17.39D

Base Rate – $644.68
Name – Brachial plexus exploration, 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
BMI
ROLE
ROLE
ROLE
ROLE
ROLE
ROLE
ANU
ANU
SAU
SAU
2MPU
SAQU
CALL
CALL
SURC
SURC
SURC
SURC
BMIANE
BMIANT
BMIPRO
ANE
ANEST
MSRGP
SA
SAQS
SSST
ANU
ANU
SAU
SAU
2MPU
SAQU
H1M15
H1M15
EV
NTAM
NTPM
WK
 
  
  
  
  
  
  
  
  
 1 
 2 – 288 
 1 
 2 – 93 
 1 – 24 
 1 – 96 
 1 
 2 – 92 
  
  
  
 
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
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
For Each Call Pay Base At
For Each Call Increase By
Increase By
Increase By
Increase By
Increase By
25%
25%
25%
$201.52
$18.29
$515.74
$147.31
$50.72
$278.77
100%
$18.29
100%
$36.86
100%
100%
100%
$161.15
$48.70
$116.83
$116.83
$48.70

II – Operations On The Nervous System

/ 17 Operations On Cranial And Peripheral Nerves

// 17.3 Freeing of adhesions and decompression of cranial and peripheral nerves

/// 17.39 Other peripheral nerve or ganglion decompression or freeing of adhesions

//// 17.39D


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