15.06B

Base Rate – $644.68
Name – Craniofacial reconstruction, for congenital deformity, full 60 minutes or major portion thereof for the first call when only one call is claimed

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
ROLE
ROLE
ROLE
ROLE
VANE
VANE
2ANU
2ANU
SAU
SAU
SAQU
CALL
SURC
SURC
SURC
SURC
LMTS
LVP
BMIPRO
BMI2AN
SA
SAQS
SSST
2ANES
L30AN
L30AT2
2ANU
2ANU
SAU
SAU
SAQU
H1
EV
NTAM
NTPM
WK
L44ANE
LVP75
 
  
  
  
  
  
  
  
 1 
 2 – 150 
 1 
 2 – 33 
 1 – 36 
 1 – 12 
  
  
  
  
  
 
Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
  
  
  
  
  
  
  
  
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes
Increase By
Increase By
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
For Each Call Pay Base At
Increase By
Increase By
Increase By
Increase By
Increase Base By
Reduce Base To
25%
25%
$147.31
$50.72
$278.77
$21.95
$107.74
$107.74
100%
$21.95
100%
$36.86
100%
100%
$48.70
$116.83
$116.83
$48.70
$107.74
75%

II – Operations On The Nervous System

/ 15 Other Operations On Skull Brain And Cerebral Meninges

// 15.0 Cranioplasty

/// 15.06 Other cranial osteoplasty

//// 15.06B


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