Fee Navigator®

    Health Service Code 49.7 N

    Percutaneous venoplasty for lead placement

    NOTE:
    1. May only be claimed by cardiologists or thoracic surgeons.
    2. May be claimed in addition to HSCs 49.7 A, 49.7 F, 49.7 G, 49.7 H, 49.7 JA, 49.7 KA, 49.7 LA and 49.7 MA.
    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$596.76

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$463.12
    ROLEANESTYesReplace Base$18.70
    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
    LVPLVP75YesReduce Base To75%

    Governing Rules: