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Assistance at any operation mentioned in an item in Group T8 that includes “(Assist.)” for which the fee does not exceed $636.05 or at a series or combination of operations mentioned in an item in Group T8 that include “(Assist.)” for which the aggregate fee does not exceed $636.05

Fee: $98.30 Benefit: 75% = $73.75 85% = $83.60

(See para TN.9.1, TN.9.2 of explanatory notes to this Category)

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Assistance at any operation mentioned in an item in Group T8 that includes “(Assist.)” for which the fee exceeds $636.05 or at a series or combination of operations mentioned in an item in Group T8 that include “(Assist.)” for which the aggregate fee exceeds $636.05

one fifth of the established fee for the operation or combination of operations

(See para TN.9.1, TN.9.3 of explanatory notes to this Category)

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Assistance at a birth involving Caesarean section

Fee: $142.05 Benefit: 75% = $106.55 85% = $120.75

(See para TN.9.1 of explanatory notes to this Category)

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Assistance at a series or combination of operations that include “(Assist.)” and assistance at a birth involving Caesarean section

one fifth of the established fee for the operation or combination of operations (the fee for item 16520 being the Schedule fee for the Caesarean section component in the calculation of the established fee)

(See para TN.9.1, TN.9.4 of explanatory notes to this Category)

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Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615 and 16627

one fifth of the established fee for the procedure or combination of procedures

(See para TN.4.11, TN.9.1 of explanatory notes to this Category)

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Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42725, 42746, 42749, 42752, 42776 or 42779

Fee: $310.35 Benefit: 75% = $232.80 85% = $263.80

(See para TN.9.1 of explanatory notes to this Category)

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Assistance at cataract and intraocular lens surgery where patient has:

-    total loss of vision, including no potential for central vision, in the fellow eye; or

-    previous significant surgical complication in the fellow eye; or

-    pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre-existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan's syndrome, homocysteinuria or previous blunt trauma causing intraocular damage

Fee: $204.85 Benefit: 75% = $153.65 85% = $174.15

(See para TN.9.1, TN.9.5 of explanatory notes to this Category)

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