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    Health Service Code 63.99C

    Biliary lithotripsy for impacted distal common bile duct stone

    NOTE:
    1. Only one benefit may be claimed regardless of the number of calculi.
    2. Physician in continuous attendance.
    3. Includes injection of dye contrast material.
    4. Includes injection of sedation when required.
    5. Repeat within 42 days - refer to Price List.
    Category:M Minor Procedure
    Base rate:$437.31

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    REPTREPTYesReplace Base$214.96
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: