I
CERTAIN DIAGNOSTIC AND THERAPEUTIC PROCEDURES
II
OPERATIONS ON THE NERVOUS SYSTEM
- 14
  INCISION AND EXCISION OF SKULL, BRAIN AND CEREBRAL MENINGES
  Intracranial procedure involving microsurgical technique, for a second neurosurgeon, refer to Price List
- 15
  OTHER OPERATIONS ON SKULL, BRAIN, AND CEREBRAL MENINGES
- 16
  OPERATIONS ON SPINAL CORD AND SPINAL CANAL STRUCTURES
  NOTE: The listed benefits are payable irrespective of the number of vertebrae involved if one incision utilized, unless otherwise stated.
- 17
  OPERATIONS ON CRANIAL AND PERIPHERAL NERVES
  - 17.0
    Incision, division, and excision of cranial and peripheral nerves
  - 17.1
    Destruction of cranial and peripheral nerves
  - 17.2
    Suture of cranial and peripheral nerves
  - 17.3
    Freeing of adhesions and decompression of cranial and peripheral nerves
  - 17.4
    Cranial or peripheral nerve graft
    Microsurgical anastomosis of intracranial portion of cranial nerve
  - 17.5
    Transposition of cranial and peripheral nerves
  - 17.6
    Other cranial or peripheral neuroplasty
  - 17.7
    Injection into peripheral nerve
    - 17.71
      Peripheral nerve injection, unqualified
      - 17.71A
        Local block(s) of somatic nerve(s)
        NOTE: May not be claimed with any other procedure at the same encounter by the same or different physician except for HSC 95.94C.
      - 17.71B
        Femoral nerve block - injection with or without ultrasound
        NOTE: 1. May not be claimed for services related to chronic pain management or treatment. 2. May not be claimed in addition to any other anesthetic services by the same physician. 3. May be claimed in addition to a visit or consultation by the same physician. 4. May not be billed with a visit if another physician has provided and claimed a visit on the same date of service in the same location.
  - 17.8
    Invasive diagnostic procedures on peripheral nervous system
  - 17.9
    Other operations on cranial and peripheral nerves
- 18
  OPERATIONS ON SYMPATHETIC NERVES OR GANGLIA
III
OPERATIONS ON THE ENDOCRINE SYSTEM
IV
OPERATIONS ON THE EYES
V
OPERATIONS ON THE EARS
VI
OPERATIONS ON THE NOSE, MOUTH,AND PHARYNX
VII
OPERATIONS ON THE RESPIRATORY SYSTEM
VIII
OPERATIONS ON THE CARDIOVASCULAR SYSTEM
IX
OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEMS
X
OPERATIONS ON THE DIGESTIVE SYSTEM AND ABDOMINAL REGION
XI
OPERATIONS ON THE URINARY TRACT
XII
OPERATIONS ON THE MALE GENITAL ORGANS
XIII
OPERATIONS ON THE FEMALE GENITAL ORGANS
XIV
OBSTETRIC PROCEDURES
XV
OPERATIONS ON THE MUSCULOSKELETAL SYSTEM
XVI
OPERATIONS ON THE BREAST
XVII
OPERATIONS ON SKIN AND SUBCUTANEOUS TISSUE
XVIII
PROCEDURES NOT ELSEWHERE CLASSIFIED
LABORATORY AND PATHOLOGY
DIAGNOSTIC RADIOLOGY
NOTE: As stated in G.R. 11.1.1, claims for services in the Diagnostic Radiology section will not be payable unless the physician has been approved by the CPSA to provide those services.
THERAPEUTIC RADIOLOGY

Health Service Code 17.71B

Femoral nerve block - injection with or without ultrasound

NOTE:

May not be claimed for services related to chronic pain management or treatment.
May not be claimed in addition to any other anesthetic services by the same physician.
May be claimed in addition to a visit or consultation by the same physician.
May not be billed with a visit if another physician has provided and claimed a visit on the same date of service in the same location.

Category:	M Minor Procedure
Base rate:	$60.15

Fee modifiers:

Type	Code	Explicit	Action	Amount
TRAY	MINT		Increase By	$13.14
NBTR	NBTR	Yes
SURC	EV	Yes	Increase By	$48.82
SURC	NTAM	Yes	Increase By	$117.12
SURC	NTPM	Yes	Increase By	$117.12
SURC	WK	Yes	Increase By	$48.82
LVP	LVP75	Yes	Reduce Base To	75%

Governing Rules:

6.7.1
If a minor procedure (M or M+) is provided with a hospital visit on the same day, only the greater benefit HSC may be claimed.
14.2 MINOR TRAY SERVICE
A minor tray service benefit may be claimed for the following procedures only when they are performed in a location other than a nursing home, general or auxiliary hospital, AACC, UCC or a facility which has a contract with a regional health authority to provide any of these insured services.
07.53C 07.56A 07.57B 10.16A 11.23A 12.01
12.21 13.53B 13.59E 13.59F 13.59H 13.59J
13.59K 13.59L 13.59N 13.99BB 16.89B 16.89C
16.89D 17.71A 17.71B 18.29E 18.29EA 19.81
21.31A 21.41 21.32D 21.69C 23.99D 24.91
30.19A 32.96A 32.96B 33.01A 33.03A 33.21A
33.22A 33.61A 35.0 A 37.81 37.91A 38.0 A
39.91B
43.0 B 50.98A 51.92A 53.81B
61.01A 67.93 70.5 B 71.95 73.91 78.7 A
79.22
80.83B 81.8 93.91A 93.91B 94.01B 94.04
95.03 95.93 95.94A 95.94B 95.96A 97.81
97.89A 98.01A 98.03A 98.03B 98.03C 98.03E
98.04B 98.04C 98.12K 98.12S

Fee Navigator^®

Health Service Codes

Health Service Code 17.71B

Femoral nerve block - injection with or without ultrasound

NOTE:

Fee modifiers:

Governing Rules:

07.53C	07.56A	07.57B	10.16A	11.23A	12.01
12.21	13.53B	13.59E	13.59F	13.59H	13.59J
13.59K	13.59L	13.59N	13.99BB 16.89B	16.89C
16.89D	17.71A	17.71B	18.29E	18.29EA 19.81

21.31A	21.41	21.32D	21.69C	23.99D	24.91
30.19A	32.96A	32.96B	33.01A	33.03A	33.21A
33.22A	33.61A	35.0 A	37.81	37.91A	38.0 A
39.91B

80.83B	81.8	93.91A	93.91B	94.01B	94.04
95.03	95.93	95.94A	95.94B	95.96A	97.81
97.89A	98.01A	98.03A	98.03B	98.03C	98.03E
98.04B	98.04C	98.12K	98.12S

Fee Navigator®

Health Service Codes

Health Service Code 17.71B

Femoral nerve block - injection with or without ultrasound

NOTE:

Fee modifiers:

Governing Rules:

Fee Navigator^®