Fee Navigator

    Health Service Code 95.09A

    Removal of deep foreign body, with or without imaging, full 15 minutes of operating time or major portion thereof for the first call when only one call is claimed

    NOTE:

    Each subsequent 15 minutes, or major portion thereof, is payable at the rate specified on the Price List after the first full 15 minutes has elapsed; a maximum benefit applies.

    Common terms:
    • foreign
    Category:1 Major Procedure (pre-operative period: 0 days, post-operative period: 14 days)
    Base rate:$120.09

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$110.53
    ROLEANESTYesReplace Base$18.39
    ROLESAYesReplace Base$148.05
    ROLESAQSYesReplace Base$50.97
    ROLESSSTYesReplace Base$280.58
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    SAUSAU1For Each Call Pay Base At100%
    SAUSAU2 - 33For Each Call Increase By$37.04
    SAQUSAQU1 - 36For Each Call Pay Base At100%
    CALLM151For Each Call Pay Base At100%
    CALLM152 - 10For Each Call Increase By$35.91
    CALLM15To a Maximum Of$443.28
    TRAYMAJTIncrease By$38.78
    NBTRNBTRYes
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: