May not be claimed in addition to HSC 56.93D.
| Category: | M+ Designated Minor Procedure |
|---|---|
| Base rate: | $377.22 |
| Type | Code | # of calls | Explicit | Action | Amount |
|---|---|---|---|---|---|
| BMI | BMIANE | Yes | Increase By | 25% | |
| BMI | BMIANT | Yes | Increase By | 25% | |
| BMI | BMIPRO | Yes | Increase By | 25% | |
| ROLE | ANE | Yes | Replace Base | $149.85 | |
| ROLE | ANEST | Yes | Replace Base | $18.70 | |
| ROLE | SA | Yes | Replace Base | $148.42 | |
| ROLE | SAQS | Yes | Replace Base | $51.10 | |
| ANU | ANU | 1 | For Each Call Pay Base At | 100% | |
| ANU | ANU | 2 - 150 | For Each Call Increase By | $18.70 | |
| SAU | SAU | 1 | For Each Call Pay Base At | 100% | |
| SAU | SAU | 2 - 33 | For Each Call Increase By | $37.13 | |
| SAQU | SAQU | 1 - 36 | For Each Call Pay Base At | 100% | |
| SURC | EV | Yes | Increase By | $48.82 | |
| SURC | NTAM | Yes | Increase By | $117.12 | |
| SURC | NTPM | Yes | Increase By | $117.12 | |
| SURC | WK | Yes | Increase By | $48.82 | |
| LVP | LVP75 | Yes | Reduce Base To | 75% |
If a procedure designated "+" is performed in a place other than a physician's office, either a procedural benefit or a visit benefit, but not both, may be claimed for that day.
If a procedure designated "+" and a consultation are provided on the same day, both the procedural benefit and the appropriate consultation benefit are payable.
If a minor procedure (M or M+) is provided with a hospital visit on the same day, only the greater benefit HSC may be claimed.
