I
CERTAIN DIAGNOSTIC AND THERAPEUTIC PROCEDURES
II
OPERATIONS ON THE NERVOUS SYSTEM
- 14
  INCISION AND EXCISION OF SKULL, BRAIN AND CEREBRAL MENINGES
  Intracranial procedure involving microsurgical technique, for a second neurosurgeon, refer to Price List
  - 14.0
    Cranial puncture
  - 14.1
    Craniotomy and craniectomy
  - 14.2
    Incision of brain and cerebral meninges
  - 14.3
    Operations on thalamus and globus pallidus (including ansa and cingulus)
  - 14.4
    Other excision or destruction of brain and meninges
    - 14.41
      Excision of lesion or tissue of cerebral meninges
    - 14.42
      Hemispherectomy
    - 14.49
      Other excision or destruction of lesion or tissue of brain
      Craniotomy/craniectomy with:
  - 14.8
    Invasive diagnostic procedures on skull, brain, and cerebral meninges
- 15
  OTHER OPERATIONS ON SKULL, BRAIN, AND CEREBRAL MENINGES
- 16
  OPERATIONS ON SPINAL CORD AND SPINAL CANAL STRUCTURES
  NOTE: The listed benefits are payable irrespective of the number of vertebrae involved if one incision utilized, unless otherwise stated.
- 17
  OPERATIONS ON CRANIAL AND PERIPHERAL NERVES
- 18
  OPERATIONS ON SYMPATHETIC NERVES OR GANGLIA
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 14.49J

Extended skull base craniotomy including anterior, middle or posterior fossa approaches, neurosurgical component

NOTE:

For otolaryngological component, refer to Price List.

Category:	14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
Base rate:	$3008.80

Fee modifiers:

Type	Code	# of calls	Explicit	Action	Amount
BMI	BMIANE		Yes	Increase By	25%
BMI	BMIANT		Yes	Increase By	25%
BMI	BMIPRO		Yes	Increase By	25%
TSAR	ENT		Yes	Replace Base	$3008.80
ROLE	ANE		Yes	Replace Base	$844.35
ROLE	ANEST		Yes	Replace Base	$18.70
ROLE	MSRGN		Yes	Replace Base	$441.69
ROLE	MSURG2		Yes	Replace Base	$365.26
ROLE	SA		Yes	Replace Base	$148.42
ROLE	SAQS		Yes	Replace Base	$51.10
ROLE	SSST		Yes	Replace Base	$325.09
VANE	L30AN			Increase By	$110.16
VANE	L30AT			Increase By	$110.16
2MSU	2MSU	1 - 7		For Each Call Pay Base At	100%
2MSU	2MSU			To a Maximum Of	$2556.82
ANU	ANU	1		For Each Call Pay Base At	100%
ANU	ANU	2 - 120		For Each Call Increase By	$18.70
SAU	SAU	1		For Each Call Pay Base At	100%
SAU	SAU	2 - 33		For Each Call Increase By	$37.13
2MNU	2MNU	1 - 7		For Each Call Pay Base At	100%
2MNU	2MNU			To a Maximum Of	$3091.83
SAQU	SAQU	1 - 36		For Each Call Pay Base At	100%
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
LMTS	L44ANE		Yes	Increase Base By	$110.16
LVP	LVP75		Yes	Reduce Base To	75%

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
12.7
An additional benefit per case (modifiers L30AN, L30AT, L30AT2, L44ANE) may be claimed for anesthetic services provided to neonates and infants under 44 weeks of conceptual age. Refer to the Price List for the additional benefit amount.

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Health Service Codes

Health Service Code 14.49J

Extended skull base craniotomy including anterior, middle or posterior fossa approaches, neurosurgical component

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 14.49J

Extended skull base craniotomy including anterior, middle or posterior fossa approaches, neurosurgical component

NOTE:

Fee modifiers:

Governing Rules:

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