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    Health Service Code 49.96B

    Trans-septal heart catheterization with fluoroscopy

    DEFINITION: Insertion and placement of the catheter into the left atrium by puncture of the fossa Ovalis.

    NOTE:

    May not be claimed in addition to HSCs 49.98AA, 49.98AB and 49.98AC.

    Category:1 Major Procedure (pre-operative period: 0 days, post-operative period: 14 days)
    Base rate:$315.00

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANESTYesReplace Base$18.39
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP50YesReduce Base To50%

    Governing Rules: