Fee Navigator

    Health Service Code 50.15A

    Pulmonary endarterectomy and embolectomy (chronic)

    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$5312.14

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$2743.74
    ROLEANESTYesReplace Base$18.39
    ROLESAYesReplace Base$148.05
    ROLESAQSYesReplace Base$50.97
    ROLESSCVTYesReplace Base$310.38
    ROLESSSTYesReplace Base$280.58
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 120For Each Call Increase By$18.39
    SAUSAU1For Each Call Pay Base At100%
    SAUSAU2 - 37For Each Call Increase By$37.04
    SAQUSAQU1 - 40For Each Call Pay Base At100%
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At75%
    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
    LVPLVP75YesReduce Base To75%

    Governing Rules: