I
CERTAIN DIAGNOSTIC AND THERAPEUTIC PROCEDURES
- 01
  NONOPERATIVE ENDOSCOPY
- 02
  DIAGNOSTIC RADIOLOGY AND RELATED TECHNIQUES
  Radiology Section - Please See Section X
- 03
  CLINICAL EVALUATION AND EXAMINATION
- 06
  NUCLEAR MEDICINE
- 07
  PHYSICAL MEDICINE, REHABILITATION, AND RELATED PROCEDURES
- 08
  DIAGNOSTIC AND THERAPEUTIC PSYCHOLOGY AND PSYCHIATRY
- 09
  OPHTHALMOLOGICAL AND OTOLOGICAL DIAGNOSIS AND TREATMENT
- 10
  NONOPERATIVE INTUBATION, IRRIGATION, AND MANIPULATION PROCEDURES
  - 10.0
    Nonoperative intubation of respiratory and gastrointestinal tracts
    - 10.04
      Endotracheal intubation for aspiration of sputum
      NOTE: May not be claimed with 13.62A.
    - 10.04B
      Intubation performed in an emergency room, AACC or UCC
      NOTE: 1. May only be claimed when performed in an emergency room, AACC or UCC. 2. May not be claimed in addition to HSC 10.04 or 13.99E when performed by the same physician. 3. May be claimed in addition to visits or other services provided on the same day by the same physician.
    - 10.08
      Insertion of (naso-)intestinal tube
    - 10.16
      Insertion of other vaginal pessary
  - 10.2
    Other nonoperative dilation and manipulation procedures
  - 10.3
    Nonoperative alimentary tract irrigation, cleaning and local instillation
  - 10.5
    Nonoperative irrigation, cleaning, and local instillation of genitourinary system
- 11
  REPLACEMENT AND REMOVAL OF THERAPEUTIC APPLIANCES
- 12
  NONOPERATIVE REMOVAL OF FOREIGN BODY
- 13
  OTHER NONOPERATIVE 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
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 10.04B

Intubation performed in an emergency room, AACC or UCC

NOTE:

May only be claimed when performed in an emergency room, AACC or UCC.
May not be claimed in addition to HSC 10.04 or 13.99E when performed by the same physician.
May be claimed in addition to visits or other services provided on the same day by the same physician.

Category:	M Minor Procedure
Base rate:	$106.61

Fee modifiers:

Type	Code	Explicit	Action	Amount
BMI	BMIPRO	Yes	Increase By	25%
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:

No Governing Rules.

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Health Service Codes

Health Service Code 10.04B

Intubation performed in an emergency room, AACC or UCC

NOTE:

Fee modifiers:

Governing Rules:

Fee Navigator®

Health Service Codes

Health Service Code 10.04B

Intubation performed in an emergency room, AACC or UCC

NOTE:

Fee modifiers:

Governing Rules:

Fee Navigator^®