Fee Navigator

    Health Service Code 22.13A

    Excision of eyelid lesion requiring pathology analysis

    NOTE:

    Single fee applies regardless of whether the upper or lower or both eyelids of same eye are involved. If second eye needs to be done, the fee for the second eye may be claimed at 75%.

    Category:6 Major Procedure (pre-operative period: 14 days, post-operative period: 14 days)
    Base rate:$156.84

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    AGEL10Increase Base To130%
    ROLEANEYesReplace Base$109.31
    ROLEANESTYesReplace Base$18.39
    ANEUANEU1For Each Call Pay Base At100%
    ANEUANEU2 - 2For Each Call Pay Base At75%
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    CALLCALL101For Each Call Pay Base At100%
    CALLCALL102 - 2For Each Call Pay Base At75%
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At75%
    TRAYMAJTIncrease By$38.78
    NBTRNBTRYes
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: