Fee Navigator®

    Health Service Code 01.14

    Other nonoperative gastroscopy


    1. HSCs 11.02, 12.12B, 12.13A, 13.99AF, 54.21C, 54.21D, 54.21E, 54.91A, 54.91C, 54.92E, 54.99A, 55.1 B, 55.41A, 55.41B, 56.34A, 56.99A and 58.39B may be claimed in addition.
    2. Benefit includes biopsies.
    Category:M+ Designated Minor Procedure
    Base rate:$113.99

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    BMIBMI2ANYesIncrease By25%
    ROLEANEYesReplace Base$133.66
    ROLE2ANESYesReplace Base$22.25
    VANEL30ANIncrease By$109.28
    VANEL30AT2Increase By$109.28
    2ANU2ANU1For Each Call Pay Base At100%
    2ANU2ANU2 - 150For Each Call Increase By$22.25
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LMTSL44ANEYesIncrease Base By$109.28
    LVPLVP75YesReduce Base To75%

    Governing Rules: