G0033

Isolated limb perfusion in patient with sarcoma

98 016,00

G0035

Interventional neuroradiology for intracranial aneurysm embolization/occlusion by catheterization, including use of stent, eg, SILK, and coils

86 099,00

G0036

Insertion of intraocular lens, lens included

7 589,00

G0037

Tension free vaging tape for incontinence (TVT)

7 770,00

G0045

Mastectomy, bilateral

23 776,00

G0047

Breast reconstruction, bilateral

26 098,00

G0048

Breast reconstruction following mastectomy, bilateral

45 692,00

G0049

Breast reconstruction following mastectomy, unilateral

27 697,00

G0050

Breast reconstruction, unilateral, including nipple reconstruction

22 960,00

G0051

Mastectomy, unilateral

15 848,00

G0054

Lower extremities veins surgery, including varicose veins

10 718,00

G0055

Blood vessels surgery, including nonautogenous graft

56 044,00

G0057

Lung transplantation

341 603,00

G0058

Heart-lung transplant

478 248,00

G0059

Bone marrow transplantation; allogenic

317 168,00

G0060

Bone marrow transplantation; autologous

208 378,00

G0061

Renal and/or pancreas transplantation

227 736,00

G0062

Heart transplantation

341 603,00

G0063

Liver transplantation

984 369,00

G0064

Corneal surgery, including cost of cornea

19 516,00

G0066

Inguinal/femoral hernia repair, hospital day care

5 196,00

G0067

Craniotomy

63 558,00

G0070

Open prostatectomy

18 011,00

G0072

Heart surgery, including bypass

74 142,00

G0073

Diagnostic catheterization

14 341,00

G0074

Therapeutic catheterization, excluding cardiac catheterization

33 607,00

G0075

Hysterectomy

14 837,00

G0077

Transurethral prostatectomy

11 128,00

G0078

Hospital circumcision, excluding newborn

3 485,00

G0083

Osteotomy of spine, including implants, diskectomy

27 655,00

G0084

Osteotomy of spine, including implants - other surgeries

50 785,00

G0085

Cardiac catheterization, therapeutic, including insertion of drug eluting stent(s)

40 303,00

G0089

Treatment of heavy burns

193 637,00

G0090

Treatment of medium burns

110 645,00

G0096

Laparoscopic gastric banding, excluding band cost

12 131,00

G0100

Additional charge for DRG in multiple trauma, admission from ER

11 480,00

G0101

ORIF/CRIF of pelvis, closed/open fracture

59 900,00

G0102

Arthroplasty with prosthetic replacement/implant of radial head, excluding open fracture

35 016,00

G0103

Arthroplasty with prosthetic replacement/implant of radial head, open fracture

57 600,00

G0104

ORIF of foot, closed fracture, excluding calcaneus

37 856,00

G0105

ORIF of foot, open fracture, excluding calcaneus

57 600,00

G0106

ORIF of calcaneus/operation on femur, excluding neck, closed fracture

30 413,00

G0107

ORIF of calcaneus/operation on femur, excluding neck, open fracture

47 633,00

G0108

Operation on clavicle/humerus/forearm, closed fracture, including closed dislocation of acromioclavicular joint, excluding distal humerus and shaft of radius/ulna, including bone graft

26 050,00

G0109

Operation on clavicle/humerus/forearm, open fracture, including open dislocation of acromioclavicular joint, excluding distal humerus and shaft of radius/ulna

38 792,00

G0110

ORIF/CRIF/EF of tibia and/or fibula, closed fracture

35 125,00

G0111

ORIF/CRIF/EF of tibia and/or fibula, open fracture, including use of bone marrow aspiration concentrate

60 466,00

G0112

ORIF of patella/ankle / CRIF of calcaneus, closed fracture

21 333,00

G0113

ORIF of patella/ankle / CRIF of calcaneus, open fracture

35 349,00

G0114

CRIF of ankle/foot, closed fracture, excluding calcaneus

11 970,00

G0115

CRIF of ankle/foot, open fracture, excluding calcaneus

22 527,00

G0116

Exploration of tendon/nerve of upper limb, including ganglion decompression/lysis of adhesions

7 490,00

G0117

Suture of extensor tendons of hand, including delayed suture

12 642,00

G0118

Suture of tendons/nerves of upper limb, including delayed suture, excluding extensor tendons of hand

21 641,00

G0120

ORIF/EF of phalange of hand, closed fracture, including bone graft

12 909,00

G0121

ORIF/EF of phalange of hand, open/complex fracture

19 122,00

G0122

ORIF/EF of phalange of hand, with suture of tendons/nerves, closed/open fracture

28 874,00

G0123

ORIF/EF of phalanges of hand, closed fractures, including bone graft

18 779,00

G0124

ORIF/EF of phalanges of hand, open/complex fractures

25 467,00

G0125

ORIF/EF of phalanges of hand, with suture of tendons/nerves, closed/open fractures

35 219,00

G0126

ORIF/EF of metacarpal, closed fracture, including bone graft

14 219,00

G0127

ORIF/EF of metacarpal, open/complex fracture

20 539,00

G0128

ORIF/EF of metacarpal, with suture of tendons/nerves, closed/open fracture

30 291,00

G0129

ORIF/EF of metacarpals, closed fractures, including bone graft

22 109,00

G0130

ORIF/EF of metacarpals, open/complex fractures

29 067,00

G0131

ORIF/EF of metacarpals, with suture of tendons/nerves, closed/open fractures

38 821,00

G0132

ORIF of carpal(s), closed fracture, including bone graft

18 817,00

G0133

ORIF of carpal(s), open/complex fracture, including bone graft

25 507,00

G0134

ORIF of carpal(s), with suture of tendons/nerves, closed/open fracture, including bone graft

35 260,00