I
CERTAIN DIAGNOSTIC AND THERAPEUTIC PROCEDURES
II
OPERATIONS ON THE NERVOUS SYSTEM
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
- 77
  OPERATIONS ON OVARY
- 78 OPERATIONS ON FALLOPIAN TUBES
- 79
  OPERATIONS ON CERVIX
- 80
  OTHER INCISION AND EXCISION OF UTERUS
- 81
  OTHER OPERATIONS ON UTERUS AND SUPPORTS
- 82
  OPERATIONS ON VAGINA AND CUL-DE-SAC
  - 82.1
    Incision of vagina and cul-de-sac
  - 82.3
    Obliteration and total excision of vagina
  - 82.4
    Repair of cystocele and rectocele
  - 82.5
    Vaginal construction and reconstruction
  - 82.6
    Other repair of vagina
  - 82.7
    Obliteration of vagina vault
  - 82.8
    Invasive diagnostic procedures on vagina and cul-de-sac
  - 82.9
    Other operations on vagina and cul-de-sac
- 83
  OPERATIONS ON VULVA AND PERINEUM
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 82.69C

Insertion of prosthetic mesh

NOTE:

May only be claimed in addition to HSCs 71.4 A, 71.4 B, 71.4 C, 71.7 A, 71.7 B, 81.99A, 82.3 A, 82.41A, 82.42A, 82.64B, 82.69B, 82.69D, 82.7 A.

Category:	14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
Base rate:	$67.09

Fee modifiers:

Type	Code	# of calls	Explicit	Action	Amount
BMI	BMIPRO		Yes	Increase By	25%
LVP	ADD		Yes	Replace Base	100%

Governing Rules:

6.8.1
HSCs with a designated category code of 1 and 15 include related post-operative services and those with a designated category code of 3, 4, 6 and 14 include both related pre-operative and post-operative services.
1. a consultation benefit may be claimed up to and including the day of surgery.
2. pre-operative hospital care may be claimed by the physician who performs the surgery if information is submitted to show that conservative treatment was attempted before surgery was performed.
3. benefits may be claimed as applicable for complications occurring during or following post-operative time periods.
4. Deleted
5. HSC 03.04R may be claimed in the pre-operative time frame when all conditions in the notes have been met.
The following chart gives the pre-operative and post-operative periods.
Category Pre-operative Post-operative
1 0 - Days 14 - Days
3 7 - Days 7 - Days
4 7 - Days 14 - Days
6 14 - Days 14 - Days
14 30 - Days 14 - Days
15 0 - Days 7 - Days

Fee Navigator^®

Health Service Codes

Health Service Code 82.69C

Insertion of prosthetic mesh

NOTE:

Fee modifiers:

Governing Rules:

Category	Pre-operative	Post-operative
1	0 - Days	14 - Days
3	7 - Days	7 - Days
4	7 - Days	14 - Days
6	14 - Days	14 - Days
14	30 - Days	14 - Days
15	0 - Days	7 - Days

Fee Navigator®

Health Service Codes

Health Service Code 82.69C

Insertion of prosthetic mesh

NOTE:

Fee modifiers:

Governing Rules:

Fee Navigator^®