Fee Navigator

    Health Service Code 45.5 A

    Lung transplant

    With recipient pneumonectomy

    NOTE:
    1. May be claimed with HSC 49.5 A.
    2. When performed as a bilateral procedure and/or when claimed in addition to HSC 49.5A, the procedural benefit may be claimed at 100% for both lungs. This does not apply to the anesthetic rate.
    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$4938.44

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    BMIBMI2ANYesIncrease By25%
    AGEL30Increase Base To150%
    ROLEANEYesReplace Base$1389.47
    ROLESAYesReplace Base$148.05
    ROLESAQSYesReplace Base$50.97
    ROLESSCVTYesReplace Base$310.38
    ROLESSSTYesReplace Base$280.58
    ROLE2ANESYesReplace Base$22.07
    VANEL30ANIncrease By$108.34
    VANEL30AT2Increase By$108.34
    ANEUANEU1For Each Call Pay Base At100%
    ANEUANEU2 - 2For Each Call Pay Base At75%
    2ANU2ANU1For Each Call Pay Base At100%
    2ANU2ANU2 - 150For Each Call Increase By$22.07
    SAUSAU1For Each Call Pay Base At100%
    SAUSAU2 - 37For Each Call Increase By$37.04
    SAQUSAQU1 - 36For Each Call Pay Base At100%
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At100%
    REDOCOMPLTYesIncrease Base To150%
    REDOPARTYesIncrease Base To125%
    REDOREDO1YesIncrease Base To175%
    REDOREDO2YesIncrease Base To225%
    REDOREDO3YesIncrease Base To275%
    REDOREDO4YesIncrease Base To325%
    REDOREDO5YesIncrease Base To375%
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LMTSL44YesIncrease Base To150%
    LMTSL44ANEYesIncrease Base By$108.34
    LVPLVP75YesReduce Base To75%

    Governing Rules: