G0135
CRIF of hand, with suture of tendons/nerves, closed/open fracture(s)
32 279,00
G0136
Open reduction of closed dislocation of wrist
22 109,00
G0137
Open reduction of open/complex dislocation of wrist
29 067,00
G0138
Open reduction of dislocation of wrist, with suture of tendons/nerves
38 821,00
G0139
Reattachment of any part of upper extremity
66 025,00
G0140
Open/close reduction of fracture(s) of zygoma/maxilla/mandible, including internal fixation
22 571,00
G0141
Open reduction of fractures of orbit/ Le Fort type 2 or 3 / TMJ fracture with dislocation, with insertion of synthetic implant/bone graft to facial bone
35 051,00
G0142
Open reduction of comminuted fractures of facial bones, with insertion of synthetic implant/bone graft
99 971,00
G0144
ORIF of distal humerus, closed fracture, including bone graft
35 016,00
G0145
ORIF of distal humerus, open fracture
57 600,00
G0146
ORIF/EF of shaft of radius/ulna, closed fracture, including bone graft
19 731,00
G0147
ORIF/EF of shaft of radius/ulna, open fracture
35 349,00
G0148
CRIF of distal humerus/forearm/hand, closed fracture, including bone graft
11 074,00
G0149
CRIF of distal humerus/forearm/hand, open fracture, including complex fracture(s) of hand
22 527,00
G0150
Removal of gastric band
12 131,00
G0151
Sleeve gastrectomy
41 898,00
G0152
Sleeve gastrectomy with removal of gastric band
42 991,00
G0153
Sleeve gastrectomy with repair of diaphragmatic hernia
G0154
Sleeve gastrectomy with total cholecystectomy
44 326,00
G0155
Gastric bypass surgery with removal of gastric band
52 788,00
G0156
Gastric bypass surgery with repair of diaphragmatic hernia
G0157
Gastric bypass surgery with total cholecystectomy
54 031,00
G0158
Laparoscopic ovarian tissue retrieval
6 532,00
G0160
Implantation/replacement/removal of cochlear prosthetic device, excluding device cost
14 657,00
G0161
Repair of cystocele with graft/prosthesis
10 652,00
G0162
Repair of rectocele with graft/prosthesis
G0163
Repair of cystocele and rectocele with graft/prosthesis
17 340,00
G0164
Repair of cystocele with graft/prosthesis and tension free vaging tape for incontinence
15 794,00
G0165
Repair of rectocele with graft/prosthesis and tension free vaging tape for incontinence
G0166
Repair of cystocele and rectocele with graft/prosthesis and tension free vaging tape for incontinence
22 484,00
G0167
Percutaneous insertion of left atrial appendage device, excluding device cost
12 118,00
G0168
Implantation of diaphragmatic pacemaker, excluding device cost
15 654,00
G0169
Pump for spasticity treatment preimplantation assessment, Baclofen
13 032,00
G0175
Open cholecystectomy, partial/complete
15 895,00
G0176
Laparoscopic cholecystectomy, partial/complete
G00A1
Transcatheter placement of an intravascular stent graft, thoracic aorta
166 370,00
G00A2
Hyperbaric chamber treatment of patients injured in diving accidents, up to 8 hours
33 032,00
G00A3
Hyperbaric chamber treatment of patients injured in diving accidents, over 8 hours, and/or using a mixture of gases eg, Heliox
44 805,00
G00A4
Spermatic veins embolization
10 455,00
G00A5
Chemotherapy administration, inpatients, in addition to inpatient day charge
4 134,00
G00A6
Open/closed reduction with internal fixation of fracture of neck of femur or internal fixation only of fracture of neck of femur
25 499,00
G00A8
Insertion of biventricular cardiac pacemaker
51 419,00
G00A9
Insertion of cardiac pacemaker/defibrillator, excluding machine cost
G00B1
Repair of cleft lip
18 272,00
G00B2
Correction of cleft palate (including Push-Back palatoplasty)
G00B3
Revision of cleft palate repair, velopharyngoplasty
G00B4
Repair of cleft lip & limited rhinoplasty, for cleft palate
G00B5
Closure of fistulae of mouth, for cleft palate
12 384,00
G00B6
Bone graft to facial bone, for cleft palate
21 704,00
G00B7
Bone distraction osteogenesis jaw without internal device, for cleft palate
G00B8
Orthognatic surgery, for cleft palate
36 196,00
G00C1
Fallopian tube catheterization, diagnostic or therapeutic
5 615,00
G00C2
Radiofrequency ablation of liver lesion(s) (tumor or metastases)
13 966,00
G00C3
Esophageal dilation and insertion of stent
23 801,00
G00C4
Minimally invasive radioguided parathyroidectomy (MIRP)
5 881,00
G00C5
Local excision of lesion or tissue of bone (i.e. osteoid osteoma), using CT guidance
8 681,00
G00C6
Intra-amniotic injection for late abortion
3 141,00
G00C7
Arthroplasty with prosthetic replacement or implant of total or partial wrist (distal radius, carpocarpal or carpometacarpal joints)
11 691,00
G00C8
Arthroplasty with prosthetic replacement or implant of foot or toe joint
20 262,00
G00D1
Implantation or replacement of artificial urinary sphincter
45 919,00
G00D2
Insertion of skin tissue expander(s), excluding breast
19 499,00
G00D3
Closed (percutaneous) biopsy of brain, stereotactic method including burr holes
14 680,00
G00D4
Orthopedic oncologic surgery, excision of soft tissues
61 200,00
G00D5
Orthopedic oncologic surgery, revision of an artificial joint or implant
194 777,00
G00D6
Orthopedic oncologic surgery, complex amputation or disarticulation
70 458,00
G00D7
Orthopedic oncologic surgery, destructive and reconstructive surgery
174 380,00
G00D8
Thoracic surgery
37 795,00
G00D9
Implantation or replacement of intracranial neurostimulator
132 448,00
G00E1
Intra-arterial administration of chemotherapy or chemoembolization, under angiography
12 042,00
