a) All patients (except cardiac surgery patients) who have an incapacitating, systemic disease which is a constant threat to life, or who are not expected to survive for 24 hours, i.e. ASA 4 or 5.
b) Cardiac surgery patients who have emergency surgery, i.e. ASA 4E or 5E.
c) Cardiac or transplant surgery patients who require an IABP or mechanical assist device.
d) All cases where the surgical time as noted on the OR record is 8 hours or more. This includes cardiac surgery.
Controlled hypothermia and/or pump oxygenation in non-cardiac Anaesthesia should be billed as 01999, with a written report.
Please reference the billing pre-amble for these relevant interpretations of this billing code:See Pre-Amble Notes