Fee Navigator

    Health Service Code 22.13B

    Chalazion - surgical removal

    NOTE:

    May be claimed in addition to a visit or consultation.

    Category:M Minor Procedure
    Base rate:$120.20

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    AGEL10Increase Base To130%
    ROLEANEYesReplace Base$110.53
    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
    UGAUGAYesReplace Base$134.85
    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
    LVPLVP75YesReduce Base To75%

    Governing Rules: