................... 32.68 629.60 9 999492 Temporal bone resection ................................................... 32.68 1175.30 9 9Permanent Cochlear Prosthesis Insertion99500 Extra-cochlear (round window, middle ear)........................ 57.19 509.00 9 999502 Intra-cochlear..................................................................... 57.19 719.71 9 9Bone conduction hearing aid insertion99504 - implantable, including necessary mastoidectomy ...... 32.68 317.60 6 6ACOUSTIC NERVE99520 Translabyrinthine resection of acoustic neuroma (includessurgical approach and closure, any method)................ 89.87 2673.21 15 15W-9

Table VI April 1, 2009UNITS TABLE FOR SURGICAL ASSISTANTS BILLINGACCORDING TO STANDARD TIME METHODUnits Rate Units Rate1 $8.17 14 $114.382 $16.34 15 $122.553 $24.51 16 $130.724 $32.68 17 $138.895 $40.85 18 $147.066 $49.02 19 $155.237 $57.19 20 $163.408 $65.36 21 $171.579 $73.53 22 $179.7410 $81.70 23 $187.9111 $89.87 24 $196.0812 $98.04 25 $204.2513 $106.21X - 9

Table V April 1, 2009NOTES:A. For the day of admission to hospital, or of transfer from another specialty, claim for theadmission exam - consult, assessment, reassessment as appropriate. Claim for day 2 as thefirst SHV date. Continue SHV billing as per the attached chart.B. From the day of transfer within the same specialty, claim for SHV’s only, claiming the type asa continuation from the first physician.C. Type 4 SHV’s do not have a limitation. The rate listed is the rate per day after type 3 SHV’shave concluded.D. Separate claim items are required for each type SHV. That is, two types may not be combinedand billed as one item. SHV’s should be billed at least at the conclusion of type 2's and atthe conclusion of type 3's, and, monthly thereafter.SHV - SUBSEQUENT HOSPITAL VISITTypeSHVUnitsGeneralPracticeNeurologyObstetrics/GynecologyPediatricsPhysicalMedicine Psychiatry All Others2 1 $22.66 $25.12 $23.64 $22.82 $23.66 $26.19 $24.532 2 $45.32 $50.24 $47.28 $45.64 $47.32 $52.38 $49.062 3 $67.98 $75.36 $70.92 $68.46 $70.98 $78.57 $73.592 4 $90.64 $100.48 $94.56 $91.28 $94.64 $104.76 $98.122 5 $113.30 $125.60 $118.20 $114.10 $118.30 $130.95 $122.652 6 $135.96 $150.72 $141.84 $136.92 $141.96 $157.14 $147.182 7 $158.62 $175.84 $165.48 $159.74 $165.62 $183.33 $171.712 8 $181.28 $200.96 $189.12 $182.56 $189.28 $209.52 $196.242 9 $203.94 $226.08 $212.76 $205.38 $212.94 $235.71 $220.772 10 $226.60 $251.20 $236.40 $228.20 $236.60 $261.90 $245.302 11 $249.26 $276.32 $260.04 $251.02 $260.26 $288.09 $269.832 12 $271.92 $301.44 $283.68 $273.84 $283.92 $314.28 $294.362 13 $294.58 $326.56 $307.32 $296.66 $307.58 $340.47 $318.892 14 $317.24 $351.68 $330.96 $319.48 $331.24 $366.66 $343.422 15 $339.90 $376.80 $354.60 $342.30 $354.90 $392.85 $367.952 16 $362.56 $401.92 $378.24 $365.12 $378.56 $419.04 $392.482 17 $385.22 $427.04 $401.88 $387.94 $402.22 $445.23 $417.012 18 $407.88 $452.16 $425.52 $410.76 $425.88 $471.42 $441.542 19 $430.54 $477.28 $449.16 $433.58 $449.54 $497.61 $466.072 20 $453.20 $502.40 $472.80 $456.40 $473.20 $523.80 $490.60X-5

SHV - SUBSEQUENT HOSPITAL VISITTypeSHVUnitsGeneralPracticeNeurologyObstetrics/GynecologyPediatricsPhysicalMedicine Psychiatry All Others2 21 $475.86 $527.52 $496.44 $479.22 $496.86 $549.99 $515.132 22 $498.52 $552.64 $520.08 $502.04 $520.52 $576.18 $539.662 23 $521.18 $577.76 $543.72 $524.86 $544.18 $602.37 $564.192 24 $543.84 $602.88 $567.36 $547.68 $567.84 $628.56 $588.722 25 $566.50 $628.00 $591.00 $570.50 $591.50 $654.75 $613.252 26 $589.16 $653.12 $614.64 $593.32 $615.16 $680.94 $637.782 27 $611.82 $678.24 $638.28 $616.14 $638.82 $707.13 $662.312 28 $634.48 $703.36 $661.92 $638.96 $662.48 $733.32 $686.842 29 $657.14 $728.48 $685.56 $661.78 $686.14 $759.51 $711.372 30 $679.80 $753.60 $709.20 $684.60 $709.80 $785.70 $735.902 31 $702.46 $778.72 $732.84 $707.42 $733.46 $811.89 $760.432 32 $725.12 $803.84 $756.48 $730.24 $757.12 $838.08 $784.962 33 $747.78 $828.96 $780.12 $753.06 $780.78 $864.27 $809.492 34 $770.44 $854.08 $803.76 $775.88 $804.44 $890.46 $834.022 35 $793.10 $879.20 $827.40 $798.70 $828.10 $916.65 $858.553 1 $19.49 $21.61 $20.33 $19.63 $20.35 $22.06 $21.103 2 $38.98 $43.22 $40.66 $39.26 $40.70 $44.12 $42.203 3 $58.47 $64.83 $60.99 $58.89 $61.05 $66.18 $63.303 4 $77.96 $86.44 $81.32 $78.52 $81.40 $88.24 $84.403 5 $97.45 $108.05 $101.65 $98.15 $101.75 $110.30 $105.503 6 $116.94 $129.66 $121.98 $117.78 $122.10 $132.36 $126.603 7 $136.43 $151.27 $142.31 $137.41 $142.45 $154.42 $147.703 8 $155.92 $172.88 $162.64 $157.04 $162.80 $176.48 $168.803 9 $175.41 $194.49 $182.97 $176.67 $183.15 $198.54 $189.903 10 $194.90 $216.10 $203.30 $196.30 $203.50 $220.60 $211.003 11 $214.39 $237.71 $223.63 $215.93 $223.85 $242.66 $232.103 12 $233.88 $259.32 $243.96 $235.56 $244.20 $264.72 $253.203 13 $253.37 $280.93 $264.29 $255.19 $264.55 $286.78 $274.303 14 $272.86 $302.54 $284.62 $274.82 $284.90 $308.84 $295.403 15 $292.35 $324.15 $304.95 $294.45 $305.25 $330.90 $316.503 16 $311.84 $345.76 $325.28 $314.08 $325.60 $352.96 $337.603 17 $331.33 $367.37 $345.61 $333.71 $345.95 $375.02 $358.70X-6

SHV - SUBSEQUENT HOSPITAL VISITTypeSHVUnitsGeneralPracticeNeurologyObstetrics/GynecologyPediatricsPhysicalMedicine Psychiatry All Others3 18 $350.82 $388.98 $365.94 $353.34 $366.30 $397.08 $379.803 19 $370.31 $410.59 $386.27 $372.97 $386.65 $419.14 $400.903 20 $389.80 $432.20 $406.60 $392.60 $407.00 $441.20 $422.003 21 $409.29 $453.81 $426.93 $412.23 $427.35 $463.26 $443.103 22 $428.78 $475.42 $447.26 $431.86 $447.70 $485.32 $464.203 23 $448.27 $497.03 $467.59 $451.49 $468.05 $507.38 $485.303 24 $467.76 $518.64 $487.92 $471.12 $488.40 $529.44 $506.403 25 $487.25 $540.25 $508.25 $490.75 $508.75 $551.50 $527.503 26 $506.74 $561.86 $528.58 $510.38 $529.10 $573.56 $548.603 27 $526.23 $583.47 $548.91 $530.01 $549.45 $595.62 $569.703 28 $545.72 $605.08 $569.24 $549.64 $569.80 $617.68 $590.803 29 $565.21 $626.69 $589.57 $569.27 $590.15 $639.74 $611.903 30 $584.70 $648.30 $609.90 $588.90 $610.50 $661.80 $633.003 31 $604.19 $669.91 $630.23 $608.53 $630.85 $683.86 $654.103 32 $623.68 $691.52 $650.56 $628.16 $651.20 $705.92 $675.203 33 $643.17 $713.13 $670.89 $647.79 $671.55 $727.98 $696.303 34 $662.66 $734.74 $691.22 $667.42 $691.90 $750.04 $717.403 35 $682.15 $756.35 $711.55 $687.05 $712.25 $772.10 $738.503 36 $701.64 $777.96 $731.88 $706.68 $732.60 $794.16 $759.603 37 $721.13 $799.57 $752.21 $726.31 $752.95 $816.22 $780.703 38 $740.62 $821.18 $772.54 $745.94 $773.30 $838.28 $801.803 39 $760.11 $842.79 $792.87 $765.57 $793.65 $860.34 $822.903 40 $779.60 $864.40 $813.20 $785.20 $814.00 $882.40 $844.003 41 $799.09 $886.01 $833.53 $804.83 $834.35 $904.46 $865.103 42 $818.58 $907.62 $853.86 $824.46 $854.70 $926.52 $886.203 43 $838.07 $929.23 $874.19 $844.09 $875.05 $948.58 $907.303 44 $857.56 $950.84 $894.52 $863.72 $895.40 $970.64 $928.403 45 $877.05 $972.45 $914.85 $883.35 $915.75 $992.70 $949.503 46 $896.54 $994.06 $935.18 $902.98 $936.10 $1,014.76 $970.603 47 $916.03 $1,015.67 $955.51 $922.61 $956.45 $1,036.82 $991.703 48 $935.52 $1,037.28 $975.84 $942.24 $976.80 $1,058.88 $1,012.803 49 $955.01 $1,058.89 $996.17 $961.87 $997.15 $1,080.94 $1,033.903 50 $974.50 $1,080.50 $1,016.50 $981.50 $1,017.50 $1,103.00 $1,055.00X-7

SHV - SUBSEQUENT HOSPITAL VISITTypeSHVUnitsGeneralPracticeNeurologyObstetrics/GynecologyPediatricsPhysicalMedicine Psychiatry All Others3 51 $993.99 $1,102.11 $1,036.83 $1,001.13 $1,037.85 $1,125.06 $1,076.103 52 $1,013.48 $1,123.72 $1,057.16 $1,020.76 $1,058.20 $1,147.12 $1,097.203 53 $1,032.97 $1,145.33 $1,077.49 $1,040.39 $1,078.55 $1,169.18 $1,118.303 54 $1,052.46 $1,166.94 $1,097.82 $1,060.02 $1,098.90 $1,191.24 $1,139.403 55 $1,071.95 $1,188.55 $1,118.15 $1,079.65 $1,119.25 $1,213.30 $1,160.503 56 $1,091.44 $1,210.16 $1,138.48 $1,099.28 $1,139.60 $1,235.36 $1,181.604 1 $6.80 $20.81 $19.58 $18.90 $19.60 $21.24 $20.324 2 $13.60 $41.62 $39.16 $37.80 $39.20 $42.48 $40.644 3 $20.40 $62.43 $58.74 $56.70 $58.80 $63.72 $60.964 4 $27.20 $83.24 $78.32 $75.60 $78.40 $84.96 $81.284 5 $34.00 $104.05 $97.90 $94.50 $98.00 $106.20 $101.60X-8

Table IV April 1, 2009EPIDURAL ANAESTHESIA FOR PAIN CONTROL(Fee Codes 54134 and 80044)TIMEUnits G.P. Anaes. Spec. Anaes.FromTo1 min 15 mins 1 $13.08 $14.5316 mins 30 mins 2 $26.16 $29.0631 mins 45 mins 3 $39.24 $43.5946 mins 60 mins 4 $52.32 $58.1261 mins 1 hr 15 mins 5 $65.40 $72.651 hr 16 mins 1 hr 30 mins 6 $78.48 $87.181 hr 31 mins 1 hr 45 mins 7 $91.56 $101.711 hr 46 mins 2 hrs 8 $104.64 $116.242 hrs 1 min 2 hrs 15 mins 9 $117.72 $130.772 hrs 16 mins 2 hrs 30 mins 10 $130.80 $145.302 hrs 31 mins 2 hrs 45 mins 11 $143.88 $159.832 hrs 46 mins 3 hrs 12 $156.96 $174.36Maximum of 12 units payable per dayX - 4

Table III April 1, 2009ANAESTHETIC TIME UNITS - SURGICAL PROCEDURESProcedural fee codes with basic fee equal to 4 or 5 time unitsTIMEUnits G.P. Anaes. Spec. Anaes.FromTo1 min 15 mins 1 $13.08 $14.5316 mins 30 mins 2 $26.16 $29.0631 mins 45 mins 3 $39.24 $43.5946 mins 60 mins 4 $52.32 $58.121 hr 1 min 1 hr 15 mins 5 $78.48 $87.181 hr 16 mins 1 hr 30 mins 6 $104.64 $116.241 hr 31 mins 1 hr 45 mins 7 $130.80 $145.301 hr 46 mins 2 hrs 8 $156.96 $174.362 hrs 1 min 2 hrs 15 mins 9 $183.12 $203.422 hrs 16 mins 2 hrs 30 mins 10 $209.28 $232.482 hrs 31 mins 2 hrs 45 mins 11 $235.44 $261.542 hrs 46 mins 3 hrs 12 $261.60 $290.603 hrs 1 min 3 hrs 15 mins 13 $287.76 $319.663 hrs 16 mins 3 hrs 30 mins 14 $313.92 $348.723 hrs 31 mins 3 hrs 45 mins 15 $340.08 $377.783 hrs 46 mins 4 hrs 16 $366.24 $406.844 hrs 1 min 4 hrs 15 mins 17 $405.48 $450.434 hrs 16 mins 4 hrs 30 mins 18 $444.72 $494.024 hrs 31 mins 4 hrs 45 mins 19 $483.96 $537.614 hrs 46 mins 5 hrs 20 $523.20 $581.205 hrs 1 min 5 hrs 15 mins 21 $562.44 $624.795 hrs 16 mins 5 hrs 30 mins 22 $601.68 $668.385 hrs 31 mins 5 hrs 45 mins 23 $640.92 $711.975 hrs 46 mins 6 hrs 24 $680.16 $755.566 hrs 1 min 6 hrs 15 mins 25 $719.40 $799.156 hrs 16 mins 6 hrs 30 mins 26 $758.64 $842.746 hrs 31 mins 6 hrs 45 mins 27 $797.88 $886.336 hrs 46 mins 7 hrs 28 $837.12 $929.927 hrs 1 min 7 hrs 15 mins 29 $876.36 $973.517 hrs 16 mins 7 hrs 30 mins 30 $915.60 $1,017.10X - 3

Table II April 1, 2009ANAESTHETIC TIME UNITS - SURGICAL PROCEDURESProcedural fee codes with basic fee equal to 1-3 time units or 6 or more time unitsTIMEUnits G.P. Anaes. Spec. Anaes.FromTo1 min 15 mins 1 $13.08 $14.5316 mins 30 mins 2 $26.16 $29.0631 mins 45 mins 3 $39.24 $43.5946 mins 60 mins 4 $52.32 $58.1261 mins 1 hr 15 mins 5 $65.40 $72.651 hr 16 mins 1 hr 30 mins 6 $78.48 $87.181 hr 31 mins 1 hr 45 mins 7 $91.56 $101.711 hr 46 mins 2 hrs 8 $104.64 $116.242 hrs 1 min 2 hrs 15 mins 9 $130.80 $145.302 hrs 16 mins 2 hrs 30 mins 10 $156.96 $174.362 hrs 31 mins 2 hrs 45 mins 11 $183.12 $203.422 hrs 46 mins 3 hrs 12 $209.28 $232.483 hrs 1 min 3 hrs 15 mins 13 $235.44 $261.543 hrs 16 mins 3 hrs 30 mins 14 $261.60 $290.603 hrs 31 mins 3 hrs 45 mins 15 $287.76 $319.663 hrs 46 mins 4 hrs 16 $313.92 $348.724 hrs 1 min 4 hrs 15 mins 17 $353.16 $392.314 hrs 16 mins 4 hrs 30 mins 18 $392.40 $435.904 hrs 31 mins 4 hrs 45 mins 19 $431.64 $479.494 hrs 46 mins 5 hrs 20 $470.88 $523.085 hrs 1 min 5 hrs 15 mins 21 $510.12 $566.675 hrs 16 mins 5 hrs 30 mins 22 $549.36 $610.265 hrs 31 mins 5 hrs 45 mins 23 $588.60 $653.855 hrs 46 mins 6 hrs 24 $627.84 $697.446 hrs 1 min 6 hrs 15 mins 25 $667.08 $741.036 hrs 16 mins 6 hrs 30 mins 26 $706.32 $784.626 hrs 31 mins 6 hrs 45 mins 27 $745.56 $828.216 hrs 46 mins 7 hrs 28 $784.80 $871.807 hrs 1 min 7 hrs 15 mins 29 $824.04 $915.397 hrs 16 mins 7 hrs 30 mins 30 $863.28 $958.98X - 2

Table I April 1, 2009ANAESTHESIA BASIC FEE CODE RATESAnaesthesia basic fees must be claimed as dollar amounts and not as unit valuesListed Unit ValueGeneral PracticeAnaesthesiologyRateSpecialistAnaesthesiologyRate1 $13.08 $14.532 $26.16 $29.063 $39.24 $43.594 $52.32 $58.125 $65.40 $72.656 $78.48 $87.187 $91.56 $101.718 $104.64 $116.249 $117.72 $130.7710 $130.80 $145.3011 $143.88 $159.8312 $156.96 $174.3613 $170.04 $188.8914 $183.12 $203.4215 $196.20 $217.9516 $209.28 $232.4817 $222.36 $247.0118 $235.44 $261.5419 $248.52 $276.0720 $261.60 $290.6021 $274.68 $305.1322 $287.76 $319.6623 $300.84 $334.1924 $313.92 $348.7225 $327.00 $363.2526 $340.08 $377.7827 $353.16 $392.3128 $366.24 $406.8429 $379.32 $421.3730 $392.40 $435.90X - 1

Table VII April 1, 2009UNITS TABLE FOR SURGICAL ASSISTANTS BILLINGACCORDING TO DEDICATED TIME METHODUnits Rate Units Rate1 $27.50 14 $385.002 $55.00 15 $412.503 $82.50 16 $440.004 $110.00 17 $467.505 $137.50 18 $495.006 $165.00 19 $522.507 $192.50 20 $550.008 $220.00 21 $577.509 $247.50 22 $605.0010 $275.00 23 $632.5011 $302.50 24 $660.0012 $330.00 25 $687.5013 $357.50X - 10

April 1, 2009INDEX(See also Table of Contents)AAbdomen:Angiogram .............................. E-6, E-19Pneumogram.......................... E-19Surgery................................... Q-12 to Q-13Abdominal abscess ..................... Q-12Abdominal aorta aneurysm ......... O-5Abdominal scintigraphy for GIbleed ....................................... H-2Abdomino-perineal ...................... Q-7, Q-8Aberrant renal vessels ................ R-1Ablation, endometrium ................ T-4Abortion:Complete/incomplete ............. I-4Missed .................................... I-4Spontaneous .......................... I-4Therapeutic ............................ I-4Abscess:Abdominal .............................. Q-12Alveolar ............................... Q-2Appendiceal............................ Q-8Bartholin's............................... T-1Brain ............................... V-2Breast ............................... L-11Epididymis .............................. S-2Extraoral ............................... J-3Eyelid ............................... W-4Intracranial.............................. A-66Intramammary ........................ L-11Intramuscular.......................... L-1Intra-oral ............................... Q-3Ischiorectal ............................. L-1Kidney ............................... R-1Lateral pharyngeal.................. Q-3Liver ............................... Q-10Nasal septum ......................... N-1Orbital ............................... W-3Palate ............................... Q-2Palmar ............................... L-1Pancreas ............................... Q-11Pelvic ............................... Q-12Perianal ............................... L-1Perinephric ............................ R-1Perirectal ............................... Q-8Peritonsillar............................. Q-3Peri-ureteral............................ R-3Peri-urethral............................ R-6Peritoneal ............................... Q-12Pilonidal ............................... L-1Plantar ............................... L-1Prostatic ............................... S-3Renal ............................... R-1Retropharyngeal .................... Q-3Scrotal ............................... S-2Seminal vesicle ...................... S-3Septum ............................... N-1Skene's ............................... T-1Skin ............................... L-1Subcutaneous ........................ L-1Subfascial .............................. O-6, P-1Subphrenic............................. Q-12Testis ............................... S-1Thyroid ............................... U-1Transurethral.......................... S-4Vagina ............................... T-2Vulva ............................... T-1Abscess management (byradiologists)............................ G-6Access ............................... R-1, R-4Accessory nasal sinuses ............ N-2Accessory navicular.................... M-35Acetabulum ............................... M-24, M-26Acetylsalicylic acid ...................... A-62Achilles tendon............................ M-36Acne, plastic planing................... L-8Acne pustules ............................. L-1Acoustic neuroma ....................... V-1, W-9Acromion ............................... M-13Acromioplasty ............................. M-13Acute pain management............. E-3Acute traumatic ischemias.......... A-66Additions (deletions, changes)to Payment Schedule............. A-1Add-ons - see "AnaesthesiaServicesAdenoids, surgery....................... Q-3Adhesions, intestinal................... Q-7Adjustable suture ........................ W-3Admission:Date ............................... A-39New ............................... A-12, A-41Adnexa ............................... T-4Adolescent, defined .................... A-11Adrenalectomy............................ R-1, U-1Adrenal gland, surgery................ U-1Adrenal scintigraphy ................... H-1Adult, defined.............................. A-11Advancement flaps ..................... L-2, L-6Advancement lateral canthal ...... V-3Advice to - direction to otherphysicians, etc. ...................... A-14, A-16After hours services - see"Premiums"Age - anaesthesia - surgery........ A-47 to A-481

April 1, 2009INDEX(See also Table of Contents)Ages, defined .............................. A-11Air embolism ............................... A-66Air insufflation.............................. G-6Airways resistance ...................... F-4Allergy:Tests, injections...................... E-1Allograft ............................... M-1Alloplastic volume replacement... W-4Alveolar abscess ......................... Q-2Alveolar fistula............................. M-16Ambulatory E.C.G. monitoring .... F-1Amniocentesis............................. I-1, I-4Ultrasonic ............................... G-11Amputations:Cervix .................................. T-4Ear .................................. W-7Extremities:Ankle.................................. M-34Callander ........................... M-27Elbow................................. M-8Femur ................................ M-27Finger/part thereof............. M-4Foot .................................. M-34Forearm............................. M-8Gritti-Stokes....................... M-27Hand .................................. M-3Humerus............................ M-12Hip .................................. M-24Knee .................................. M-29Metacarpal......................... M-3Metatarsal/phalanxdisarticulation ............ M-34Pelvis ................................. M-24Penis.................................. S-1Phalanx.............................. M-3Ray .................................. M-34Shoulder ............................ M-12Symes................................ M-34Terminal Symes ................ M-34Tibia and fibula .................. M-32Transmetacarpal ............... M-3Transmetatarsaltranstarsal.................. M-34Wrist .................................. M-3Amytal test .................................. E-14Anaesthesia consultations andvisits listings ........................... C-4Anaesthesia Services: .............. A-46 to A-49Add-ons .................................. A-44, A-48Anaesthesia managementfor the emergency reliefof acute upper airwayabove the carnia)obstruction...................... A-48Anaesthetic wake up test....... A-47Attendance, constant ............. A-28, A-29.................................. A-44, A-49Basic fee ................................ A-44, A-46 to.................................. A-48Bilateral surgical procedures . A-44, A-46Cancelled surgical procedures A-44, A-47,.................................. K-2Children under 1 year old....... A-47, K-2Complete aortic crossclamp... O-4Constant attendance.............. A-49Constant life threateningconditions .......................... A-48, K-2Consultations ......................... A-47Consultations and visits listing C-4Controlled hypotension .......... A-48, K-2Critical Care - see“I.C.U./C.C.U./NeonatalI.C.U.”Detention................................ A-48Diagnostic and TherapeuticProcedures........................... E-1 to E-20Epidural anaesthesia ............. A-46 to A-47,.................................. I-2, X-1Fees .................................. A-46 to A-49Fiberoptic intubation............... A-47, K-2Hypothermia........................... A-48, A-49,.................................. E-2, K-2Malignant hyperthermia ......... A-48, K-2,.................................. L-1Management for the emergencyrelief of acute upper airwayobstruction......................... A-48, K-2Monitoring under I.V.sedation............................. K-2Multiple anaesthetists ............ A-48Multiple procedures................ A-46Multiple surgical procedures .. A-46Nerve blocks .......................... E-2, E-3Obstetric cases ...................... A-46 to A-47,.................................. I-2One-lung ................................ A-47, K-2Patient:In life threatening condition A-48, K-2In prone or sitting position. A-48, K-2Over 70 years.................... A-48, K-2Under 1 year ..................... A-47, K-2Under 5 kg......................... A-48, K-2Premiums............................... A-41, A-49,.................................. A-51, A-52,.................................. K-1Pump by-pass ........................ A-48, O-12

April 1, 2009INDEX(See also Table of Contents)Anaesthesia Services (Cont’d)Replacement anaesthetist...... A-48Radium insertion .................... K-2Stand-by................................. K-2Surgical-Dental....................... J-1 to J-9Time units............................... A-46 to A-49.................................. X-1 to X-4Two or more anaesthetists..... A-48Visits .................................. C-4Wake-up test .......................... A-47, K-2Anaesthetic management for theemergency relief of acute upperairway (above the carnia)obstruction.............................. A-48, K-2Anaesthetic wake up test ............ A-47Anastomosis:Arterial .................................. O-4Cerebral.................................. V-1Epididymis .............................. S-2Extracranial-intracranialmicrovascular .................... V-1Facial nerve............................ V-5Groin .................................. M-5Hypoglossal nerve.................. V-5Ileorectal................................. Q-7Intestinal ................................. Q-7Meso-caval ............................. O-7Microvascular ......................... O-4Pancreas ................................ Q-11Porto-caval ............................. O-7Rectum .................................. Q-9Ureterointestinal ..................... R-3Ureterovesical ........................ R-3Vas Deferens.......................... S-3Venous .................................. O-5Anemia .................................. A-62, A-66Aneurysm:Abdominal orata ..................... O-5Arterial .................................. O-4, O-5AV .................................. O-6Carotid .................................. O-4Cerebral.................................. V-1False .................................. O-5Femoral .................................. O-5Internal iliac ............................ O-5Intracranial.............................. V-1Peripheral artery..................... O-5Popliteal.................................. O-5Renal artery............................ O-5Sinus of valsalva .................... O-2Splenic artery ......................... O-5Thoracic abdominal................ O-4Thoracic aortic........................ O-4Vein of Galen ......................... V-1Veins .................................. O-6Ventricular.............................. O-2Angiograms................................. E-6, E-19Angiography:Cardiac/Coronary................... G-5Neuro .................................. G-5Nuclear medicine ................... H-1 to H-3Angioplasty ................................. E-6, G-4Ankle .................................. M-34 to M-38Ankle pressure measurements ... E-7Ankylosis (T.M.) .......................... M-16Annual recall ............................... A-6Annuloplasty ............................... O-1Anomalous pulmonary venousdrainage ................................. O-1Anoplasty .................................. Q-10Ano-rectal manometry ................ E-10Anoscopy .................................. Q-8Antegrade insertion of uretericstent .................................. G-7Anterior chamber, sclera............. W-2Anterior ethmoid artery ............... O-3Anterior instrumentation ofspine .................................. M-22Anterior packing (epistaxis) ........ N-2Anterior release........................... M-22Anterior vitrectomy...................... W-2Anti-coagulant supervision.......... E-5Antidiuretic hormone test ............ E-10Antro-oral fistula.......................... N-2Antrostomy - see "Sinusostomy"Antrum lavage............................. N-2Anus:Biopsy .................................. Q-8, Q-9Rectal manometry.................. E-10Surgery .................................. Q-9 to Q-10Aorta .................................. O-1 to O-7Aortic arch reconstruction ........... O-4Aortic graft - infected - removed . O-5Aortic valve surgery .................... O-1Aorto femoral graft ...................... O-5Aortogram - see "Angiograms"Aortography:Flush .................................. G-4Translumbar........................... G-4Aorto-iliac artery repair ............... O-5Aorto - pulmonary window .......... O-3Apex cardiogram......................... E-7Apicolysis .................................. N-5Apartment complex..................... A-10Appendage revascularization ..... L-7Appendectomy............................ Q-83

April 1, 2009INDEX(See also Table of Contents)Appendices ............................... A-59 to A-66Appendix A - Category Afacilities.............................. A-59Appendix B -Category Bfacilities.............................. A-60Appendix C - DesignatedLong Term Care facilities .. A-61Appendix - D - Immunizationof Designated TargetPopulations........................ A-62 to A-63Appendix E - Non-InsuredServices............................. A-64Appendix F - Scar Revision.... A-65Appendix G - HyperbaricOxygen Therapy................ A-66Appendix .................................. A-40, Q-8Appendix, testis........................... S-2Application of plaster................... A-42, M-1,.................................. M-2Application of scalp electrodes.... I-1Appointments (makingarrangements for)................... A-6Approach (surgical) ..................... A-39, Q-4Approved facilities:Long Term Care ..................... A-61Off-Site Emergency DepartmentCoverage Category“B” Facilities....................... A-60On-Site Emergency DepartmentCoverage Category"A" Facilities....................... A-59Arch bars - dental........................ J-6, M-17ARM .................................. I-1, I-3Arm.................................. M-1, M-8 to.................................. M-11Arnold Chiari malformation.......... V-2Arrhythmia .................................. E-6Arrhythmia taping ........................ E-7Arterial:Anastomosis........................... O-4 to O-5.................................. O-7Aneurysm ............................... O-4A-V fistula ............................... O-6Banding .................................. O-3Blood gas tests....................... A-28, A-29,.................................. E-20Cannulation ............................ E-5, E-6Cut-down ................................ E-19Graft .................................. O-3 to O-5Lines .................................. A-28, A-29,Popliteal.................................. O-5, O-6Puncture ................................. E-5Arteries, surgery.......................... O-1 to O-6,.................................. V-4Arteriograms ............................... G-4Arteriography - general ............... G-4Anteriography - see "Angiograms"Arterioplasty................................ O-3Arteriotomy.................................. O-3Arteriovenous - see "A-V"Artery:Carotid .................................. G-4, G-5,.................................. G-10, N-2,.................................. O-3, V-4Ethmoid.................................. O-3Femoral.................................. O-4, O-5Internal iliac............................ O-3Internal maxillary.................... O-3Temporal................................ V-1, V-4Arthritis therapy withradioisotopes.......................... H-3Arthrodesis:Ankle .................................. M-34Elbow/forearm........................ M-8Finger/thumb.......................... M-3Hand .................................. M-3Hip .................................. M-24Interphalangeal ...................... M-34Knee .................................. M-29Metatarsophalangeal ............. M-34Midtarsal/subtalar................... M-34Pan-talar................................. M-34Sacro-iliac .............................. M-24Shoulder................................. M-12Spine .................................. M-20Symphysis pubis .................... M-24Triple .................................. M-34Wrist .................................. M-3Arthrogram .................................. E-19Arthroplasty:Ankle .................................. M-34Carpals .................................. M-3Elbow .................................. M-8Finger .................................. M-3Hand .................................. M-3Hip (unipolar, bipolar, total,revision of, etc).................. M-24Implant radical head............... M-8Knee .................................. M-29Metatarsophalangealinterposition....................... M-34Patellar .................................. M-29Shoulder................................. M-12Temporo-mandibular.............. M-15Ulna replacement................... M-8Wrist .................................. M-34

April 1, 2009INDEX(See also Table of Contents)Arthroscopy:Ankle .................................. M-34Elbow .................................. M-8Hand and wrist ....................... M-3Hip .................................. M-24Knee .................................. M-29Shoulder ................................. M-12Arthrotomy::Ankle .................................. M-34Elbow .................................. M-8Finger .................................. M-3Hip .................................. M-24, M-26Knee .................................. M-29Metatarsal/phalangeal............ M-34Mid tarsals .............................. M-34Sacro-iliac............................... M-24Shoulder ................................. M-12Wrist .................................. M-3Artificial insemination .................. E-11Artificial urinary sphincter............ R-6Artificial vagina ............................ T-2Artificial ventilation ...................... A-28Artificial ventilator ........................ D-2Arytenoidectomy ......................... N-3Arytenoidopexy ........................... N-3Ascites .................................. Q-12Ascites and/or Pleuraleffusion(s) due to malignancy- therapy with radioisotopes ... H-3ASD - creation of......................... O-2Aspirations:Abdomen................................ Q-12Amniocentesis ........................ I-4Bladder .................................. R-4Bone marrow.......................... P-1Brain .................................. V-2Breast cyst.............................. L-11Bursa .................................. E-12Cisterna magna...................... V-2Duodenum.............................. E-10Ear - middle ............................ W-8Hydrocoele ............................. S-2Joint . . . ................................. E-12Lungs and pleura.................... N-6Middle ear............................... W-8Pericardium ............................ O-2Serous otitis............................ W-8Skin and subcutaneous.......... L-1Spleen .................................. P-1Subdural tap........................... V-3Thyroid cyst ............................ U-1TMJ .................................. J-7Transtracheal ......................... N-4Vitreous.................................. W-2Asplenia .................................. A-63Assessments - see ComplexAssessment, "General”Reassessment, "General”Assessment,"Partial”Assessment, "Specific”Reassessment, "Specific”Reassessment, “Multiple”Assistants - see "SurgicalAssistants"Assisting at:Cardiac catheterization .......... E-6Exchange transfusions........... E-5Operative deliveries andCaesarean Sections.......... A-18, A-38.................................. I-1Asthma .................................. A-62, F-4Astrocytoma................................ V-1Atresia:Auditory canal ........................ W-7Choanal.................................. A-48, N-1Intestinal................................. Q-7Atrial septal defect ...................... O-1Atrial-ventricular sequentialpacemaker ............................. E-6Atrophic rhinitis ........................... N-1Attendance:at delivery............................... A-18, I-2, I-2at high risk delivery ................ A-18, C-17,.................................. C-19at labour ................................. A-38, I-1ICU and CCU Care ................ A-29Neonatal Intensive Care (NICU).................................. A-28with patient in ambulance ...... A-20Attending physician..................... A-10 to A-12,.................................. A-15, A-18,.................................. A-19, A-26,.................................. A-30, A-33,.................................. A-40, A-41Audiometry.................................. E-16Auditory ganglion block............... E-2Augmentation:Chin .................................. M-18Mammoplasty......................... A-5, L-11Zygoma .................................. M-18Autogenous bone grafts.............. M-1, N-1Autonomic nervous system,surgery .................................. V-6Autotransplantation..................... R-2AV aneurysm .............................. O-6AV canal .................................. O-35

April 1, 2009INDEX(See also Table of Contents)AV fistula .................................. O-7AV malformation.......................... V-6AV shunt removal........................ E-9Avulsion cranial nerve ................. V-4Avulsion peripheral nerve............ V-5Axillary lymph nodes ................... P-1Axillary sweat glands................... L-3Axillo axillary graft ....................... O-5Axillo femoral graft ...................... O-5Baby:Defined - see "Ages, defined"Newborn care......................... A-18, A-23,.................................. A-38, C-2,.................................. C-13, C-17,.................................. C-19Well baby care........................ A-23, A-27,.................................. B-1, C-1,.................................. C-17, C-19Sick .................................. A-23Back consultation ........................ A-16Baker's cyst ................................. M-30Balloon catheter .......................... V-1Balloon pump .............................. O-1Balloon septostomy..................... O-2Baori (bladder flap)...................... R-3Barium enema............................. G-2Barium swallow ........................... G-5Barron ligation ............................. Q-9Bartholin's gland, cyst,abscess .................................. T-1Barton's fracture.......................... M-11Basal metabolic test .................... E-10Basic fees:Anaesthetists - see"Anaesthesia Services"Assistants - see "SurgicalAssistants"B.C.G. inoculation ....................... E-12Beds, designated, ICU ................ A-55Beds, long term care .................. A-57Benign growths ........................... N-3Bennett's fracture ........................ M-6Benzadioxine test........................ E-10Bifid ureter .................................. R-3Bilateral operations - see"Multiple Procedures"Biliary duct calculus removalvia T-tube tract ....................... G-6BBiliary ducts................................. G-6, Q-11Biliary scintigraphy...................... H-2Biliary tract .................................. Q-10, Q-11Billing number ............................. A-8Biopsies:Abdomen................................ Q-12Anus. . . ................................. Q-9Bladder .................................. R-4Bone:Ankle ................................. M-34, M-35Elbow or forearm............... M-8Femur................................ M-27Fibula or tibia..................... M-32Hand or wrist ..................... M-3Hip/pelvis........................... M-24Knee.................................. M-29Pelvis/hip........................... M-24Tibia or fibula..................... M-32Shoulder/arm/chest........... M-12Skull /mandible .................. M-15Spine ................................. M-20Bone marrow.......................... P-1Brain .................................. V-2Breast .................................. L-11Bronchial ................................ N-4Brush, renal pelvis with.......... R-4Cervix .................................. T-1, T-3, T-4Colon .................................. Q-6, Q-7Conjunctiva ............................ W-5Ear canal................................ W-7Elbow or forearm.................... M-8Endometrium.......................... T-4Endomyocardial ..................... E-6Hand .................................. M-3Intestine.................................. Q-6, Q-7Intramedullary ........................ V-6Joint:Ankle ................................. M-35Elbow or forearm............... M-8Hand or wrist ..................... M-3Hip .................................. M-24Knee.................................. M-29Shoulder............................ M-12Kidney .................................. R-1Laparotomy ............................ Q-6, Q-8,.................................. Q-10,.................................. Q-12, T-3Larynx .................................. N-3Lips .................................. Q-1Liver .................................. Q-10Lung .................................. G-6, N-6Lymph nodes ......................... P-1Marrow .................................. P-16

April 1, 2009INDEX(See also Table of Contents)Biopsies (Cont’d)Mesentery............................... Q-8Mouth .................................. Q-1Muscle:Elbow or forearm ............... M-8Hand or wrist ..................... M-3Nasal .................................. N-1Oesophagus ........................... Q-4, Q-5Omentum................................ Q-12Orbit .................................. W-3Ovary .................................. T-3Palate .................................. Q-2Pancreas ................................ Q-11Penis .................................. S-1Pericardial, open .................... O-2Peripheral nerves ................... V-5Peritoneum ............................. Q-12Pharynx .................................. Q-3Pleura, needle and/orsurgical ................................. N-6Prostate .................................. R-4, S-3Rectosigmoid.......................... Q-8Renal .................................. R-1, R-4Renal pelvis............................ R-4Retroperitoneal....................... Q-11Rib .................................. N-5, N-6Salivary glands ....................... Q-3Scalene .................................. P-1Shoulder/arm/chest ................ M-12Skin .................................. L-1Soft tissue:Ankle.................................. M-35Elbow or forearm ............... M-8Femur ................................ M-27Fibula or tibia..................... M-32Hip .................................. M-24Knee .................................. M-29Oral .................................. J-2Shoulder/arm/chest ........... M-12Spine ................................. M-20Tibia or fibula..................... M-32Spinal cord ............................. V-6Stomach ................................. Q-5Subcutaneous ........................ L-1Synovial - refer to siteTemporal artery...................... V-4Testis .................................. S-1Thyroid .................................. U-1Tongue .................................. Q-2Transbronchial........................ N-4 to N-6Transurethral.......................... R-4Transvenousendomyocardial ................. E-6Ureter .................................. R-4Ureteral stent, with biopsy...... R-4Urethra .................................. R-6Uterus and cervix uteri........... T-3, T-4Uvula .................................. Q-2Vaginal .................................. T-1, T-2Vas deferens.......................... S-3Wrist .................................. M-3Biopsy by Radiologist ................. G-14Birth control:Pill .................................. A-21, A-23Subdermal/Norplant ............... L-9Bischoff's myelotomy .................. V-7Bladder:Flap .................................. R-3, R-4, R-5Neck .................................. R-4, R-5Plication.................................. R-4Surgery .................................. R-4, R-5Tumours................................. R-4, R-5Blakemore bag............................ E-10Blalock procedure ....................... O-2Blepharoplasty ............................ A-5, W-5Block dissection .......................... N-3Blood:Epidural blood patch .............. E-3Finger prick (glucosecheck)................................ E-18Gas .................................. A-28, A-29Glucose check ....................... E-18Sample:ERPF................................. H-2GFR .................................. H-2Transfusions .......................... E-5BMR .................................. E-10Body Cast .................................. M-2Bone:Age survey ............................. G-2Biopsy - see "Biopsy, Bone"Button .................................. P-1Calcium .................................. H-2Face .................................. M-17Fixation .................................. M-1Flap .................................. V-2, V-3Fusion .................................. M-1, M-20.................................. to M-24,.................................. M-29, M-36Grafts. . . ................................ A-41, A-42,.................................. J-2, J-5 to.................................. J-6, J-8,.................................. M-1 to M-35,.................................. N-1, Q-2Autogenous ....................... M-1Homogenous.......................... M-17

April 1, 2009INDEX(See also Table of Contents)Bone (Cont’d)Lengthening............................ M-27, M-28,.................................. M-32, M-36Mandible................................. M-15 to M-19Marrow .................................. P-1Marrow with scintigraphy........ H-2Mineral:Content.............................. H-2Density............................... H-2Phalanx/metacarpal/carpus............................. M-4Scintigraphy............................ H-2Shortening .............................. M-27, M-32,.................................. M-36Surgery .................................. M-1 to M-38Temporal ................................ A-35, J-7,.................................. W-9Tumour .................................. M-4, M-9,.................................. M-13, M-15,.................................. M-25, M-27,.................................. M-32, M-35Botulinum toxin injection ............. E-12, E-14Boutonniere................................. M-5Brace, cast .................................. M-2Brachial plexus............................ E-2, V-5Brain scintigraphy........................ H-3Brain surgery............................... V-1 to V-3Branchial cyst, sinus, fistula........ Q-3Breast:Biopsy .................................. L-11Exam .................................. A-23Masses (ultrasound)............... G-10Prosthesis, removal of............ L-11Reconstruction ....................... L-11Surgery .................................. L-11Breath tests ................................. F-4, H-1Bronchi:Endoscopy.............................. N-4Surgery .................................. N-3 to N-6Bronchial provocative testing ...... E-1Bronchodilator ............................. F-4Bronchogram............................... E-19, G-6Bronchopleural fistula.................. N-6Bronchopulmonary dysplasia...... A-62, A-63Bronchoscopy ............................. A-41, N-3 to.................................. N-6Broviac catheter .......................... E-5Buckling procedure ..................... W-3Bunions .................................. M-35Burns .................................. L-9Burr holes .................................. V-1 to V-4Bursae .................................. G-8, M-9,.................................. M-12, M-13,.................................. M-25, M-30,.................................. M-35Bypass:Composite femoral poplitealtibial vein ........................... O-5Gastric .................................. Q-5Graft. . . .................................. O-2 to O-7.................................. E-6, E-9Graft of artery......................... O-2, O-3, O-4Intestinal................................. Q-5Lacrimal.................................. W-6Oesophageal.......................... Q-4Pump .................................. O-1CCaecostomy................................ Q-6Caecum, caecopexy ................... Q-6, Q-7Caesarean section...................... A-38, A-46,.................................. A-52, I-1to I-3Calcaneal spur............................ M-35Calcium absorption - Ca45 ......... H-2Calcium47 absorption/excretion................................. H-2Calculus:Biliary .................................. G-6, Q-11see “cholecystostomy, etc.”Bladder .................................. R-4Renal .................................. R-1Staghorn................................. R-2Ureter .................................. R-3Urethra .................................. R-6Caldwell-Luc ............................... N-2, O-3Calibration, ureter ....................... R-3Callander .................................. M-27Callback - see "Premiums withCallback premiums” - radiology .. G-8Caloric testing ............................. E-16Calycectomy ............................... R-1Canaliculus ................................. W-6Canalplasty ................................. W-7, W-8Cancelled procedures:Surgical assistants - see“Surgical Assistants"Anaesthetists - see"Anaesthesia Services"Cannula or Screibner Shunt:Insertion of ............................. E-9Removal of............................. E-98

April 1, 2009INDEX(See also Table of Contents)Cannulation:For infusion ofchemotherapy.................... O-3Heart/major vessel ................. O-1Pancreatic duct/CBD.............. Q-4Vascular ................................. E-5Cannulization fallopian tubes ...... T-3Canthal tendon............................ W-5Cantholysis.................................. W-5Canthopexy ................................. M-17, W-5Canthoplasty ............................... M-17, W-5Canthotomy................................. W-5Capping .................................. A-1Capsulectomy - see"Synovectomy"Capsulotomy ............................... W-2Carbon monoxide diffusingcapacity .................................. F-4Carbon monoxide poisoning ....... A-66Carcinoma - see individualsystemsCardiac:Arrest .................................. D-3Bypass .................................. O-1, O-2Catheterization ....................... E-5, E-6Massage, resuscitation .......... O-2Pacemaker ............................. E-6, E-7,.................................. O-2Repair .................................. O-1 to O-3Surgery .................................. O-1 to O-3Surgery consultations andvisits listing ........................ C-7Cardioangiography (NuclearMedicine)................................ H-1Cardiography, non-invasive ........ E-7Cardiopulmonary resuscitation.... A-3, A-29, D-3Cardiotomy.................................. O-1Cardiovascular and Thoracic:Diagnostic and therapeuticprocedures......................... E-5 to E-7Surgery .................................. O-1 to O-7Cardioversion .............................. E-5Cardioverter defibrillator.............. O-2Carotid angiography.................... G-5Carotid arteries............................ G-5, G-10,.................................. N-2, O-3, V-4Carotid body tumour.................... O-4Carotid cavernous fistula............. V-1Carotid endarterectomy............... O-4, V-4Carotid or vertebral arteryocclusion by detachableballoon .................................. G-5Carpal . .................................. M-3 to M-7Carpal tunnel syndrome.............. M-8Carpectomy, proximal row .......... M-4Caruncle, urethral ....................... R-6, T-2Case consultation ....................... A-18Cast brace .................................. M-2Cast defined................................ A-42Casts, localizer............................ M-22Casts, plaster.............................. A-42, M-2CAT scans .................................. G-13CAT - see "ComputedTomography"Cataract .................................. W-2Category A EmergencyDepartment Coverage - see"On-Site EmergencyDepartment Coverage"Category B EmergencyDepartment Coverage - see"Emergency DepartmentCoverage by GeneralPractitioners"Catheter:Ablation therapy ..................... E-6Arterial .................................. E-19Elbow or forearm.................... M-8Epidural.................................. E-3Hickman or Broviac................ E-5Intracranial ............................. V-2Suction .................................. A-29Swan-Ganz ............................ A-29, E-5Tibia or fibula ......................... M-32Urinary .................................. A-28, A-29Venous .................................. E-19Catheterization:Calyces .................................. R-1Cardiac .................................. E-6Coronary ................................ E-6Bladder .................................. R-4Cardiac .................................. E-5, E-6Eustachian ............................. W-8Intracranial ............................. V-2Kidneys .................................. R-1Peritoneal............................... E-9Umbilical artery/vein............... E-5, E-7,.................................. Q-12Ureters .................................. R-4Urinary .................................. G-7Venous .................................. E-19, G-8Cautery:Anal fissure ............................ Q-10Cervix .................................. T-1, T-5Cornea ( ulcer) ....................... W-1Endometrial implants ............. Q-129

April 1, 2009INDEX(See also Table of Contents)Cautery (Cont’d)Nasal septum ......................... N-2Turbinates .............................. N-2CBD - see "common bile duct"Celiac artery repair...................... O-5Cerebral:Aneurysm, neoplasm ............. V-1Arteriography - see"Cerebral Angiograms"Blood flow............................... H-3Injuries .................................. V-3Spinal leak.............................. A-63, V-3,.................................. V-7Stereotaxis ............................. V-2Cerebrospinal - rhinorrhea .......... N-1Cerumen .................................. A-41, W-7Cervical:Disc. . . .................................. M-20Hemilaminectomy................... M-20Rib . . . .................................. N-5, V-5Stump .................................. T-2, T-4Sympathectomy...................... V-6Cervix:Biopsy .................................. T-1, T-3,.................................. T-4Cautery .................................. T-5Incompetent............................ I-4, T-4Surgery .................................. T-3, T-4, T-5Chalazion .................................. W-4Change of biliary drainagetube .................................. G-6Change of nephrostomy tube...... G-7Changes (additions, deletions)to Payment Schedule ............. A-1Chelation of band keratopathy .... W-1Chemical treatment of minorskin lesions............................. L-1, L-8Chemonucleolysis ....................... E-12Chemosurgery (Mohstechnique)............................... L-4Chemotherapy............................. A-39, E-12,.................................. E-13, N-6,.................................. O-3, R-4, T-3Chemotherapy (post-op) ............. A-39Chest masses - ultrasound ......... G-10Chest surgery.............................. M-12 to.................................. M-14, N-5Chest tube .................................. N-6Chest wall .................................. N-5Child defined ............................... A-11Child welfare ............................... A-18, C-23.................................. C-24Choanal atresia ........................... N-1, A-48Cholangiogram............................ E-19, G-2,.................................. G-6, Q-10,.................................. Q-11Cholecystectomy......................... Q-5, Q-6,.................................. Q-10, Q-11Cholecystoenterostomy .............. Q-11Cholecystogastrostomy .............. Q-11Cholecystogram.......................... G-2Cholecystostomy......................... Q-11Choledochectomy ....................... Q-11Choledochoduodenostomy......... Q-11Choledochoenterostomy............. Q-11Choledochotomy......................... Q-7, Q-11Chordee repair............................ S-1Chorionic villus sampling ............ I-1Choroid re-attachment ................ W-3Chronic and convalescent care .. A-18, C-2Chronic:Care facilities ......................... A-16, A-62Care patients.......................... A-14Cardiac disease ..................... A-62, A-63Conditions .............................. A-62Diseases ................................ A-26Haemodialysis........................ A-31, A-32,.................................. E-9Neurological Disease ............. A-63Pain .................................. C-4, E-2, F-3Pulmonary disease ................ A-62Renal failure........................... A-32, A-63Respiratory disease ............... A-62, A-63Ciliary body, surgery ................... W-2Circulatory assist device ............. O-1Circumcision ............................... S-1Cisterna magna........................... V-2Claim submission........................ A-7 to A-9Claim submission - timelimitations ............................... A-9Clavicle .................................. M-12 to M-14Claw or hammer toe.................... M-36Cleft lip nose ............................... N-1Cleft palate.................................. M-16, Q-2Clinical need ............................... A-5Clinical procedures associatedwith radiology............................ E-19Clinical Teaching Unit ................. A-13Clinical trials................................ A-64Closed irrigation during anortopedic procedure ............... M-1Closed reduction......................... A-42Closure of:Acoustic neuroma .................. WAbdominal wall....................... Q-13Antrum .................................. J-810

April 1, 2009INDEX(See also Table of Contents)Closure of (Cont’d)Alveolar cleft........................... J-6Atrial septal defect.................. O-1Colostomy .............................. Q-7Duodenum.............................. O-5Eyelid defect........................... W-5Fistula:Alveolar/palate................... J-5, M-16,.................................. Q-2Gastrocolic......................... Q-6Oesophago-tracheal.......... Q-5Recto-vaginal/recto-vesical Q-9Stomach ............................ Q-6Hard palate............................. M-16Mastoid fistula ........................ W-8Oro-antral fistula..................... J-8Palatine fissure....................... J-6Ventral septal defect .............. O-1Wound .................................. M-1, M-8Club foot .................................. M-35, M-36CMPA rebate............................... A-58CO 2 and O 2 ventilatoryresponse................................. F-4CO 2 laser therapy for C.I.N. ........ T-4Coagulation gasserianganglion.................................. V-4Coagulation of angio-dysplasticlesion intestine........................ Q-6Caogulation, vitreous .................. W-2Coarctation, aorta........................ O-2Coccyx .................................. M-25, M-26Cochlear prosthesis .................... W-9Coeliac ganglion.......................... E-2Colectomy .................................. Q-7Colle's fracture ............................ M-11Colon, surgery............................. Q-6, Q-7Colonoscopy ............................... Q-6Colostomy .................................. Q-6, Q-7, R-6Colpectomy ................................. T-2Colpocleisis ................................. T-2Colpomicroscopy......................... T-1, T-3Colposcopy.................................. T-1Colpotomy .................................. T-2Comedones................................. L-1Commissurotomy ........................ V-2, V-7Common bile duct ....................... Q-4, Q-6.................................. Q-10Common Elements of InsuredServices.................................. A-5, A-6Common femoral artery repair .... O-4, O-5Common iliac artery repair.......... O-5Common perineal nerve.............. M-32Compartment syndrome.............. A-66Complete A-V canal.................... O-3Complex assessment ................. A-18 to A-19.................................. C-5, C-8,.................................. C-20Complex lung mechanics............ F-4Complex surgical procedures ..... A-8Complications - surgical.............. A-40, A-47Compound fractures or dislocations.................................A-42Comprehensive care................... A-29, A-30,.................................. D-2Compression cranial nerves ....... V-5Computed tomography ............... G-13,Computer renal function ............. H-2Concurrent care .......................... A-19, A-20,.................................. A-28, A-30.................................. D-1 to D-3Condiut, uretero-ileal .................. R-3, R-5Condylomata............................... Q-10,.................................. S-1, T-1Condylotomy............................... M-16Conferring with other physiciansand other professionals.......... A-6Congenital:Abnormality (radius or ulna)... M-9Club foot................................. M-35, M-36Dermoid cyst .......................... L-3Dislocated knee ..................... M-31Dislocation, hip....................... M-26Ear defect(s) .......................... W-7Heart shunt procedures ......... O-2Lesions .................................. J-2Naevus .................................. L-2Pseudoarthrosis - tibia/fibula.. M-32Vaginal septum ...................... T-2Conization, cervix uteri ............... T-4Conjunctival flap.......................... W-5Conjunctiva, surgery ................... W-1, W-4,.................................. W-5, W-6Conjunctiva transplant ................ W-6Consents (obtaining, delivering,written) .................................. A-6Consultants ................................. A-20Consultation on a case- see "Case Consultation"Consultations............................ A-3 to A-18,.................................. A-24, A-28,.................................. A-30, A-34,.................................. A-37, A-47Anaesthesiology..................... A-47Anaesthetists - see also item17.8 of preambleBack. . . . ................................ A-1611

April 1, 2009INDEX(See also Table of Contents)Consultations (Cont’d)Case .................................. A-18, A-24Defined .................................. A-14Documentation requirements . A-14Emergency department/OPD. A-14General rules for billing .......... A-14 to A-17In-patient ................................ A-10, A-15Intraoperative ......................... A-16Major medical......................... A-15Major neurological.................. A-16Major surgical......................... A-16Nuclear Medicine.................... A-17, A-37,.................................. C-9Office .................................. A-14Pain clinic ............................... C-4Psychiatrist ............................. A-17Prenatal .................................. A-16Radiology ............................... A-17, A-34,.................................. C-26Report .................................. A-14, A-17Special ophthalmology ........... A-16Surgical .................................. A-16Trauma .................................. A-16(see also under specialties)Consultations - documentationrequirements .......................... A-14 to A-17Consultations and Visits.............. C-1 to C-26Contact lens ................................ E-14Continuous ambulatory E.C.G.monitoring............................... F-1Continuous care/therapy............. A-16, A-19Continuous conductionanaesthesia. .......................... I-2Contracture release..................... L-4Controlled hypotension ............... A-48, J-9, K-2Convalescent care ...................... A-18, C-2Conventional films....................... A-35Cordotomy .................................. V-7Corneal section ........................... W-2Corneal transplant....................... W-1Cornea, surgery .......................... W-1, W-2Corns .................................. L-2Coronary:Angioplasty............................. E-6Arteries - surgery.................... O-1 to O-7Catheterization ....................... E-6Coronoidotomy/coronoidectomy...................... M-16Correction of cor triatriatum......... O-3Correction of outstanding ears.... W-7Cortical audiometry ..................... E-16Cortical scar ................................ V-2Cor triatriatum ............................. O-3Cosmetic or anaestheticsurgery .................................. A-65Counselling ................................. A-25CPR.................................. A-3, A-29,.................................. D-3, E-6Cranial facial separation ............. M-18Cranial nerve blocks ................... E-2Cranial nerves, surgery............... V-4, V-5Cranial vault reconstruction ........ M-17Craniectomy................................ V-3, V-5Cranioplasty................................ V-3Craniosynostosis......................... V-3Craniotomy.................................. V-1 to V-3Cranium:Nerve blocks .......................... E-2Surgery .................................. V-1 to V-5Creation of:ASD .................................. O-2A-V fistula............................... O-7Cricopharyngeal diverticulum ..... Q-4Critical care ................................. A-3, A-22,.................................. A-28 to A-30,.................................. D-1 to D-3Critical escort .............................. A-20, A-21Crush injury................................. A-66Cryocautery cervix ...................... T-5Cryoconization ............................ T-4Cryopexy:Eyelids .................................. W-4Retina .................................. W-3Vitreous.................................. W-2Cryosurgery ................................ L-2, L-4, N-2,.................................. Q-1, T-1Cryotherapy ................................ E-17, L-8,.................................. Q-9Crystalline lens, surgery ............. W-2CSF circulation (NuclearMedicine testing).................... H-3CSF leak .................................. A-63, V-3,.................................. V-7CSF shunting procedures ........... V-4Culdectomy................................. T-3Culdoscopy ................................. T-2Culdotomy .................................. T-2Curettage:Endocervical .......................... T-1, T-3Fissure/fistula in ano .............. Q-10Skin lesions............................ L-4Cutaneous lesions - see"Subcutaneous"Cutaneous surgery - see"Subcutaneous"CVP lines .................................. A-28, A-2912

April 1, 2009INDEX(See also Table of Contents)Cyanide poisoning....................... A-66Cystectomy, complete................. R-5Cystic fribrosis............................. A-62Cystic hygroma ........................... P-1Cystocoele .................................. T-1, T-2, T-4Cystogram .................................. E-19Cystolithotomy............................. R-4Cystometrogram.......................... E-16Cystography for vesicouretericreflux .................................. H-2Cystoplasty.................................. R-4, R-5Cystoscopy - diagnostic .............. R-3, R-4, S-4- therapeutic ........................... R-4Cystotomy, cystectomy ............... R-4Cystostomy.................................. R-4Cysts:Baker's .................................. M-30Bartholin's............................... T-1Brain. . . .................................. V-2Branchial ................................ Q-3Broncho-pleural fistula ........... N-6Dermoid (cornea) ................... W-1Dermoid (skin)........................ L-3Liver .................................. Q-10Meniscus ................................ M-30Mesenteric.............................. Q-12Pancreatic .............................. Q-11Para ovarian........................... T-3Patella .................................. M-30Pilonidal.................................. L-3Renal .................................. R-1Scrotum .................................. S-2Thyroglossal ........................... Q-3Thyroid .................................. U-1Skin .................................. L-2, L-3Urachal .................................. R-5Vaginal .................................. T-2D and C - see "Dilation andCurretage"Dacryocystectomy....................... W-6Dacryocystogram ........................ E-19Dacryocystorhinostomy............... W-6Dacryocystotomy......................... W-6Date of admission ....................... A-39Date of service ............................ A-7 to A-9,.................................. A-18, A-19D.................................. A-32Date of transfer ........................... A-12Day care .................................. A-11, A-25,.................................. C-25Day surgery patients................... A-24Debanding arterioplasty.............. O-3Debridement:Brain .................................. V-3Burns .................................. L-9Cerebral injury........................ V-3Compound fractures .............. A-42Dislocations............................ A-42Ears .................................. A-41, W-7Elbow .................................. M-8 to M-11Extensive................................ A-42Femur .................................. M-28Foot .................................. M-34, M-37Hand .................................. M-3 to M-7Hip .................................. M-25, M-26Joint - see "Synovectomy"Knee .................................. M-29 to M-31Mandible................................. M-19Maxilla .................................. M-19Nasal bones ........................... M-18Shoulder................................. M-12 to M-14Skin lesions............................ L-4, L-9Spine .................................. M-23Tibia/fibula.............................. M-33Wounds.................................. L-4Wrist .................................. M-3 to M-7Decannulation circulatory assistdevice .................................. O-1Declotting of cannula orscreibner shunt ...................... E-9Decompression:Cranial nerves........................ V-5Facial nerve ........................... W-8Fasciotomy............................. M-8, M-6Fasciotomy for compartmentssyndrome:Forearm............................. M-8Lower leg........................... M-32Gasserian ganglion ................ V-4Inner ear................................. W-9Nerves .................................. W-8Common perineal orposterior tibial................ M-32Cranial............................... V-5Facial................................. W-8Hip and pelvis.................... M-24Knee.................................. M-30Lateral femoralcutaneous...................... M-24, V-513

April 1, 2009INDEX(See also Table of Contents)Decompression (Cont’d)Nerves (Cont’d)Major nerve at wrist ........... M-4Median nerve at wrist ........ M-4, V-5Optic .................................. V-3Pelvis and hip .................... M-24Peripheral .......................... V-5Posterior tibial.................... M-32Posterior tibial or commonperineal.......................... M-32Sciatic ................................ M-24Spine ................................. M-20, M-21Ulnar nerve (at elbow) ....... M-8, V-5Optic nerve(s)......................... V-3Orbit .................................. V-3, W-3Posterior fossa ....................... V-2Rectum .................................. Q-8Sac (inner ear)........................ W-9Sickness ................................. A-66Skull . . ................................... V-2Spinal cord ............................. V-6, V-7Spine .................................. M-20Decortication, lung ...................... N-6Decubitus ulcer ........................... L-3Dedicated On-Site 24-Hour ICUSessional Coverage ............... A-55Dedicated time method of billingfor surgical assistance -see"Surgical Assistants" .............. A-45Defecography.............................. G-2Defect, skull................................. V-3Defibrillation ................................ D-3, E-5Defibrillator .................................. E-7Definitions - see topicconcernedDelegated procedure/service ...... A-11Deletions, additions, changesto Payment Schedule ............. A-1Delivery.................................. A-4, A-18,.................................. A-23, A-38,.................................. A-46, A-47,.................................. A-48, I-1 to I-3Delivery premium ........................ A-52 to A-53,.................................. I-1, I-3Denervation - see"Decompression"Denervation of hip joint ............... A-41, M-24Densitometry - dye dilution.......... E-5Dental anaesthesiaassessment ............................ A-24Dental anaesthesia, surgery ....... Q-2Dental arch bars, splint ............... M-17Dentate ligament ......................... V-7Dento-alveolar osteotomy........... M-15Dermabrasion ............................. L-8Dermatology:Consultations and visitslisting ................................. C-5D & T Section......................... E-8Dermis fat - orbit - graft............... W-4Dermoid (cornea)........................ W-1Dermoid cyst ............................... L-3, W-1Desensitization, allergy............... E-1Designated beds, ICU................. A-55Desmoid tumor............................ Q-12Destruction finger or toe nail....... L-8Detection of venous thrombosiswith radioiodinated fibrogen... H-1Detachment, retina...................... W-3Detention .................................. A-16, A-19 to.................................. A-20, A-48Detention in ambulance - see"Escort of critically ill patient"Devascularization, gastric........... O-6Developmental:Neurology consultations andvisits listing ........................ C-10Major consultations ................ A-15Paediatrics consultations andvisits listing ........................ C-18Diabetes .................................. A-62, A-63.................................. I-1, I-3Diagnostic and therapeuticprocedures ............................. A-3, A-31,.................................. E-1 to E-20Diagnostic biopsy (by radiologist) G-14Diagnostic ultrasound ................. G-9 to G-12Dialysis:Chronic .................................. E-9Haemodialysis........................ E-9Peritoneal............................... E-9Renal .................................. E-9, A-30Satellite .................................. E-9Scriebner shunt...................... E-9Self care/home....................... E-9Diaphragm repair (rupture) ......... Q-12, Q-13Diaphragmatic hernia.................. Q-13Diastematomyelia ....................... V-6Diathermy .................................. E-17, W-3Different surgeons....................... A-40Differential intrathecal spinalblock .................................. E-2Digestive system surgery............ Q-1 to Q-13Digital artery microscopic repair . O-3Digital reimplantation .................. L-814

April 1, 2009INDEX(See also Table of Contents)Dilation:Anus .................................. Q-9Anal sphincter......................... Q-10Bladder .................................. R-4Cervix .................................. T-5Choanal atresia ...................... N-1Colostomy .............................. Q-7Enterostomy ........................... Q-7Intestinal ................................. Q-6Kidney .................................. R-1Lacrimal duct.......................... W-6Larynx .................................. N-3Oesophagus ........................... Q-4, Q-5Rectum .................................. Q-8, Q-9Salivary duct........................... J-7, Q-3Ureter .................................. R-3Urethra .................................. R-7Urinary tract............................ R-1Vagina .................................. T-2Dilatation and curettage .............. T-1, T-4, T-5Dipromidole thalium stress test... E-7Directive care defined ................. A-20Disarticulation - see "Amputation"Discectomy.................................. M-20, M-21Discharge .................................. C-2Discharge planning ..................... A-24Discission crystaline lens ............ W-2Discogram .................................. E-19Discography ................................ E-12, G-5Discs, intervertebral .................... M-20 to M-21Disimpaction................................ Q-9Dislocated intraocular lens.......... W-2Dislocation - see "Reductions"Distal spleno-renal shunt............. O-6Distichiasis .................................. W-4Diversion, urinary ........................ R-1, R-5, R-6Diverticulectomy.......................... Q-4, R-5, R-6Diverticulum:Bladder .................................. R-5Cricopharyngeal ..................... Q-4Intrathoracic............................ Q-4Meckel's.................................. Q-8Urethra .................................. R-6Division cranial nerves ................ V-5Division of iris to cornea.............. W-1Division of patent ductus ............. O-2Division obturator nerve .............. V-5Dobutamine stress test ............... E-7Documentation of services.......... A-7 to A-9.................................. A-14Donor:Heart, lung removal................ O-2Kidney .................................. R-2Liver. . . .................................. Q-10Doppler:Assessment of intra-abdominalvessels .............................. G-10Assessment of vascularity ofa transplanted organ ......... G-10Duplex doppler assessment ofhepatic and portal venoussystems ............................. G-10Echocardiography.................. G-10Peripheral artery evaluation... G-10Scan or B scan peripheralvascular system ................ G-10Transcranial assessment....... G-10Dorsal sympathectomy ............... V-6Double outlet............................... O-3Double set-up for delivery........... I-1Down's Syndrome surgery.......... M-18Drainage:Abscess - see "Abscess"Abscess of appendix.............. Q-8Alveolar abscess.................... Q-2Cranial .................................. V-1, V-2External ventricular ................ V-2Extraoral abscess .................. J-3Intramammary abscess.......... L-11Intraoral abscess.................... J-3Kidney/abscess...................... R-1Lateral pharyngeal abscess... Q-3Ludwig’s angina ..................... Q-1Musculoskeletal ..................... M-4, M-9,.................................. M-12, M-15,.................................. M-21, M-25.................................. M-27, M-30,.................................. M-32, M-35Pelvic abscess ....................... Q-12Perinephric abscess............... R-1Perirectal abscess.................. Q-8Retropharyngeal/peritonsillerintra-oral abscess.............. Q-3Tubes - ear............................. W-7, W-8Drug provocation......................... E-6Duodenography .......................... G-6Duodenoscopy............................ Q-4, Q-6,.................................. Q-10Duodenum .................................. E-10, G-2,.................................. Q-7, Q-10Duodenum aspiration.................. E-10Duplex Doppler:Assessment of hepatic andportal venous systems ...... G-10Assessment of post-operativeshunts................................ G-1015

April 1, 2009INDEX(See also Table of Contents)Duplex Doppler (Cont’d)Peripheral artery evaluation ... G-10Ultrasound .............................. G-12Venous evaluation.................. G-10Dupuytren's ................................. M-4, M-35Dura.................................. M-21, M-23,.................................. V-7Dura opening............................... V-7Duraplasty - intracranial .............. V-2Dye dilution densitometry............ E-5Dynamic renal imaging................ H-2Dystopia, orbital .......................... M-18Early pregnancy diagnosis.......... G-11Ear, surgery................................. W-7 to W-9E.C.G. monitoring, ambulatory.... F-1E.C.G. - see under"Electrocardio graphy"Echocardiography ....................... E-7.................................. G-9, G-10Echoencephalography ................ G-9Echography:Heart and majorblood vessel....................... G-9Neck .................................. G-9Ophthalmic ............................. G-9Pericardial effusion................. G-9E.C.TE.................................. A-24, A-25,.................................. E-18Ectopic pregnancy....................... I-4Ectopic pregnancy(ultrasound) ............................ G-11Ectropion .................................. W-4, W-5EDTA .................................. W-1Effective Date.............................. A-1Elbow and forearm ...................... M-8 to M-11Elective home visit ...................... A-21, A-22Electrical cardioversion ............... A-30Electrical stimulation:Cardiovascular ....................... E-6Musculoskeletal...................... M-1Peripheral nerves ................... V-5Electrocardiograms ..................... F-1Electrocardiography .................... E-6, E-7Electrocautery, see “cautery”Electrocoagulation....................... L-2, Q-8, R-4Electroconization cervix .............. T-4Electroconvulsive therapy(ECT) .................................. E-18, A-24,.................................. A-25Electrocorticogram...................... E-14Electrode implant:Endocardial ............................ E-6Intracranial ............................. V-2Peripheral nerves................... V-5Spinal Cord ............................ M-22Electrode removal, spine ............ M-22Electrodesiccation skin lesions ... L-4Electroencephalography ............. E-14, F-1Electroencephalographyvideotape recording ............... F-1Electrogustometry....................... E-16Electromyography and nerveconduction.............................. F-1Electronystagmography .............. E-16Electrophysiology........................ E-6Electrosection, prostate .............. S-4Electrotherapy............................. E-17Embolectomy .............................. O-5, O-6Embolization:For treatment of haemangiomaor renal carcinoma ............ G-4Of spinal or cerebral A-Vmalformations.................... G-5Emergency and out-patientdepartment visit...................... A-11- also see the visit listing forthe specialty concernedEmergency calls - see"Premiums with Visits"Emergency departmentconsultations .......................... A-14Emergency DepartmentCoverage................................ A-11, A-14,.................................. A-18, A-51,.................................. A-54, A-56,.................................. A-59Emergency DepartmentCoverage Category A Facilities- see "On-Site EmergencyDepartment Coverage"Category B Facilities - see"Emergency DepartmentCoverage by GeneralPractitioners"Emergency department coverageby General Practitioner .......... A-56Emergency medicine consultationsand visits listing .......... C-6Emergency splinting.................... A-42Emergency surgery,intraprocedural ....................... Q-1216

April 1, 2009INDEX(See also Table of Contents)Emergency surgicalprocedures ............................. A-41E.M.G.’s .................................. F-1Empyema .................................. N-6Encephalocoele, repair ............... V-2, V-3Encephalography - electro .......... E-14, F-1Endarterectomy - see arteryconcernedEndocardial activationmapping.................................. E-6Endocardial cushion.................... O-1Endocardial electrode ................. E-6Endocavity scan .......................... G-11Endocrine testing ........................ E-10Endomeatal surgery.................... W-7Endolymphatic shunt................... W-9Endometrial biopsy,curettage ................................ T-4Endoscopies:Abdomen................................ Q-12Anus .................................. Q-9Biliary tract.............................. Q-10Bladder .................................. R-4Bronchi .................................. N-4Cervix uteri ............................. T-3Colon .................................. Q-6Duodenum.............................. Q-10Ear .................................. W-7Gastric .................................. Q-4, Q-5Intestines ................................ Q-6Larynx .................................. N-3Lungs and pleura.................... N-6Mediastinum ........................... N-5Nasopharynx .......................... N-1Oesophagus ........................... Q-4Peritoneum ............................. Q-12Prostate .................................. S-4Rectum .................................. Q-8Sigmoid .................................. Q-8Stomach ................................. Q-5, Q-10Trachea and bronchi .............. N-4Upper airway .......................... N-1Ureter . . . ............................... R-3Urethra .................................. R-6Uterus .................................. T-3Vagina .................................. T-1Endotracheal intubation .............. A-28 to A-30,.................................. A-47Enema:Gastrografin............................ G-6Small bowel ............................ G-6Enophthalmos ............................. M-18Enterectomy ................................ Q-7Enterocoele, repair...................... T-2, T-4Entero-enterostomy .................... Q-6, Q-7Enterostomy................................ Q-6, Q-7Enterotomy.................................. Q-6Entropion .................................. W-4, W-5Enucleation:Donor eye .............................. W-1Orbit .................................. W-3, W-4Environmental services............... A-64Epicardial electrode .................... O-2Epicondyle .................................. M-10Epididymectomy.......................... S-2Epididymis, surgery..................... S-2Epididymovasostomy.................. S-2Epidural anaesthesia - see"Anaesthesia Services"Epidural anaesthesia table ......... X-1Epidural blood patch ................... E-3Epidural for labour....................... A-46, A-47Epidural for non-obstetricalcases .................................. A-47Epidural/spinal block................... E-2Epidural steroid injection............. H-1Epigastric hernia ......................... Q-13Epilation .................................. A-64Epilation, eyelid........................... W-4Epilepsy .................................. V-2Epiphysiodesis ............................ M-27, M-32Epispadias .................................. S-1Epistaxis - see also “Cautery”..... N-2E.R.C.P. .................................. G-6ERPF by blood sample ............... H-2Escort of critically ill patient......... A-20, A-21,.................................. A-22Esophagus - see “Oesophagus”Essential services workers ......... A-62ESWT .................................. R-2Ethmoidal sinusotomy/sinusectomy/sinusostomy...... N-2Ethmoidectomy ........................... N-1E.U.A. - see "Examination underAnaesthesia"E.U.G.A. - see "Examinationunder Anaesthesia"Eustachian .................................. W-8Evacuation of clot (sclera) .......... W-2Evisceration:Abdomen................................ Q-13Orbit .................................. W-3Evoked potential studies............. F-2Examination:Health .................................. A-6417

April 1, 2009INDEX(See also Table of Contents)Examination under GeneralAnaesthesia:Ankle .................................. M-35Club Foot................................ M-35Elbow or forearm.................... M-9Femur .................................. M-27Foot .................................. M-35Hand or wrist .......................... M-4Hip and pelvis......................... M-25Knee .................................. M-30Nasopharynx .......................... N-2Ophthalmic ............................. W-1, W-4,.................................. W-6Pelvis and hip......................... M-25Shoulder/arm/chest ................ M-12Skull and mandible................. M-17Spine .................................. M-21Vaginal .................................. T-2Exchange transfusions................ E-5Exchange, vitreous...................... W-2Excision:Abdomino-perineal ................. Q-8Accessory navicular(scaphoid).......................... M-35Acromion or clavicle ............... M-13Adenoids ................................ Q-3Adrenal gland ......................... U-1Ankle .................................. M-35Anus .................................. Q-10Appendix ................................ Q-8AV aneurysm or fistula ........... O-6Baker’s cyst ............................ M-30Bladder .................................. R-5Bone:Elbow and forearm ............ M-9Femur ................................ M-27Foot and ankle................... M-35Hand and wrist .................. M-4Nasal ................................. J-1Pelvis and hip .................... M-25Phalanx.............................. M-35Spine ................................. M-21Tempormandibular ............ M-16Bone ridge (tib and fib)........... M-32Bowel .................................. Q-13Branchial:cyst/sinus/fistula ................ Q-3Bronco-pleural fistula ............. N-6Bunion .................................. M-35Bursa (ankle/foot)................... M-35Bursa, olecranon .................... M-9Bursa (pelvis and hip) ............ M-25Bursa (pre-patellar) ................ M-30Calcaneal spur ....................... M-35Cataract.................................. W-2Coraco-acromial ligament...... M-13Carotid aneurysm................... O-4Celiac ganglion ...................... O-5Cervical rib ............................. V-5Cervical stump ....................... T-2, T-4Chalazion ............................... W-4Choanal atresia...................... N-1Clavicle or acromion .............. M-13Coarctation............................. O-2Coccyx .................................. M-25, M-26Colon .................................. Q-7Congenital vaginal septum..... T-2Conjunctiva ............................ W-5 to W-6Cornea .................................. W-1Crico pharyngeal diverticulum Q-4Crystalline lens....................... W-2Cyst:Baker’s .............................. M-30Bartholin’s gland................ T-1Bone (pelvis/hip) ............... M-25Brain.................................. V-2Branchial ........................... Q-3Dermoid............................. W-1Exostosis (fibula and tibia) M-32Exostosis (patella)............. M-30Lymph channels ................ P-1Meniscus ........................... M-30Mesenteric......................... Q-12Pancreatic ......................... Q-11Pilonidal............................. L-3Surgical dental .................. J-3Urachal.............................. R-5Vaginal .............................. T-2Cystic hygroma ...................... P-1Dermoid (cornea) ................... W-1Desmoid tumour..................... Q-12Diverticulum, cricopharyngeal ........................ Q-4Diverticulum, intrathoracic...... Q-4Donor eye .............................. W-1Ear .................................. W-7Epididymis.............................. S-2Exostosis (cyst patella) .......... M-30Exostosis (dorsal, subungual) M-35Exostosis (tibia or fibula)........ M-31Exteriorized intestine.............. Q-7Eyeball .................................. W-1Eyelid .................................. W-4, W-5Fallopian tube ........................ T-3Fascia (Dupuytrens, foot)....... M-35Fascia (Dupuytrens, wrist) ..... M-418

April 1, 2009INDEX(See also Table of Contents)Excision (Cont’d)Femoral aneurysm ................. O-5Femur .................................. M-26Femur, head and neck ........... M-25Fibula or tibia.......................... M-32Fibular head ........................... M-32First rib/cervical rib ................. N-5Fistula - A-V............................ O-6Floor of mouth ........................ Q-1Foot .................................. M-35Foreign body .......................... M-1, W-3, W-5Gallbladder ............................. Q-11Ganglion (ankle/foot).............. M-35Ganglion (hand or wrist)......... M-4Haemorrhoids......................... Q-9Head and neck of femur......... M-25Head of humerus.................... M-13Hip, pelvis............................... M-24Humerus................................. M-13Hydrocoele ............................. S-1, S-2Intestine.................................. Q-7Intraocular lens....................... W-2Intrathoracic diverticulum ....... Q-4Islet cell tumour ...................... Q-11Joint:Elbow and forearm ............ M-9Foot and ankle................... M-35Hand or wrist ..................... M-4Pelvis or hip....................... M-25Shoulder/arm/chest ........... M-13Kidney .................................. R-1Knee .................................. M-29Lacrimal tract.......................... W-6Lamina .................................. M-21Larynx .................................. N-3Lesion: .................................. A-5, A-8,.................................. A-65Anus .................................. Q-9Benign ............................... L-1 to L-3Conjunctival....................... W-6Gastroduodenal................. Q-5Gastrojejunal ..................... Q-5Intestine............................. Q-6, Q-7Intranasal........................... N-1Intra-oral ............................ Q-1Lip .................................. Q-1Liver .................................. Q-10Malignant and premalignant L-4Meckel’s diverticulum ........ Q-8Mesentery.......................... Q-8Mouth................................. Q-1Oral cavity.......................... Q-1Pancreas ........................... Q-11Pharyngeal space ............. Q-3Rectum.............................. Q-8Scrotal ............................... S-2Tongue .............................. Q-2Vascular ............................ A-5, A-64Lymph nodes ......................... P-1Mandible................................. Q-1, M-15Mandibular condyle................ M-15Maxilla .................................. M-15Meckel’s diverticulum............. Q-8Mesenteric cyst ...................... Q-12Metatarsal head ..................... M-35Middle ear .............................. W-8Mucocele................................ J-7Muscle:Elbow and forearm............ M-9Femur................................ M-27Fibula and tibia.................. M-32Foot and ankle .................. M-35Pelvis and hip.................... M-25Muscle and tendon of handor wrist............................... M-4Myositis:Femur................................ M-28Ossificans (elbow, forearm) M-9Pelvis and hip.................... M-25Morton’s neuroma.................. V-5Mucous membrane ................ Q-9Neuroma ................................ J-9Oesophagus........................... Q-4Olecranon .............................. M-9Orbicularis muscle ................. W-5Orbit .................................. W-3Os calcis, talus....................... M-35Ovary .................................. T-3Pancreas................................ Q-11Parotid gland.......................... Q-3Patella .................................. M-30Pelvis, hip............................... M-25Penis .................................. S-1Pericornal gingival.................. J-2Phalanx .................................. M-35Pharyngeal space lesions...... Q-3Polyp (anal)............................ Q-9Polyp (ear) ............................. W-7Polyp (intestine) ..................... Q-6Polyp (nasal) .......................... N-1Prepatellar bursae.................. M-30Pressure sore......................... L-3Prostate.................................. S-4Pterygium............................... W-1Radial head............................ M-919

April 1, 2009INDEX(See also Table of Contents)Excision (Cont’d)Radial styloid.......................... M-4, M-9Ranula .................................. Q-1Rectum: ................................. Q-8Mucous membranes.......... Q-9Ranula ............................... J-7Renal artery aneurysm........... O-5Rib .................................. N-5Scaphoid ................................ M-6, M-354Sclera .................................. W-3Scrotum .................................. S-2Secondary membrane(crystaline lens) ................. W-2Seminal vesicles..................... S-3Septum, uterus....................... T-4Sesamoid ............................... M-35Skin & subcutaneous lesions . L-1 to L-4SMR - see "Septoplasty"Soft tissue:Foot and ankle................... M-35Elbow and forearm ............ M-9Spine ................................. M-21Tibia and fibula .................. M-32Spinous process..................... M-21Spleen .................................. P-1Splenic artery aneurysm ........ O-5Stenosed renal artery............. R-1Stomach ................................. Q-5Subacromial bursa ................. M-13Sublingual gland..................... J-7Submandibular ....................... J-7Submaxillary gland................. Q-3Submucous resection - see"Septoplasty"Talus, os calcis....................... M-35Tarsal bar ............................... M-35Temporal bone ....................... W-9Thoracic aorta aneurysm ....... O-4Thymus .................................. U-1Thyroid .................................. U-1Thyroglossal duct/cyst/sinus/fistula ................................. Q-3Tongue .................................. Q-2Tonsils .................................. Q-3Tooth .................................. Q-2Trachea and bronchi .............. N-4Tunica vaginalis...................... S-2Tumours:Bladder .............................. R-4Breast ................................ L-11Chest wall.......................... N-5Clavicle or acromion.......... M-13Desmoid ............................ Q-12Elbow or forearm............... M-9Femur................................ M-27Fibula and tibia.................. M-32Foot .................................. M-35Glomus.............................. V-5Hand or wrist ..................... M-4Hip, pelvis.......................... M-25Humerus............................ M-13Intra-oral............................ Q-1Islet cell ............................. Q-11Mediastinum...................... N-5Orbit .................................. V-3, W-3Parathyroid........................ U-1Pelvis and hip.................... M-25Peripheral nerve................ V-5Pituitary ............................. V-4Recturm............................. Q-8Retroperitoneal.................. R-2Rib .................................. N-5Salivary gland.................... Q-3Skull/mandible/maxilla....... M-15, V-3Spine, soft tissues............. M-21Stomach ............................ Q-5Surgical dental .................. J-2 to J-3,.................................. J-8Tibia or fibula..................... M-32Ulna .................................. M-9Vertebra ............................ M-20Ulcer:Decubitus .......................... L-3Gastroduodenal/gastrojejunal.................. Q-5Stomach ............................ Q-5Uterus .................................. T-4Urachus.................................. R-5Ureter .................................. R-3Urethra .................................. R-6Uvula .................................. Q-2Vagina .................................. T-2Ventricular aneurysm ............. O-2Vestibular hyperplastic tissue J-2Vulva .................................. T-1Exenteration, eye........................ W-3Exercise.................................. E-3, E-5, E-7,.................................. E-17, E-20Exercise assessment,pulmonary .............................. E-20Exercise assessment (pulmonaryfunction) ................................. F-4Exostosis .................................. M-4, M-9,.................................. M-13, M-27,.................................. M-30,M-32,.................................. M-35, W-720

April 1, 2009INDEX(See also Table of Contents)Expander, tissue ......................... L-5Experimental procedures ............ A-6, A-64Exploration:Brachial plexus ....................... V-5Major artery ............................ O-3Major nerve ............................ V-5Nerve:Major nerve of hand orwrist (except medianat wrist)...................... M-4Major nerve of hip andpelvis ......................... M-24Sciatic ................................ M-24Ulnar nerve........................ M-8Parathyroids ........................... U-1Renal and perirenaltissues ............................ R-1Retroperitoneal tumour .......... R-2Rotator cuff............................. M-13Spine .................................. M-21Surgical dental........................ J-3Tendon sheath (foot/ankle) .... M-36Undescended testicle............. S-2Vaginal - ureterotomy............. R-2Exploratory tympanotomy ........... W-8Extensive debridement ofcompound fractures ordislocations........................ A-42- see also listing for reductionof the fractureExtensor tendon .......................... M-4, M-5,.................................. M-6, M-10,.................................. M-36Exteriorized intestine................... Q-7Exteriorization of intestine........... Q-6External cardiac pacing............... E-6External carotid artery................. N-2External ear, surgery................... W-7Extracarporeal shock wavelithotripsy ................................ R-2Extra-cochlear ............................. W-9Extracranial vessel assessment(ultrasound) ............................ G-10Extraction, cataract ..................... W-2Extraction, dental ........................ Q-2Extraction, dislocated lens .......... W-2Extraocular muscles.................... W-3Extra patient seen ....................... A-10, A-22,.................................. A-50, A-51Extra renal procedures................ R-2Extrophy of bladder ..................... R-5Eye, surgery ................................ W-1 to W-6Eyeball, surgery .......................... W-1Eyelid lengthening procedure ..... W-5Eyelids, surgery .......................... W-4 to W-5FFacial bone, reconstruction......... M-14 to M-19Facial nerves............................... Q-3, V-5,.................................. W-8Facial paralysis ........................... M-15Failed vascular grafts.................. O-1Fallopian tube, surgery ............... T-3Fallot, tetralogy ........................... O-1False aneurysm .......................... O-5Family psychotherapy - see"Psychotherapy"Fascia.................................. M-4, M-9,.................................. M-13, M-27,.................................. M-30, M-32,.................................. M-35, M-36,Fasciotomy.................................. M-6, M-8Fecal disimpaction ...................... Q-9Fecal fistula resection ................. Q-7Feeding enterostomy .................. Q-6Feeding line ................................ E-5Fees:Add on (after hours GP)......... A-18Anaesthesia ........................... A-46 to A-49AssistantDedicated method............. A-45Standard method............... A-44Chronic and convalescent care A-18Clinical teaching unit .............. A-13Complex head studies ........... A-35Consultation ........................... A-14, A-15CPR .................................. A-3Diagnostic and therapeuticprocedures ........................ A-31Emergency department.......... A-56Extra patient seen .................. A-22Fractures................................ A-42 to A-43Geriatric surcharge ................ A-22Home visit .............................. A-10, A-22Hospital in-patient .................. A-12ICU, CCU, NICU .................... A-20, A-28 to.................................. A-30In-hospital diagnostic ............. A-3, A-33In-patient surcharge ............... A-22Interviews............................... A-23IV injection ............................. A-35, A-3721

April 1, 2009INDEX(See also Table of Contents)Fees (Cont’d)Long term care ....................... A-57Monitoring only....................... A-6Nuclear medicine.................... A-17, A-37Obstetric ................................. A-38Premium ................................. A-2, A-8Anaesthesia....................... A-52Delivery.............................. A-52 to A-53General.............................. A-50Home visit.......................... A-50 to A-51Hospital OPD..................... A-51Office ................................. A-51Special visit........................ A-50Surgeons ........................... A-52Procedural .............................. A-8, A-20Provincial perinatal high riskUnit .................................. A-30Psychiatric management........ A-24Psychotherapy........................ A-25Radiology ............................... A-34 to A-35Satellite haemodialysis........... A-31Splinting (emergency) ............ A-42Surgical procedures ............... A-4, A-39 to.................................. A-41Team.................................. A-19, A-28,.................................. A-29, A-39Time unit................................. A-8Total hip replacement............. A-41Ultrasound .............................. A-35Fee differentials........................... A-3Female genital system,surgery .................................. T-1 to T-5Femoral:Artery .................................. O-5Cutaneous nerve.................... M-24Epiphysiodesis ....................... M-27, M-32Hernia .................................. Q-13Lengthening............................ M-27Neck .................................. M-26Nerve.................................. E-3, M-24,.................................. V -5Shaft .................................. M-27, M-28Shortening .............................. M-27Stapling .................................. M-27, M-32Vein .................................. O-6Femoro-femora graft ................... O-4, O-5Femur.................................. M-25, M-27 to.................................. M-28Femur, fracture............................ M-28Fenestration of palate ................. Q-2Fenestration of semicircularcanals .................................. W-9Ferrokinetics................................ H-2Fetal - see “foetal”Fetoscopy .................................. I-1Fiberoptic:Endoscopy ofnasopharynx...................... N-1Intubation ............................... A-47, K-2Fibromata .................................. S-2Fibula and tibia............................ G-2, M-32 to.................................. M-33Fick determination....................... E-5Fick procedure ............................ W-9Fimbriolysis ................................. T-3Finger:Cast .................................. M-1Nail .................................. L-8Prick .................................. E-18Surgery .................................. M-3 to M-7Webbed.................................. L-8Finish time .................................. A-8, A-15,.................................. A-16, A-20,.................................. A-23First anaesthetist......................... A-46, A-48First day rate ............................... A-28, A-30Fissure of anus ........................... Q-9, Q-10Fistula:Alveolar .................................. M-16, Q-2Anal .................................. Q-10Anterior alveolar..................... Q-2Antro oral................................ N-2Arteriovenous......................... O-6, O-7Bladder .................................. R-5Branchial ................................ Q-3Bronchopleural....................... N-6Carotid - cavernous................ V-1Cleft .................................. J-5Gastrocolic ............................. Q-6Hard palate ............................ M-16In ano .................................. Q-9Intestinal................................. Q-7Mastoid .................................. W-8Oesophageal.......................... N-3Oesophagus-tracheal............. Q-5Oro-antral............................... J-8Oro-nasal ............................... J-6Palate .................................. Q-2Penile Urethra ........................ R-6Perineal urethra ..................... R-6Pleura .................................. N-6Rectal .................................. Q-9Recto-urethral ........................ R-6Recto vaginal ......................... Q-9, T-2Stomach................................. Q-6Suprapubic............................. R-522

April 1, 2009INDEX(See also Table of Contents)Fistula (Cont’d)Thyroglossal ........................... Q-3Tracheo-oesophageal ............ N-3Uretero-vaginal....................... R-3, T-2Urethral .................................. R-6Urethro-cutaneous.................. S-1Urethro-vaginal....................... R-3, T-2Vaginal .................................. Q-9, R-5, T-2Vesical .................................. Q-9, R-5,.................................. T-2Vesico-rectal........................... R-5Vesicosigmoid ........................ R-5Vesico-vaginal........................ Q-9, R-5, T-2Fixation, intraocular lens ............. W-2Fixation, skeletal ......................... M-1, M-17.................................. M-29Flaps.................................. J-1, J-2, J-6,.................................. J-8, L-2, L-3,.................................. L-6, L-7, L-8,.................................. L-11, M-4,.................................. M-9, M-16,.................................. M-17, M-27,.................................. N-2, Q-1,.................................. R-3, R-5, S-1,.................................. V-2, V-3, W-5Flexoplasty .................................. M-10Flexor tendon .............................. M-4, M-5,.................................. M-6, M-10.................................. M-36Flow volume loop ........................ F-4Fluoresceine injection ................. N-1Fluorescent string test................. E-10Fluoroscopy................................. A-35, G-6 to.................................. G-8Foetal:Age determination .................. G-11Assessment in-utero .............. G-11Blood sampling....................... I-1Distress .................................. I-1Doppler .................................. I-1Scalp blood sampling ............. I-1Foetoscopy.................................. I-1Follow-up care............................. A-6, A-62Follow-up visits............................ A-15, A-20,.................................. A-23, A-26Foot .................................. M-1, M-34 to.................................. M-38Foot, Club .................................. M-35, M-36Foraminotomy ............................. M-20, M-21Forearm .................................. M-1, M-8 to.................................. M-11Forehead advancement .............. M-17Foreign Body:Abdomen................................ Q-12Antrum .................................. J-8Bladder .................................. R-4Brain .................................. V-3Bronchi .................................. N-4Conjunctiva ............................ W-5Cornea .................................. W-1Ear .................................. W-7Elbow or forearm.................... M-9Eyeball .................................. G-1, W-1Heart .................................. O-1Intraocular .............................. W-1Intravascular (removal of) ...... G-4Larynx .................................. N-3Lung .................................. N-6Muscle .................................. M-9Nose .................................. N-2Oesophagus........................... Q-4Orbit .................................. W-3Peritoneum............................. Q-12Pleura .................................. N-6Rectum .................................. Q-9Skin .................................. L-1Stomach................................. Q-5Subcutaneous ........................ L-1Trachea.................................. N-4Urethra .................................. R-6Wound .................................. M-1Foreign body localization underultrasound .............................. G-9Fornix reconstruction .................. W-4Fothergill .................................. T-2Fractures:Preamble................................ A-42 to A-43Skull .................................. V-2, V-3Specific fractures - see"Reductions, Fractures"Free island flaps.......................... L-7, L-8Frontal grafts............................... M-17Frontal sinusotomy/sinusectomy/sinusostomy ........................... N-2Fulguration - see “Endoscopies”. Q-6, Q-10Functional residual capacity ....... F-4Fundoplication............................. Q-4Fusion - spinal column................ M-20 to.................................. M-23, V-6,.................................. V-723

April 1, 2009INDEX(See also Table of Contents)Galen - vein of............................. V-1Gallbladder ................................. Q-5, Q-6.................................. Q-10, Q-11Gallium scintigraphy.................... H-2GanglionG.................................. E-2, E-3,.................................. F-3, M-4,.................................. M-35, O-5,.................................. V-4Gas analysis (with pulmonaryfunction testing)...................... F-4Gas embolism ............................. A-66Gas gangrene ............................. A-66Gas endarterectomy.................... O-4Gasserian ganglion ..................... E-2, V-4Gastrectomy................................ Q-5Gastric:By-pass .................................. Q-5Devascularization................... O-6Lavage .................................. E-10Photography........................... Q-4Polyp .................................. Q-5Secretion studies.................... E-10Surgery .................................. Q-4 to Q-7Gastrochisis................................. Q-13Gastrocolic fistula........................ Q-6Gastroduodenostomy.................. Q-6Gastroenterology - Diagnosticand TherapeuticProcedures ............................. E-10Gastroenterostomy...................... Q-5, Q-6Gastroesophageal:Aspiration ............................... H-2Reflux .................................. H-2Gastrografin enema .................... G-6Gastrointestinal:Blood loss Cr51...................... H-2Protein loss (NuclearMedicine test) .................... H-2Transit .................................. H-2Gastrointestinal special(radiological) procedures........ G-4 to G-6Gastrojejunostomy ...................... Q-6Gastrorrhaphy ............................. Q-6Gastroscopy ................................ Q-4, Q-5,Gastrostomy................................ G-5, Q-4,.................................. Q-5, Q-6Gastrotomy.................................. Q-5General anaesthetic - see"Anaesthesia Services"For CAT scan/MRI ............ K-2General assessments ................. A-10, A-14,.................................. A-15, A-17,.................................. A-20, A-21,.................................. A-22, A-24see also ‘‘Nursing HomeGeneral Assessments”’General practice, consultationsand visits listing...................... C-1 to C-3General practitioners billingfor surgical assistance - see"Surgical Assistants"General reassessment................ A-10, A-20,.................................. A-22, A-23,.................................. A-24General surgery, consultationsand visits listing...................... C-7Genioplasty................................. J-5, M-15Genital System:Female .................................. T-1 to T-5Male .................................. S-1 to S-4Genito-urinary special radiologicalprocedures.................. G-7Geriatric surcharge ..................... A-22, C-10GFR by blood sample ................. H-2Giant cell tumour......................... L-3Glaucoma procedures ................ W-2, W-3Glaucoma provocative tests ....... E-14Glenn procedure ......................... O-2Glenoid fossa.............................. J-7, M-16Glenohumeral joint...................... M-14Glioblastoma............................... V-1Glossectomy, glossoplasty ......... Q-2Glossoplasty ............................... Q-2Grafts:Artery .................................. O-2, V-4Bone - see "Bone Grafts"Breast .................................. L-11Burns .................................. L-9By-pass fibular ....................... M-32By-pass haemodialysis .......... E-9Carotid .................................. V-4Ceramic.................................. J-2Conjunctiva ............................ W-6Cornea .................................. W-1Dermis .................................. M-1Dermis, fat - orbit ................... W-4Ear canal................................ W-7External ear............................ W-7Eyelid .................................. W-4, W-5Fascia .................................. M-124

April 1, 2009INDEX(See also Table of Contents)Grafts (Cont’d)Facial nerves .......................... W-8Fibula .................................. M-32Harvesting .............................. M-18Heart valve ............................. O-3Homogenous graft.................. M-1Internal mammary .................. O-2, E-6Lamellar.................................. W-1, W-5Middle ear............................... W-8Mucosal .................................. J-2Orbit .................................. M-15Palate .................................. Q-2Peripheral nerve..................... V-5Rib .................................. M-18Sclera .................................. W-5Skin.................................. A-66, J-2,.................................. L-2, L-3, L-7.................................. to L-8, M-15,.................................. M-16, W-4,.................................. W-5Split cranial............................. M-18Surgical dental........................ J-8Tarsal .................................. W-5Tendon see - "Reconstruction"Varicose ulcer......................... O-6Vascular, failed....................... O-1Veins .................................. O-6, O-7Granuloma, pyogenic .................. L-2Gritti-Stokes................................. M-27Group psychotherapy - see"Psychotherapy"Gums .................................. Q-2Gunderson flap............................ W-5Gunshot wounds, see "ForeignBody Removal"Gynaecology:Consultations and visitslisting ......................... C-13Diagnostic and therapeuticprocedures......................... E-1Surgery .................................. T-1 to T-5Gynaecology oncologyconsultations and visitslisting .................................. C-13Haemangioma............................. E-8, G-4.................................. L-3HHaematocoele, scrotum.............. S-2Haematoma:Brain .................................. V-2Craniocerebral ....................... V-2Extracerebral.......................... V-2Intracerebral........................... V-3Intramuscular ......................... L-1Ischiorectal............................. L-1Nasal septum ......................... N-1Palmar .................................. L-1Perianal.................................. L-1Pilonidal.................................. L-1Plantar .................................. L-1Septum .................................. N-1Skin .................................. L-1Spinal cord ............................. V-6, V-7Subcutaneous ........................ L-1Vagina .................................. T-2Haemic and lymphatic systems,surgery .................................. P-1Haemodialysis............................. A-31, A-32,.................................. E-9Haemorrhage, intracerebral........ V-1Haemorrhoidectomy,haemorrhoids ......................... Q-9Hair transplantation..................... A-64Hallux valgus............................... M-36Halo traction................................ M-22Hammer toe ................................ M-36Hamstrings.................................. M-28Hand.................................. M-1, M-3 to.................................. M-7Hare lip, repair ............................ Q-1Harrington procedure.................. M-22Hartmann procedure................... Q-8Harvesting of bone graft ............. M-18Head, cast .................................. M-1Health examination ..................... A-64Hearing aid.................................. W-9Hearing test................................. E-16Heart:Catheterization - see "Cardiac"Shunt .................................. O-2Surgery .................................. O-1 to O-3Transplant .............................. O-2Heat therapy ............................... E-17Helicobacter pylori ...................... H-1Heller procedure ......................... Q-4Hematocoele - see"Haematocoele"Hematoma - see "Haematoma"Hemi-arthroplasty........................ M-29Hemilaminectomy ....................... M-2025

April 1, 2009INDEX(See also Table of Contents)Heminephrectomy....................... R-1Hemipelvectomy.......................... M-24Hemispherectomy ....................... V-2Hemodialysis - see"Haemodialysis"Hemoglobinopathy ...................... A-62Hepatectomy ............................... Q-10Hepatotomy................................. Q-10Hernia:Diaphragmatic ........................ Q-13Epigastric................................ Q-13Femoral .................................. Q-13Hiatus .................................. Q-4 to Q-6.................................. Q-11Incarcerated ........................... Q-13Incisional ................................ Q-13Inguinal .................................. Q-13Recurrent................................ Q-13Umbilical................................. Q-12.................................. R-5Ventral .................................. Q-13Herniotomy.................................. Q-13Hiatus hernia ............................... Q-4 to Q-6,.................................. Q-11Hidradenitis ................................. L-3High risk delivery......................... A-18High risk pregnancies.................. I-1High risk fetus ............................. A-16High risk unit (provincialperinatal) ................................ A-30, D-3Hip:Arthroplasty ............................ M-24Congenital dislocation ............ M-26Disarticulation......................... M-24Fracture - see "Femur"Replacement .......................... M-24Spica .................................. M-2, M-26Surgery .................................. M-24 to M-26Hirschsprung's disease ............... Q-8HIS Bundle .................................. E-6Histamine or methylcholinethreshold test.......................... F-4Histamine test ............................. E-10HMPAO regional brain perfusion.................................. H-3Hodgkin’s disease ....................... A-63Holidays, temporary .................... A-12Holidays, extra charge ................ A-36Home dialysis, supervision.......... E-9Home visits.................................. A-8, A-10,.................................. A-11, A-15,.................................. A-21, A-22.................................. A-24, A-25,.................................. A-40, A-41.................................. A-50, A-57Home visits by generalpractitioners ........................... A-10, A-22Home visit premiums .................. A-50 to A-51Homes for the aged .................... A-10, A-21,.................................. A-57, A-61,.................................. A-62- see also listing under homevisits in G.P. visits listingHomogenous bone grafts ........... M-1Homograft renal artery ............... R-1Hormone pellets.......................... E-10Horseshoe kidney ....................... R-2Hospital in-patient defined .......... A-10Hospital in-patient premiums ...... A-39, A-50,.................................. A-51Hospital in-patient visit................ A-10Hospital OPD/emergency dept.premiums ............................... A-51Hospital OPD/emergencydept visit................................. A-11Hospital visit, defined.................. A-10Hospitals (defined)...................... A-10 to A-11Hughes .................................. W-5Huhners' test............................... E-10Humerus .................................. M-12 to M-13Hutch .................................. R-3Hydrocephalus - see "ShuntingProcedures"Hydrocele .................................. Q-13, S-2,.................................. S-3Hydrophilic "Bandage" lensfitting .................................. E-13Hydrotherapy .............................. E-15Hyfrecator .................................. W-4Hymenectomy, hymenotomy ...... T-1Hyperbaric premiums.................. E-4Hyperbaric therapy...................... A-2, A-66,.................................. E-4Hyperhydrosis ............................. L-3Hypertelorism.............................. M-17, M-18Hyperthyroidism therapy withradioisotopes.......................... H-3Hypoglossal nerve ...................... V-5Hypophysectomy ........................ V-4Hyposensitization........................ E-1Hypospadias ............................... S-1Hypotension ................................ A-48, J-9,.................................. K-2Hypothermia................................ A-41, A-48,.................................. A-49, E-2,.................................. O-1, V-126

April 1, 2009INDEX(See also Table of Contents)Renal .................................. R-2Hypotonic duodenogram............. E-19Hypotonic duodenography .......... G-6Hysterectomy .............................. T-2, T-4Hysteropexy ................................ T-4Hysteroplasty .............................. T-4Hysterosalpingography ............... G-3, G-7,.................................. E-19, T-4Hysteroscopy .............................. T-3, T-4Hysterotomy ................................ I-4, T-4IC - see "Independent Consideration"I.C.P. measuring device.............. A-30ICU, NICU, CCU ......................... A-3, A-19.................................. A-20, A-29,.................................. A-30, D-1 to.................................. D-3ICU sessional coverage - see"Dedicated On-site 24-Hour ICUSessional Coverage"I.U.C.D. localization..................... G-11Ileal conduit ................................. R-3, R-5Ileal pouch .................................. Q-7Ileostomy .................................. Q-6, Q-7Ileum, ileostomy .......................... Q-6, Q-7Iliac artery .................................. O-3, O-5Ilio-femoral bypass graft.............. O-5Ilio-femoral thrombectomy........... O-6Ilioinguinal, iliohypogastricnerve block ......................... A-41, A-48,.................................. E-2Iliopsoas .................................. M-25Iliotibial band ............................... M-28Image guided biopsy................... G-14Image intensifying equipment ..... A-35Immediate availability.................. A-49Immunization programs............... A-5, A-6,.................................. A-27, A-31,.................................. A-62, A-63Immunizations (babies)............... A-27Immunization - influenza ............. A-31, A-62.................................. E-12Immunodeficiency ....................... A-62Immunosuppression.................... A-62, A-63Imperforate anus ......................... Q-8, Q-9Implantation internalmammary ............................... O-2IImmediate response required ..... A-19Implant:Cardioverter defibrillator......... O-2Electrode for peripheralnerve stimulation............... J-8, V-5Eye .................................. W-3Hormone pellets..................... E-10Orbit .................................. W-3Pacemaker (electrode and/orpack) ................................. E-6, O-2Seton .................................. W-2Scleral .................................. W-3Incarcerated hernia..................... Q-13Incidental procedures ................. A-40Incision:Ankle .................................. M-35Breast .................................. L-11Elbow or forearm.................... M-9Femur .................................. M-27Foot .................................. M-35Hand or wrist.......................... M-4Hip .................................. M-25Humerus/clavicle/scapula ...... M-12Knee .................................. M-30Lymph nodes ......................... P-1Mandible................................. M-15Pelvis .................................. M-25Skin and subcutaneous.......... L-1, M-1Soft tissue (surgical dental).... J-1Spine .................................. M-21Spleen .................................. P-1Tibia or fibula ......................... M-32Tissue expander .................... L-5Incompetent cervix...................... I-4, T-4Incontinence stress..................... T-2Incontinence, urinary .................. T-2Incisional hernia.......................... Q-13Independent consideration(I.C.).................................. A-4, A-8,.................................. A-34 to A-40Independent operative procedures.................................. A-40Indium-CL scintigraphy ............... H-2Individual psychotherapy- see "Psychotherapy"Induction of hypothyroidism ........ H-3Infant, defined ............................. A-11Infection:Brain .................................. V-2Spinal cord ............................. V-7Inferior mesenteric artery............ O-5Inferior vena cava ....................... O-6Infiltration, lesion......................... E-1227

April 1, 2009INDEX(See also Table of Contents)Infiltration tissues ........................ E-2Inflatable prosthesis .................... S-1Influenza immunization ............... A-31, A-62.................................. E-12Infraorbital nerve ......................... E-2, V-4Inguinal hernia............................. Q-13In-Hospital DiagnosticProcedures ........................ A-3, A-7,.................................. A-8, A-22,.................................. A-31, A-33,.................................. F-1 to F-4Injection of:Air into the anteriormediastinum ...................... G-6Asymptomatic superficialveins .................................. A-64Biliary drainage tube forreassessment .................... G-6Bursa, joint, tendon sheath .... G-8Contrast into pleural cavity..... G-7Dye into cystic cavity.............. G-7Pediatric IV ............................. G-8Varices .................................. Q-4Injections and infusions:Abdomen................................ Q-12Anaesthesia for delivery......... I-2Air (into mediastinum) ............ G-6Allergy .................................. E-1Anal .................................. Q-9Arterial .................................. E-20B.C.G. .................................. E-12Biliary drainage tube .............. G-6Botulin toxin............................ E-12, E-14Bone cysts.............................. M-27, M-32Bone marrow.......................... P-1Bursa, joints or tendonsheath................................ E-12, G-8Chemonucleolysis .................. E-12Chemotherapy........................ E-12, E-13.................................. O-3Chest .................................. N-4Chronic pain ........................... E-2Cut-down ................................ E-5, E-12,.................................. E-19Epidural .................................. E-3Epidural steroid ...................... F-3Fluorescein (nasal)................. N-1Genito-urinary......................... G-7Haemorrhoids......................... Q-9Influenza immunization .......... A-6, A-62,.................................. E-12Intra-arterial ............................ E-19, G-4Intracorporeal forimpotence.......................... S-1Intradermal............................. E-12Intralesional infiltration ........... E-12Intramuscular ......................... E-3, E-12Intrapleural block.................... E-2Intrathecal spinal.................... E-3Intratympanic ......................... W-8Intravenous ............................ A-35, A-37,.................................. E-2, E-15,.................................. F-3, G-8Joint. . . .................................. E-12Keloids .................................. A-65, E-12Lateral discography................ E-12Oesophageal.......................... Q-4Oxytocin ................................. I-4Pharmaceutical agents .......... A-29Pruritus ani or fissure............. Q-9Radiologists (by) .................... G-6 to G-8Retrobulbar ............................ E-3Subconjunctival...................... E-14Subcutaneous ........................ E-12Sub-tenons capsule ............... E-14Superficial vein....................... A-64Tendon sheath ....................... E-12TMJ .................................. J-7Trigeminal nerve .................... J-7Trachea and bronchi .............. N-4Varicose veins........................ E-13, O-4Trigeminal nerve .................... J-7Vitreous.................................. W-2Injury - cranio-cerebral................ V-3Inner ear, surgery........................ W-9Innominate artery........................ O-4In-patient consultations............... A-14, A-15In-patient surcharge.................... A-22, C-2Inplantation of hormonepellets .................................. E-10Insemination, artificial ................. E-11Instrumentation of spine ............. M-20, M-22.................................. M-23Insertion - see under what wasinsertedIn-situ saphenous vein arterialbypass .................................. O-6Instillation of medication(lumbar puncture)................... V-7Insufflation:Cervix uteri............................. T-4Eustachian tube ..................... W-8Insulin tests ................................. E-10Insured services.......................... A-1, A-3,.................................. A-5 to A-7.................................. A-10, A-23 to28

April 1, 2009INDEX(See also Table of Contents).................................. A-25, A-33,.................................. A-34, A-37,.................................. A-45, A-51,.................................. A-54Integumentary system................. L-1 to L-10Intensive care:ICU and CCU ......................... A-3, A-19,.................................. A-20, A-29 to.................................. A-30, D-2Neonatal ................................. A-3, A-19,.................................. A-20, A-28.................................. D-1Intercostal drainage withsclerosing agent ..................... N-6Intercostal nerve root block......... E-2Intercostal tube insertion - see"Thoracotomy" (closeddrainage)Interdental wiring......................... M-17Intermittent positive pressurebreathing ................................ E-17Internal auditory meati................. A-35Internal fixation............................ A-42, M-1,.................................. M-26, M-29Internal iliac artery....................... O-3Internal iliac ligation..................... O-6Internal iliac vein ......................... O-6Internal jugular vein..................... O-6Internal mammaryimplantation ............................ O-6Internal maxillary artery............... O-3Internal Medicine, consultationsand visits listing ...................... C-8Interns and residents................... A-13Interposition graft laceratedmajor artery ............................ O-3Interpretation:Arrhythmia tapings ................. E-7Bone marrow smear............... P-1CSF smear ............................. V-7Diagnostic procedures ........... A-34ECG .................................. E-7, F-1Electrocorticogram ................. E-14Electroencephalogram ........... F-1Electroencephalography ........ E-14Evoked potential studies ........ F-2Gastroenterology studies ....... E-10In-hospital diagnosticprocedures......................... F-1 to F-4Intracranial pressuremonitoring.......................... A-29Non-stress test ....................... F-2Nuclear medicine ................... A-37, H-1Pulmonary function studies.... F-4Radiology procedures ............ A-34, A-35,.................................. G-1 to G-14Results, reports...................... A-6Telephone transmitted ECGrhythm strip ....................... E-7Vascular lab ........................... E-7Interrupted aortic arch................. O-3Interventriculostomy.................... V-2Intervertebral discs...................... M-20 to M-21Interviews .................................. A-13, A-23,.................................. C-17 to C-20,.................................. C-23, C-24Intestinal atresia.......................... Q-7Intestinal by-pass........................ Q-4, Q-5Intestines, surgery....................... Q-6 to Q-7,Intra-abdominal emergency........ Q-12Intra-aortic balloon ...................... O-1Intra-articular fracture ................. M-65Intra-cochlear.............................. W-9Intracorporeal injection forimpotence .............................. S-1Intracranial abscess.................... A-66Intracranial pressuremonitoring .............................. A-29Intradermal injection.................... E-12Intralesional infiltration ................ E-12Intramammary abscess .............. L-11Intramammary needling forlocalization ............................. G-8Intramuscular abscess,haematoma ............................ L-1Intramuscular narcoticinjection.................................. E-3Intraocular foreign body .............. W-1Intraocular lens ........................... W-2Intraocular tissue......................... W-1Intraoperative consultation.......... A-16 to A-17Intra-oral tumour ......................... Q-1Intraosseous lines....................... A-29Intrapleural block......................... E-2Intraspinal narcotic...................... E-2Intrathecal spinal injection .......... E-2Intrathoracic diverticulum............ Q-4Intratympanic injection ................ W-8Intrauterine catheter.................... I-1Intrauterine contraceptive device:(IUCD) .................................. T-4Localization ............................ G-11Intrauterine foetal transfusionradiological control ................. G-329

April 1, 2009INDEX(See also Table of Contents)Intravenous dipyridamole stresstest .................................. H-1Intravenous fluoresceinangiography............................ E-14Intravenous injections byradiologists ............................. G-8Intravenous pyelogram................ G-3Intravenous: - see also “Injection”Intravesicular chemotherapy....... R-4Intubation:Intestine.................................. Q-7Not associated withanaesthesia ....................... E-3Oesophagus ........................... Q-4Stomach ................................. Q-5Inversion, uterus.......................... I-4, T-4IOPs - see "IndependentOperative Procedures"IPPB (Intermittent PositivePressure Breathing. ............... E-17Iridectomy .................................. W-2Iridotomy .................................. W-2Iris, surgery.................................. W-1, W-2Irrigation:Closed, surgical orthopedicprocedure .......................... M-1Nasolacrimal system .............. W-6Spinal cord, fracture ............... M-23Ischiorectal abscess.................... L-1Islet cell tumour ........................... Q-11I.U.C.D. - see "Intrauterine contraceptivedevice"I.V. - see "Intravenous"I.V.C. - see "Inferior Vena Cava"Jejunostomy tube (placementof) .................................. G-6Joint injection .............................. E-12Joplin .................................. M-36K-wire .................................. M-5Kauffman procedures.................. R-6JKKeller .................................. M-36Keloids .................................. A-65, E-12Keratectomy................................ W-1Keratosis .................................. L-2Kidney fluoroscopy...................... G-7Kidney surgery............................ R-1 to R-2Kidney transplant ........................ R-2Knee .................................. M-29 to M-31Knee prosthesis .......................... M-29Knee splints ................................ M-1Koch Pouch................................. R-5Kronlein procedure...................... W-3Labour:Attendance............................. A-18, A-38Epidural anaesthesia ............. A-46, I-2Induction, medical andsurgical.............................. I-1, I-3, I-4Management .......................... A-38Labyrinthectomy,Labyrinthotomy ...................... W-9Lacerations:............................... A-8Artery .................................. O-3Brain .................................. V-2Canaliculus ............................ W-6Cutaneous.............................. L-5Dural .................................. V-2Eyelid .................................. W-5Kidney .................................. R-2Liver .................................. Q-12Post-partum ........................... I-4Scrotum.................................. S-2Spleen .................................. Q-11Surgical dental ....................... J-4Tongue .................................. Q-2Vaginal .................................. I-4Vein. . . .................................. O-6Lacrimal by-pass......................... W-6Lacrimal tract surgery ................. W-6Lamellar graft.............................. W-1Laminectomy - see also “Intervertebraldiscs”....................... M-20, M-21Laparoscopy ............................... Q-12Laparotomy................................. E-9, Q-6,.................................. Q-8, Q-10.................................. Q-12, T-3L30

April 1, 2009INDEX(See also Table of Contents)Laryngeal nerve - superior .......... E-3Laryngectomy.............................. N-3Laryngogram ............................... E-19, G-6Laryngoplasty.............................. N-3Laryngoscopy.............................. A-41, N-3Larynx:Endoscopy.............................. N-3Surgery .................................. N-3Laser surgery/treatment:Eyes. . . . ................................ W-2Pelvic disease ........................ Q-12Skin lesions ............................ A-65, E-8,.................................. L-2Uterus .................................. T-4Vagina .................................. T-2Vascular lesions ..................... A-5, A-64.................................. E-8Vulva .................................. T-1Lateral canthal advancement...... V-3Lateral canthal surgery................ W-5Lateral discography..................... E-12Lateral femoral cutaneous nerveblock.................................. E-3, M-24,.................................. V-5Lateral orbitotomy ....................... W-3Lavage:Abdomen................................ Q-12Antrum .................................. N-2Bronchi .................................. N-4Gastric .................................. E-10Lung . . . ................................ N-6Peritoneal cavity..................... Q-12Sinuses .................................. N-2Trachea .................................. N-4Leak, CSF .................................. V-3, V-7Leave .................................. A-12LeFort .................................. M-16, M-17Leg:Cast .................................. M-1Lengthening............................ M-27, M-28.................................. M-32Shortening .............................. M-27, M-32Lengthening:Bone .................................. M-27, M-32Eyelid .................................. W-5Hamstrings ............................. M-28Leg .................................. M-27, M-32Tendon - foot/ankle ................ M-36Lens, crystalline .......................... W-2Lens, Intraocular ......................... W-2Lester Jones................................ W-6Leukocyte scintigraphy................ H-2Lid lengthening............................ W-5Life threatening emergencysituation.................................. A-48, D-3,.................................. K-2Ligaments .................................. M-5, M-10.................................. M-13, M-30,.................................. M-36, M-37,Ligation:Artery .................................. O-3, V-4Barron .................................. Q-9Ductus .................................. O-2External carotid artery............ N-2Fallopian tube ........................ T-3Haemorrhoids ........................ Q-9Leg .................................. L-7Patent ductus ......................... O-2Temporal artery...................... V-4Varicose veins........................ O-6Varicose veins of labia........... T-1Vas deferens.......................... S-3Veins (saphenous, femoral,popliteal, internal jugular,internal iliac, I.V.C.)........... O-6Limb threatening illness .............. A-19Lines:Arterial .................................. A-29CVP .................................. A-29Lipoma. . . .................................. L-3Lips - surgery .............................. Q-1Listing(s):Conditions under whichscar revision is insured ..... A-65Consultations and Visits......... C-1 to C-26Facilities designatedLong Term Care................ A-61Emergency DepartmentCategory "A"...................... A-59Emergency DepartmentCategory "B"...................... A-60Non-insured services ............. A-64People insured for influenzashots.................................. A-63Litholapaxy.................................. R-2, R-5Lithotripsy .................................. R-2Liver:Scintigraphy ........................... H-2Surgery .................................. Q-10, Q-12Transplant .............................. Q-10Liver/spleen scintigraphy ............ H-2Lobectomy .................................. N-6, Q-10,.................................. V-1, V-2Localization ocular tumour.......... H-3Localizer cast.............................. M-22Locum coverage ......................... A-5831

April 1, 2009INDEX(See also Table of Contents)Long Term Care FacilityCoverage by GeneralPractitioners ........................... A-57Loopogram .................................. G-7Loose body removal - see"Removal of"Low vision aids............................ A-16Lower limbs:Dislocations - see“Reductions, Dislocations"Fractures - see“Reductions, Fractures"Lumbar:Discs . . .................................. M-20Hemilaminectomy................... M-20Nerve block ............................ E-2Puncture ................................. V-7Rhizotomy .............................. V-7Sympathectomy...................... V-6Lumbar sympathetic chain .......... E-3Lump, superficial aspiration of .... L-1Lung biopsy................................. G-6Lung compliance ......................... F-4Lung mechanics .......................... F-4Lungs and pleura:Lavage .................................. N-6Surgery .................................. N-6Lung scintigraphy (perfusion)...... H-3Lymphadenectomy:Pelvic .................................. P-3Lymphangiogram ........................ G-5Radionuclide........................... H-3Lymphatic glands and lymphnodes .................................. P-1, S-1, S-4.................................. T-3, T-4- see also under “Regions”Lymphogram ............................... E-19Radioactive............................. H-3Lymphoma .................................. A-63Lysis of adhesions....................... Q-12MacBride .................................. M-36Magnetic removal F.B. ................ W-1Magnetic resonance imaging ...... G-14, K-2Major:Consultations.......................... A-15Exams .................................. A-10 toM.................................. A-12, A-14,.................................. A-21, A-26Forefoot reconstruction.......... M-36Fracture line ........................... M-19In-patient exams .................... A-10, A-12Medical consultation .............. A-15Neurological consultation....... A-16Nerve:Hand and wrist .................. M-4Pelvis and hip.................... M-24Peripheral.......................... V-5Surgical consultation.............. A-16Systems ................................. A-16Tumour:Clavicle or acromion.......... M-13Pelvis and hip.................... M-25Visit code................................ A-20Malabsorption test....................... H-1Male genital system, surgery ...... S-1 to S-4Malformation - Arnold Chiari ....... V-2Malformation, AV ........................ V-6Malformation - cerebral arteriovenous.................................. V-1Malformation, ear........................ W-7Malignant hyperthermia .............. A-48, K-2,.................................. L-1Mallet finger ................................ M-5Mammary artery graft, internal.... O-2Mammary ductography ............... G-8Mammography............................ G-2Mammoplasty (augmentation, reduction).................................. A-5, L-11Management of labour................ A-38Management ofpseudarthrosis ....................... M-1- see also under “site”Mandible .................................. M-15 to M-19Mandibular condyle..................... M-15Mandibular nerve block............... E-2Manipulation:Anus . . .................................. Q-10Biliary duct ............................. Q-10, Q-11Intestines................................ Q-7Joints .................................. E-17see also "ExaminationUnder General AnaesthesiaLacrimal tract ......................... W-6Rectum .................................. Q-9TMJ .................................. J-6Ureter .................................. R-3Urethra .................................. R-7Vagina .................................. T-2Manometry.................................. E-10, R-432

April 1, 2009INDEX(See also Table of Contents)Marion’s Disease......................... R-5Marrow, bone .............................. P-1Marshall-Marchetti....................... R-6Marsupialization:Bartholin's............................... T-1Liver. . . .................................. Q-10Pancreas ................................ Q-11Pilonidal.................................. L-3Massage:Cardiac .................................. O-2Prostate .................................. E-18Mastectomy................................. L-11Mastoidectomy ............................ W-7, W-8,.................................. W-9Mastoid surgery........................... W-7, W-8.................................. W-9Maternal delivery, attendanceat .................................. I-1Maxilla:Excision .................................. M-15Fracture .................................. M-19Grafts .................................. M-15, M-17Maxillary nerve block................... E-3Maxillary sinusectomy/sinusostomy/sinusotomy.................N-2Maxillectomy ............................... J-3, N-2Mayo . . . . .................................. M-36McCannell .................................. W-2Meatoplasty................................. W-7, W-8Meatotomy .................................. R-3, R-4.................................. R-6Mechanotherapy ......................... E-17Meckel's diverticulum .................. Q-8Meconium ileus ........................... Q-7Medial canthal tendon ................. W-5Median nerve block ..................... A-41, A-48,.................................. E-3Mediastinoscopy ......................... N-5Mediastinotomy........................... N-5Mediastinum................................ N-5Medical Advisory Committee....... A-45Medical induction, labour ............ I-1, I-3, I-4Medical Care Insurance Act........ A-1, A-64Medical Care Insurance InsuredServices Regulations ............. A-5, A-64Medical ConsultantsCommittee.............................. A-5, A-7,.................................. A-21Medical necessity........................ A-5, A-11.................................. A-24, A-44Medical research andexperimentation...................... A-6Medications prior to, duringand after procedures.............. A-41, A-48Medicine - internal....................... C-10Meloplasty .................................. M-15Meningioma ................................ V-1Meningocoele, meningomyelocoele.............................V-4, V-7Menisectomy:Acromio-sterno-clavicular ...... M-13Knee .................................. M-29, M-30Radio-ulnar ............................ M-4Temporo-mandibular.............. M-15Mesenteric artery ........................ O-5Mesenteric cyst........................... Q-12Mesentery .................................. Q-8Meso-caval anastomosis ............ O-7Metabolism.................................. E-10Metabolic disease ....................... A-62Metabolic studies ........................ E-5, E-10.................................. G-2Metacarpal .................................. M-3 to M-7Metaphalangeal .......................... M-3Metastatic bone disease therapywith radioisotopes .................. H-3Metastatic disease with radioactivelymphogram................. H-3Metastatic survey with I-131 ....... H-1Metatarsal .................................. M-34 to M-36Metatarsophalangeal interposition.................................. M-34Methadone maintenance therapy E-11Methylcholine threshold test ....... F-4Methyl methacrylate.................... M-1Mickulicz .................................. Q-6Microsurgery ............................... N-3, V-1, V-5,.................................. V-6, V-7,.................................. W-7, W-8(see also under region)Microtia .................................. W-7Middle ear, surgery ..................... W-8Millia .................................. L-1Miniplate .................................. M-18, M-19Missed abortion........................... I-4Mitral valve.................................. O-1, O-2Mobilization stapes ..................... W-9Mohs technique,chemosurgery ........................ L-4Moles - see "Naevus"Monitoring:Catheter:Elbow and forearm............ M-8Intracranial ........................ A-29, V-2Tibia and fibula.................. M-3233

April 1, 2009INDEX(See also Table of Contents)Monitoring (Cont’d)Of special supportive care atthe request of otherphysicians.......................... A-44Under I.V. sedation................. J-9, K-2Monteggia .................................. M-11Montgomery "T" tube .................. N-4Morcellation procedure................ V-3More than 1:Anaesthetist............................ A-48Assistant................................. A-44Fracture .................................. A-42General reassessment ........... A-22Major exam............................. A-14, A-21,.................................. A-26Operating surgeon.................. A-40Operative procedure .............. A-40Patient .................................. A-49Physician ................................ A-19Morton's neuroma ....................... V-5Most responsible physician......... A-11 to A-12Mouth surgery ............................. Q-1MRI .................................. G-14, K-2- see "Magnetic ResonanceImaging"Multiple:Anaesthetists - see "AnaesthesiaServices"Assistants - see "SurgicalAssistants"Births .................................. A-18, I-1Dislocations ............................ A-42Fractures ................................ J-4, A-42IOPs .................................. A-40Major systems ........................ A-16Myeloma................................. A-63Operations.............................. A-24, A-25.................................. A-28, A-29Physicians .............................. A-12, A-19,.................................. A-27, A-28,.................................. A-30, A-38Procedures ............................. A-13, A-44,.................................. A-46, E-5Reassessments/rechecks ...... A-19Reductions ............................ A-42Surgeons ................................ A-40Units .................................. A-19Muscle repair............................... L-5Muscle stripping .......................... M-22Muscles, surgery ......................... L-5, M-3,.................................. M-4, M-8,.................................. M-9, M-10,.................................. M-13, M-15.................................. to M-17,.................................. M-21 M-22,.................................. M-25, M-27,.................................. M-28, M-30,.................................. M-32, M-35Musculoskeletal system.............. M-1 to M-38Myelogram .................................. E-19Myeloma .................................. A-63Myelotomy .................................. V-7Myocardial perfusionscintigraphy............................ H-1Myocardial wall motion stud........ H-1Myocutaneous/myocutaneous -osseous flaps ......................... L-6, L-11Myomectomy............................... T-4Myositis.................................. A-66, M-9,.................................. M-25, M-28,Myringoplasty.............................. W-8Myringotomy - see also"Tympanoplasty" .................... W-8Naevus. . . .................................. L-2Nails, surgery.............................. L-8Nasal:Antrostomy............................. J-9Biopsy .................................. N-1Bones .................................. J-1, M-18,.................................. N-1Cautery .................................. N-2Fracture.................................. M-18Polyp .................................. N-1Radiologist ............................. G-5Septum .................................. N-1, N-2Tests. . .................................. E-1Nasogastric tubes ....................... A-28, A-29,.................................. G-5Nasopharynx, EUGA of .............. N-1Necrosis:Bony .................................. A-66Soft tissue .............................. A-66Necrotizing soft tissueinfection.................................. A-66Needling, crystalline lens ............ W-2Neonatal/paediatric cranialscan .................................. G-9Neonatal intensive care .............. A-28, D-1Neonate .................................. A-11N34

April 1, 2009INDEX(See also Table of Contents)Nephrectomy, nephrostomy........ R-1, R-2Nephrolithotomy.......................... R-1Nephropexy................................. R-2Nephroscopy ............................... R-1Nephrostogram ........................... G-3Nephrostomy............................... R-1Nephrostomy performed by aradiologist ............................... G-7Nephrotomogram ........................ E-19, G-2Nephrotomy................................. R-1Nerve:Blocks .................................. A-41, A-51,.................................. E-2, E-3Cranial .................................. V-4, V-5Decompression - see"Decompression"Graft, major ............................ V-5Inferior, dental ........................ J-7Injured, dental......................... J-8Optic .................................. V-3Peripheral ............................... J-8, V-5Roots.................................. V-6 to V-7,.................................. M-20Stimulation.............................. E-17, J-9,.................................. V-5Suture .................................. V-5Trigeminal............................... J-7, V-4, V-7Nerve conduction studies............ F-1Nervous system surgery ............. V-1 to V-7Neurectomy - percutaneouslumbar .................................. V-7Neurectomy, presacral, ovarian .. T-4Neurology:Consultations and visitslisting ................................. C-11Diagnostic & therapeuticprocedures......................... E-14Major consultations ................ A-16, C-10,.................................. C-11Tests .................................. E-14Neurolysis:Hand and wrist ....................... M-4Intradural ................................ V-6Major nerve of hip................... M-24Peripheral nerve..................... V-5Spine .................................. M-21Ulnar nerve............................. M-8Neuroma, acoustic ...................... V-1Neuroma, Morton's...................... V-5Neuroma, peripheral nerve ......... V-5Neurosurgery - consultationsand visits listing ...................... C-12Neurovascular island transfer ..... L-7New admission............................ A-12, A-41New attending physician............. A-10New medical condition................ A-19New referral ................................ A-15Newborn, defined........................ A-11Newborn care.............................. A-18, A-23.................................. A-38, C-2,.................................. C-13, C-17.................................. C-19Newborn - sick ............................ A-23Newfoundland and LabradorMedical Association (NLMA).. A-1Newsletters (MCP)...................... A-1, A-50,.................................. A-58NICU .................................. D-1Night calls .................................. A-36, A-37Night services, emergencyDepartment ............................ A-36, A-37Nipple transplantation, preservation.................................L-11No listed fee ................................ A-4, A-33,.................................. A-44, A-48Non-autogenous bone grafts ...... N-1Non-critical patient ...................... A-11, A-15Non-elective home visit............... A-22Non-elective surgical procedure . A-41, A-45,.................................. A-49, A-51Non-insured services .................. A-5 to A-6.................................. A-64Non-referred patients.................. A-3, A-12Non-stress test - obstetrics ......... F-2No reduction................................ A-42Normal delivery........................... A-52, A-53Norplant .................................. L-9Nose .................................. N-1 to N-2Nuclear Medicine:Clinical necessity ................... A-37Consultation ........................... C-9I.C. .................................. A-37I.V. injection ........................... A-37Special visit premium ............. A-37, H-3Nuclear Medicine Listing ......... H-1 to H-3Cardiovascular system........... H-1Consultation ........................... C-9Endocrine system .................. H-1Gastrointestinal system.......... H-1 to H-2Genitourinary system ............. H-2Hematopoietic system............ H-2Miscellaneous ........................ H-3Musculoskeletal system......... H-2Nervous system ..................... H-3Respiratory system ................ H-335

April 1, 2009INDEX(See also Table of Contents)Nuclear Medicine Listing (Cont’d)Therapy usingradioisotopes ..................... H-3Number (billing/physician/provider) ................................. A-8Number (hospital/facility)............. A-7, A-10,.................................. A-28, A-30,.................................. A-31Number (payee) .......................... A-9Nurse Practitioner ....................... A-12, A-14Nursing home generalassessments .......................... A-21Nursing home visits..................... A-10O 2 ventilatory response............... F-4Obliteration AV malformation ofspinal cord .............................. V-6Obliteration cerebral artery,lesions, etc. ............................ V-1Observation (prolonged) ............. A-19Observatory care......................... A-29, A-30,.................................. D-2Obstetrical anaesthesia - see"Anaesthesia Services"Obstetrics:Anaesthesia............................ A-38, A-46,.................................. A-47, I-2Attendance at labour .............. A-38CareO.................................. I-1 to.................................. I-4Consultations and visitslisting ................................. C-13Non-stress test ....................... F-2Post-partum in-hospitalcare .................................. A-38Preamble ................................ A-4, A-38Premiums ............................... A-52Obstruction, intestinal.................. Q-6, Q-7Obtaining of bone for grafting ..... A-41Obturator nerve block.................. E-3Occipital nerve block ................... E-2Occupational therapy .................. A-24, E-17Occlusion - corotid artery ............ V-4Occlusion of femoral or brachialpseudo-aneurysm byradiologists ........................ G-12Ocular tumor localization............. H-3Oesophageal:Bypass .................................. Q-4Hiatus hernia.......................... Q-6Motility:Studies .............................. H-2Test .................................. E-10Perfusion test ......................... E-10ph study.................................. E-10Potential difference test ......... E-10Resection ............................... Q-4Stricture.................................. Q-4Tamponade............................ E-10see also under “oesophagus”Transducer............................. E-7Oesophagogastrectomy.............. Q-4Oesophagogastrostomy.............. Q-4Oesophagoplasty........................ Q-4Oseophagostomy........................ Q-4Oesophagoscopy........................ Q-5Oesophago-tracheal fistula......... Q-5Oesophagus:Endoscopy ............................. Q-4Surgery .................................. Q-4, Q-5Tests .................................. E-10X-Ray .................................. G-2Office consultations..................... A-14Office visit premiums................... A-51Office visits, defined.................... A-10Off-site emergency departmentcoverage - see "EmergencyDepartment Coverage byGeneral Practitioners"Olecranon .................................. M-9, M-10Oligodendroglioma...................... V-1Omentectomy.............................. T-3Omentopexy................................ Q-13Omentum .................................. Q-12, Q-13Omphalocoele............................. Q-13One-lung anaesthesia................. A-47, K-2Onlay bone grafts........................ M-17On-site emergency departmentcoverage (category Afacilities) ................................. A-54, A-59On-site emergency departmentcoverage (category Bfacilities) ................................. A-56, A-60Oophorectomy ............................ T-3, U-1Oophorocystectomy.................... T-3OPD - see "Outpatient andEmergency Department"Open heart surgery..................... O-1 to O-3Open reduction - definition.......... A-4236

April 1, 2009INDEX(See also Table of Contents)Operative delivery ....................... A-18, A-38,.................................. A-46, A-47,.................................. A-52, I-1 to.................................. I-4Ophthalmic echography .............. G-9Ophthalmic tests ......................... E-1, E-15Ophthalmodynamometry............. E-14Ophthalmology:Consultations and visitslisting ................................. C-14Diagnostic & therapeuticprocedures......................... E-14Special consultation ............... A-16Surgery .................................. W-1 to W-6Tests.................................. E-1, E-14 to.................................. E-15Oral - see topicOral vestibuloplasty..................... M-16Orbit surgery ............................... M-17 to.................................. M-18,.................................. V-3,.................................. W-3 to W-4Orbito-cranial surgery.................. M-17, M-18Orbitotomy .................................. W-3Orchidectomy, orchidopexy......... S-1Organized pre-anaesthetic clinic. A-15, A-24,.................................. A-47Organized sessional clinics andinstitutional care ..................... A-54Organs of special senses,surgery .................................. W-1 to W-9Oropharyngeal carcinoma........... Q-1Orthognathic surgery................... M-15 to M-17Orthopaedic surgery:Consultations and visitslisting ................................. C-15Procedures listing................... M-1 to M-38Orthoptic cardiactransplantation........................ O-2Orthoptics .................................. E-14Orthoroentgenogram................... G-2Os calcis .................................. M-35, M-37Ossicuolplasty ............................. W-7, W-8Osteochondral............................. M-3, M-8,M-11, M-12.................................. M-29, M-31,.................................. M-34Osteochondritis ........................... M-29Osteomyelitis, refractory ............. A-66Osteotomy:Ankle/foot ............................... M-34Anterior dento-alveolar........... M-15Clavicle .................................. M-13Elbow/forearm........................ M-9Facial .................................. M-17Femoral shaft ......................... M-27Finger .................................. M-5Foot/ankle .............................. M-34Glenoid .................................. M-13Hip .................................. M-25Humerus................................. M-13LeFort .................................. M-16Mandibular ............................. M-15Mandibular or maxillaryvisor for alveolarhypoplasia ......................... M-15Maxilla .................................. M-15Metatarsals and phalanx........ M-36Midtarsal/tarsal....................... M-36Naso-maxillary ....................... M-16Os calcis................................. M-36Pelvis .................................. M-25Phalanx .................................. M-5Posterior dento-alveolar......... M-15Radius and/or ulna................. M-9Shortening metatarsal............ M-36Spine .................................. M-21, M-22Supracondylar........................ M-15Tibia and fibula....................... M-321Total U dento-alveolar............ M-15Otitis .................................. W-8Otolaryngology:Consultations and visitslisting ................................. C-16Diagnostic & therapeuticprocedures ........................ E-16Tests. . . ................................. E-16Otoplasty .................................. W-7Outpatient and emergencydepartment............................. A-11, A-20,.................................. C-1 to C-26Outstanding ears......................... W-7Ovarian cyst ................................ A-40, T-3Ovary surgery ............................. T-3Overlapping 5th toe..................... M-36Oximetry - see "Oxymetry"Oxygenator ................................. A-48Oxymetry .................................. A-29, E-5,.................................. E-20Oxytocin .................................. I-1, I-3, I-437

April 1, 2009INDEX(See also Table of Contents)PPacemaker - cardiac ................... E-6, E-7.................................. O-2- pulse wave analysis ............. E-7Pacing .................................. E-6Pack - see "Pacemaker"Packing (epistaxis) ...................... N-2Paediatric cranial scan ................ G-9Paediatrics:Consultations and visitslisting ................................. C-17 to C-20Pain clinic .................................. A-3, C-6, E-2,.................................. F-3Pain control - see "EpiduralAnaesthesia"Palate, surgery ............................ Q-2Palmar abscess........................... L-1Pancreas surgery ........................ Q-11Pancreatectomy .......................... Q-11Pancreatic:Cystogastrostomy................... Q-11Cystojeunostomy.................... Q-11Duct .................................. Q-4, Q-6Pancreatotomy ............................ Q-11Panniculectomy........................... Q-12Papanicolaou smear ................... A-6, A-23,.................................. E-11Pap smear - see "PapanicolaouSmear"Papilloma:Eyelid .................................. L-4Integumentary system............ L-2Urethral .................................. R-6Paracentesis:Abdomen................................ Q-12Cornea .................................. W-1Paraovarian cyst ......................... T-3Parapharyngeal spacelesions .................................. Q-3Parathyroid gland, surgery.......... U-1Parathyroid scintigraphy.............. H-1Paravertebral nerve block ........... E-2Parotid gland, duct ...................... Q-3Partial assessment...................... A-13, A-20,.................................. A-21, A-23,.................................. A-24Partial assessment - of a patient65 to 74 years of age ............. A-23Partial assessment - of a patient75 years of age and older ...... A-23Partial assessment, WHSCCpatient .................................. A-23 to 24Particle repositioning manoeuvre E-16Patch angioplasty........................ O-3Patch of artery............................. V-4Patch graft .................................. O-4Patch tests .................................. E-1Patch vein .................................. O-6Patella .................................. M-29 to M-31Patent ductus arteriosis .............. O-2Patient contact ............................ A-7, A-8Patient controlled analgesia........ E-3Patient’s home (travel)................ A-10Pavlik Harness............................ M-26Payee (number/arrangement)..... A-9Pectus excavatum/carinatum...... N-5Pediatrics - see "Paediatrics"Pedicle flap ................................. L-6Pelvic abscess ............................ Q-12Pelvic mass (ultrasound) ............ G-11Pelviometry ................................. G-3Pelvis and hip.............................. M-24 to M-26Penile pressure measurements .. E-18Penile prosthesis......................... S-1Pentagastrin stimulation ............. E-10Penis surgery.............................. S-1Peptic ulcer ................................. Q-5Percutaneous - see topicPercutaneous cordotomy............ V-7Percutaneous pinning ................. M-1Percutaneous transhepaticcholangiogram ....................... E-19Perforated appendix ................... Q-8Perfusion - regional isolation ...... H-3Perfusion scintigraphy ................ H-3Perianal abscess......................... L-1Pericardectomy........................... O-2Pericardiocentesis (ultrasound) .. G-9Pericardium surgery.................... O-1 to O-3Perichondritis .............................. W-7Perimetry, static .......................... E-14Perinatal High Risk Unit.............. D-3Perineal:Nerve .................................. M-32Repair .................................. Q-9Perineotomy................................ T-1Perinephric abscess.................... R-1Perinephrium............................... R-1 to R-2Peripheral:Angiogram.............................. E-19Arteries .................................. O-5Iridectomy............................... W-238

April 1, 2009INDEX(See also Table of Contents)Nerves .................................. V-5Peripheral and superior venacava venography.................... H-1Peripheral artery evaluation(ultrasound) ............................ G-10Peritomy .................................. W-5Peritoneal:Abscess.................................. Q-12Cannula/catheter.................... E-9Dialysis .................................. E-9Jugular shunt.......................... Q-12Pneumogram.......................... E-19Surgery .................................. Q-12, Q-13Peritoneoscopy ........................... Q-12Peritoneum, pelvic....................... T-3Peritonitis .................................. Q-8Peri-ureteral abscess .................. R-3Peri-urethral abscess .................. R-6Permanent feeding line ............... E-5Peyronies disease....................... S-1Phalanx .................................. M-3 to M-6.................................. M-34, M-35,.................................. M-37Pharyngectomy ........................... Q-3Pharyngo-laryngectomy .............. Q-3Pharyngoplasty ........................... M-16, Q-3Pharynx, surgery ......................... Q-3Pheochromocytoma .................... U-1Phlebotomy ................................. E-5Photocoagulation, retina ............. W-3Phrenicotomy .............................. N-5Physiatric management............... A-24Physiatrists.................................. A-24Physicals, insurance ................... A-64Physical medicine andrehabilitation:Consultations and visitslisting ................................. C-21Diagnostic & therapeuticprocedures......................... E-17Physician:Attending ................................ A-10, A-11,.................................. A-12, A-15,.................................. A-18, A-19,.................................. A-26, A-33Information Manual................. A-8, A-31,.................................. A-34, A-45.................................. A-54, A-56,.................................. A-57, E-9Number .................................. A-8Primary .................................. A-12, A-15Registration ............................ A-58Solicitation .............................. A-5, A-6,.................................. A-62Pilonidal abscess, cyst................ L-1, L-3Pinning:Osteochondral fragmentAnkle ................................. M-34Elbow or forearm............... M-8Hand or wrist ..................... M-3Knee.................................. M-29Shoulder............................ M-12Percutaneous......................... M-1Pituitary surgery.......................... V-4Placement of jejunostomy tube... G-6Placenta localization ................... G-11Placentogram.............................. G-3Planing - see "Plastic Planing"Plantar:Abscess.................................. L-1Excision.................................. L-2Fascia release (club foot)....... M-36Incision .................................. L-1Verruca .................................. L-2Plasma exchange ....................... E-5Plasmapheresis .......................... E-5Plasma volume (NuclearMedicine test)......................... H-2Plaster and splints....................... M-1, M-2Plastic planing............................. L-8Plastic repair:Bladder .................................. R-5Cervix .................................. T-4Fallopian tube ........................ T-3Lips. . . .................................. Q-1Orbit .................................. W-3Penis . . . ............................... S-1Salivary gland and ducts........ Q-3Urethra .................................. R-6, S-1Plastic surgery:Consultations and visitslisting ................................. C-22Procedures............................. L-10- see also under “specificprocedure”Platelet survival........................... H-2Pleura:Biopsy, needle ....................... N-6Surgery .................................. N-6Pleural effusion due to malignancy- therapy with radioisotopes... H-3Pleurectomy, pleuroscopy .......... N-6Plica .................................. M-29Plication, bladder ........................ R-4Plication, intestines ..................... Q-7Pneumococcal disease............... A-31, A-6339

April 1, 2009INDEX(See also Table of Contents)Pneumogram............................... E-19Pneumolysis................................ N-5Pneumonectomy ......................... N-6Pneumoperitoneal and retroperitonealair insufflation ........ G-6Pollicization ................................. M-5Polycythaemia therapy withradioisotopes .......................... H-3Polyps:Anal .................................. Q-9Aural . . .................................. W-7Gastric .................................. Q-5Intestine.................................. Q-6Nasal .................................. N-1Rectal .................................. Q-8Sigmoid .................................. Q-8Popliteal artery ............................ O-5, O-6Popliteal ligation .......................... O-6Popliteal space scan ................... G-12Popliteal vein............................... O-6Porto-caval anastomosis............. O-7Posterior tibial nerve ................... M-32Post natal care ............................ I-1Post operative care ..................... A-19, A-26,.................................. A-24, A-30,.................................. A-30, A-40.................................. I-3, E-7Post operative care by G.P.’s...... A-26, A-40Post operative complications -see "Complications ofSurgery"Post partum in-hospital care ....... A-38Post partum sterilization.............. I-4Pott's procedure .......................... O-2Pre-admission clinic anaesthesiaassessment.................. A-24Preamble (general) ..................... A-1 to A-66Clinical procedures associatedwith diagnostic radiologyprocedures......................... E-19Pulmonary Function Studies.................................. E-20, F-4Pre-anaesthetic clinic .................. A-15, A-24.................................. A-46, A-47Pre-auricular sinus ...................... W-7Pre-dental assessment ............... A-24, C-1.................................. to C-4, C-8.................................. C-17 to C-20Pre-existing conditions ................ A-5Pregnancy, care duringsee also “Obstetrics” .............. I-1 to I-4Ectopic .................................. I-4Pregnancy complete(ultrasound)............................ G-11Pregnancy, early diagnosis......... G-11Premises, equipment, etc. .......... A-6Premiums .................................. A-2, A-8,.................................. A-18, A-21,.................................. A-26, A-36,.................................. A-37, A-39,.................................. A-41, A-45,.................................. A-49 to A-53.................................. B-1 to B-2.................................. E-4, E-11,.................................. G-8, H-3, I-1,.................................. I-3, J-1, K-1After hours ............................. A-52, E-4,.................................. K-1Anaesthesia for Surgical-Dental – see AnaesthesiaServices Section of thePreambleAnaesthetists - see also"Anaesthesia Services"Anaesthetists ......................... A-41, A-49,.................................. A-51, A-52Assistants............................... A-45, A-51Caesarean section ................. A-52, I-3Chronic and convalescentcare .................................. A-18Delivery .................................. A-52, A-53,.................................. I-1General .................................. A-50Home visit .............................. A-8, A-21,.................................. A-50, B-1Hospital/OPD ......................... A-51Hyperbaric.............................. E-4In-patient visits ....................... A-39, A-51,.................................. B-1, B-2Office .................................. A-51, B-1Physician’s residence ............ A-51Procedural.............................. A-51, A-52Radiology ............................... G-8Rules, general........................ A-50Special visit ............................ A-2, A-26,.................................. A-36, A-37,.................................. A-37, A-50,.................................. A-51, B-1Special visit (nuclear medicine) A-37Special visit (radiology).......... A-36, G-8Special visit (surgery)............. A-50, K-1Statutory Holidays.................. A-50Surgeons................................ A-52Surgical assistants ................. A-52Surgical procedures ............... A-39Time based ............................ A-840

April 1, 2009INDEX(See also Table of Contents)Premiums (Cont’d)Visit .................................. A-2With delivery........................... A-53 I-1,.................................. I-3With surgery ........................... A-50, K-1Radiologists and NuclearMedicine Specialists - seeitem 11.15 and 12.7of the PreamblePrenatal consultation................... A-16Pre-operative care....................... A-16, A-39,Prepuce .................................. S-1Preretinal membrane peeling...... W-2Presacral neurectomy ................. T-4Prescriptions ............................... A-24, A-64Pressure infusion sets................. A-28, A-29Pressure measurements:Ankle .................................. E-7Penile .................................. E-18Pressure sore.............................. L-3Pressure volume curve(of lung) .................................. F-4Primary care physician................ A-12, A-15Primary Health CareRegulations ............................ A-12Primary responsibility.................. A-7, A-12,.................................. A-13Prior approval.............................. A-9Private dwelling ........................... A-10Private laboratory and x-rayservices .................................. A-64Probing, lacrimal duct.................. W-6Probing, salivary duct.................. Q-3Procedure premiums................... A-36, A-37,.................................. A-39, A-51.................................. A-52Procedures.................................. A-6, E-1 to.................................. W-9Proctectomy, proctostomy,proctotomy.............................. Q-8Proctoscopy ................................ Q-9Proctosigmoidectomy.................. Q-8Proctostomy ................................ Q-9Proetz displacement.................... N-2Profunda femoris artery............... O-4, O-5Profundoplasty ............................ O-5Prognathism ................................ M-15Prolapse:Fothergill................................. T-2Intestine.................................. Q-7Intraocular tissue.................... W-1Rectum .................................. Q-8, Q-9Urethral .................................. R-6, T-2Vaginal .................................. T-2Prolonged observation................ A-19Prostate:Biopsy .................................. S-3Massage................................. E-18Surgery .................................. S-3 to S-4Prostatectomy............................. S-4Prostate malignancy therapywith radioisotopes .................. H-3Prostatic massage ...................... E-18Prostatovesiculectomy................ S-4Prosthesis:Arthroplasty - see"Arthroplasty"Cornea .................................. W-1Inner ear................................. W-9Intraosseous .......................... J-3Nasal septal ........................... N-1Penile .................................. S-1Testicular................................ S-2Urethra .................................. R-6Voice .................................. N-3Provider number ......................... A-8Provincial Perinatal High RiskUnit.................................. A-3, A-30,.................................. D-3Provocative testing...................... E-1Pruritus ani.................................. Q-9Pseudoarthrosis:Ankle .................................. M-36Clavicle .................................. M-13Femur .................................. M-27Foot .................................. M-36Hip .................................. M-25Humerus................................. M-13Malleoli .................................. M-36Pelvis .................................. M-25Phalanx/metacarpal/scaphoid............................ M-5Radius and/or ulna................. M-9Rigid external fixation............. M-1Tarsal/metatarsal/phalanx...... M-36Tibia/fibula.............................. M-32Psychiatric care........................... A-24, A-25,.................................. C-23, C-24Psychiatric day care.................... A-25Psychiatry:Consultations and visitslisting ................................. C-23 to C-24Diagnostic & therapeuticprocedures ........................ E-1841

April 1, 2009INDEX(See also Table of Contents)Psychotherapy ............................ A-11, A-13.................................. A-24, A-25.................................. to A-26, C-1,.................................. C-2, C-3,.................................. C-23, C-24Pterygium .................................. W-1Ptosis .................................. W-4Pudendal nerve block.................. E-2Puestow operation ...................... Q-11Pulmonary:Alveolar proteinosis ........... N-6Artery banding........................ O-3Disorders ................................ A-62Embolectomy.......................... O-6Function studies ..................... E-20, F-4Valve. . .................................. O-1, O-2Pump by-pass ............................. A-48, O-1Puncture - arterial........................ E-5Puncture - cisterna magna.......... V-2Puncture - lumbar........................ V-7Puncture - ventricular .................. V-2Pustules, acne............................. L-1Pyelolithotomy............................. R-1Pyeloplasty, pyelotomy ............... R-1, R-2Pyloromyotomy (Ramstedt)......... Q-5Pyloroplasty................................. Q-6Pyogenic granuloma ................... L-2Quadriceps repair........................ M-28Quadriceps tendon...................... M-30Quadricepsplasty ........................ M-28Quantitative A-mode ................... G-9Quantitative measurements ........ E-7Quantitative, ophthalmic test....... E-1Queries, insurability..................... A-5Queries - time limitations for ....... A-9Radial head ................................. M-8 to M-11Radial nerve block....................... A-41, A-48,.................................. E-3Radial styloid............................... M-4, M-9QRRadioactive lymphogram ............ H-3Radioactive phosphorousexam .................................. E-14Radioisotopes ............................. A-17, C-11,.................................. H-3Radiology listing....................... G-1 to G-14Biopsies.................................. G-6, G-14Computed tomography .......... G-13Miscellaneous (other items)... G-8Mir’s .................................. G-14Special procedures ................ G-4 to G-7Ultrasound.............................. A-35, G-9 to.................................. G-12X-Rays .................................. G-1 - G-3Radiology .................................. A-4, A-34 to.................................. A-36, G-1 toG-14Additional fees ....................... A-34 to A-35Additional views ..................... A-34, A-35,.................................. A-37, G-1 to.................................. G-2Clinical proceduresassociated with x-rays....... E-19Complex head CT scan ......... A-35, G-13Consultation ........................... A-17, A-34,.................................. C-26Fluoroscopy ........................... A-35, G-6 to.................................. G-8I.C................................... A-34, A-35,.................................. G-8, G-9Included in fee........................ A-35I.V. injections.......................... A-35, G-8Myelography of spine............. A-35Premiums............................... A-36Special additional view........... A-35, G-1,.................................. G-2Special visit premium ............. A-36.................................. G-8Stereo pair ............................. A-34Ultrasound procedural fee...... A-35, G-9Unsuccessful procedure ........ A-35Radionuclide lymphangiogram ... H-3Radium:Application to nasopharynx.... N-2Insertion of (not elsewherelisted)................................. K-2Radius. . . .................................. M-8 to M-11Ramstedt .................................. Q-5Ranula. . . .................................. Q-1Rapid sequence I.V.P. ................ A-35Ray. . . . . .................................. M-34Reassessments, General - see"General Reassessments"42

April 1, 2009INDEX(See also Table of Contents)Reassessments, multiple ............ A-19Reassessment, pain clinic........... C-4Reattachment, ciliary body.......... W-2Reattachment, retina & choroid .. W-3Rebate, CMPA ............................ A-58Reconstruction:Alveolar ridge ......................... J-2Bone:Clavicle/humerus/glenoid .. M-12, M-13Claw and hammer toe ....... M-36Club foot ............................ M-36Cranial vault....................... M-17Face and skull - majorcongenital deformities M-15 to M-19Femoral epiphysiodesis..... M-27Femoral shaft..................... M-27Femoral shortening/lengthening................ M-27Femoral stapling................ M-27, M-32Foot/ankle.......................... M-36Frontal ............................... M-17Hallux valgus ..................... M-36Hammer and claw toe ....... M-35Hand or wrist ..................... M-5Hip, pelvis.......................... M-25Major forefoot .................... M-36Malleoli .............................. M-36Mandible/maxilla................ M-16Metatarsals and phalanx ... M-36Midtarsal/tarsal .................. M-36Os calcis............................ M-36Overlapping 5th toe ........... M-36Pelvis, hip .......................... M-24, M-25Radius or ulna ................... M-9Shortening metatarsal ....... M-36Supracondylar ................... M-27Tarsals/metatarsals/phalanx...................... M-36Temporal ........................... M-17, J-7Tibial and femoralepiphysiodesis........... M-27, M-32Tibial and femoralstapling ...................... M-27, M-32Tibia/fibula ......................... M-32Zygoma.............................. M-17Breast .................................. L-11Canalicular ............................. W-6Cervical .................................. M-21Chest .................................. M-12, M-21.................................. N-5Cleft lip .................................. J-6, Q-1Extremities:Clavicle.............................. M-13Digital reimplantation......... L-8, M-5Hip and pelvis.................... M-24 to M-26.................................. A-41Humerus............................ M-13Pelvis and hip.................... M-24 to M-26Pollicization ....................... M-5Shoulder............................ M-13Traumatically amputated.................................. M-5Eyelid .................................. W-5Facial paralysis ...................... M-15Fascial defects (elbow orforearm.............................. M-9Fascial - femur ....................... M-26Fascial (plantar) release (clubfoot)........................... M-36Fornix .................................. W-4Lid fold .................................. W-5Glenoid fossa ......................... J-7Ligaments:Ankle ................................. M-36Elbow or forearm............... M-10Hand or wrist ..................... M-5Knee.................................. M-30Lip .................................. Q-1Meniscus................................ M-30Nipple-areola complex ........... L-11Orbit .................................. W-4Skull .................................. M-17Soft tissue .............................. A-32Spine .................................. M-21Tendons:Abductor (of hip)................ M-25Ankle/foot .......................... M-36, M-37Elbow or forearm............... M-10Foot/ankle ......................... M-36, M-37Hamstrings ........................ M-27Hand or wrist ..................... M-5Iliopsoas (hip).................... M-25Ilio-tibial band .................... M-27Knee.................................. M-30Patellar/quadriceps ........... M-27, M-30Pelvis/hip........................... M-25Quadriceps........................ M-27Quadriceps/patella ............ M-27, M-30Zygomatic arch ...................... J-7Reconstructive surgery ............... A-42Record copies ............................. A-7, A-8Record keeping/maintaining ....... A-6 to A-22Record retention ......................... A-5 to A-8Rectal surgery............................. Q-8, Q-9Rectocoele .................................. T-1, T-2, T-4Recto vaginal repair.................... Q-943

April 1, 2009INDEX(See also Table of Contents)Recurrent dislocations................. M-10, M-14,.................................. M-31, M-32,.................................. M-38Recurrent hernias........................ Q-13Red cell:Survival .................................. H-2Volume (Nuclear Medicinetest) .................................. H-2Reduction mammoplasty............. A-5, L-11Reduction of intussusception ...... G-6Reduction of prolapse ................. Q-7Reductions:Dislocations:Acetabulum........................ M-26Acromio-clavicular/sternoclavicular................... M-14Ankle.................................. M-38Carpal................................ M-7Congenital dislocationknee........................... M-31Congenital hip ................... M-26Elbow joint ......................... M-10Femoral shaft/supracondylar..................... M-28Femur ................................ M-27, M-28Finger ................................ M-7Glenohumeral.................... M-14Hip, pelvis.......................... M-26Interphalangeal.................. M-38Knee .................................. M-31Metacarpal/phalangeal ...... M-7Metatarsophalangeal......... M-38Multiple .............................. A-42Patella................................ M-31Pelvis, hip .......................... M-26Radial head ....................... M-10Sacro-coccygeal................ M-26Sacro-iliac.......................... M-26Spine ................................. M-22Sterno-clavicular/acromioclavicular................... M-14Supracondylar (femur)....... M-28Tarsus................................ M-38TMJ .................................. J-6Fractures:Alveolar.............................. J-4Ankle.................................. M-37Barton’s ............................. M-11Bennett’s............................ M-6Carpus ............................... M-6Clavicle.............................. M-14Coccyx............................... M-26Colles’................................ M-11Condylar............................ M-10Cranial-facial separation.................................. M-18Craniofacial dysfunction.... J-4Epicondyle......................... M-10Femoral neck .................... M-26Femoral shaft .................... M-28Fibula/tibia......................... M-33Hand, wrist ........................ M-6Hip and pelvis.................... M-26Humerus............................ M-13Intra-articular ..................... M-6Intra-articular - I.P. joint..... M-37Knee.................................. M-31Malar ................................. J-4Mandible............................ J-4, M-19Maxilla ............................... J-4, M-19Metacarpal ........................ M-6Metatarsus ........................ M-37Middle 1/3 facial ................ M-18Monteggia ......................... M-11Nasal bones ...................... M-18Naso-orbital....................... J-4Neck .................................. M-14Olecranon.......................... M-10Orbit .................................. M-18Os calcis............................ M-37Osteochondral................... M-11, M-31Patella ............................... M-31Pelvic ring.......................... M-26Pelvis and hip.................... M-26Phalanx ............................. M-6, M-37Radius and ulna ................ M-11Ribs .................................. M-14Sacrum.............................. M-26Scaphoid ........................... M-6Scapula ............................. M-14Shaft.................................. M-14Skull .................................. V-2Slipped epiphysis .............. M-26Smith’s .............................. M-11Spine ................................. M-23Sternum............................. M-14Tarsus, except os calcis.... M-37Temporo-mandibular joint . M-19Tibia/fibula......................... M-33Transcondylar ................... M-10Zygoma ............................. M-18Redundant skin........................... A-64Referral and transferral............... A-12Referral, defined ......................... A-12Referral source ........................... A-14, A-15.................................. A-21, A-2244

April 1, 2009INDEX(See also Table of Contents)Referred (patients) ...................... A-3Referring physician's services,defined .................................. A-12Refractive errors.......................... A-64Refusion, spine ........................... V-7Regional brain perfusion(HMPAO)................................ H-3Regional isolation perfusion........ O-3Regional nerve block................... E-3Rehabilitation .............................. A-24Rehabilitation department ........... A-24Reimplantation:Digit .................................. L-8Renal Artery ........................... R-1Ureter .................................. R-5Uretero-vesicle ....................... R-3Release of tendon:Elbow or forearm.................... M-10Hand or wrist .......................... M-6Hip .................................. M-25Posterior/medial (foot)............ M-36Shoulder/arm/chest ................ M-13Sternomastoid ........................ M-13Removal of:Bladder fragments.................. R-5Bone .................................. J-1Bone plates, pins, etc............. M-1Calculus:Bladder .............................. R-4Kidney................................ R-1Ureter................................. R-3Urethra............................... R-6Cannula or Screibner Shunt.................................. E-9Cartilage - ear......................... W-7Common bile duct stones....... Q-10Embedded foreign body(cornea_ ............................ W-1Erupted tooth.......................... J-1Feeding line............................ E-5Finger or toe nail .................... L-8Fixation device ....................... A-42Foreign body - see "ForeignBody"Implant - scleral...................... W-3Intermaxillary fixation device .. J-4, M-17Intraocular foreign body ......... W-1Intraocular lens....................... W-2Intraosseous prosthesis ......... J-3Intravascular foreign bodies ... G-4Kidney .................................. R-1Loose body:Ankle.................................. M-34Elbow or forearm............... M-8Hand or wrist ..................... M-3Hip .................................. M-24Knee.................................. M-29Shoulder............................ M-12Polyp cervix....................... T-4Renal calculus................... R-1Retained placenta ............. I-4Sutures.............................. L-1, W-1Residual roots ........................ J-2Salivary gland ........................ J-7Wire plate and screw ............. J-4Renal:Artery .................................. O-5, R-1Artery graft ............................. O-5Autotransplantation ................ R-2Biopsy .................................. R-1, R-4Calculi .................................. R-1Cyst puncture......................... G-7Dialysis .................................. A-30Disease .................................. A-62, A-63Function - computer............... H-2Hypothermia........................... R-2Imaging (dynamic) ................. H-2Pelvis .................................. R-4Procedures (extra) ................. R-2Scintigraphy, static................. H-2Sympathectomy ..................... R-2Tissue .................................. R-1Vessels .................................. R-1Repair: see also under "Re-Construction"Abdominal wall....................... R-5Anal fissure ............................ Q-9Anal sphincter ........................ Q-10, T-2Anterior .................................. R-6, T-4AV conal................................. O-3CBD .................................. Q-11Craniofacial ............................ V-3Anal sphincter ........................ Q-9, Q-10,.................................. T-2Aorto-iliac ............................... O-5Artery .................................. O-4, O-5, O-6Bladder neck .......................... R-4, R-5Cervix .................................. T-4Chordee ................................. S-1Cleft lip .................................. J-6Cleft palate............................. Q-2Coeliac or mesenteric artery.. O-5Common duct stricture........... Q-11Common femoral artery ......... O-4, O-5Common iliac artery............... O-545

April 1, 2009INDEX(See also Table of Contents)Repair: see also under "Re-Construction" (Cont’d)Congenital atresia of canal(ear) .................................. W-7Conjunctiva............................. W-6Coronary artery ...................... O-1, O-2Diaphragm.............................. Q-12Dural laceration ...................... V-2Ears .................................. W-7Encephalocoele...................... V-2, V-3Enterocoele ............................ T-2Epicardial pacemaker............. O-2External ear............................ W-7Extraocular muscles............... W-3Eyeball .................................. W-1Eyelid .................................. W-4, W-5Fallopian tube......................... T-3Fistula, middle ear.................. W-8Heart and pulmonaryartery ................................. O-3Hiatus hernia .......................... Q-4, Q-5Iliac artery............................... O-5Injured nerve .......................... J-8Inner ear ................................. W-9Intestine.................................. Q-7, Q-12Intracranial aneurysm............. V-1Kidney .................................. R-2Lacerated liver........................ Q-12Lacerated major artery ........... O-3Lacerated major vein.............. O-6Lacerated muscle................... L-5Lacrimal tract.......................... W-6Liver .................................. Q-10Medial canthal tendon ............ W-5Meningocoele......................... V-7Mesenteric or coeliacartery ................................. O-5Microtia .................................. W-7Middle ear............................... W-8Oesophagus ........................... Q-4Orbit .................................. W-3Pancreas ................................ Q-11Penis .................................. S-1Peripheral nerve..................... V-5Pharynx .................................. Q-3Plastic - see "Plastic Repair"Posterior ................................. T-4Prosthesis (heart)................... O-1Pulmonary artery.................... O-3Pulmonary venous drainage .. O-1Rectocoele ............................. T-1, T-2Rectum .................................. Q-9Ruptured bladder.................... R-5Ruptured kidney..................... R-2Salivary duct .......................... Q-3Skull defect ............................ V-3Soft tissue .............................. J-4Stomach................................. Q-6Umbilical hernia ..................... R-5Ureter .................................. R-3Urethra .................................. Q-12, R-6Uterus .................................. T-4Vagina, vulva, perineum ........ T-1, T-2Vaginal lacerations................. I-4Ventricle ................................. O-3Replacement - see under whatwas replacedReport (official hospital report).... A-33Reports for Dept. of Health ......... A-6Repositioning - see under whatwas repositionedRepository therapy...................... E-1Reprogramming single/dualchamber including ECG......... E-7Requests - time limitations for .... A-9Research and Experimentation(medical) ................................ A-6Resection: see "Excision"Residual capacity........................ E-20, F-4Respiratory care.......................... A-19, A-21,.................................. A-48, D-1,.................................. D-2Respiratory system specialradiological procedures.......... G-6Respiratory system surgery........ N-1 to N-6Responsibility:Most responsible physician.... A-11, A-12Physician................................ A-1, A-7Resuscitation:Cardiac Arrest ........................ D-3Newborn................................. A-38Retained placenta removal ......... I-4Retina, surgery............................ W-3Retrobulbar injection................... E-3Retrograde pyelogram ................ G-3, R-4Retroperitoneal tumour ............... R-2Retropubic:Prostatectomy........................ S-4Urethropexy ........................... T-2Revision arthroplasty .................. M-3, M-8,.................................. M-12, M-24,.................................. M-29, M-34Revision of Cannula orScreibner Shunt ..................... E-946

April 1, 2009INDEX(See also Table of Contents)Revision of Scar - see "ScarRevision"Rhinitis, atropic............................ N-1Rhinophyma ................................ L-8Rhinoplasty.................................. N-1Rhinorrhea .................................. N-1Rhizotomy .................................. V-4, V-7Rhytidectomy .............................. A-65Rib fracture.................................. M-14Rib resection ............................... N-6, R-1Risagram .................................. G-5Rogetine test ............................... E-10Rotating flaps .............................. L-2, L-3,.................................. L-6, W-5Rotator cuff repair ....................... M-13Routine post-operative care........ A-26, A-40Retrograde pyleogram ................ R-4Rubin's test.................................. T-4Ruptured:Aorta .................................. O-4, O-5Bladder .................................. R-5Diaphragm.............................. N-6Kidney .................................. R-2Liver .................................. Q-10Oesophagus ........................... Q-4Testicle .................................. S-2Trachea .................................. N-4Ureter .................................. R-3Urethra .................................. R-6R-V outflow tract.......................... O-3Sacral, coccygeal:Nerve block ............................ E-2Teratoma................................ R-2Sacro-coccygeal teratoma .......... R-2Sacro-iliac .................................. M-24, M-26Sacrum, fracture.......................... M-26Saline study................................. E-7Salivary ducts, glands ................. Q-3Salivary gland scintigraphy ......... H-2Salpingectomy, salpingooophorectomyandsalpingostomy ........................ T-3Saphenous vein .......................... O-5, O-6Saucerization:Ankle .................................. M-35Elbow or forearm.................... M-9Femur .................................. M-25, M-27,Fibula or tibia.......................... M-32SFoot .................................. M-35Hip or pelvis ........................... M-25Humerus/clavicle/scapula ...... M-12Pelvis or hip ........................... M-25Phalanx/metacarpal/carpus ............................... M-4Spine .................................. M-21Surgical dental ....................... J-3Tibia or fibula ......................... M-32Scalene biopsy............................ P-1Scalenotomy ............................... N-5, V-5Scalp .................................. A-65Scalp electrodes ......................... I-1Scan, Nuclear Medicine, notspecifically listed .................... H-3Scan of popliteal space............... G-12Scaphoid:Accessory............................... M-35Fracture.................................. M-6Pseudarthrosis ....................... M-5Scapula, fracture......................... M-14Scapulopexy ............................... M-13Scar - cortical .............................. V-2Scar revision ............................... A-2, A-5,.................................. A-65, L-5Scars .................................. A-65Schilling test................................ H-1Sciatic nerve block...................... A-41, A-48,.................................. E-2, E-3Scintigraphy ................................ H-1 to H-3Sclera implant ............................. W-3Scleral resection or bucklingprocedure............................... W-3Sclera, surgery............................ W-2, W-3.................................. W-5Sclerotomy.................................. W-2Scoliosis .................................. M-22Screibner Shunt .......................... E-9Scrotal and testicularscintigraphy............................ H-2Scrotum, surgery......................... S-2Scrub time - see "SurgicalAssistants"Sebaceous cysts......................... S-2Secondary Closure:Elbow or forearm.................... M-8For evisceration ..................... Q-13Musculoskeletal procedure .... M-1Tibia and fibula....................... M-32Secondary intraocular lens ......... W-2Secondary membrane(crystalline lens) ..................... W-2Secondary orbital implant ........... W-347

April 1, 2009INDEX(See also Table of Contents)Second anaesthetist.................... A-48Second assistant......................... A-44Second physician ........................ A-12Section, cornea ........................... W-2Section, tympanic plexus ............ W-8Segmental spinal procedure ....... M-22Selverstone clamp....................... V-4Semicircular canals ..................... W-9Seminal vesicles, surgery ........... S-3Sensitivity insulin......................... E-10Septal defect, atrial, ventricular... O-1Septodermoplasty ....................... N-1Septoplasty.................................. N-1Septorhinoplasty ......................... N-1Septostomy (balloon) .................. O-2Septum, nasal cautery andsurgery .................................. N-1 to N-2Sequestrectomy:Ankle .................................. M-35Elbow or forearm.................... M-9Femur .................................. M-27Fibula or tibia.......................... M-32Foot .................................. M-35Hip or pelvis............................ M-25Humerus/clavicle/scapula ...... M-12Mandible................................. M-15Pelvis or hip............................ M-25Phalanx/metacarpal/carpus................................ M-4Spine .................................. M-21Tibia or fibula.......................... M-32Serous otitis ................................ W-8Services by interns andresidents................................. A-22Sesamoid bones ......................... M-35Sessional arrangements ............. A-54 to A-55Sheath, tendon............................ E-12, G-8,.................................. M-4, M-36Shortening of bone...................... M-27, M-32,.................................. M-36Shortening of tendon (foot/ankle) .................................. M-36Shoulder:Cuff tear.................................. M-13Recurrent dislocation ............. M-14Spica .................................. M-1Surgery .................................. M-12 to M-14Shunt:Heart .................................. O-1, O-2, O-4Spleno-renal........................... O-6Shunting procedures ................... V-4SHV’s - see “SubsequentHospital Visits"Sialogram .................................. G-5Sialolithotomy.............................. Q-3Sick newborn .............................. A-23Sigmoid surgery ......................... Q-6 to Q-9Sigmoidopexy ............................. Q-7Sigmoidoscopy............................ Q-8, Q-9Silicone rod insertion .................. M-5Silon mesh .................................. Q-13Simple spirometry ....................... F-4Sinogram .................................. G-6Sinusectomy, sinusostomy andsinusotomy............................. N-2Sinuses:Lavage .................................. N-2Surgery .................................. N-2Sinus of valsalva......................... O-2Site of insured service ................ A-3, A-10.................................. A-31, A-51Skene's gland ............................. T-1Skin:Flaps . . ................................. A-66, L-2,.................................. L-3, L-6 to.................................. L-8, R-5Grafts .................................. A-66, L-3,.................................. L-7 to L-8,.................................. R-5, R-6, S-1Lesions .................................. L-1, L-2 to.................................. L-4, L-6, L-8Redundant ............................. A-64Surgery .................................. L-1 - L-11Testing .................................. A-12, E-1Traction .................................. A-42Skull:Calipers.................................. M-22Defect .................................. V-3Fracture.................................. M-18, M-19V-2, V-3Surgery - see also “Maxilla,Mandible, Orbit, etc”.......... M-15 to M-19.................................. V-3Sleep apnea studies ................... F-1Small bowel enema..................... G-6Smith's fracture ........................... M-11SMR .................................. M-16, N-1Snaring of polyp (intestine) ......... Q-6Sole physician............................. A-12Sole responsibility....................... A-7Solicitation (physician) ................ A-5, A-6.................................. A-62Somatic nerve block.................... E-2Sonography................................. E-14Special ophthalmologyconsultation............................ A-1648

April 1, 2009INDEX(See also Table of Contents)Special orthopaedic radiologicalprocedures ............................. G-7Special procedures ..................... K-2Special procedures, radiology..... E-19, G-4 to.................................. G-7Special senses, organs of........... W-1 to W-9Special supportive care............... A-44Special visit premium .................. A-36, A-37,.................................. A-50, A-51,.................................. B-1, B-2, E-4,G-8, H-3, K-1Specialist assistants - see "SurgicalAssistants"Special visits see "Premiums withVisits"Specialties:Consultations and visits ......... C-1 to C-26Specific assessment ................... A-10, A-14,.................................. A-18, A-20,.................................. A-21, A-23.................................. A-26Specific reassessment ................ A-10, A-20,.................................. A-23, A-26SPECT .................................. H-3Speech therapy ........................... A-24Spermatic cord surgery............... S-3Spermatocoele ............................ S-2Sphenoidal sinusectomy/sinusostomy/sinusotomy........ N-2Spheno - palatine ganglionblock .................................. E-2Sphincterectomy ......................... R-5Spider naevus ............................. L-2Spinal:Deformities ............................. M-21Duraplasty .............................. M-21Fusion .................................. M-20 to M-23.................................. V-7Irrigation ................................. M-23Nerve roots............................. M-20, V-6,.................................. V-7Surgery .................................. M-20 to M-23Sphincter, anal ............................ Q-10Sphincterotomy ........................... Q-9, Q-10.................................. Q-11,Spica - see where (hip, shoulder)Spine .................................. M-20 to M-23Spirometry .................................. F-4Splanchnic nerve block ............... E-2Spleen:Aspiration ............................... P-1Biopsy (needle) ...................... P-1Scintingraphy.......................... H-2Surgery .................................. P-1, Q-11,Splenectomy ............................... P-1, Q-12,Splenic artery.............................. O-5Splenic dysfunction..................... A-63Splenoportogram ........................ G-4Splenorenal shunt....................... O-6Splints, corrective........................ M-1Spontaneous abortion................. I-4Staff physician............................. A-51Staghorn calculus ....................... R-2Staging lymphadenectomy ......... S-4Staging pelviclymphadenectomy.................. P-1Standard lung mechanics ........... F-4Stand-by .................................. J-9, K-2Stapedectomy............................. W-9Stapes, surgery........................... W-9Stapling, femur/tibia .................... M-31, M-32Start time .................................. A-8, A-15 to-.................................. A-16, A-18,.................................. A-20, A-23,.................................. A-45, A-50,.................................. A-55Stasis ulcer ................................. L-7Static perimetry........................... E-14Static renal scintigraphy.............. H-2Statutory Holidays....................... A-18, A-36,.................................. A-37, A-50,.................................. A-51, A-52Steindler flexoplasty.................... M-10Stein-leventhal (resection ofovary) .................................. T-3Stellate ganglion nerve block...... A-41, A-48,.................................. E-2, E-3Stenosed renal artery ................. R-1Stenosis .................................. N-3Stenosis of anus ......................... Q-10Stenosis of intestine.................... Q-6Stent, insertion of........................ R-1Stent - larynx/trachea.................. N-4Stereotaxis .................................. V-2Sterilization ................................. I-3, S-3, I-4,.................................. T-3Sternomastoid............................. L-6, M-13,.................................. V-5Sternotomy.................................. N-4Sternum .................................. M-14, U-1Stimulation, electrical.................. M-1Stimulation of labour ................... I-4Stimulation of peripheral nerve... ..Stomach, surgery........................ Q-5, Q-6Strabismus procedures............... W-3Strangulated hernia..................... Q-1349

April 1, 2009INDEX(See also Table of Contents)Stress ECG’s............................... E-7Stress incontinence surgery........ R-6, T-2Stress testing .............................. E-7Stress test:Intravenous dipyridamole ....... H-1Dipramidole thalium................ E-7Dobutamine ........................... E-7Stricture .................................. Q-4, Q-11Studies:Abdomen................................ A-35Chest .................................. A-35Complex head ........................ A-35Exercise.................................. E-5Metabolic ................................ E-5Venous .................................. G-4 to G-5Subconjunctival injection............. E-13Subcutaneous tissue:Injection .................................. E-12Surgery .................................. L-1 to L-11Subdermal birth control............... L-9Subdural tap................................ V-3Subfascial abscess - see also“Intramuscular abscess”......... L-1, P-1Submaxillary gland...................... Q-3Submucous:Resection - see "Septoplasty"Turbinectomy (nasal) ............. N-1Subphrenic abscess.................... Q-12Subsequent hospital visits(SHV).................................. A-12, A-19,.................................. A-20, A-22,.................................. A-26, A-39,.................................. A-44, A-50.................................. X-5Subsequent procedures .............. A-39Substituting physicians................ A-12Substitution of fee code............... A-7Sub-Tenons capsule injection..... E-14Superior laryngeal nerve block ... E-3Superior vena cava venogram .... H-1Supervision:Amytal test.............................. E-14Anticoagulation....................... E-5Chemotherapy (home) ........... E-13Dialysis (home)....................... E-9Electrocorticogram ................. E-14Gastric secretion studies........ E-10Supportive care ........................... A-12, A-27,.................................. A-44Fees. . .................................. C-2Supportive care requested byother physicians ..................... A-44Supra orbital nerve block ............ E-2Suprapubic prostatectomy.......... S-4Surcharge:Geriatric.................................. C-8, C-22In-patient ................................ A-22, C-2Surgery - or cosmetic.................. A-65Surgery, general:Consultations and visits ......... C-7Surgical:Approach................................ A-39.................................. R-1, V-6,.................................. W-9Assistants - see "SurgicalAssistants"Collapse, lung ........................ N-5Induction, labour .................... I-4I.O.P. .................................. A-40Post-operative visit fees......... A-39Preamble................................ A-39 to A-41Premiums............................... A-52, K-1Procedure .............................. A-39 to A-41Procedures listed ................... K-1 to W-9Surgical Assistants:Billed by general practitioners A-44, A-45Dedicated time method.......... A-45, X-10Defined .................................. A-45Non-insured services ............. A-45Premiums............................... A-52Specialist assistants............... A-45Standard method ................. A-44Basic Fee .......................... A-44Bilateral procedures .......... A-44Cancelled procedures ....... A-44Multiple assistants............. A-44Multiple procedures........... A-44Multiple surgeons .............. A-44Premiums .......................... A-45, K-1Scrub time......................... A-44Stand-by............................ K-2Time units.......................... A-44, X-9Two or more assistants..... A-44Two or more surgeons ...... A-44Surgical Collapse........................ N-5Surgical Dental Anaesthesia....... J-1 to J-9Surveys (radiological):Abdomen................................ G-2Bone age................................ G-2GU tract.................................. G-3Metabolic................................ G-2Metastatic............................... G-2Obstetrics and gynecology..... G-3Rheumatoid............................ G-2Skeletal .................................. G-2Suspension uterus ...................... T-450

April 1, 2009INDEX(See also Table of Contents)Suture, adjustable ....................... W-3Suture, eyelid .............................. W-4Suture incompetent cervix........... I-4Suture, laceration:Haemorrhage control ............. J-8Insertion and removal............. L-1, L-2.................................. L-5,Intestine.................................. Q-7Kidney .................................. R-2Liver .................................. Q-10Major artery ............................ O-3Major peripheral nerve ........... V-5Meniscus ................................ M-30Oesophago-tracheal fistula .... Q-5Rectum .................................. Q-9Repair .................................. L-5Scrotum .................................. S-2Skull defect............................. V-3Tongue .................................. Q-2Suture, retina............................... W-2S.V.C. - see "Superior VenaCava"Swan-Ganz catheter ................... A-29, E-5Sweat glands............................... L-3Symes .................................. M-34Sympathectomy .......................... V-6Renal .................................. R-2Sympathetic nerve block............. E-2, E-3Symphysiotomy........................... R-2Synovectomy:Ankle/foot ............................... M-33, M-35Elbow or forearm.................... M-8, M-9Foot/ankle............................... M-34, M-35Hand or wrist .......................... M-3, M-4Hip .................................. M-25Knee .................................. M-29, M-30Metatarsophalangeal.............. M-35Shoulder ................................. M-12, M-13TTables .................................. A-4, A-44,.................................. A-45, A-46.................................. X-1 to X-10Tack procedure ........................... W-9Talus .................................. M-35Tap - subdural ............................. V-3Tarsal .................................. M-33 to M-36Tarsal transplant ......................... W-4Tarsorrhaphy............................... W-4Tattoos .................................. A-64Teaching units............................. A-13Team care in teaching units........ A-13Team fees .................................. A-19, A-28,.................................. A-29, A-39.................................. A-45, E-9,.................................. P-1, R-2, V-1.................................. V-4Tear duct scintigraphy ................ H-3Teeth .................................. Q-2Teflon augmentation ................... N-3Telephone transmitted ECG ....... E-7Temporal artery........................... O-3, V-1, V-4Temporal bone resection ............ W-9Temporal grafts........................... M-17Temporal lobectomy ................... V-2Temporarily transferred .............. A-12Temporomandibular joint ............ A-35, J-6 to.................................. J-7, M-15.................................. to M-19Tenchkov catheter ...................... E-9Tendon repair, release................ M-6, M-10,.................................. M-13, M-25,.................................. M-28, M-30,.................................. M-36, W-5Tendon sheath............................ E-12, G-8,.................................. M-4, M-36Tendon surgery........................... M-4, M-5,.................................. M-6, M-10,.................................. M-13, M-25,.................................. M-28, M-30,.................................. M-37,.................................. W-5Tenolysis - see "Release ofTendon"Tenoplasty .................................. M-5, M-10,.................................. M-30Tenotomy .................................. A-41, M-6,.................................. M-25 to M-26.................................. M-28, M-30.................................. M-37Tenotomy - adductor orabductor ................................. A-41, M-25Tensilon test................................ E-14Terms and definitions ................. A-10 to A-13Testicular prosthesis................... S-2Testicular and scrotalscintigraphy............................ H-2Testicular or scrotal ultrasound... G-11Testis, surgery ............................ S-151

April 1, 2009INDEX(See also Table of Contents)Tests/Testing:Allergy .................................. E-1Antidiuretic hormoneresponse............................ E10Benzodioxine.......................... E-10BMR .................................. E-10Exercise.................................. E-20, F1,.................................. F-4Fluorescent string test............ E-10Helicobacter pylori ................. H-1Histamine ............................... E-10Histological ............................. J-2Huhner’s ................................. E-11Insulin sensitivity .................... E-10Malabsorption test.................. H-1Oesophageal:Motility ............................... E-10ph study............................. E-10Perfusion test .................... E-10Potential difference test..... E-10Tamponade ....................... E-10Rogetine ................................. E-10Rubin’s .................................. T-4Schilling .................................. H-1Tilt table.................................. E-6Water tolerance...................... E-10Tethered conus ........................... V-6Tetralogy of Fallot ....................... O-1Thal .................................. Q-4Therapeutic abortions ................. I-4Therapeutic plasma exchange.... E-5Therapeutic ultrasound ............... G-12Therapeutic venisection .............. E-5, E-18Thermal burns ............................. A-66Thermography............................. E-17Third Party Request .................... A-5, A-55Thoracentesis.............................. N-6Thoracic angiogram .................... E-17Thoracic aorta aneurysm ............ O-4Thoracic surgery ......................... A-41, N-6Consultations and visitssection ............................... C-7Thoraco-abdominal aneurysm .... O-4Thoracocentesis.......................... N-6Ultrasound .............................. G-10Thoracoplasty.............................. N-5Thoracoscopy.............................. N-6Thoracotomy ............................... N-4, N-6,.................................. O-2, O-4Thorax:Endoscopy.............................. N-6Surgery .................................. N-6Three "Snip" punctumprocedure............................... W-6Thrombectomy............................ O-4 to O-6Thrombosed haemorrhoids......... Q-9Thrombosis, venous -detection................................. H-1Thymectomy ............................... U-1Thymus gland, surgery ............... U-1Thymus transplant ...................... U-1Thyroglossal cyst, duct, fistulaor sinus .................................. Q-3Thyroidectomy ............................ U-1Thyroid gland, treatment............. U-1Thyroid malignancy therapy withradioisotopes.......................... H-3Thyroid scintigraphy.................... H-1Thyroid uptake ............................ H-1Tibial epiphysiodesis................... M-27, M-32Tibia or fibula. . .......................... M-32 to M-33Tilt table testing........................... E-6Timed based services................. A-8Time limitations - claim submissionqueries/requests ....... A-9Time units:Anaesthetists - see“Anaesthesia Services"Assistants - see "SurgicalAssistants"Tissue expander, insertion of...... L-5Toe nail .................................. L-8Toes, cast .................................. M-1Tolerance testing - water ............ E-10Tomogram .................................. E-19Tomography................................ F-2, G-2,.................................. G-8, G-13,.................................. H-3Tomography (SPECT) ................ H-3Tongue:Biopsy .................................. Q-2Flap .................................. J-6Surgery .................................. Q-2Tie . . . . ................................. Q-2Tonography................................. E-14Tonometry .................................. E-14Tonsils, surgery........................... Q-3Tooth, extraction ......................... J-1, Q-2Torek repair................................. S-2Torsion of testis........................... S-2Total body counting..................... H-3Total bone calcium...................... H-2Total hip replacement ................. A-41, M-2452

April 1, 2009INDEX(See also Table of Contents)Total repair of:Anomalous pulmonary venousdrainage............................. O-1Tetrology of fallot.................... O-1Transposition of greatvessels............................... O-1Trilogy .................................. O-1Trachea .................................. N-4Tracheal rupture.......................... N-4Tracheal toilet.............................. A-29, N-4Trachelorrhaphy .......................... T-4Tracheo-bronchial toilet............... A-28.................................. N-4Tracheo-oesophageal fistula....... N-3Tracheostoma ............................. N-4Tracheostomy ............................. N-4Traction - see "Fixation"Tractotomy .................................. V-7Transconjunctival flap ................. W-5Transcranial dopplerassessment ............................ G-10Transducer - intracranial ............. V-2Transection aberrant renalvessels .................................. R-1Transection ureter ....................... R-3Transfer - neurovascular island .. L-7Transfer - see "Transposition"Transferral and referral ............... A-12Transferred, temporarily.............. A-12Transfusion, blood....................... E-5Transhepatic biliary drainageincluding biliary stenting ......... G-6Transhepatic cholangiogram....... E-19, G-6Translabryrinthine resection........ W-9Transluminal angioplasty ............ E-6Transphenoidal hypophysctomy.................................. V-4Transplant:Artery. . . . .............................. O-2Bone marrow.......................... P-1Cardiac .................................. O-2Conjuncitval............................ W-1, W-4,.................................. W-6Corneal .................................. W-1Heart, Lung............................. O-2Kidney .................................. R-2Liver . . . ................................. Q-10Lung. . . . . .............................. N-6Muscle .................................. M-13Nerve - see "Transposition"Renal .................................. R-2Tarsal .................................. W-4Tendon .................................. M-5, M-10,.................................. M-30Thymus .................................. U-1Trapezius sternomastoid........ M-13Ureter .................................. R-3Transposition flaps...................... L-2, L-6Transposition, ulna nerve ........... V-5Transposition of greatvessels .................................. O-1Transposition/transfer:Muscle, femur ........................ M-28Nerve:Elbow or forearm............... M-8Major nerve of hand orwrist (except mediannerve at wrist)................. M-4Major nerve of hip orpelvis .............................. M-24Neural .................................. J-8Tendon - see "Tenoplasty"Transpubicprostatovesiculectomy ........... S-4Transtracheal aspiration ............. N-4Transurethral resection............... R-7Transvaginalsonohysterography ................ G-11Transvenous approach ............... O-2Transvenous endomyocardialbiopsy .................................. E-6Transvenous pacemaker ............ A-29Transverse scapular nerveblock . . . . .............................. E-2Trapezius .................................. L-6, M-13Trauma consultation ................... A-16Trauma scars.............................. A-65Travel.................................. A-10, A-50,.................................. A-62Treacher-Collins Syndrome,correction ............................... M-17Trephine .................................. N-2Trichiasis .................................. W-4Tricuspid annuloplasty ................ O-1Tricuspid valve block................... O-1, O-2Tricuspid valve replacement ....... O-2Triendoscopy .............................. N-4Trigeminal ganglion nerve .......... E-3Trigeminal ganglion coagulation. V-4Trigeminal nerve block................ E-3Trigeminal nerve surgery ............ V-4Trigeminal tractotomy ................. V-7Trilogy .................................. O-1Trimming of plica......................... M-29Trimming of ureter....................... R-353

April 1, 2009INDEX(See also Table of Contents)Triple arthrodesis - see"Arthrodesis"Triplets - see “multiple births”...... I-1Truncus arteriosus ...................... O-3Tuberosity .................................. M-13Tubes, ear .................................. W-7, W-8Tubes, fallopian........................... T-3Tumours: see also "Excision of"Acoustic.................................. V-1Bladder .................................. R-4, R-5Bone:Clavicle or acromion.......... M-13Elbow or forearm ............... M-9Femur ................................ M-27Foot .................................. M-35Hand or wrist ..................... M-4Hip, pelvis.......................... M-25Humerus............................ M-13Skull/mandible/maxilla....... M-15Spine, soft tissues ............. M-21Tibia, fibula ........................ M-32Brain .................................. V-1, V-2Carotid body........................... O-4Chest wall............................... N-5Desmoid ................................. Q-12Extradural ............................... V-6Giant cell ................................ L-3Glomus .................................. V-5Intradural ................................ V-6Intramedullary......................... V-6Intra-oral ................................. Q-1Kidney .................................. R-2Major peripheral nerve ........... V-5Mediastinal ............................. N-5Orbital .................................. V-3, W-3Pancreatic .............................. Q-11Parathyroid ............................. U-1Peripheral nerve..................... V-5Pituitary .................................. V-4Rectum or sigmoid ................. Q-8Salivary gland and ducts ........ Q-3Skull .................................. V-3Soft tissue............................... M-9, M-21Spinal .................................. V-7Spinal cord ............................. V-6Stomach ................................. Q-5Surgical dental........................ J-2, J-8Testicular................................ S-1Ventricular .............................. O-2Tunica vaginalis, surgery ............ S-2Turbinates, surgery ..................... N-1, N-2Twins: (see multiple births) ......... I-1Two or more:Anaesthetists - see "AnaesthesiaServices"Assistants - see "SurgicalAssistants"Fractures................................ A-43Reductions ............................. A-42Surgeons................................ A-40Tympanic plexus......................... W-8Tympanoplasty, tympanotomy.... W-7, W-8UUlcer:Corneal .................................. W-1Decubitus ............................... L-3Gastric/gastroduodenal/gastrojejuinal............. Q-5Peptic .................................. Q-5Stasis .................................. L-7Stomach................................. Q-6Ulna . . . ................................. M-4, M-8.................................. to M-9, M-11Ulnar nerve block........................ A-48, E-3Ultrasonic amniocentesis............ G-11Ultrasonic thoracocentesis.......... G-10Ultrasound ................................. G-6, G-9 to.................................. G-12, R-1,.................................. R-3, S-3,.................................. W-9Abdomen and retroperitoneum ..Amniocentesis........................ G-11Breast masses ....................... G-10Chest masses ........................ G-10Ear .................................. W-7 to W-9Extremities ............................. G-12Head and neck....................... G-9Heart/major blood vessel ....... G-9 to G-10Inner ear................................. W-9Obstetrics, gynecology andpelvis......................... G-11Peripheral vascular system.... G-10Popliteal space....................... G-12Procedural.............................. A-35Scrotum.................................. G-11Testicular................................ G-11Therapeutic ............................ G-12Thorax .................................. G-10Vascular Laboratory............... E-754

April 1, 2009INDEX(See also Table of Contents)Ultrasound control ....................... G-9Ultraviolet light therapy................ E-17Umbilectomy ............................... Q-12Umbilical arterial and veincatheterization........................ E-5, E-7,.................................. Q-12Umbilical hernia........................... Q-12, Q-13,Umbilical vein .............................. Q-12Undermining (skin flaps) ............. L-6Undescended testis..................... S-2Unification of double uteri............ T-4Uninsured patients ...................... A-5Units:Detention ................................ A-20Psychiatric care...................... A-25Psychotherapy........................ A-26Unlisted services/procedures...... A-8, A-33,.................................. A-64, W-1,.................................. W-4Unna's paste ............................... M-2Unroofing of kidney cyst.............. R-1Upper extremities:Dislocations ............................ M-7, M-10,.................................. M-14Fractures ................................ M-6, M-7.................................. M-10, M-11M-13, M-14Upper G.I. (x-ray) ........................ G-2Urachal cyst or sinus................... R-5Ureteral stent............................... R-4Ureter, catheterization................. R-4Ureter, surgery ............................ R-3Ureterectomy............................... R-1, R-3Uretero-ileal conduit .................... R-3, R-5Ureterolysis ................................. R-3Ureteroplasty............................... R-3Ureteroscopy............................... R-4, R-6Ureterostomy............................... R-3Ureterotomy................................. R-3Uretero - ureterostomy................ R-3Urethra:Biopsy .................................. R-6Dilation .................................. R-7Endoscopy.............................. R-6Fistula .................................. R-6Posterior ................................. R-6Prolapse ................................. R-6Reconstruction ....................... S-1Surgery .................................. R-6, R-7Vaginal fistula......................... T-2Urethral caruncle......................... R-6, T-2Urethral papilloma....................... R-6Urethral sling ............................... R-6Urethral stricture ......................... R-6Urethrectomy .............................. R-6Urethrocutaneous fistula............. S-1Urethrocystogram ....................... E-19, G-3Urethropexy ................................ T-2Urethroplasty............................... R-6Urethroscopy............................... R-4, R-6Urethrostomy .............................. R-6Urethrotomy ................................ R-6Urethro vesicolysis...................... R-7Urinary catheters......................... A-28Urinary incontenence.................. R-6, T-2Urinary sphincter......................... R-6Urinary system, surgery.............. R-1 to R-7Urogenital procedures ................ R-1 to R-7Urology:Consultations and visitslisting......................... C-25Diagnostic & therapeuticprocedures ................ E-18Surgery .................................. R-1to R-7Uterine inversion......................... I-4, T-4Uterus - surgery (cervix,corpus) .................................. T-3, T-4, T-5see also "Obstetrics"Uvula, surgery............................. Q-2Uvulectomy ................................. Q-2Vagina, surgery........................... T-1, T-2, T-4Vaginal:Construction........................... T-2Delivery .................................. I-1Insufflation.............................. E-11Repair .................................. T-1Septum .................................. T-2Vagotomy .................................. Q-5, Q-6Valve - urethral............................ R-6Vault prolapse............................. T-2Valvotomy .................................. O-1, O-2Varices, oesophageal ................. Q-4Varicocoele ................................. S-3Varicose veins:Injections................................ E-13Surgery .................................. O-6, T-1Vascular cannulation .................. E-5Vascular grafts - failed ................ O-1Vascular laboratory fees ............. E-7V55

April 1, 2009INDEX(See also Table of Contents)Vascular lesions - see "LaserSurgery Treatment"Vascular ring ............................... O-3Vascular surgery - consultationsand visits listing ...................... C-7Vas deferens, surgery................. S-3Vasectomy .................................. S-4Vasography ................................. G-3, S-1.................................. S-3Vein of Galen .............................. V-1Veins, surgery ............................. O-6 to O-7Vena Cava .................................. O-6Vena cava filter ........................... G-4Vena Cavagram .......................... G-4Venipuncture ............................... E-7, E-18Venisection, therapeutic.............. E-5, E-18Venography:Nuclear medicineprocedure .................. H-1Special radiologicalprocedure .................. G-4Venous anastomosis................... O-4, O-7Venous evaluation - duplexscan .................................. G-10Ventilation scintigraphy ............... H-3Ventilation tubes.......................... W-8Ventilatory support ...................... A-29, A-30,.................................. D-1, D-2Ventral hernia.............................. Q-13Ventricular aneurysm .................. O-2Ventricular puncture .................... V-2Ventricular septal defect.............. O-1Ventricular tumour....................... O-2Ventriculography ......................... V-2Ventriculomyotomy...................... O-1Ventriculoscopy........................... V-2Ventriculostomy........................... V-2, V-4Vermillion .................................. Q-1Vermilionectomy.......................... Q-1Verruca .................................. L-2Vertebra .................................. M-20 to M-23Vertebral arteries......................... V-4Vertebral or carotid arteryocclusion by detachableballoon .................................. G-5Vesical fistula .............................. Q-9, R-5,.................................. T-2Vesicostomy................................ R-4Vesiculectomy ............................. S-3Vestibular function test................ E-16Vestibuloplasty - oral................... J-2, M-16Visit for procedure only ............... A-27Visits .................................. A-7.................................. C-1 to C-26(see also under specialtyconcerned)Documentation for.................. A-7For complications of surgery.. A-40For procedure only................. A-27, E-1Not related to surgery ............ A-39Other than consultations........ A-39For consultations - seeunder "Consultations"Others sites............................ A-11Premiums............................... A-2, A-37,.................................. A-50, A-51,.................................. B-1 to B-2Radiologists and NuclearMedicine Specialists - seeitem 10.15 of the preambleVital capacity............................... E-20, F-4Vitrectomy .................................. W-2Vitreous exchange ...................... W-2Vitreous surgery.......................... W-2Voice prosthesis.......................... N-3Vulva, surgery............................. T-1Vulvectomy ................................. T-1Waiting time ................................ A-49Wake-up-test............................... A-47, K-2Water tolerance testing............... E-10Webbed fingers, toes.................. L-8Wedge resection of lip ................ Q-1Wedging of casts ........................ M-2Weight - anaesthesia - surgery... A-48Well baby care ............................ A-23, A-27Whipple type operation ............... Q-11WHSCCW.................................. A-23, A-24,.................................. A-45, A-55,.................................. C-1 to C-26White cell survival ....................... H-2Window - aorta-pulmonary.......... O-3Wiring for TMJ disorder .............. M-17Wound care................................. M-1Wrist.................................. M-1,.................................. M-3 to M-756

April 1, 2009INDEX(See also Table of Contents)XX-Rays .................................. G-1 to G-3Abdomen................................ G-2Chest .................................. G-2Extremities.............................. G-1G.U. tract ................................ G-3Head and neck ....................... G-1Obstetrics and gynaecology... G-3Skeletal Surveys..................... G-2Spine and pelvis..................... G-1Surveys other than skeletal.... G-2ZZeigler puncture .......................... W-4Z-plasty . . . . ............................... L-2, L-6Zygoma - grafts ........................... M-17Zygomatic arch............................ J-4, J-7,.................................. M-16Zygomatic fracture dislocation .... M-1857