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    Health Service Code 22.13C

    Non cosmetic excision of benign tumor of eyelid not requiring pathology analysis, for functional reasons including obstruction of visual axis, tearing, inflammation or lid malposition

    NOTE:

    For services requiring pathology analysis see HSC 22.13A.

    Category:M Minor Procedure
    Base rate:$80.04

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    ROLEANEYesReplace Base$110.43
    ROLEANESTYesReplace Base$18.39
    VANEL30ANIncrease By$108.34
    VANEL30ATIncrease By$108.34
    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
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At75%
    TRAYMAJTIncrease By$38.78
    NBTRNBTRYes
    LMTSL44ANEYesIncrease Base By$108.34
    LVPLVP75YesReduce Base To75%

    Governing Rules: