Fee Navigator®

    Health Service Code 01.16B

    Balloon (single or double) enteroscopy, rectal route

    NOTE:

    May be claimed in addition to HSCs 01.16C, 56.34A, 57.13A, 57.13B, 57.21A and 58.99C.

    Category:M+ Designated Minor Procedure
    Base rate:$341.98

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$112.39
    ROLEANESTYesReplace Base$18.70
    VANEL30ANIncrease By$110.16
    VANEL30ATIncrease By$110.16
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.70
    SURCEVYesIncrease By$48.82
    SURCNTAMYesIncrease By$117.12
    SURCNTPMYesIncrease By$117.12
    SURCWKYesIncrease By$48.82
    LMTSL44ANEYesIncrease Base By$110.16
    LVPLVP75YesReduce Base To75%

    Governing Rules: