Health Service Codes

Fee Navigator®

    Health Service Code 23.99A

    Strabismus repair, one muscle

    NOTE:
    1. Subsequent muscles, regardless if the same or different eye, are paid at a reduced rate as indicated in the Price List to a maximum benefit of five.
    2. The add on fee applies once only per eye for a re-operation.
    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$708.37

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    ROLEANEYesReplace Base$167.23
    ROLEANESTYesReplace Base$18.55
    ANEUANEU1For Each Call Pay Base At100%
    ANEUANEU2 - 6For Each Call Pay Base At75%
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.55
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 6For Each Call Pay Base At75%
    REDOREANEYesIncrease By$60.34
    REDOREOPYesIncrease Base To137%
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules:

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