Fee Navigator®

    Health Service Code 50.34E

    Resection of thoraco-abdominal aneurysm

    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$4363.44

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    BMIBMI2ANYesIncrease By25%
    AGEL30Increase Base To150%
    ROLEANEYesReplace Base$1927.27
    ROLESAYesReplace Base$148.42
    ROLESAQSYesReplace Base$51.10
    ROLESSCVTYesReplace Base$312.56
    ROLESSSTYesReplace Base$325.09
    ROLE2ANESYesReplace Base$22.44
    VANEL30ANIncrease By$110.16
    VANEL30AT2Increase By$110.16
    2ANU2ANU1For Each Call Pay Base At100%
    2ANU2ANU2 - 120For Each Call Increase By$22.44
    SAUSAU1For Each Call Pay Base At100%
    SAUSAU2 - 37For Each Call Increase By$37.13
    SAQUSAQU1 - 40For Each Call Pay Base At100%
    REDOCOMPLTYesIncrease Base To150%
    REDOPARTYesIncrease Base To125%
    SURCEVYesIncrease By$48.82
    SURCNTAMYesIncrease By$117.12
    SURCNTPMYesIncrease By$117.12
    SURCWKYesIncrease By$48.82
    LMTSL44YesIncrease Base To150%
    LMTSL44ANEYesIncrease Base By$110.16
    LVPLVP75YesReduce Base To75%

    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.

      CategoryPre-operativePost-operative
      10 - Days14 - Days
      37 - Days7 - Days
      47 - Days14 - Days
      614 - Days14 - Days
      1430 - Days14 - Days
      150 - Days7 - Days