Fee Navigator

    Health Service Code 63.86A

    Billary sphincteroplasty, dilation of the ampulla of Vater

    NOTE:

    May only be claimed in addition to 64.97A.

    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$113.99

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$87.36
    VANEADDAReplace$98.01
    LVPADDYesReplace Base100%

    Governing Rules: