14.22A

Base Rate – $3,164.75
Name – Resection of brain tissue for epilepsy, including lobectomy, tractotomy and corpus callostomy

Category – 14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)

Fee Modifiers

Type Code # of calls Explicit Action Amount
BMI
BMI
BMI
ROLE
ROLE
ROLE
ROLE
ROLE
ROLE
VANE
VANE
ANU
ANU
SAU
SAU
2MNU
2MNU
SAQU
SURC
SURC
SURC
SURC
LMTS
LVP
BMIANE
BMIANT
BMIPRO
ANE
ANEST
MSRGN
SA
SAQS
SSST
L30AN
L30AT
ANU
ANU
SAU
SAU
2MNU
2MNU
SAQU
EV
NTAM
NTPM
WK
L44ANE
LVP75
 
  
  
  
  
  
  
  
  
  
  
 1 
 2 – 120 
 1 
 2 – 33 
 1 – 7 
  
 1 – 36 
  
  
  
  
  
 
Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
  
  
  
  
  
  
  
  
  
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes
Increase By
Increase By
Increase By
Replace Base
Replace Base
Replace Base
Replace Base
Replace Base
Replace Base
Increase By
Increase By
For Each Call Pay Base At
For Each Call Increase By
For Each Call Pay Base At
For Each Call Increase By
For Each Call Pay Base At
To a Maximum Of
For Each Call Pay Base At
Increase By
Increase By
Increase By
Increase By
Increase Base By
Reduce Base To
25%
25%
25%
$1,057.80
$18.29
$417.75
$147.31
$50.72
$278.77
$107.74
$107.74
100%
$18.29
100%
$36.86
100%
$2,924.25
100%
$48.70
$116.83
$116.83
$48.70
$107.74
75%

II – Operations On The Nervous System

/ 14 Incision And Excision Of Skull Brain And Cerebral Meninges

// 14.2 Incision of brain and cerebral meninges

/// 14.22 Lobotomy and tractotomy

//// 14.22A


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