Cardiac, Vascular, and Thoracic surgery as described in GR 6.15, re-operation for specific general surgery or ophthalmology procedures, or orthopedic procedures as listed in GR 6.17.1.
| Code: | Description: |
|---|---|
| COMPLT | COMPLETE Explicit Used to indicate a procedure is performed entirely through a previous incision. Applies to both the surgical and anesthetic components of a HSC. |
| NUFRAC | NON UNION OF FRACTURE Explicit Used to indicate the open reduction of a fracture with demonstrated radiographic non-union at least 12 weeks from the date of the initial fracture. Applies only to the surgical component of a HSC. |
| ORREDO | ORTHOPEDIC REDO Explicit Used to indicate redo orthopedic surgery on or relating to the same joint or muscle structure on which the patient has previously had an orthopedic surgical intervention. Applies only to the surgical component of a HSC. Cl as s i f i c at i on: Publ i |
| PART | PARTIAL Explicit Used to indicate part of a procedure is performed through a previous incision. Applies to both the surgical and anesthetic components of a HSC. |
| PDREDO | PODIATRIC SURGERY REDO Explicit Used to indicate redo podiatric surgery on or relating to the same joint or muscle structure on which the patient has previously had a podiatric surgical intervention. Applies only to the surgical component of a HSC. |
| REANE | ANESTHESIA FOR RE-OPERATION Explicit Used to indicate that for specific ophthalmology or general surgery re-operations, a specified rate is paid in addition to the anesthetic benefit payable. Applies only to the anesthetic component of a HSC. |
| REDO1 | FIRST REDO UTILIZING SAME INCISION Explicit Used to indicate the first redo utilizing the same incision (whole or partial) according to GR 6.15.4. Applies only to the surgical component of a HSC. |
| REDO2 | SECOND REDO UTILIZING SAME INCISION Explicit Used to indicate the second redo utilizing the same incision (whole or partial) according to GR 6.15.4. Applies only to the surgical component of a HSC. |
| REDO3 | THIRD REDO UTILIZING SAME INCISION Explicit Used to indicate the third redo utilizing the same incision (whole or partial) according to GR 6.15.4. Applies only to the surgical component of a HSC. |
| REDO4 | FOURTH REDO UTILIZING SAME INCISION Explicit Used to indicate the fourth redo utilizing the same incision (whole or partial) according to GR 6.15.4. Applies only to the surgical component of a HSC. |
| REDO5 | FIFTH REDO UTILIZING SAME INCISION Explicit Used to indicate the fifth redo utilizing the same incision (whole or partial) according to GR 6.15.4. Applies only to the surgical component of a HSC. |
| REOP | RE-OPERATION Explicit Used to indicate that for specific ophthalmology or general surgery re-operations, a specified rate is paid in addition to the procedure benefit payable. Applies only to the surgical component of a HSC. |
