Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ANA ACH Anesthesia Awake Intubation ANAWKINTB 10 10 / 10 = 20 30 ACH Anesthesia Block in PACU Pre OR Admission ANABKRR 10 5 / 10 = 15 25 ACH Anesthesia Blood Patch ANABLDPT 10 5 / 5 = 10 20 ACH Anesthesia Epidural Steroid+/-Analgesia Inject SS ANAEPINJ 10 10 / 10 = 20 30 ACH Anesthesia for XRay ANAXRAY 15 10 / 10 = 20 35 ACH Anesthesia Insert Long Line IV<1 Year ANALINE<1 25 15 / 15 = 30 55 ACH Anesthesia Insert Long Line IV>1 Year ANALINE>1 25 15 / 15 = 30 55 ACH Anesthesia Intubate Only OR ANAINTB / = ACH Anesthesia Intubate Only PACU ANAINTBRR 10 5 / 5 = 10 20 ACH Anesthesia Local+/-Regional Block State Type ANABKOR 30 15 / 15 = 30 60 ACH Anesthesia Post Op Readmit to PACU ANARADMRR 10 10 / 10 = 20 30 ACH Anesthesia Pseudocholinesterase Deficiency ANAPSURR 10 10 / 10 = 20 30 ACH Anesthesia Spinal Block ANASPBK 10 10 / 10 = 20 30 ACH Anesthesia Spine Facet Injection ANASPINJ 10 10 / 10 = 20 30 ACH Lumbar Puncture LUPUNC 10 25 / 15 = 40 50 CAR ACH Cardiac Catheterization & Balloon Angioplasty HRCARCBANG 90 20 / 20 = 40 130 ACH Cardiac Catheterization w Full Biopsy HRCARCBX 90 40 / 30 = 70 160 ACH Cardiac Catheterization w Partial Biopsy HRCARCBXP 40 20 / 20 = 40 80 ACH Cardiac Catheterization+/-Valvoplasty HRCARCVL 90 40 / 30 = 70 160 ACH Catheter Insertion Aphoresis CAINAPHP 20 15 / 10 = 25 45 ACH Heart Cardioversion HRCARDVS 15 20 / 15 = 35 50 ACH Heart Echocardiogram HRECHO 10 15 / 15 = 30 40 ACH Heart Echocardiogram Transesophageal HRECHOTE 15 10 / 10 = 20 35 ACH Heart Electrophysiology Study+/-Ablation HREPSA 30 15 / 15 = 30 60 ACH Heart ICD Extract Gen/Lead/Drain Infec+/-Temp Pace HRICEXDRI 120 45 / 30 = 75 195 ACH Heart ICD Insert Dual Chamber HRICDDC / = ACH Heart ICD Insert Dual Chamber Groin Approach HRICDDCGA / = ACH Heart ICD Insert Single Chamber HRICDSC / = ACH Heart ICD Insert Single Chamber Groin Approach HRICDSCGA / = ACH Heart ICD Insert Single Chamber Subcutaneous HRICDSCS / = ACH Heart ICD Insert w CRT HRICDCRT 120 60 / 30 = 90 210 ACH Heart ICD Insert w CRT Endocardial Transeptal HRICDCREND / = ACH Heart ICD Revision Generator Replace w Lead Insert HRICDRVGLD / = ACH Heart ICD Revision Generator Replacement HRICDRVG 45 45 / 10 = 55 100 ACH Heart ICD Revision Lead Extr+/-Replac+/-Gen Replac HRICDRVLG / = ACH Heart ICD Revision Lead Extrac Las wReplac for CRT HRICDRVLZC / = ACH Heart ICD Revision Lead Extract w Replace for CRT HRICDRVLXC 0 0 / 0 = 0 0 ACH Heart ICD Revision Lead Reposition HRICDRVL 45 15 / 10 = 25 70 ACH Heart ICD Revision LV Lead Upgrade CRT+/-Gen Chng HRICDRVCRT 0 0 / 0 = 0 0 ACH Heart Loop Recorder Insertion HRLOOPRI 20 20 / 15 = 35 55 ACH Heart Loop Recorder Removal HRLOOPRR 10 15 / 15 = 30 40 ACH Pacemaker Extraction Gen+/-Lead/Drain Infec+/-Temp HRPMEXDRI 0 0 / 0 = 0 0 ACH Pacemaker Insert Dual Chamber HRPMDC 70 35 / 20 = 55 125 ACH Pacemaker Insert Dual Chamber Groin Approach HRPMDCGA 0 0 / 0 = 0 0

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 1 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Pacemaker Insert Single Chamber HRPMSC 30 20 / 15 = 35 65 ACH Pacemaker Insert Single Chamber Groin Approach HRPMSCGA 0 0 / 0 = 0 0 ACH Pacemaker Insert Temporary HRPMINTP 45 35 / 20 = 55 100 ACH Pacemaker Insert w CRT HRPMCRT 45 15 / 10 = 25 70 ACH Pacemaker Insert w CRT Endocardial Transeptal HRPMCRTEND / = ACH Pacemaker Insert w His Bundle Pacing HRPMHISBP / = ACH Pacemaker Insert/Extraction Leadless HRPMLDLS / = ACH Pacemaker Revision Gen & Lead Upgrade to ICD HRPMRVICD 0 0 / 0 = 0 0 ACH Pacemaker Revision Gen & Lead Upgrade to ICD w CRT HRPMRVICDC 0 0 / 0 = 0 0 ACH Pacemaker Revision Generator Replace w Lead Insert HRPMRVGLEA / = ACH Pacemaker Revision Generator Replacement HRPMRVG 45 20 / 10 = 30 75 ACH Pacemaker Revision Lead Extr Laser wReplac for CRT HRPMRVLZC 0 0 / 0 = 0 0 ACH Pacemaker Revision Lead Extr+/-Replac+/-Gen Replac HRPMRVLG 45 15 / 10 = 25 70 ACH Pacemaker Revision Lead Extrac w Replace for CRT HRPMRVLCRT / = ACH Pacemaker Revision Lead Reposition HRPMRVL 0 0 / 0 = 0 0 ACH Pacemaker Revision LV LeadUpgrade forCRT+/-GenChg HRPMRVCRT 45 15 / 10 = 25 70 ACH Pacemaker/ICD Ext Laser Gen+/-Lead/Drain Inf+/-Tem HRPMICEXLZ 0 0 / 0 = 0 0 ACH Pacemaker/ICD Generator Removal HRPMICDGRE 45 15 / 10 = 25 70 ACH Pacemaker/ICD Pocket Rev+/-Hematoma/Capsu/Scar Rev HRPMICDPK 0 0 / 0 = 0 0 ACH Thoracotomy Heart Epicardial Lead Insertion THOEPCARLI / = COH ACH Aorta Ascend Arch Repl Endo Thor AA Stent+/-Hybrid HRAOARENDH / = ACH Aorta Coarctation w Graft HRCOAOGF / = ACH Aortic Coarctation Repair w/o Graft HRCOAORP / = ACH Aortic Root Dissection+/-Graft HRAORTGF / = ACH CABG Multiple Primary HRCABGMP / = ACH CABG Multiple Primary w Ablation RF HRCABGMPRF / = ACH CABG Multiple Redo HRCABGMR / = ACH CABG w Aortic Root Repair/Repl HRCABGARR / = ACH CABG w Aortic Root Repair/Repl Redo HRCABGARTR / = ACH CABG w Ascending Hemiarch Replace HRCABASHR / = ACH CABG w Valve Aortic Pulmonary Replace HRVLPUBY / = ACH CABG w Valve Repair/Repl Aortic HRCABGVA / = ACH CABG w Valve Repair/Repl Aortic Ablation RF HRCABGVARF / = ACH CABG w Valve Repair/Repl Aortic Mitral+/-Tric Redo HRCABGVRR / = ACH CABG w Valve Repair/Repl Aortic Mitral+/-Tricusp HRCABGVR / = ACH CABG w Valve Repair/Repl Aortic Redo HRCABGVARR / = ACH CABG w Valve Repair/Repl Mitral Ablation RF HRCABGVMRF / = ACH CABG w Valve Repair/Repl Mitral+/-Tricuspid HRCABGVMTR / = ACH CABG w Valve Repair/Repl Mitral+/-Tricuspid Redo HRCABGVMRR / = ACH Cardiopulmonary Bypass for Hypothermia HRBYHYPO / = ACH ECMO HRBYECMO / = ACH ECMO Line Repositioning HRBYECMOLR 50 10 / 10 = 20 70 ACH Heart Aneurysm Repair Bypass HRANRPBY / = ACH Heart Aortic Valve Implant Transcath Apical TAVI HRTAVIA / = ACH Heart Aortic Valve Implant Transcath Axillary TAVI HRTAVIAX / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 2 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Heart Aortic Valve Implant Transcath Direct TAVI HRTAVID / = ACH Heart Aortic Valve Implant Transcath Femoral TAVI HRTAVIF / = ACH Heart Atrial Septal Defect Repair Bypass HRASDRPBY / = ACH Heart Heartmate Insertion HRHMTIN / = ACH Heart Impella Insertion HRIMPELLIN 0 0 / 0 = 0 0 ACH Heart Patent Ductus Arteriosis HRPDAN 90 30 / 20 = 50 140 ACH Heart Pericardial Centesis HRPRICNP 30 20 / 10 = 30 60 ACH Heart Tumour Excision w Bypass HRTUEX / = ACH Heart Ventral Septal Defect Repair Bypass HRVENSDRP / = ACH Heart Ventricular Assist Device Insertion HRVADIN / = ACH Heart Ventricular Assist Device Insertion MIS HRVADINMIS / = ACH Heart Ventricular Assist Device Removal HRVADRM / = ACH Post Open Heart Reopen Bleed HRPSOHRBL / = ACH Post Open Heart Reopen Low Flow HRPSOHRLF / = ACH Post Open Heart Sternal Closure HRPSOHSCL / = ACH Post Open Heart Sternal Plating HRPSOHSFX / = ACH Pulmonary Embolectomy w Bypass HRPUEMBBY / = ACH Sternal Debridement Post Open Heart STDBPSOH 45 60 / 20 = 80 125 ACH Sternal Rewiring STREWIR 30 30 / 30 = 60 90 ACH Sternal Wire Removal STWIRRM 15 30 / 10 = 40 55 ACH Sternotomy Pericardectomy STPCEC 120 75 / 30 = 105 225 ACH Thoracic Aneurysm Dissection+/-Replace w Bypass HRTXANBY / = ACH Thoracoabdominal Aortic Aneurysm Repair w Bypass HRTAARBY / = ACH Valve Aortic & Ascending Hemiarch Replacement HRVLASHEMR / = ACH Valve Aortic & Mitral Repair/ Replace+/-Tricuspid HRVLAMRRT / = ACH Valve Aortic & Mitral Repair/Replace+/-Tricus Redo HRVLAMRTR 195 75 / 30 = 105 300 ACH Valve Aortic Repl Ross Proc+/-Allograft+/-Homograf HRVLARPAH / = ACH Valve Aortic Replacement Hemisternotomy HRVLAOHST / = ACH Valve Aortic Replacement Primary Ablation RF HRVLAORF / = ACH Valve Aortic Replacement Primary Prosthesis HRVLAOPR / = ACH Valve Aortic Replacement Primary Tissue HRVLAOTS / = ACH Valve Aortic Replacement Redo Prosthesis HRVLAOPRRD / = ACH Valve Aortic Replacement Redo Tissue HRVLAOTSRD / = ACH Valve Aortic Replacement Thoracotomy HRVLAOTHO / = ACH Valve Aortic Replacement w Homograft HRVLAOHG / = ACH Valve Aortic Sparing Aortic Root Replacement HRVLASARR / = ACH Valve Mitral Clip Repair HRVLMICPR / = ACH Valve Mitral Commissurotomy HRVLMICOM / = ACH Valve Mitral Repair HRVLMIRP / = ACH Valve Mitral Repair/Replace+/-Tricuspid HRVLMIRRT / = ACH Valve Mitral Repair/Replace+/-Tricuspid Redo HRVLMIRRTR / = ACH Valve Mitral Replacement Minimally Invasive MIVS HRVLMRMI / = ACH Valve Mitral Replacement Primary Ablation RF HRVLMIRF / = ACH Valve Mitral Replacement Primary Prosthesis HRVLMIPR / = ACH Valve Mitral Replacement Primary Tissue HRVLMITS / = ACH Valve Mitral Replacement Redo Prosthesis HRVLMIPRRD / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 3 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Valve Mitral Replacement Redo Tissue HRVLMITSRD / = ACH Valve Pulmonary Replacement Primary Prosthesis HRVLPUPR / = ACH Valve Pulmonary Replacement Primary Tissue HRVLPUTS / = ACH Valve Pulmonary Replacement Redo Prosth HRVLPUPRRD / = ACH Valve Pulmonary Replacement Redo Tissue HRVLPUTSRD / = ACH Valve Replacement Bentall Prosthesis HRVLBENT / = ACH Valve Replacement Bentall Redo HRVLBENTRD / = ACH Valve Tricuspid Repair HRVLTRRP / = ACH Valve Tricuspid Replacement Primary Tissue HRVLTRTS / = ACH Valve Tricuspid Replacement Prosthesis HRVLTRPR / = ACH Valve Tricuspid Replacement Redo Prosthesis HRVLTRPRRD / = ACH Valve Tricuspid Replacement Redo Tissue HRVLTRTSRD / = ENT ACH Adenoidectomy ADNEC 15 15 / 10 = 25 40 ACH Adenoidectomy M&T ADNMT 15 15 / 10 = 25 40 ACH Adenoidectomy SMDT ADNSMDT 15 15 / 10 = 25 40 ACH Auditory Brain Stem Response ABSR 0 0 / 0 = 0 0 ACH Cranial Middle Fossa Dehiscence SemiCircular Canal CRMFDSCC / = ACH Cranial Orbital Sinus & Maxilla Explor/Excis/Recon CRORBSINMX 540 90 / 45 = 135 675 ACH Cranial Orbital Sinus Tumour Explor/Excision/Recon CRORBSIN 390 60 / 30 = 90 480 ACH Cystic Hygroma Excision CYHYGEX 180 20 / 10 = 30 210 ACH Ear Baha Implant Revision EARBAHAREV 30 10 / 10 = 20 50 ACH Ear Baha Implant Single Stage Attract EARBAHAATT 90 20 / 20 = 40 130 ACH Ear Baha Implant Single Stage Attract Bil EARBAHAATB 20 20 / 180 = 200 220 ACH Ear Baha Implant Single Stage Dermalock EARBAHADER / = ACH Ear Baha Implant Stage 1+/-Graft EARBAHAIM1 90 30 / 20 = 50 140 ACH Ear Baha Implant Stage 2 EARBAHAIM2 60 30 / 20 = 50 110 ACH Ear Bone Conduction Hearing Aide Ponto Implant MIS EARBCPONTO 30 20 / 20 = 40 70 ACH Ear Canal Exostosis Exc+/-Recon Splt Thk Skin Grft EARCANEXOX 120 15 / 15 = 30 150 ACH Ear Canal Tumor Exc w/Recon Splt Thk Skin Grft EARCANTUMX / = ACH Ear Cochlear Implant EARCOCIM 125 30 / 20 = 50 175 ACH Ear Cochlear Implant Bilateral EARCOCIMB 200 30 / 20 = 50 250 ACH Ear Cochlear Implant Rev+/-Rem+/-Replacement EARCIRMRPR 60 15 / 10 = 25 85 ACH Ear Cochlear Implant Revision EARCOCIMRV 60 15 / 10 = 25 85 ACH Ear EUA +/-Debridement EAREUA 10 10 / 10 = 20 30 ACH Ear Foreign Body Removal EARFBRM 10 10 / 10 = 20 30 ACH Ear Mastoidectomy EARMAS 90 30 / 30 = 60 150 ACH Ear Mastoidectomy Tumor Resection w Image Guidance EARMTRIMG 0 0 / 0 = 0 0 ACH Ear Meatal Atresia Correction EARMACORR 15 15 / 15 = 30 45 ACH Ear Myringoplasty EARMYPTY 10 10 / 10 = 20 30 ACH Ear Myringotomy+/-Tube Insertion EARMYTBIN 10 10 / 10 = 20 30 ACH Ear Myringotomy+/-Tube Insertion Bilateral EARMYTBINB 10 10 / 10 = 20 30 ACH Ear Myringotomy+/-Tube Insertion w ABR EARMYTBABR 30 10 / 10 = 20 50 ACH Ear Ossiculoplasty EAROSS 60 20 / 20 = 40 100 ACH Ear Ossiculoplasty Revision EAROSSRV 50 20 / 20 = 40 90 ACH Ear Ossiculoplasty w Tympanomastoidectomy EAROSSTYM 100 20 / 20 = 40 140

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 4 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Ear Ossiculoplasty w Tympanoplasty EAROSSTYP 100 20 / 20 = 40 140 ACH Ear Ossiculoplasty with Tympanoplasty Revision EAROSSTYRV 90 20 / 20 = 40 130 ACH Ear Preauricular Sinus+/-Cyst Excision EARPSICYEX 60 20 / 15 = 35 95 ACH Ear Stapedectomy EARSTAPD 75 20 / 20 = 40 115 ACH Ear Stapedotomy EARSTAPO / = ACH Ear Stapedotomy Laser CO2 EARSTOLZC 50 20 / 20 = 40 90 ACH Ear Stapedotomy Revision EARSTAPORV / = ACH Ear Stapedotomy Revision Laser CO2 EARSTORLZC 45 30 / 15 = 45 90 ACH Ear Transcanal Glomus Tumour Excision EARTCGTEX / = ACH Ear Tympanomastoidectomy EARTYMSEC 120 20 / 15 = 35 155 ACH Ear Tympanomastoidectomy 2nd Look EARTYM2L 60 20 / 20 = 40 100 ACH Ear Tympanomastoidectomy Revision EARTYMSECR 60 20 / 20 = 40 100 ACH Ear Tympanoplasty Endaural EARTYPYE / = ACH Ear Tympanoplasty Post Auricular EARTYPYPA 60 20 / 15 = 35 95 ACH Ear Tympanoplasty Transcanal EARTYPTYTC 30 15 / 15 = 30 60 ACH Ear Tympanoplasty w Synthetic Graft EARTYPDC 30 15 / 15 = 30 60 ACH Ear Tympanoplasty+/-Graft EARTYPTY 60 20 / 15 = 35 95 ACH Ear Tympanoplasty+/-Graft Bilateral EARTYPTYB 90 20 / 15 = 35 125 ACH Liposuction w/Vocal Fold Fat Injection LPOVFFINJ / = ACH Mandibulectomy Hemi MNECHEMI 360 75 / 30 = 105 465 ACH Mandibulectomy Marginal MNECMARG / = ACH Maxillectomy Infrastructure w Obturator Mold MXIWOM / = ACH Maxillectomy Orbital Excision Reconstruction MXECORBEXE 240 45 / 20 = 65 305 ACH Mouth/Oral Buccal Tissue Excision+/-Skin Graft MOBCCTUEXG 20 20 / 10 = 30 50 ACH Mouth/Oral Lesion Laser CO2 MOLELZC 30 20 / 20 = 40 70 ACH Mouth/Oral Ranula Excision MORANEX 45 30 / 15 = 45 90 ACH Mouth/Oral Tongue Lesion Excision Laser YAG MOTGLELZY 30 20 / 20 = 40 70 ACH Neck Biopsy+/-I&D NKBX 30 30 / 15 = 45 75 ACH Neck Branchial Cleft Cyst+/-Sinus Excision NKBRACCYEX 60 15 / 20 = 35 95 ACH Neck Chondroplasty Thyroid Cartilage Laser CO2 NKRCTCL / = ACH Neck Dissect Laryn Pharyngectomy+/-Trach Jej Flap NKDISLPTFJ 0 0 / 0 = 0 0 ACH Neck Dissect Laryngectomy w TEP+/-Thyroidectomy NKDISLTT / = ACH Neck Dissect Laryngectomy w TEP+/-Thyroidectomy Bi NKDISLTTB / = ACH Neck Dissect Mandible Glossectomy+/-Trach Fr Flap NKDISMGTFR 720 60 / 30 = 90 810 ACH Neck Dissect Mandible Tongue & Reconstruction NKDISMNTG 600 45 / 30 = 75 675 ACH Neck Dissect Mandible+/-Tracheostomy NKDISMNTR 720 45 / 30 = 75 795 ACH Neck Dissect Minor NKDISMI 120 60 / 30 = 90 210 ACH Neck Dissect Radical NKDISRAD 180 60 / 30 = 90 270 ACH Neck Dissect w/Transoral Excision Tongue Laser C02 NKDISTGCO2 / = ACH Neck Dissect w/Transoral Excision Tonsil Laser CO2 NKDISTLCO2 / = ACH Neck Hyoid Myotomy w Airway Reconst Stage 1 NKHYMYARS1 / = ACH Neck Laryngectomy w TEP+/-Thyroidectomy NKLGTT 240 60 / 30 = 90 330 ACH Neck Parathyroidectomy Unilateral Image Directed NKPTHUID / = ACH Neck Parotidectomy Limited NKPARTECL 0 0 / 0 = 0 0 ACH Neck Parotidectomy Partial/Lobectomy NKPARTECS 150 45 / 30 = 75 225 ACH Neck Parotidectomy Total NKPARTEC 150 45 / 30 = 75 225

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 5 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Neck Parotidectomy w Lymph Node Dissection NKPARLYNDS / = ACH Neck Submandibular Gland Excision NKSMGLEX 60 30 / 20 = 50 110 ACH Neck Thyroglossal Duct Cyst Excision NKTHGLCYEX 60 20 / 20 = 40 100 ACH Neck Thyroplasty NKTHYPTY 90 30 / 15 = 45 135 ACH Neck Tracheal Reconstruction+/-Bone Graft NKTRRCN 150 45 / 30 = 75 225 ACH Neck Tracheoesophageal Puncture NKTREPUNC 25 15 / 10 = 25 50 ACH Neck Tracheostomy NKTRC 30 30 / 20 = 50 80 ACH Neck Tracheostomy Closure NKTRCCL 40 20 / 20 = 40 80 ACH Neck Tracheostomy Revision+/-Stenosis Repair NKTRCRVSRP 30 30 / 10 = 40 70 ACH Neck Tracheostomy Tube Change NKTRCTC 15 10 / 10 = 20 35 ACH Needle Aspiration Fine SS NLASP 5 15 / 15 = 30 35 ACH Nose Antrostomy Caldwell Luc NSANTCLDLU 60 30 / 20 = 50 110 ACH Nose Choanal Atresia Repair NSCHATRP 65 30 / 30 = 60 125 ACH Nose Control Bleed Endoscopic NSCBENS 30 20 / 15 = 35 65 ACH Nose Foreign Body Removal NSFBRM 5 15 / 10 = 25 30 ACH Nose Lesion+/-Papilloma Excision Laser CO2 NSLEPLLZC 20 30 / 10 = 40 60 ACH Nose Nasopharyngeal Endoscopy Fiberoptic NSNPGENSFO 15 15 / 10 = 25 40 ACH Nose Nasopharyngeal EUA+/-Biopsy NSNPGEUABX 15 30 / 15 = 45 60 ACH Nose Open Reduction NSORIF 30 30 / 20 = 50 80 ACH Nose Packing Insert NSPKIN 15 30 / 15 = 45 60 ACH Nose Reduction Closed NSRDNCL 10 20 / 10 = 30 40 ACH Nose Rhinoplasty w Ear Graft NSRHPTYGF 40 30 / 15 = 45 85 ACH Nose Rhinoplasty+/-Tip NSRHPTY 30 20 / 15 = 35 65 ACH Nose Rhinotomy NSRHOMY 30 30 / 10 = 40 70 ACH Nose Septal Perforation Closure+/-Septal Button NSSEPCL 30 30 / 10 = 40 70 ACH Nose Septoplasty/SMR & Tonsillectomy NSSEPTYTNS 45 30 / 10 = 40 85 ACH Nose Septoplasty/SMR w Pyriformoplasty NSSEPTYPYR 30 20 / 15 = 35 65 ACH Nose Septoplasty/SMR w UPP+/-Tonsillectomy NSSEPTYU3P 30 30 / 10 = 40 70 ACH Nose Septoplasty/SMR+/-SMDT NSSEPTYSMD 30 30 / 10 = 40 70 ACH Nose Septorhinoplasty OpenwNoseSinFuncEndoImagGuid NSSEPOFEIM / = ACH Nose Septorhinoplasty/Sinus Functional Endo NSSPTYAEPT 20 30 / 10 = 40 60 ACH Nose Septorhinoplasty/SMR Open NSSEPRHPTO 60 30 / 20 = 50 110 ACH Nose Septorhinoplasty/SMR w Bone Graft Calvariel NSSEPRBGC 0 0 / 0 = 0 0 ACH Nose Septorhinoplasty/SMR+/-SMDT NSSEPRHPTY 45 30 / 20 = 50 95 ACH Nose Septum Cauterization SMD+/-SMDT NSSEPCUSMD 10 10 / 10 = 20 30 ACH Nose Sinoscopy Eustacian Tuboplasty NSSIEUST 0 0 / 0 = 0 0 ACH Nose Sinoscopy+/- Nasal Debridement NSSISCNDB 30 15 / 15 = 30 60 ACH Nose Sinoscopy+/-Nasal Cautery NSSISC 10 10 / 10 = 20 30 ACH Nose Sinoscopy+/-Tonsillectomy+/-Adenoidectomy NSSITNSADN 15 15 / 10 = 25 40 ACH Nose Sinus Ant+/-Ethm+/-Spen+/-Sept w Image Guide NSSIAESIMG / = ACH Nose Sinus Functional Endo w Image Guide+/-SMR NSSINFEIS 90 30 / 30 = 60 150 ACH Nose Sinus Functional Endo w Image Guide+/-SMR Bil NSSINFEISB 180 30 / 20 = 50 230 ACH Nose Sinus Functional Endo+/- SMR Bil NSSINFESSB 60 20 / 15 = 35 95 ACH Nose Sinus Functional Endo+/-SMR NSSINFESS 60 20 / 15 = 35 95 ACH Nose Sinus+/-Ant+/-Ethmoid+/-Polyp+/-Turb+/-Sphen NSSIBINEAP 45 30 / 20 = 50 95 ACH Nose Turbinoplasty Bil NSTURBB 20 20 / 15 = 35 55

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 6 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Sinus & Orbital Exploration+/-Excision SINORBEXPX 45 30 / 20 = 50 95 ACH Throat Bronchoscopy Rigid Laser CO2 THRBSRLZC 30 20 / 20 = 40 70 ACH Throat Bronchoscopy Rigid Laser YAG THRBSRLZY 15 30 / 20 = 50 65 ACH Throat Bronchoscopy Rigid/Laryngoscopy Suspension THRBSRLGS 10 10 / 10 = 20 30 ACH Throat Bronchoscopy Rigid+/-FB Removal THRBSRFBRM 30 20 / 15 = 35 65 ACH Throat Endoscopy Upper Foreign Body Removal THRENFBRM 20 30 / 10 = 40 60 ACH Throat Endoscopy Zenkers Diverticulum THRENSCZDV 30 30 / 20 = 50 80 ACH Throat Endoscopy Zenkers Diverticulum Laser CO2 THRENSCZDC / = ACH Throat Excision Nasopharyngeal Tumour THRNSPGTU 60 45 / 20 = 65 125 ACH Throat Laryngoscopy Esophgscpy+/-Ballon Dilat+/-Bx THRLGEGBDB 30 25 / 20 = 45 75 ACH Throat Laryngoscopy Laser CO2 THRLGSLZC 25 25 / 15 = 40 65 ACH Throat Laryngoscopy Laser CO2 Arytenoid+/-Stit Lat THRLGSLZAL 35 25 / 15 = 40 75 ACH Throat Laryngoscopy Micro Suspension+/-Biopsy THRLGSMIS 10 10 / 10 = 20 30 ACH Throat Laryngoscopy Subglot Sten Dil THRLGSMSD 10 10 / 10 = 20 30 ACH Throat Laryngoscopy Subglot Sten Dil Laser CO2 THRLGSMSDC 10 10 / 10 = 20 30 ACH Throat Laryngoscopy T-Tube Insert+/-Rev THRLGSTT 0 0 / 0 = 0 0 ACH Throat Pan Quadroscopy THRENSCQUA 60 30 / 30 = 60 120 ACH Throat Pan Quadroscopy w Tonsillectomy THRENSCQUT / = ACH Throat Tracheoesophageal Fistula Repair Endoscopic THRTEFREN 45 15 / 15 = 30 75 ACH Throat Transnasal Esophagoscopy +/- Balloon Dilat THRTRNEGBD 30 20 / 20 = 40 70 ACH Throat UPP w Uvular FlapTonsillect Part Glossectom THRU3PFTPG 125 30 / 20 = 50 175 ACH Throat UPP+/-Tonsil+/-Adenoidectomy THRU3P 30 30 / 20 = 50 80 ACH Throat Uvulopharyngoplasty Laser CO2 THRU3PLZC 30 30 / 20 = 50 80 ACH Tongue Biopsy TGBX 30 30 / 20 = 50 80 ACH Tongue Excision Laser CO2 TGRELZC 10 20 / 10 = 30 40 ACH Tongue Glossectomy TGGLEC 120 30 / 30 = 60 180 ACH Tongue Glossectomy Hemi TGGLECH 75 30 / 30 = 60 135 ACH Tongue Wedge Excision TGWDGRS 30 30 / 20 = 50 80 ACH Tonsil Abscess Drainage TNSABSID 5 15 / 10 = 25 30 ACH Tonsil Post Op Hemmorhage Arrest TNSBLDAR 30 15 / 10 = 25 55 ACH Tonsillectomy TNSEC 15 15 / 10 = 25 40 ACH Tonsillectomy & Adenoidectomy TNSADNEC 15 15 / 10 = 25 40 ACH Tonsillectomy & Adenoidectomy & M&T TNSADMMT 15 15 / 10 = 25 40 ACH Tonsillectomy & Adenoidectomy & M&T Bil TNSADMMTB 15 15 / 10 = 25 40 ACH Tonsillectomy & Adenoidectomy Ear EUA Bilateral TNSADEARB 15 15 / 10 = 25 40 ACH Tonsillectomy & Adenoidectomy w Pharyngoplasty TNSADNPHA 15 15 / 10 = 25 40 ACH Tonsillectomy & Adenoidectomy+/-BSMDT TNSADBSMDT 15 15 / 10 = 25 40 ACH Tonsillectomy+/- Pharyngoplasty TNSPHAR 20 20 / 15 = 35 55 ACH Vocal Cord Injection/Augmentation State Type VOCINJ 15 20 / 10 = 30 45 ACH Voice Box Insert Artificial Blom Singer VBOXINBLOM 0 0 / 0 = 0 0 GEN ACH Abdominal Wall Mass Excision ABDWLMSEX 30 15 / 15 = 30 60 ACH Abdominal Wound Closure ABDWDCL 45 20 / 15 = 35 80 ACH Axilla Exploration AXEXP 30 20 / 10 = 30 60 ACH Axilla Node Biopsy AXNDBX 30 20 / 10 = 30 60 ACH Axilla Node Dissection AXNDDIS 45 20 / 10 = 30 75

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 7 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Axilla Node Dissection Sentinel AXNDDISL 60 30 / 15 = 45 105 ACH Bone Marrow Aspirate+/-Biopsy BNMRASPBX 15 15 / 15 = 30 45 ACH Breast Biopsy+/-Needle Loc BRBXNLOC 20 10 / 10 = 20 40 ACH Breast Biopsy+/-Needle Loc Bilateral BRBXNLOCB 45 30 / 15 = 45 90 ACH Breast Biopsy+/-Needle Loc Seg/Lump BRBXNLSG 30 30 / 15 = 45 75 ACH Breast Biopsy+/-Needle Loc Seg/Lump Ax Nodes BRBXNLSGND 60 30 / 15 = 45 105 ACH Breast I&D BRID 0 0 / 0 = 0 0 ACH Breast Mastectomy Prophylactic BRMP 90 20 / 10 = 30 120 ACH Breast Mastectomy Prophylactic Bilateral BRMPB 160 45 / 20 = 65 225 ACH Breast Mastectomy Seg/Lump BRMSG 30 30 / 15 = 45 75 ACH Breast Mastectomy Seg/Lump Ax Nodes BRMSGND 75 30 / 15 = 45 120 ACH Breast Mastectomy Seg/Lump Ax Nodes Bil BRMSGNDB 75 30 / 15 = 45 120 ACH Breast Mastectomy Seg/Lump Bil BRMSGB 0 0 / 0 = 0 0 ACH Breast Mastectomy Seg/Lump Sent w Ax Nodes BRMSGNDS 0 0 / 0 = 0 0 ACH Breast Mastectomy Seg/Lump Sent/Need Loc/Ax No Bil BRMSGNDSNB / = ACH Breast Mastectomy Seg/Lump Sent+/-Ax Nodes Bil BRMSGNDSB 0 0 / 0 = 0 0 ACH Breast Mastectomy Seg/Lump Sent+/-Need Loc+/-Ax No BRMSGNDSNL 0 0 / 0 = 0 0 ACH Breast Mastectomy Seg/Lump w Sentinel Nodes BRMSGSND / = ACH Breast Mastectomy Seg/Lump+/-Needle Loc BRMSGNL 0 0 / 0 = 0 0 ACH Breast Mastectomy Total BRMTL 75 20 / 10 = 30 105 ACH Breast Mastectomy Total Ax Nodes BRMTLND 90 30 / 15 = 45 135 ACH Breast Mastectomy Total Ax Nodes Bilateral BRMTLNDB 90 45 / 15 = 60 150 ACH Breast Mastectomy Total Bilateral BRMTLB 120 20 / 10 = 30 150 ACH Breast Mastectomy Total Sent+/-Ax Nodes BRMTLNDS 0 0 / 0 = 0 0 ACH Breast Mastectomy Total Sent+/-Ax Nodes Bilateral BRMTLNDSB 90 45 / 15 = 60 150 ACH Catheter Broviac Insertion CABROVIN 30 20 / 10 = 30 60 ACH Catheter Broviac Removal CABROVRM 15 25 / 10 = 35 50 ACH Catheter Central Line Removal CACLNRM 5 10 / 10 = 20 25 ACH Catheter Central Line+/-Venous Insert+/-PICC CACVLNIN 20 10 / 10 = 20 40 ACH Catheter Chemoport/IVAD Insertion CACHEIVDIN 45 30 / 20 = 50 95 ACH Catheter Chemoport/IVAD Removal CACHEMRM 15 20 / 10 = 30 45 ACH Catheter Insert State Type CAIN 30 25 / 10 = 35 65 ACH Catheter Removal State Type CARM 5 15 / 10 = 25 30 ACH Cecostomy Tube Change CECTBC 30 15 / 15 = 30 60 ACH Cyst Lipoma+/-Adenoma+/-Fibroma Excision State Typ CYLIPEX 30 15 / 10 = 25 55 ACH Cyst+/-Abscess I&D SS CYIDABC 20 25 / 10 = 35 55 ACH Cyst+/-Mole+/-Nevus Excision SS CYMLNVEX 15 20 / 15 = 35 50 ACH Dressing Change+/-VAC SS DRSCHVAC 45 30 / 20 = 50 95 ACH Endoscopic Adrenalectomy Posterior ENSADREP / = ACH Endoscopic Adrenalectomy Posterior Bilateral ENSADREPB / = ACH Esophageal Cervical Repair Open ESCRPOPN 150 45 / 20 = 65 215 ACH Esophagogastrectomy+/-Thoracotomy ESGSTHO 300 45 / 20 = 65 365 ACH EUA SS EUA 10 20 / 15 = 35 45 ACH Foreign Body Removal SS FBRM 25 20 / 20 = 40 65 ACH Gastric Neurostimulator IPG Insertion GASNSIPGIN / = ACH Gastric Neurostimulator IPG Replacement GASNSIPGR / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 8 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Gastroscopy GSSCFLX 20 15 / 10 = 25 45 ACH Gastroscopy PEG GSSCPEGIN 30 30 / 10 = 40 70 ACH Gastroscopy Tube Change+/-Removal GSSTBCNG 30 25 / 10 = 35 65 ACH Hemorrhoidectomy HMMRHEC 30 45 / 20 = 65 95 ACH Hernia Abdominal Incisional Repair HERABDINRP 90 20 / 10 = 30 120 ACH Hernia Epigastric and Umbilical Repair HEREPUMRP 35 25 / 10 = 35 70 ACH Hernia Epigastric Repair HEREPRP 25 25 / 10 = 35 60 ACH Hernia Inguinal/Femoral Incarcerated Repair HERINFEIRP 40 20 / 10 = 30 70 ACH Hernia Inguinal/Femoral Recurrent Repair HERINFERRP 40 25 / 10 = 35 75 ACH Hernia Inguinal/Femoral Repair HERINFERP 30 25 / 10 = 35 65 ACH Hernia Inguinal/Femoral Repair Bilateral HERINFERPB 60 30 / 15 = 45 105 ACH Hernia Inguinal/Femoral w Hydrocele Repair HERINFEHRP 30 30 / 15 = 45 75 ACH Hernia Inguinal/Femoral w Hydrocele Repair Bil HERINFEHRB 60 30 / 15 = 45 105 ACH Hernia Mesh Removal HERMSRM 30 25 / 10 = 35 65 ACH Hernia Omphalocele Repair HEROMPRP 60 40 / 30 = 70 130 ACH Hernia Parastomal Repair HERPSRP 45 30 / 15 = 45 90 ACH Hernia Spigelian Repair HERSPGRP 30 30 / 15 = 45 75 ACH Hernia Umbilical Repair HERUMRP 30 20 / 15 = 35 65 ACH Hernia Ventral Repair HERVENRP 60 20 / 15 = 35 95 ACH Inguinal Explore+/-Exc+/-Biop Sentinel Node INGEXBXNDS 30 20 / 10 = 30 60 ACH Inguinal Explore+/-Excision+/-Biopsy INGEXBX 30 20 / 15 = 35 65 ACH Laparoscopy Abdominal Irrigation/Washout LSCABDIXO / = ACH Laparoscopy Adrenalectomy LSCADRE 90 45 / 20 = 65 155 ACH Laparoscopy Adrenalectomy Bilateral LSCADREB 360 60 / 30 = 90 450 ACH Laparoscopy Appendectomy LSCAPPY 45 30 / 10 = 40 85 ACH Laparoscopy Assist Abd Intraperitoneal Chemo Heat LSCAABDIPC / = ACH Laparoscopy Assisted Hernia Incisional Repair LSCHERINRP / = ACH Laparoscopy Bowel Colon Decompression LSCBWCOLDP / = ACH Laparoscopy Bowel Colostomy Creation LSCBWCOLCR 120 45 / 15 = 60 180 ACH Laparoscopy Bowel Excision Abdominal Perineal LSCBWABP 240 60 / 45 = 105 345 ACH Laparoscopy Bowel Excision Anterior LSCBWA 120 45 / 20 = 65 185 ACH Laparoscopy Bowel Excision Anterior w Ostomy LSCBWAOST 220 45 / 20 = 65 285 ACH Laparoscopy Bowel Excision Cecectomy LSCBWCECE 45 40 / 15 = 55 100 ACH Laparoscopy Bowel Excision Cecostomy LSCBWCEC 130 45 / 15 = 60 190 ACH Laparoscopy Bowel Excision Colectomy Hemi Left LSCBWCOLHL 180 45 / 15 = 60 240 ACH Laparoscopy Bowel Excision Colectomy Hemi Right LSCBWCOLHR 150 45 / 15 = 60 210 ACH Laparoscopy Bowel Excision Colectomy Total LSCBWCOLTL 120 45 / 15 = 60 180 ACH Laparoscopy Bowel Excision Colostomy LSCBWCOL 90 45 / 15 = 60 150 ACH Laparoscopy Bowel Excision Colostomy Closure LSCBWCOLC 120 45 / 15 = 60 180 ACH Laparoscopy Bowel Excision Ileoanal Pouch LSCBWILAP 200 60 / 30 = 90 290 ACH Laparoscopy Bowel Excision Ileoceccal LSCBWILCE 120 45 / 15 = 60 180 ACH Laparoscopy Bowel Excision Ileocolectomy LSCBWILCO 120 45 / 15 = 60 180 ACH Laparoscopy Bowel Excision Ileostomy LSCBWILO 120 45 / 15 = 60 180 ACH Laparoscopy Bowel Excision Ileostomy Closure LSCBWILOC 90 45 / 15 = 60 150 ACH Laparoscopy Bowel Excision Proctectomy LSCBWPRO 0 0 / 0 = 0 0 ACH Laparoscopy Bowel Excision Proctocolectomy LSCBWPCO 150 60 / 30 = 90 240

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 9 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparoscopy Bowel Excision Proctocolectomy Restor LSCBWPCOR 240 60 / 30 = 90 330 ACH Laparoscopy Bowel Excision Small LSCBWSM 120 45 / 15 = 60 180 ACH Laparoscopy Bowel Ileostomy Creation LSCBWILOCR 60 45 / 30 = 75 135 ACH Laparoscopy Bowel Perforation Repair LSCBWPRFRP 120 45 / 45 = 90 210 ACH Laparoscopy Bowel Pullthrough LSCBWPLTHR 240 45 / 15 = 60 300 ACH Laparoscopy Bowel Rectopexy LSCPYRPXY 90 45 / 20 = 65 155 ACH Laparoscopy Cardiomyotomy/Heller Myotomy LSCCARDMY 120 60 / 30 = 90 210 ACH Laparoscopy Cholangiopancreatograghy Retrograde LSCCHOPGR / = ACH Laparoscopy Cholecystectomy LSCCHO 45 20 / 10 = 30 75 ACH Laparoscopy Cholecystectomy & ECBD LSCCHOECB 60 30 / 10 = 40 100 ACH Laparoscopy Cholecystectomy Cholangiogram LSCCHOGM 45 30 / 10 = 40 85 ACH Laparoscopy Cholecystectomy Cholangiogram w ECBD LSCCHOGMEC 95 30 / 10 = 40 135 ACH Laparoscopy Cholecystectomy Liver Biopsy LSCCHOLVBX 50 30 / 10 = 40 90 ACH Laparoscopy Cholecystoenterostomy LSCCHOENT 60 45 / 30 = 75 135 ACH Laparoscopy Esophagogasterectomy TransThoracic LSCESGTT 0 0 / 0 = 0 0 ACH Laparoscopy Esophagogastrectomy Transhiatal LSCESGTH 0 0 / 0 = 0 0 ACH Laparoscopy G Tube Insertion Endoscopic Assisted LSCGSTENA 30 30 / 20 = 50 80 ACH Laparoscopy Gastrectomy LSCGS 0 0 / 0 = 0 0 ACH Laparoscopy Gastric Bariatric Banding LSCGBB 0 0 / 0 = 0 0 ACH Laparoscopy Gastric Bariatric Banding Removal LSCGBBRM 90 45 / 20 = 65 155 ACH Laparoscopy Gastric Bariatric Banding Revision LSCGBBR 90 45 / 20 = 65 155 ACH Laparoscopy Gastric Bariatric Sleeve LSCGBS 0 0 / 0 = 0 0 ACH Laparoscopy Gastric Bypass Roux en Y LSCGBREY / = ACH Laparoscopy Gastric Ulcer Repair LSCGSULRP 60 30 / 20 = 50 110 ACH Laparoscopy Gastric Wedge Excision GIST LSCGSWGR 150 45 / 20 = 65 215 ACH Laparoscopy Gastroenterostomy LSCGSENT 180 75 / 30 = 105 285 ACH Laparoscopy Gastrojejunostomy LSCGSJJ 0 0 / 0 = 0 0 ACH Laparoscopy Gastroplasty Reversal LSCGSPLR / = ACH Laparoscopy Gastrostomy LSCGSOST 30 30 / 15 = 45 75 ACH Laparoscopy Hernia Abdominal Incisional Repair LSCHERABDI 60 30 / 10 = 40 100 ACH Laparoscopy Hernia Diaphragmatic Repair LSCHERDPHR 120 55 / 20 = 75 195 ACH Laparoscopy Hernia Inguinal Repair TAPP LSCINGTAPP 30 30 / 20 = 50 80 ACH Laparoscopy Hernia Inguinal Repair TAPP Bilateral LSCINTAPPB / = ACH Laparoscopy Hernia Inguinal Repair TEPP LSCINGTEPP 30 30 / 20 = 50 80 ACH Laparoscopy Hernia Inguinal Repair TEPP Bilateral LSCINTEPPB 45 30 / 20 = 50 95 ACH Laparoscopy Hernia Inguinal/Femoral Repair LSCHERINFE 45 30 / 10 = 40 85 ACH Laparoscopy Hernia Inguinal/Femoral Repair Bil LSCHERINFB 75 30 / 10 = 40 115 ACH Laparoscopy Hernia Parastomal Repair LSCHERPAR 60 20 / 20 = 40 100 ACH Laparoscopy Hernia Spigelian Repair LSCHERSPG 0 0 / 0 = 0 0 ACH Laparoscopy Hernia Umbilical Repair LSCHERUM 60 35 / 15 = 50 110 ACH Laparoscopy Hernia Ventral Repair LSCHERVEN 60 30 / 15 = 45 105 ACH Laparoscopy Jejunostomy LSCJJOST 45 30 / 15 = 45 90 ACH Laparoscopy Liver Biopsy LSCLVBX 120 45 / 15 = 60 180 ACH Laparoscopy Liver Cyst Excision LSCLIVCYEX 90 45 / 30 = 75 165 ACH Laparoscopy Liver Cyst Fenestration LSCLVCFEN 0 0 / 0 = 0 0 ACH Laparoscopy Liver Excision LSCLVRS 120 45 / 15 = 60 180

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 10 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparoscopy Liver Radiofrequency Ablation LSCLVRFAB 0 0 / 0 = 0 0 ACH Laparoscopy Lysis Adhesions LSCLYSAD / = ACH Laparoscopy Median Arcuate Ligament Division LSCMEDALD / = ACH Laparoscopy Nissen Fundoplication LSCNIFUN 170 75 / 30 = 105 275 ACH Laparoscopy Nissen Fundoplication Revision LSCNIFUNRV 180 75 / 30 = 105 285 ACH Laparoscopy Pancreatectomy Distal LSCPANECD 180 60 / 30 = 90 270 ACH Laparoscopy Pancreatic Cyst Enucleation LSCPANCENC 210 90 / 30 = 120 330 ACH Laparoscopy Paraesophageal Hiatus Hernia Repair LSCPESHHER 120 45 / 30 = 75 195 ACH Laparoscopy Pyloromyotomy LSCPYMYOT 60 30 / 15 = 45 105 ACH Laparoscopy Pyloroplasty LSCPYPTY 150 45 / 15 = 60 210 ACH Laparoscopy Splenectomy LSCSPLEC 110 45 / 15 = 60 170 ACH Laparoscopy Splenectomy Hand Assisted LSCSPLECM 0 0 / 0 = 0 0 ACH Laparoscopy Vagotomy LSCVGOMY 60 30 / 20 = 50 110 ACH Laparoscopy Vagotomy Pyloroplasty LSCVGPYPTY 90 30 / 20 = 50 140 ACH Laparotomy Abd Intrap Chemo Heat w Ves Res+/-Rep G LPYIPCHVRR 270 90 / 30 = 120 390 ACH Laparotomy Abdominal Diaphragm Rupture Repair LPYABDPHRP 120 45 / 20 = 65 185 ACH Laparotomy Abdominal Intraperitoneal Chemo Heated LPYABDIPCH 270 90 / 30 = 120 390 ACH Laparotomy Abdominal Irrigation/Washout+/-VAC Drsg LPYABDIWO 90 30 / 20 = 50 140 ACH Laparotomy Abdominal Wall Reconstruction LPYABDWLRC 120 20 / 15 = 35 155 ACH Laparotomy Abscess Drainage LPYABCDRN 90 45 / 20 = 65 155 ACH Laparotomy Adrenalectomy Anterior LPYADREA 180 45 / 20 = 65 245 ACH Laparotomy Adrenalectomy Lateral LPYADREL 180 75 / 30 = 105 285 ACH Laparotomy Appendectomy LPYAPPY 45 20 / 25 = 45 90 ACH Laparotomy Arrest Bleeding LPYARRBLD 120 30 / 30 = 60 180 ACH Laparotomy Bowel Colon Decompression LPYBWCOLDP 90 30 / 15 = 45 135 ACH Laparotomy Bowel Colostomy Creation LPYBWCOLCR 90 60 / 20 = 80 170 ACH Laparotomy Bowel Excis Abd-Perineal Abdominal Por LPYBWABPA 0 0 / 0 = 0 0 ACH Laparotomy Bowel Excis Abd-Perineal Perineal Port LPYBWABPP 0 0 / 0 = 0 0 ACH Laparotomy Bowel Excis Proctocolectomy Restorativ LPYBWPCOR 250 45 / 20 = 65 315 ACH Laparotomy Bowel Excision Abdominal Perineal LPYBWABP 180 45 / 20 = 65 245 ACH Laparotomy Bowel Excision Anterior LPYBWA 150 45 / 20 = 65 215 ACH Laparotomy Bowel Excision Anterior w Ostomy LPYBWAOST 220 45 / 20 = 65 285 ACH Laparotomy Bowel Excision Cecostomy LPYBWCEC 120 45 / 20 = 65 185 ACH Laparotomy Bowel Excision Colectomy Hemi Left LPYBWCOLHL 130 45 / 20 = 65 195 ACH Laparotomy Bowel Excision Colectomy Hemi Right LPYBWCOLHR 165 45 / 20 = 65 230 ACH Laparotomy Bowel Excision Colectomy Segmental LPYBWCOLSG 165 45 / 20 = 65 230 ACH Laparotomy Bowel Excision Colectomy Total LPYBWCOLTL 120 45 / 20 = 65 185 ACH Laparotomy Bowel Excision Colostomy LPYBWCOL 90 60 / 20 = 80 170 ACH Laparotomy Bowel Excision Colostomy Closure LPYBWCOLC 130 45 / 25 = 70 200 ACH Laparotomy Bowel Excision Colostomy Revision LPYBWCOLRV 150 30 / 15 = 45 195 ACH Laparotomy Bowel Excision Duhamel Procedure LPYBWDUHAM 120 45 / 20 = 65 185 ACH Laparotomy Bowel Excision Ileoanal Pouch LPYBWILAP 120 60 / 20 = 80 200 ACH Laparotomy Bowel Excision Ileocecal LPYBWILCE 120 45 / 20 = 65 185 ACH Laparotomy Bowel Excision Ileocolectomy LPYBWILCO 120 45 / 20 = 65 185 ACH Laparotomy Bowel Excision Ileostomy LPYBWILO 90 45 / 20 = 65 155 ACH Laparotomy Bowel Excision Ileostomy Closure LPYBWILOC 90 40 / 20 = 60 150

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 11 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparotomy Bowel Excision Ileostomy Loop Closure LPYBWILOLC 90 30 / 15 = 45 135 ACH Laparotomy Bowel Excision Ileostomy Revision LPYBWILORV 75 30 / 15 = 45 120 ACH Laparotomy Bowel Excision Proctectomy LPYBWPRO 200 45 / 20 = 65 265 ACH Laparotomy Bowel Excision Proctocolectomy LPYBWPCO 165 45 / 20 = 65 230 ACH Laparotomy Bowel Excision Small LPYBWSM 145 60 / 25 = 85 230 ACH Laparotomy Bowel Ileostomy Creation LPYBWILOCR 90 45 / 20 = 65 155 ACH Laparotomy Bowel Obstruction LPYBWOBSTN 90 60 / 20 = 80 170 ACH Laparotomy Bowel PENA LPYBWPENA 120 45 / 20 = 65 185 ACH Laparotomy Bowel Perforation Repair LPYBWPRFRP 120 45 / 20 = 65 185 ACH Laparotomy Bowel Pullthrough LPYBWPLTHR 260 75 / 25 = 100 360 ACH Laparotomy Bowel Rectopexy+/-Anterior Excision LPYBWRPXA 180 45 / 20 = 65 245 ACH Laparotomy Bowel Serial Tranvs Enteroplasty LPYBWSTREN 210 45 / 30 = 75 285 ACH Laparotomy Cholecystectomy LPYCHO 90 45 / 20 = 65 155 ACH Laparotomy Cholecystectomy Cholangiogram LPYCHOGM 90 45 / 20 = 65 155 ACH Laparotomy Cholecystectomy Cholangiogram w ECBD LPYCHOGMEC 120 45 / 20 = 65 185 ACH Laparotomy Cholecystectomy Liver Biopsy LPYCHOLVBX 120 45 / 20 = 65 185 ACH Laparotomy Cholecystectomy Radical LPYCHORAD 150 45 / 20 = 65 215 ACH Laparotomy Cholecystoenterostomy LPYCHOENT 90 45 / 30 = 75 165 ACH Laparotomy Cholecystojejunostomy Roux En Y LPYCHORNY 210 45 / 20 = 65 275 ACH Laparotomy Choledochoduodenostomy LPYCHODUOS 180 45 / 20 = 65 245 ACH Laparotomy Esophagectomy LPYESG 360 45 / 20 = 65 425 ACH Laparotomy Esophagogastrectomy LPYESGSEC 330 45 / 20 = 65 395 ACH Laparotomy Esophagogastrectomy Transhiatal LPYESGTH 270 45 / 20 = 65 335 ACH Laparotomy Esophagostomy LPYESOST 45 45 / 20 = 65 110 ACH Laparotomy Exploratory LPYEXPL 90 45 / 15 = 60 150 ACH Laparotomy Exploratory Oncology LPYEXPLONC 200 45 / 20 = 65 265 ACH Laparotomy Gastrectomy Partial LPYGSPT 150 45 / 20 = 65 215 ACH Laparotomy Gastrectomy Total LPYGSTL 240 45 / 20 = 65 305 ACH Laparotomy Gastric Bariatric Banding Port Revision LPYGSBBPRV / = ACH Laparotomy Gastric Bariatric Sleeve LPYGBS 240 45 / 20 = 65 305 ACH Laparotomy Gastric Revision LPYGSRV 120 45 / 20 = 65 185 ACH Laparotomy Gastric Ulcer Repair LPYGSULRP 120 45 / 20 = 65 185 ACH Laparotomy Gastric Wedge Excision GIST LPYGWEGIS / = ACH Laparotomy Gastrochesis Repair LPYGSCHRP 45 45 / 20 = 65 110 ACH Laparotomy Gastrojejunoduodenostomy LPYGSJJDOS 120 45 / 20 = 65 185 ACH Laparotomy Gastrojejunostomy LPYGSJJ 150 45 / 20 = 65 215 ACH Laparotomy Gastroplasty LPYGSPLY 90 45 / 20 = 65 155 ACH Laparotomy Gastroplasty Revision+/-Reversal LPYGSPLYRV 100 45 / 20 = 65 165 ACH Laparotomy Gastrostomy Closure LPYGSOSC 30 30 / 15 = 45 75 ACH Laparotomy Gastrostomy Tube Insertion LPYGSOSTTI 60 45 / 20 = 65 125 ACH Laparotomy Hepaticojejunostomy LPYHEPJJ 180 60 / 25 = 85 265 ACH Laparotomy Hepaticojejunostomy Kasai Procedure LPYHEPJJKP 210 60 / 30 = 90 300 ACH Laparotomy Hernia Diaphragmatic Repair LPYHERDPRP 210 45 / 20 = 65 275 ACH Laparotomy Jejunostomy Tube Insertion LPYJJOSTTI 60 45 / 20 = 65 125 ACH Laparotomy Liver Abscess+/-Cyst Excision LPYLVABCY 150 45 / 20 = 65 215 ACH Laparotomy Liver Bile Duct Expl+/-Excision+/-Recon LPYLVDEXP 240 90 / 20 = 110 350

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 12 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparotomy Liver Biopsy LPYLVBX 30 45 / 20 = 65 95 ACH Laparotomy Liver Excision Lobectomy/Segmental LPYLVLBSG 240 90 / 20 = 110 350 ACH Laparotomy Liver Excision w Vessel Dissec+/-Repla LPYLVRSVS 0 0 / 0 = 0 0 ACH Laparotomy Liver Radiofrequency Ablation LPYLVRFAB 300 90 / 30 = 120 420 ACH Laparotomy Liver Repair LPYLVRP 40 45 / 20 = 65 105 ACH Laparotomy Lymph Node Biopsy Pelvic/Abdominal LPYPVLNDBX 60 45 / 20 = 65 125 ACH Laparotomy Lymph Node Dissection Pelv/Ingui+/-Sent LPYPVILYND 0 0 / 0 = 0 0 ACH Laparotomy Lymph Node Dissection+/-Biop Pel/Abd LPYPVLYND 150 45 / 20 = 65 215 ACH Laparotomy Lymphadenectomy LPYLYEC 90 60 / 45 = 105 195 ACH Laparotomy Lysis Adhesions LPYLYSAD 90 45 / 20 = 65 155 ACH Laparotomy Nissen Fundoplicat+/-Hiatal Hernia Rep LPYNIFUN 210 60 / 20 = 80 290 ACH Laparotomy Nissen Fundoplication Revision LPYNIFUNRV 150 60 / 20 = 80 230 ACH Laparotomy Omentectomy LPYOMENEC 75 45 / 30 = 75 150 ACH Laparotomy Packing Change+/-Removal LPYPKCHRM 60 45 / 30 = 75 135 ACH Laparotomy Pancreas Cystogastrostomy LPYPANCYG 0 0 / 0 = 0 0 ACH Laparotomy Pancreas Whipples Procedure LPYPANWIP 300 60 / 20 = 80 380 ACH Laparotomy Pancreatectomy Distal LPYPANECD 210 60 / 30 = 90 300 ACH Laparotomy Pancreatic Cyst Excision+/-Drainage LPYPANCY 120 45 / 30 = 75 195 ACH Laparotomy Pancreatic Debridement LPYPANDB 135 60 / 30 = 90 225 ACH Laparotomy Pancreatic Enucleation LPYPANENUC / = ACH Laparotomy Pancreaticojejunostomy LPYPANJJ 180 20 / 20 = 40 220 ACH Laparotomy Portal Vein Broviac Removal LPYPVBR 60 30 / 20 = 50 110 ACH Laparotomy Portal Vein Broviac w Liver Biopsy LPYPVBLB 120 45 / 20 = 65 185 ACH Laparotomy Pyloromyotomy LPYPYMYOT 90 30 / 10 = 40 130 ACH Laparotomy Pyloroplasty LPYPYPTY 75 30 / 10 = 40 115 ACH Laparotomy Retroperitoneal Mass Excision LPYRETROM 120 40 / 20 = 60 180 ACH Laparotomy Spleen Repair LPYSPLRP 150 45 / 20 = 65 215 ACH Laparotomy Splenectomy LPYSPLEC 90 45 / 30 = 75 165 ACH Laparotomy Trauma LPYTRAUMA 90 45 / 20 = 65 155 ACH Laparotomy w Endovascular IR Lower Limb Bil LPYENDVLLB / = ACH Laparotomy w Endovascular IR Upper Limb Bil LPYENDVULB / = ACH Laparotomy With Endovascular IR Abdomen LPYENDVABD / = ACH Laparotomy With Endovascular IR Lower Limb LPYENDVLL / = ACH Laparotomy With Endovascular IR Pelvis LPYENDVPEL / = ACH Laparotomy With Endovascular IR Upper Limb LPYENDVUL / = ACH Limb Infusion Chemotherapy SS LIMINFCHEM 90 45 / 30 = 75 165 ACH Limb Perfusion w Bypass LIMPERFBP 210 75 / 30 = 105 315 ACH Melanoma Wide Exc Trunk/Extrem w Sentinel Node Bx MELWEXNDS 0 0 / 0 = 0 0 ACH Melanoma Wide Excision Face & Neck w Sent Node Bx MELWEXFNS 60 45 / 20 = 65 125 ACH Melanoma Wide ExcTrunk/Extrem w Ax/Groin Ly Node MELWEXTND 150 30 / 20 = 50 200 ACH Muscle Biopsy SS MUSCBX 30 30 / 15 = 45 75 ACH Neck Cervical Node Biopsy+/-Dissection NKCVNDBX 20 25 / 10 = 35 55 ACH Neck Cervical Node Biopsy+/-Dissection Sentinel NKCVNDBXS 30 25 / 10 = 35 65 ACH Neck Cricopharyngeal Myotomy Endoscopic NKCRCMYES / = ACH Neck Cricopharyngeal Myotomy Endoscopic Laser CO2 NKCRCMYESC / = ACH Neck Cricopharyngeal Myotomy Zenkers NKCRCMYDIV 60 20 / 15 = 35 95

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 13 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Neck Parathyroidectomy & Thymectomy NKPTHECTHY / = ACH Neck Parathyroidectomy Exploration Redo NKPTHECRD 180 60 / 30 = 90 270 ACH Neck Parathyroidectomy Four Gland Exploration NKPTH4EX 0 0 / 0 = 0 0 ACH Neck Parathyroidectomy Sternotomy NKPARTHYST 0 0 / 0 = 0 0 ACH Neck Parathyroidectomy Total Four Gland NKPTHECT4 180 45 / 30 = 75 255 ACH Neck Parathyroidectomy Transplant Auto NKPTHECAU 300 60 / 30 = 90 390 ACH Neck Parathyroidectomy Unilateral NKPTHECUNI 240 45 / 30 = 75 315 ACH Neck Thyroglossal Cystectomy NKTHYCYS 90 30 / 20 = 50 140 ACH Neck Thyroidectomy Lobectomy+/-Biopsy NKTHYLBBX 150 45 / 30 = 75 225 ACH Neck Thyroidectomy Total NKTHYECTL 150 60 / 30 = 90 240 ACH Neck Thyroidectomy Total w Lymph Node Dissection NKTHYTLLND 220 45 / 20 = 65 285 ACH Neck Thyroidectomy Total w Parathyroidectomy NKTHYTLPAR / = ACH Neck Thyroidectomy Total w Stern+/-Lym Node Disect NKTHYTSTLN / = ACH Neck Thyroidectomy Total w Sternotomy NKTHYTLSTE / = ACH Neck Trauma Exploration+/-Repair NKTRAUMA 60 45 / 20 = 65 125 ACH Pectus Bar Removal PCXBARRM 40 30 / 10 = 40 80 ACH Pectus Repair Open PCXRPO 60 30 / 15 = 45 105 ACH Pilonidal Sinus Excision+/-I&D PILSIEX 20 30 / 15 = 45 65 ACH Post Operative Bleed Arrest SS POBLD 30 30 / 15 = 45 75 ACH Rectal Anal Advancement Flap REALADVFLP 60 45 / 20 = 65 125 ACH Rectal Anal Biopsy REALBX 10 20 / 10 = 30 40 ACH Rectal Anal Dilation REALD 10 20 / 10 = 30 40 ACH Rectal Anal Fistulotomy+/-Fistulect+/-Seton Suture REFISSET 20 30 / 10 = 40 60 ACH Rectal Anal Polypectomy REALPOLEC 10 20 / 10 = 30 40 ACH Rectal Anal Soft Tissue Excision REALSTEX 45 20 / 15 = 35 80 ACH Rectal Anal Sphincter Artificial REALASPH 100 60 / 30 = 90 190 ACH Rectal Anal Sphincteroplasty REALSPHPTY 45 45 / 15 = 60 105 ACH Rectal Anal Warts Excision REALWRT 15 20 / 15 = 35 50 ACH Rectal Anoplasty+/-Diamond Flap REALPTYDFP 30 30 / 15 = 45 75 ACH Rectal Anoplasty+/-Imperforated Anus REALPTYIM 100 60 / 25 = 85 185 ACH Rectal Anoplasty+/-Muscle Flap REALPTYMFP 90 60 / 25 = 85 175 ACH Rectal Fistulotomy w Flap REFISOMYFL 15 30 / 15 = 45 60 ACH Rectal Ischial Abscess I&D+/-Excision REISCABC 30 30 / 15 = 45 75 ACH Rectal Mucosal Strip+/-Prolapse Repair+/-Delorme REMSREPRP 40 30 / 15 = 45 85 ACH Rectal Perianal Fistulectomy REPERFIS 15 30 / 15 = 45 60 ACH Rectal Pouchoplasty REPOUC 15 30 / 20 = 50 65 ACH Rectal Proctopexy+/-Plication REPROPXY 80 30 / 20 = 50 130 ACH Rectal Rectocele Repair +/- Perineorrhaphy RECELERP 30 30 / 15 = 45 75 ACH Rectal Sphincterotomy Internal RESPHCINT 10 30 / 10 = 40 50 ACH Rectal Transanal Villous Tumour Excision REVILTU 30 30 / 15 = 45 75 ACH Rectal Vaginal Fistula Repair REVAGFISRP 60 30 / 20 = 50 110 ACH Rectosigmoidectomy Perineal RESIGECPER 75 60 / 20 = 80 155 ACH Sacral Coccygeal Teratoma Excision SACCOCTEX 150 45 / 20 = 65 215 ACH Sacral Mass Excision Pre Kraske Approach SACMEXKRA / = ACH Sarcoma Excision Trunk/Extremity SAREXCTE / = ACH Sigmoidoscopy Flexible+/-Biopsy SIGSCFLX 30 15 / 10 = 25 55

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 14 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Sigmoidoscopy Rigid+/-Biopsy SIGSCRG 15 15 / 10 = 25 40 ACH Skin Biopsy+/-Excision SS SKBXEX 15 10 / 15 = 25 40 ACH Soft Tissue Biopsy+/-Excision+/-Repair SS STBXEXRP 30 25 / 15 = 40 70 ACH Suture Removal SS SUTRM 5 10 / 10 = 20 25 ACH Throat Esophageal Dilation THRESD 15 20 / 10 = 30 45 ACH Throat Esophagoscopy Flexible+/-FB Removal THRESCFLFB 20 20 / 10 = 30 50 ACH Throat Esophagoscopy Rigid+/-FB Removal THRESCRGFB 20 20 / 10 = 30 50 ACH Transanal Endoscopic Microsurgery/TEMS TRALTEMS 0 0 / 0 = 0 0 ACH Transanal Minimally Invasive Surgery TAMIS TRALTAMIS / = ACH Vein Phlebectomy VNP 30 20 / 20 = 40 70 ACH Vein Phlebectomy Bilateral VNPB 40 20 / 20 = 40 80 ACH Vein Saph Femoral Ligation+/-Phlebectomy VNSFELP 60 20 / 20 = 40 100 ACH Vein Saph Femoral Ligation+/-Phlebectomy Bilateral VNSFELPB 120 20 / 10 = 30 150 ACH Vein Saph Long Ligate+/-Strip VNSLLS 60 20 / 10 = 30 90 ACH Vein Saph Long Ligate+/-Strip Bil VNSLLSB 60 20 / 30 = 50 110 ACH Vein Saph Long Ligate+/-Strip+/-Phlebec VNSLLSP 60 20 / 10 = 30 90 ACH Vein Saph Long Ligate+/Strip+/-Phlebec Bil VNSLLSPB 80 20 / 10 = 30 110 ACH Vein Saph Short & Long Ligate+/-Strip VNSSLLS 80 20 / 10 = 30 110 ACH Vein Saph Short & Long Ligate+/-Strip Bil VNSSLLSB 80 20 / 10 = 30 110 ACH Vein Saph Short & Long Ligate+/-Strip+/-Phleb VNSSLLSP 80 20 / 20 = 40 120 ACH Vein Saph Short & Long Ligate+/-Strip+/-Phleb Bil VNSSLLSPB 85 25 / 10 = 35 120 ACH Vein Saph Short Ligate+/-Strip VNSSLS 30 20 / 20 = 40 70 ACH Vein Saph Short Ligate+/-Strip Bil VNSSLSB / = ACH Vein Saph Short Ligate+/-Strip+/-Phleb VNSSLSP 30 20 / 20 = 40 70 ACH Vein Saph Short Ligate+/-Strip+/-Phleb Bil VNSSLSPB 60 25 / 10 = 35 95 ACH Warts Cauterization SS WTCUSS 15 10 / 10 = 20 35 GI ACH Colonoscopy+/-Biopsy COLSCBX 20 20 / 10 = 30 50 ACH Colonoscopy+/-Biopsy+/-Polypectomy COLSCBXP 20 20 / 10 = 30 50 ACH Colonoscopy+/-Polypectomy COLPOLEC 20 20 / 10 = 30 50 ACH Endoscopic Retrograde Cholangio Pancreatic Duct ENSCRCP 20 20 / 10 = 30 50 ACH Endoscopic Submucosal Dissection Esoph+/-Stom+/Duo ENSDIS / = ACH Endoscopy+/-Gastroscopy Upper & Biopsy ENSCUBX 20 20 / 10 = 30 50 ACH Esophogeal Sclerotherapy ESOSCL 40 15 / 10 = 25 65 ACH Gastroscopy G Tube Insertion GSSCGIN 20 20 / 10 = 30 50 GYN ACH Caesarean Section Complex CSSECTCOMP / = ACH Caesarean Section Complex w Interv Radiology CSSECTCIR / = ACH Caesarean Section Prim CSSECTP 0 0 / 0 = 0 0 ACH Caesarean Section Prim w Tubal Ligat/Salping CSSECTPBS 0 0 / 0 = 0 0 ACH Caesarean Section Repeat CSSECTR / = ACH Caesarean Section Repeat w Tubal Ligat/Salping CSSECTRTBS / = ACH Caesarean Section w EXIT Procedure CSSECEXIT / = ACH Caesarean Section w Hysterectomy CSSECTHYS / = ACH Cervix Ablation Laser CO2 and Cone Biopsy LEEP CXABLEELZC / = ACH Cervix Ablation Laser CO2+/-Endocervical Biopsy CXABLZC 10 25 / 10 = 35 45

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 15 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Cervix Biopsy CXBX 20 25 / 10 = 35 55 ACH Cervix Cauterization CXCU 10 20 / 15 = 35 45 ACH Cervix Colposcopy Endocervical Biopsy & Pap Smear CXCCPP 15 30 / 10 = 40 55 ACH Cervix Cone Biopsy CXCNBX 15 30 / 10 = 40 55 ACH Cervix Cone Biopsy Laser CO2 CXCNBXLZC 15 30 / 15 = 45 60 ACH Cervix Cone Biopsy LEEP CXCNBXLEEP 15 30 / 10 = 40 55 ACH Cervix Insert Fletch Full Selectr HDR Interstitial CXINSFFHDI / = ACH Cervix Insertion Fletcher Full Selectron HDR CXINSFFHD 45 15 / 15 = 30 75 ACH Cervix IUD Insertion/Removal/Replacement CXIUD 5 15 / 10 = 25 30 ACH Cervix Laceration Repair CXRP 10 30 / 10 = 40 50 ACH Cervix Pap Smear CXPAPSM 5 15 / 10 = 25 30 ACH Cervix Polypectomy CXPOLEC 10 10 / 10 = 20 30 ACH Cervix Shirodkar Suture Removal CXSHSURM 15 15 / 15 = 30 45 ACH Cervix Shirodkar Suturing CXSHSU 10 30 / 10 = 40 50 ACH Cervix Stenosis Dilation CXSTD 15 15 / 15 = 30 45 ACH Cervix Trachelectomy Vaginal CXTRCVAG 45 30 / 15 = 45 90 ACH Cystoscopy Peri Urethral Injection CYSPURINJ 20 10 / 10 = 20 40 ACH D&C Diagnostic DCD 10 20 / 10 = 30 40 ACH D&C Exc Retained Placenta+/-Post Partum Hemorrhage DCEXRPPPH 5 30 / 10 = 40 45 ACH D&C Incomplete Product Concept+/-Suction+/-Genetic DCINCOM 15 20 / 10 = 30 45 ACH D&C Therapeutic DCT 15 20 / 10 = 30 45 ACH Dilation & Evacuation Uterus+/-Genetic Studies DEVAC 20 15 / 10 = 25 45 ACH Fetal Ext Cephalic Version+/-Caesarean Section FETEXCVCS 0 0 / 0 = 0 0 ACH Genital Warts Excision Cauterization GENWTEXCU 20 15 / 10 = 25 45 ACH Genital Warts Excision Laser CO2 GENWTEXLZC 20 15 / 10 = 25 45 ACH Hysterectomy Abd Subtotal Colposacpxy+/-SO/AP/TVT HYSABDSTC / = ACH Hysterectomy Abdominal HYSABD 60 30 / 20 = 50 110 ACH Hysterectomy Abdominal Burch HYSABDB / = ACH Hysterectomy Abdominal Rad+/-Node Sampling+/-SO HYSABDRND 120 30 / 20 = 50 170 ACH Hysterectomy Abdominal Subtotal+/-SO HYSABDST 60 30 / 20 = 50 110 ACH Hysterectomy Abdominal+/-SO HYSABDSOB 60 30 / 20 = 50 110 ACH Hysterectomy Abdominal+/-SO w Node Sampling HYSABDSONS 0 0 / 0 = 0 0 ACH Hysterectomy Laparosc Tot+/-SO/Cys/Ly/En Laser CO2 HYSLSCTSZC / = ACH Hysterectomy Laparoscopy Radical HYSLSCRAD 0 0 / 0 = 0 0 ACH Hysterectomy Laparoscopy Subtotal+/-SO HYSLSCSTL / = ACH Hysterectomy Laparoscopy Tot+/-Burch/ULSus/AP/Cys HYSLSCTLBU / = ACH Hysterectomy Laparoscopy Tot+/-SO/Cysto/Lysis/Endo HYSLSCTLCL / = ACH Hysterectomy Laparoscopy Total+/-SO HYSLSCTL / = ACH Hysterectomy Laparoscopy Total+/-SO w Cystoscopy HYSLSCTLCY / = ACH Hysterectomy Laparoscopy Total+/-SO wNode Sampling HYSLSCSONS / = ACH Hysterectomy Laparoscopy Total+/-SO/Cysto Sgl Port HYSLSCTLSP / = ACH Hysterectomy Vag +/- Perineorrhaphy HYSVAG 60 30 / 15 = 45 105 ACH Hysterectomy Vag Laparosc Assist+/-SO HYSVAGLSC 75 30 / 15 = 45 120 ACH Hysterectomy Vag Laparosc Assist+/-SO w Node Samp HYSVAGLSCN 75 30 / 15 = 45 120 ACH Hysterectomy Vag Laparosc Asst+/-SO/VS/AP/TVT/TOT HYSVAGLSCV / = ACH Hysterectomy Vag Laparosc Asst+/-SO/VS/CYS/LYS/End HYSVAGLSVC / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 16 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Hysterectomy Vag w SO HYSVAGSOB 150 45 / 15 = 60 210 ACH Hysterectomy Vag+/-SO A&P Repair Vault Suspension HYSVAGAPVS 75 30 / 15 = 45 120 ACH Hysterectomy Vag+/-SO A&P Vault Susp TVT/TOT HYSVAGAPCT / = ACH Hysterectomy Vag+/-SO w TVT HYSVAGSOTV 50 25 / 20 = 45 95 ACH Hysterectomy Vag+/-SO w Vault Suspension+/-TVT HYSVAGSVT 45 30 / 20 = 50 95 ACH Hysterectomy Vag+/-SO+/-Ant+/-Pos Repair HYSVAGAP 75 30 / 15 = 45 120 ACH Hysteroscopy Diagnostic+/-D&C+/-Polypectomy HSCDCP 15 20 / 10 = 30 45 ACH Hysteroscopy Oper Myomec Myosure w Ablate Novasure HSCOPMYOAN 20 20 / 10 = 30 50 ACH Hysteroscopy Oper Myomectomy+/-Polypectomy Myosure HSCOPMPMYO 20 20 / 10 = 30 50 ACH Hysteroscopy Oper+/-Myomec+/-Polypectomy+/-D&C HSCOPMPDC 20 20 / 10 = 30 50 ACH Hysteroscopy Operative Endometrial Ablat Novasure HSCOPEAN / = ACH Hysteroscopy Operative Endometrial Ablation HSCOPEA 30 20 / 10 = 30 60 ACH Hysteroscopy Operative Tubal Sterilization ESSURE HSCOPTBESS / = ACH Hysterotomy+/-Therapeutic Abortion HYSOMTA 25 15 / 15 = 30 55 ACH Labia Bartholin Cyst I&D Marsupialization LABID 25 20 / 10 = 30 55 ACH Labia Fusion Release LABFSRL 10 25 / 10 = 35 45 ACH Labia Lesion Excision Laser CO2 LABLELZC 20 20 / 10 = 30 50 ACH Labia Reduction Laser CO2 LABREDLZC 0 0 / 0 = 0 0 ACH Labial Vaginal Laceration+/-Rupture+/-Tear Repair LABVAGRP 15 20 / 10 = 30 45 ACH Laparoscopy Assisted Marshall Marchetti Burch LSCMMBUR 100 30 / 20 = 50 150 ACH Laparoscopy Burch w/AP/Cysto+/-Suprapubic Catheter LSCBURAPSU / = ACH Laparoscopy Cervix Cerclage LSCCXCER / = ACH Laparoscopy Cervix Cerclage+/-Lysis Laser CO2 LSCCXCERZC / = ACH Laparoscopy Colposacpxy w Hyst Vag+/-SO/AP/TVT/TOT LSCCOLSXHV / = ACH Laparoscopy Colposacpxy+/-SO w AP Rpr+/- Perineorr LSCCOLSXAP / = ACH Laparoscopy Colposacropexy+/-SO LSCCOLSX 100 30 / 20 = 50 150 ACH Laparoscopy Colposacropexy+/-SO/AP Repair/TVT/TOT LSCCOLSXAT / = ACH Laparoscopy Diagnostic LSCDIA 30 30 / 15 = 45 75 ACH Laparoscopy Diagnostic & D&C LSCDIADC 25 25 / 10 = 35 60 ACH Laparoscopy Diagnostic & Hysteroscopy Operative LSCDHSCOP 0 20 / 15 = 35 35 ACH Laparoscopy Diagnostic Hysteroscopy Diagnos+/-D&C LSCHSCDIAD 25 30 / 15 = 45 70 ACH Laparoscopy Diagnostic Hysteroscopy Hydrotub+/-D&C LSCHYSHYT 30 30 / 20 = 50 80 ACH Laparoscopy Diagnostic Possible Open LSCDIALPY 60 30 / 15 = 45 105 ACH Laparoscopy Ectopic Preg C-Sect Incision Corn/Cerv LSCECPRGCC / = ACH Laparoscopy Ectopic Pregnancy Rem+/-Salpingectomy LSCECPRGRM 30 20 / 15 = 35 65 ACH Laparoscopy Endomet Exc+/-Ilio/Hypo Neurectomy LSCEEXIHNE / = ACH Laparoscopy Endomet Exc+/-SO/Lys/Cyst LSCEESLC / = ACH Laparoscopy Endomet Exc+/-SO/Lys/Cyst/Cys/Sig LSCEESLCCS / = ACH Laparoscopy Endomet Exc+/-SO/Lys/Cyst/Hys+/-Hydro LSCEESLCHH / = ACH Laparoscopy Endometriosis Excision LSCEEX 30 30 / 15 = 45 75 ACH Laparoscopy Hydrotubation LSCHYDT 30 30 / 10 = 40 70 ACH Laparoscopy Lymphadenectomy LSCLYEC 90 60 / 30 = 90 180 ACH Laparoscopy Myomectomy LSCMYOEC 60 30 / 20 = 50 110 ACH Laparoscopy Oophorectomy LSCOOPEC 60 45 / 20 = 65 125 ACH Laparoscopy Oophorectomy Bilateral LSCOOPECB 70 45 / 20 = 65 135 ACH Laparoscopy Oper+/-Hysteros HT/SO/Ly/End Laser CO2 LSCOPHHSZC / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 17 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparoscopy Operative LSCOP 50 30 / 20 = 50 100 ACH Laparoscopy Operative Hysteroscopy Diagnostic LSCOPHSCD 40 30 / 20 = 50 90 ACH Laparoscopy Operative Hysteroscopy Hydrotuba+/-D&C LSCOPHHYDC / = ACH Laparoscopy Operative Hysteroscopy Oper Tubal Cann LSCHSCTBCN 30 10 / 10 = 20 50 ACH Laparoscopy Operative Hysteroscopy Operative LSCHSCOP 30 30 / 15 = 45 75 ACH Laparoscopy Operative Laser CO2 LSCOPLZC 60 45 / 20 = 65 125 ACH Laparoscopy Operative Staging Oncology LSCSTGONC 0 0 / 0 = 0 0 ACH Laparoscopy Operative+/-SO/Lys/Endo/Cys Laser CO2 LSCOPSLEZC / = ACH Laparoscopy Ovarian Cystectomy LSCOVCYEC 60 30 / 20 = 50 110 ACH Laparoscopy Pelvic Lymphadenectomy & Vaginal Trach LSCLYMECVT 0 0 / 0 = 0 0 ACH Laparoscopy Pelvic Mass LSCPVMS 50 30 / 20 = 50 100 ACH Laparoscopy Salpingectomy LSCSALEC 60 30 / 20 = 50 110 ACH Laparoscopy Salpingectomy Bil w Hyster Diag+/-D&C LSCSBHDC / = ACH Laparoscopy Salpingectomy Bil w HysterOpEndomAblat LSCSBHOPEA / = ACH Laparoscopy Salpingectomy Bil w Oophorectomy Uni LSCSALBOU / = ACH Laparoscopy Salpingectomy Bilateral LSCSALECB 75 30 / 20 = 50 125 ACH Laparoscopy Salpingectomy Contraceptive LSCSALECC 60 30 / 20 = 50 110 ACH Laparoscopy Salpingectomy Contraceptive Bil LSCSALECCB 75 30 / 20 = 50 125 ACH Laparoscopy Salpingoophorectomy LSCSALOO 60 25 / 15 = 40 100 ACH Laparoscopy Salpingoophorectomy Bilateral LSCSALOOB 75 45 / 30 = 75 150 ACH Laparoscopy Trachelectomy LSCTRC / = ACH Laparoscopy Tubal Clip LSCTBCL 15 20 / 10 = 30 45 ACH Laparoscopy Tubal Clip Hyst Op Endomet Abl Novasur LSCTBHSENO / = ACH Laparoscopy Tubal Clip Hyst Op Endomet Ablation LSCTBHSCEA 0 0 / 0 = 0 0 ACH Laparoscopy Tubal Clip Hysteroscopy Diag LSCTBHSCDI 25 25 / 15 = 40 65 ACH Laparoscopy Tubal Clip Removal LSCTBCLR 15 20 / 10 = 30 45 ACH Laparoscopy Tubal Clip w D&C Therapeutic LSCTBDCT 20 20 / 15 = 35 55 ACH Laparoscopy Tuboplasty Reanast+/-Clip Rev LSCTBREAT 45 30 / 10 = 40 85 ACH Laparoscopy TVT Removal LSCTVTRM / = ACH Laparoscopy Urethropexy LSCUTHPXY 90 30 / 20 = 50 140 ACH Laparoscopy URO/GYN Mesh Revision+/-Extraction LSCMESHRV / = ACH Laparoscopy Uterine Susp+/-SO/AP/Entero/TVT/Cys LSCUTSAETC / = ACH Laparoscopy Uterine Suspension LSCUTSUS 45 20 / 10 = 30 75 ACH Laparoscopy Vaginal Vault Suspension LSCVAGVSUS 60 30 / 20 = 50 110 ACH Laparotomy Bladder Sling Abdominovaginal LPYBLSLAVG 120 45 / 15 = 60 180 ACH Laparotomy Bladder Sling Suburethral LPYBLSLSUR 120 45 / 15 = 60 180 ACH Laparotomy Colposacropexy+/-SO/AP Repair/Cysto LPYCOLSXSC / = ACH Laparotomy Debulking Oncology LPYDEBUONC / = ACH Laparotomy Ectopic Pregnancy Rem+/-Salpingectomy LPYECPRGRM 45 30 / 15 = 45 90 ACH Laparotomy Oophorectomy LPYOOPEC 60 30 / 15 = 45 105 ACH Laparotomy Oophorectomy Bilateral LPYOOPECB 75 45 / 30 = 75 150 ACH Laparotomy Ovarian Cystectomy LPYOVCYEC 60 30 / 15 = 45 105 ACH Laparotomy Pelvic Exenteration Oncology LPYPVEXNT 420 75 / 45 = 120 540 ACH Laparotomy Pelvic Mass LPYPVMS 90 90 / 30 = 120 210 ACH Laparotomy Salpingectomy LPYSALEC 60 30 / 20 = 50 110 ACH Laparotomy Salpingectomy Bilateral LPYSALECB 60 30 / 20 = 50 110

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 18 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparotomy Salpingoophorectomy LPYSALOO 50 30 / 15 = 45 95 ACH Laparotomy Salpingoophorectomy Bilateral LPYSALOOB 60 30 / 20 = 50 110 ACH Laparotomy Second Look LPY2LOOK 120 60 / 30 = 90 210 ACH Laparotomy Staging Oncology LPYSTGONC 120 45 / 20 = 65 185 ACH Laparotomy Tubal Clip LPYTBCL 20 30 / 10 = 40 60 ACH Laparotomy Tuboplasty Reanast+/-Clip Rev LPYTBREAT 75 30 / 20 = 50 125 ACH Laparotomy Urethropexy Anterior+/-Burch LPYUTHAB 60 30 / 20 = 50 110 ACH Laparotomy URO/GYN Mesh Revision+/-Extraction LPYMESHRV / = ACH Laparotomy Uterus Myomectomy LPYUTMYOEC 60 30 / 20 = 50 110 ACH Laparotomy Uterus Post Operative Bleed Arrest LPYUTPOBLD 60 30 / 20 = 50 110 ACH Laparotomy Vaginal Vault Suspension LPYVAGSUS 75 45 / 20 = 65 140 ACH Laparotomy Vaginal Vault Suspension w Burch w Cyst LPYVAGSBC / = ACH Maternal+/-Fetal Monitoring MATFETMON / = ACH Neovagina Creation VAGNEO / = ACH Nerve Stimulator Explant Sacrum NVSTSAEX 75 60 / 20 = 80 155 ACH Nerve Stimulator Insertion Sacrum NVSTINSA 75 60 / 20 = 80 155 ACH Nerve Stimulator IP Generator Replacement Sacrum NVSTGRSA 75 60 / 20 = 80 155 ACH Nerve Stimulator Revision Sacrum NVSTRVSA 0 0 / 0 = 0 0 ACH Perineal Female Genital Repair+/-Defibulation PEFEGENREP / = ACH Perineal Interstitial Template Brachytherapy HDR PERITBHDR / = ACH Perineum Tissue Excision Biopsy+/-Repair+/-Zplasty PERTEBRZ 15 20 / 10 = 30 45 ACH Trial Forcep Delivery TRIALDL 15 30 / 10 = 40 55 ACH Uterus Endometrial Biopsy UTENDBX 10 20 / 10 = 30 40 ACH Uterus Insertion Endometrial Rotte Applicator HDR UTIENDRAHD / = ACH Vaginal A&P Cystocele/Rectocele/Enterocele Repair VAGAPRP 45 30 / 20 = 50 95 ACH Vaginal A&P Repair w TVT/TOT VAGAPRPT 45 30 / 20 = 50 95 ACH Vaginal A&P Repair w Vault Susp TVT/TOT VAGAPRPVTV / = ACH Vaginal A&P Repair w Vault Suspension VAGAPRPVS 75 30 / 20 = 50 125 ACH Vaginal Anterior/Cystocele Repair VAGARP 45 30 / 20 = 50 95 ACH Vaginal Bladder Sling Pubovaginal Rectus Fascia VAGBLSLPBV 120 45 / 15 = 60 180 ACH Vaginal Cervical Myomectomy VAGMYOMEC / = ACH Vaginal Colpocleisis+/-D&C VAGCOLPO 60 45 / 20 = 65 125 ACH Vaginal Dilation VAGDIL 10 20 / 10 = 30 40 ACH Vaginal EUA VAGEUA 5 20 / 10 = 30 35 ACH Vaginal EUA Cystoscopy & Sigmoidoscopy VAGSCYSIG 20 30 / 15 = 45 65 ACH Vaginal Hymenectomy VAGHYM 10 30 / 10 = 40 50 ACH Vaginal Insertion Fletcher Selectron Micro HDR VAGFLSLHDR 15 30 / 20 = 50 65 ACH Vaginal Introitoplasty w Graft+/-Buccal or Skin VAGINGBS / = ACH Vaginal Labor & Delivery Generic VAGLBDEL 30 20 / 10 = 30 60 ACH Vaginal Lefort Procedure+/-Hysteroscopy+/-D&C VAGLEFOR 60 45 / 20 = 65 125 ACH Vaginal Posterior/Rectocele Repair VAGPRP 30 30 / 20 = 50 80 ACH Vaginal Septum Excision VAGSEPEX 20 20 / 15 = 35 55 ACH Vaginal TOT Insert VAGTOVT 30 30 / 20 = 50 80 ACH Vaginal TVT Insert VAGTVT 30 30 / 20 = 50 80 ACH Vaginal TVT Rev VAGTVTRV 45 30 / 20 = 50 95 ACH Vaginal URO/GYN Mesh Revision+/-Extraction VAGMESHRV / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 19 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Vaginal Vault Biopsy+/-Mass Excision VAGVLTBX 10 20 / 10 = 30 40 ACH Vaginal Vault Laser CO2 VAGVLTLZC 20 30 / 20 = 50 70 ACH Vaginal Vault Repair VAGVLTRP 60 30 / 20 = 50 110 ACH Vaginal Vault Suspension VAGVLTS 75 30 / 20 = 50 125 ACH Vaginectomy VAGEC 60 60 / 20 = 80 140 ACH Vaginoplasty VAGPTY 60 45 / 20 = 65 125 ACH Vaginoplasty Myocutaneous Flap VAGMYOC 60 45 / 20 = 65 125 ACH Vaginoplasty w Skin Graft VAGSKGF 60 30 / 20 = 50 110 ACH Vulvar Biopsy VULBX 15 20 / 10 = 30 45 ACH Vulvar Laser Treatment CO2 VULLZC 10 30 / 20 = 50 60 ACH Vulvectomy Radical VULVRAD 90 45 / 20 = 65 155 ACH Vulvectomy Radical & Lymphadenectomy VULVRADL 120 45 / 30 = 75 195 ACH Vulvectomy Simple VULSIM 30 30 / 20 = 50 80 MED ACH Blood Autologus Transfusion BLDAUTRF 30 15 / 15 = 30 60 ACH Bone Marrow Retrieval for Transplant BNMRRTRV 60 20 / 10 = 30 90 ACH Breast Brachytherapy TBCC BRBRACYTB / = ACH Prostate Brachytherapy Mick 200 TBCC PRTBRMICTB / = ACH Prostate Transperineal Brachytherapy HDR PRTTPBHDR / = NEU ACH Carotid Artery Pacemaker Insertion CTAPM 0 0 / 0 = 0 0 ACH Carotid Artery Pacemaker Rev/Generator Replacement CTAPMRBR / = ACH Cranial Burr Hole Depth Elect Implant Epilepsy CRBHIMELC 120 65 / 30 = 95 215 ACH Cranial Burr Hole Evac Hematoma Subdural CRBHEVHEM 60 60 / 20 = 80 140 ACH Cranial Burr Hole for CJD Brain Biopsy CRBHCJDB 60 45 / 60 = 105 165 ACH Cranial Burr Hole Stereotax DBS Lead Ins/Depressn CRBHSXDBD / = ACH Cranial Burr Hole Stereotax DBS Lead Ins/Move Dis CRBHSXDBM 0 0 / 0 = 0 0 ACH Cranial Burr Hole Stereotax Radiofrequency Lesion CRBHSXRFL / = ACH Cranial Burr Hole+/-Brain/Tumour Biopsy CRBHBX 60 60 / 20 = 80 140 ACH Cranial Burr Hole+/-Brain/Tumour Biopsy w Nav CRBHBXSN 60 75 / 25 = 100 160 ACH Cranial CSF Leak Repair CRCSFLKRP 240 90 / 30 = 120 360 ACH Cranial Cyst Exc+/-Colloid Endoscopic+/-Axiem CRCCRE 45 75 / 20 = 95 140 ACH Cranial DBS Percutaneous Extension Removal CRDBSLRM 0 0 / 0 = 0 0 ACH Cranial DBS Revision+/-Generator CRDBSLRGI 0 0 / 0 = 0 0 ACH Cranial Encephalocele Repair CRENCRP 90 70 / 30 = 100 190 ACH Cranial EVD/ROSA Bolt Removal CREVROBR 15 20 / 20 = 40 55 ACH Cranial Externalize Ventricular Peritoneal Shunt CRVPSNT 30 40 / 30 = 70 100 ACH Cranial Generator IPG Initial SS CRDBSGEN 0 0 / 0 = 0 0 ACH Cranial Generator IPG Replacement SS CRDBSGENR 0 0 / 0 = 0 0 ACH Cranial Halo Application CRHALOAP 15 35 / 15 = 50 65 ACH Cranial Hardware Removal CRHWRM 20 30 / 30 = 60 80 ACH Cranial ICP Monitor Insertion CRICPIN 30 35 / 20 = 55 85 ACH Cranial Occipital Nerve Expl w Lead+/-Implant IPG CRONELI / = ACH Cranial Occipital Nerve Generator IPG Replacement CROCNGIPGR 0 0 / 0 = 0 0 ACH Cranial Occipital Nerve Stimulator Insertion CROCNSI 0 0 / 0 = 0 0 ACH Cranial Occipital Nerve Temporary lead CROCNST 0 0 / 0 = 0 0

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 20 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Cranial Pit Tumour Exc Transnasal Endo CROPITTRE 120 70 / 30 = 100 220 ACH Cranial Pit Tumour Exc Transnasal Endo MRT CROPITTREM 0 0 / 0 = 0 0 ACH Cranial Pit Tumour Exc Transnasal Endo Ped MRT CROPITREMP 300 150 / 45 = 195 495 ACH Cranial Pit Tumour Exc Transnasal Endo w Nav CROPITTREN / = ACH Cranial Pit Tumour Exc Transnasal Endo w Nav MRT CROPITRENM 0 0 / 0 = 0 0 ACH Cranial Pit Tumour Transsphenoid Hypophysect MRT CROPITHMRI 180 125 / 40 = 165 345 ACH Cranial Pit Tumour Transsphenoid Hypophysect w Nav CROPITTHN / = ACH Cranial Pit Tumour Transsphenoid Hypophysectomy CROPITHYP 150 75 / 30 = 105 255 ACH Cranial SEEG w Laser Thermal Therapy LITT CRSEEGLITT 240 100 / 35 = 135 375 ACH Cranial Skull Base Tumour Excision Endoscopic CRSKBTUEN 360 70 / 30 = 100 460 ACH Cranial Skull Base Tumour Excision Endoscopic MRT CRSKBTUENM 0 0 / 0 = 0 0 ACH Cranial Skull Base Tumour Excision Endoscopic Nav CRSKBTUENN 0 0 / 0 = 0 0 ACH Cranial Stereotax Robot ROSA Depth Elec Epi CRSROSA 0 0 / 0 = 0 0 ACH Cranial Stereotax Robot ROSA Depth Elec Epi MRT CRSROSAMRT / = ACH Cranial Stereotax Robot ROSA Depth Elec Epi Ped CRSROSAPED 120 105 / 20 = 125 245 ACH Cranial Stereotax Robot ROSA Depth Elec Epi Ped MR CRSROSAPM 120 105 / 20 = 125 245 ACH Cranial Third Ventriculoscopy/stomy Endoscopic CRTVOSCE 45 60 / 20 = 80 125 ACH Cranial Vault Reconstruction Endoscopic CRFCRCNEN 60 75 / 30 = 105 165 ACH Cranial Vault Remodeling Synostosis CRVTRSYN 125 90 / 30 = 120 245 ACH Cranial Vault Remodelling w Fronto Orbital Advance CRVTRFOA 150 80 / 30 = 110 260 ACH Cranial Vent/Perit Shunt Convert Vent/Atrial Shunt CRVTPCOVAS / = ACH Cranial Ventricul Peritoneal Shunt Insert+/-Axiem CRVPSNTIN 45 65 / 25 = 90 135 ACH Cranial Ventricular Atrial Shunt Insert+/-Revision CRVASNTIN 85 65 / 20 = 85 170 ACH Cranial Ventricular Drain Insertion EVD CRVDIN 30 55 / 25 = 80 110 ACH Cranial Ventricular Peritoneal Shunt Removal CRVPSNTRM 30 60 / 15 = 75 105 ACH Cranial Ventricular Peritoneal Shunt Rev +/-Axiem CRVPSNTRV 60 65 / 25 = 90 150 ACH Cranial Ventricular Pleural Shunt Insertion CRVPLSIN 155 60 / 25 = 85 240 ACH Cranial Ventricular Reservoir Insertion CRVRESIN 45 50 / 25 = 75 120 ACH Cranial Ventricular Reservoir Neonatal Insert CRVRESNEO 30 55 / 25 = 80 110 ACH Cranial Ventriculoscopy w Choroid Plexus Coag CRTVOSCPC 55 80 / 20 = 100 155 ACH Cranial Ventriculoscopy/tomy Flex+/-Bx/Cys Fen End CRTVOSFCE 55 80 / 20 = 100 155 ACH Cranial Ventriculoscopy/tomy Rig+/-Bx/Cys Fen End CRTVOSRCE 45 75 / 20 = 95 140 ACH Craniectomy Dermoid Extracranial CRECDMEX 90 60 / 30 = 90 180 ACH Craniectomy Dermoid Intracranial CRCDMIC 75 60 / 30 = 90 165 ACH Craniectomy Skull Tumour CRSKTU 45 70 / 30 = 100 145 ACH Craniectomy Skull Tumour w Nav CRSKTUSN 75 60 / 30 = 90 165 ACH Craniofacial Reconstruction CRFCRCN 120 60 / 30 = 90 210 ACH Cranioplasty+/-Infected Bone Flap CRPTY 100 65 / 25 = 90 190 ACH Craniotomy Aneurysm Clipping CROANCL 180 90 / 30 = 120 300 ACH Craniotomy Aneurysm Clipping MRT CROANCM / = ACH Craniotomy Aneurysm Clipping w CPB CROANCPB 0 0 / 0 = 0 0 ACH Craniotomy Aneurysm Clipping w Nav CROANCN / = ACH Craniotomy Aneurysm Clipping w Nav MRT CROANCNM / = ACH Craniotomy Arteriovenous Malformation CROAVMAL 220 90 / 25 = 115 335 ACH Craniotomy Arteriovenous Malformation MRT CROAVMALM / = ACH Craniotomy Arteriovenous Malformation w Nav CROAVMALN 180 90 / 30 = 120 300

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 21 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Craniotomy Arteriovenous Malformation w Nav MRT CROAVMALNM / = ACH Craniotomy Corpus Callosotomy Epilepsy Nav Ped MRT CROCOCENPM 300 145 / 40 = 185 485 ACH Craniotomy Corpus Callosotomy Epilepsy w Nav CROCOCA 200 80 / 30 = 110 310 ACH Craniotomy Decompression Skull Fracture CRODECFX 80 50 / 20 = 70 150 ACH Craniotomy Depth Elec/Grid Impl Epilepsy CROEDEGI 180 90 / 25 = 115 295 ACH Craniotomy Depth Elec/Grid Impl Epilepsy MRT CROEDEGIM / = ACH Craniotomy Depth Elec/Grid Impl Epilepsy w Nav CROEDEGIN 180 90 / 25 = 115 295 ACH Craniotomy Depth Elec/Grid Impl Epilepsy w Nav MRT CROEDEGINM / = ACH Craniotomy Depth Elec/Grid Removal Epilepsy CROEDEGR 45 40 / 20 = 60 105 ACH Craniotomy Depth Elect Impl Epilepsy Stereotx w Fr CROEDEISF / = ACH Craniotomy Evac Hematoma Sub/Epidural/Abscess/Cyst CROEVHEM 110 50 / 25 = 75 185 ACH Craniotomy Excision Cavernoma CROREMC 160 100 / 30 = 130 290 ACH Craniotomy Excision Cavernoma MRT CROREMCM / = ACH Craniotomy Excision Cavernoma w Nav CROREMCN 135 90 / 30 = 120 255 ACH Craniotomy Excision Cavernoma w Nav MRT CROREMCNM 220 135 / 45 = 180 400 ACH Craniotomy for Direct Cerebrovascular Bypass CROCTCTBY 180 90 / 30 = 120 300 ACH Craniotomy for Indirect Cerebrovascular Bypass CROENARSY 220 90 / 25 = 115 335 ACH Craniotomy Foreign Body Removal CROFBR / = ACH Craniotomy Hemispherectomy for Epilepsy w Nav CROHEM 225 100 / 30 = 130 355 ACH Craniotomy Lobect+/- Elec+/-Grid Rem Epilep w Nav CROEPLEXN 220 100 / 30 = 130 350 ACH Craniotomy Lobectom+/-Elec+/-Grid Rem Epilepsy MRT CROEPLEM / = ACH Craniotomy Lobectomy CROLOB / = ACH Craniotomy Lobectomy for Epilepsy Awake CROEPLEA 0 0 / 0 = 0 0 ACH Craniotomy Lobectomy for Epilepsy Awake MRT CROEPLEAMR 0 0 / 0 = 0 0 ACH Craniotomy Lobectomy for Epilepsy Awake w Nav CROEPLEAN 0 0 / 0 = 0 0 ACH Craniotomy Lobectomy for Epilepsy Awake w Nav MRT CROEPLEANM / = ACH Craniotomy Lobectomy for Epilepsy w ECOG CROEPEEG 270 110 / 30 = 140 410 ACH Craniotomy Lobectomy for Epilepsy w ECOG MRT CROEPEEGM / = ACH Craniotomy Lobectomy for Epilepsy w ECOG Nav MRT CROEPEEGNM / = ACH Craniotomy Lobectomy for Epilepsy w ECOG w Nav CROEPEEGN 210 100 / 30 = 130 340 ACH Craniotomy Lobectomy for Epilepsy w Nav CROEPLEN 120 85 / 30 = 115 235 ACH Craniotomy Lobectomy for Epilepsy w Nav MRT CROEPLENM / = ACH Craniotomy Lobectomy+/- Elec+/-Grid Rem Epilepsy CROEPLEX 220 100 / 30 = 130 350 ACH Craniotomy Microvasc Cranial Nerve Decomp Nav MRT CROCRNVDNM / = ACH Craniotomy Microvasc Cranial Nerve Decompres W Nav CROCRNVDN / = ACH Craniotomy Microvasc Cranial Nerve Decompress CROCRNVD 180 90 / 30 = 120 300 ACH Craniotomy Microvasc Cranial Nerve Decompress MRT CROCRNVDM / = ACH Craniotomy Post Fossa Foramen Magnum Decomp/Chiari CROPFCHR 150 90 / 30 = 120 270 ACH Craniotomy Post Fossa Tumour Excision CROPFT 180 110 / 30 = 140 320 ACH Craniotomy Post Fossa Tumour Excision MRT CROPFTM 45 135 / 220 = 355 400 ACH Craniotomy Post Fossa Tumour Excision Nav MRT CROPFTNM 220 135 / 45 = 180 400 ACH Craniotomy Post Fossa Tumour Excision w EVD Nav CROPFTEN 180 110 / 30 = 140 320 ACH Craniotomy Post Fossa Tumour Excision w Nav CROPFTN 140 90 / 30 = 120 260 ACH Craniotomy Robotic Stereotaxic Tumour Biopsy MRT CRORBSXTBX / = ACH Craniotomy Stereotaxic Brain Biopsy Frameless Nav CROSXBBXFN 0 0 / 0 = 0 0 ACH Craniotomy Stereotaxic Brain Biopsy w Leksell Fram CROSXBBXF 0 0 / 0 = 0 0

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 22 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Craniotomy Suboccipital Acoustic Neuroma CROSOCAC 480 90 / 45 = 135 615 ACH Craniotomy Suboccipital Acoustic Neuroma MRT CROSOTURM / = ACH Craniotomy Suboccipital Acoustic Neuroma w Nav CROSOCACN / = ACH Craniotomy Suboccipital Tumour Excision CROSOTUR / = ACH Craniotomy Suboccipital Tumour Excision MRT CROSOTM / = ACH Craniotomy Suboccipital Tumour Excision w Nav CROSOTSN 285 110 / 30 = 140 425 ACH Craniotomy Suboccipital Tumour Excision w Nav MRT CROSOTSNM / = ACH Craniotomy Translabyrinth Acoustic Neuroma Exc MRT CROTACCSM / = ACH Craniotomy Translabyrinth Acoustic Neuroma Excis CROTACCS 405 110 / 50 = 160 565 ACH Craniotomy Tum Exc Awake Mot/Speech Map MRT CROTURMAM / = ACH Craniotomy Tum Exc Awake Mot/Speech Map w Nav CROTURMAN / = ACH Craniotomy Tum Exc Awake Mot/Speech Map w Nav MRT CROTURMANM / = ACH Craniotomy Tum Exc Orbitozygomatic Appr CROTURMO / = ACH Craniotomy Tum Exc Orbitozygomatic Appr w Nav CROTURMON 240 90 / 40 = 130 370 ACH Craniotomy Tum Exc Orbitozygomatic Appr w Nav MRT CROTURMONM / = ACH Craniotomy Tumour Biopsy CROTUBX 120 30 / 15 = 45 165 ACH Craniotomy Tumour Biopsy With Nav CROTUBXN 150 30 / 15 = 45 195 ACH Craniotomy Tumour Excision CROTURMMI 240 100 / 30 = 130 370 ACH Craniotomy Tumour Excision MRT CROTURMM 0 0 / 0 = 0 0 ACH Craniotomy Tumour Excision Pediatric MRT CROTURMPM 300 145 / 40 = 185 485 ACH Craniotomy Tumour Excision Redo CROTURMR 150 90 / 30 = 120 270 ACH Craniotomy Tumour Excision Redo MRT CROTURMRM / = ACH Craniotomy Tumour Excision Redo w Nav CROTURMRN 200 90 / 30 = 120 320 ACH Craniotomy Tumour Excision Redo w Nav MRT CROTURRNM / = ACH Craniotomy Tumour Excision Robotic MRT CRORBTURMI / = ACH Craniotomy Tumour Excision w Nav CROTURMSN 160 115 / 30 = 145 305 ACH Craniotomy Tumour Excision w Nav MRT CROTURMNM 0 0 / 0 = 0 0 ACH Craniotomy w Endovascular Interventional Radiology CROENDVIR / = ACH Inguinal Periph Nerve Stimulator Electrode InsTemp INGPNVSETI / = ACH Inguinal Periph Nerve Stimulator Insert INGPNVSIN / = ACH Inguinal Periph Nerve Stimulator Rev+/-Rem INGPNVSRV / = ACH Laparoscopy Assist Lmbr Perit Shunt Insertion LSCALPSI / = ACH Laparoscopy Assist Lmbr Perit Shunt Revision LSCALPSR / = ACH Laparoscopy Assist Ventric/Perit Shunt Rev+/-Axiem LSCAVPSRAX / = ACH LaparoscopyAssist VentricPeritShunt Insert+/-Axiem LSCAVPSIAX / = ACH Laparotomy Peritoneal Shunt Insert LPYPTSNT 90 60 / 30 = 90 180 ACH MRI Anesthesia Standby Leksell Headrest MRIANALKS 0 0 / 0 = 0 0 ACH MRI Anesthesia Standby Radionics Headrest MRIANARDI 0 0 / 0 = 0 0 ACH Nerve Axillary Exploration+/-Repair NVAXEXRP 360 45 / 30 = 75 435 ACH Nerve Biopsy SS NVBX 20 20 / 10 = 30 50 ACH Nerve Femoral Cutaneous Exploration+/-Repair NVFECEXRP 0 0 / 0 = 0 0 ACH Nerve Ilio-inguinal Exploration+/-Repair NVILINEXRP 0 0 / 0 = 0 0 ACH Nerve Lateral Femoral Cutaneous Exploration+/-Rep NVLFECEXRP 0 0 / 0 = 0 0 ACH Nerve Peripheral Entrapment Release NVPFENRL 60 45 / 20 = 65 125 ACH Nerve Peripheral Neuroma Excision NVPFNEX 120 45 / 25 = 70 190 ACH Nerve Peripheral Tumour Excision NVPFTURM 150 60 / 30 = 90 240

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 23 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Nerve Peroneal Exploration+/-Repair Lateral NVPNEXRPL 75 45 / 30 = 75 150 ACH Nerve Peroneal Exploration+/-Repair Posterior NVPNEXRPP 0 0 / 0 = 0 0 ACH Nerve Popliteal Fossa Exploration+/-Repair NVPOPFEXRP 180 45 / 30 = 75 255 ACH Nerve Posterior Interosseous Exploration+/-Repair NVPSIOEXRP 0 0 / 0 = 0 0 ACH Nerve Radial Exploration+/-Repair NVRADEXRP 75 45 / 30 = 75 150 ACH Nerve Sciatic Exploration+/-Repair NVSCEXRP 0 0 / 0 = 0 0 ACH Nerve Stimulator Revision +/-Removal Vagus NVSTVGREV / = ACH Nerve Stimulator Insertion Vagus NVSTVGIN 85 55 / 25 = 80 165 ACH Nerve Stimulator IPG Generator Replacement Vagus NVSTGRVAGU / = ACH Nerve Sural Exploration+/-Repair NVSUEXRP 0 0 / 0 = 0 0 ACH Nerve Thoracic Outlet Decompression NVTHODEC 20 20 / 10 = 30 50 ACH Nerve Tibial Exploration+/-Repair NVTBEXRP 0 0 / 0 = 0 0 ACH Nerve Trans Abdominal Pelvic Tumour Excision NVTAPTEX 0 0 / 0 = 0 0 ACH Nerve Trigeminal Rhizotomy Balloon NVTRRHZ 0 0 / 0 = 0 0 ACH Nerve Trigeminal Rhizotomy RF NVTRRHRF 0 0 / 0 = 0 0 ACH Nerve Ulnar Exploration Neurolysis+/-Repair NVULEXRP 75 45 / 30 = 75 150 ACH Nose Transnasal CSF Leak Repair Endoscopic NTRNCSFLKE 120 30 / 15 = 45 165 ACH Scalp Wound I&D/Debridement+/-Repair SCWIDDR 50 45 / 15 = 60 110 ACH Spinal Cord Stimulator Elect w IPG Gen Ins SS SPLPEGIN / = ACH Spinal Cord Stimulator Electrode Insertion SPLPEPIN 120 75 / 30 = 105 225 ACH Spinal Cord Stimulator IPG Generator Insert SPLPSGIN 0 0 / 0 = 0 0 ACH Spinal Cord Stimulator IPG Generator Replace SS SPLPSGRP 0 0 / 0 = 0 0 ACH Spinal Cord Stimulator Removal Total SS SPLPSGRM 0 0 / 0 = 0 0 ACH Spinal Cord Stimulator Revision Total SPLPEPRV 0 0 / 0 = 0 0 ACH Spine Baclofen Pump Insertion SPINTPIN 100 30 / 15 = 45 145 ACH Spine Baclofen Pump Removal SPINTPRM 55 40 / 20 = 60 115 ACH Spine Baclofen Pump Revision SPINTPRV 80 60 / 20 = 80 160 ACH Spine Baclofen Pump Test Dose SPINTPINT 15 30 / 15 = 45 60 ACH Spine Pos DREZ RF Lesion W Laminectomy SPLDREZL / = ACH Spine Pos Laminoplasty W Rhizotomy 1-2 level SPPLMR12 180 75 / 30 = 105 285 ACH Spine Pos Laminoplasty W Rhizotomy 3+ levels SPPLMR3 300 90 / 30 = 120 420 ACH Spine Syringo Peritoneal Shunt Insert/Revision SPSHSYPINR 155 80 / 25 = 105 260 ACH Spine Syringo Pleural Shunt Insertion SPSHSPLIN 155 80 / 25 = 105 260 OPH ACH Eye Anterior Foreign Body Removal Magnetic EYFBRM 20 10 / 10 = 20 40 ACH Eye Botox Injection EYBOTINJ 10 10 / 10 = 20 30 ACH Eye Cataract Phacoemulsification+/-IOL EYCATIOL 75 20 / 15 = 35 110 ACH Eye Cataract Phacoemulsification+/-IOL Bil EYCATIOLB 75 20 / 15 = 35 110 ACH Eye Chalazion Excision EYLDCHAL 15 20 / 10 = 30 45 ACH Eye Conjunctivial Lesion Biopsy EYCNJLBX 15 30 / 15 = 45 60 ACH Eye Conjunctivoplasty EYCNJPLGFT 60 30 / 15 = 45 105 ACH Eye Cornea Eyelid Reinnerv w Sural Nerve Graft EYCOLDRSNG / = ACH Eye Cornea Keratotomy EYCORKOMY / = ACH Eye Cornea Pterygium Excision+/-Graft EYCORPTR 30 15 / 15 = 30 60 ACH Eye Cornea Scleroconjunctivectomy AmnioticMembrane EYCORKSCNJ 0 0 / 0 = 0 0 ACH Eye Corneal Repair+/-Lesion Excision EYCORRP 20 30 / 10 = 40 60

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 24 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Eye Corneal Scraping EYCORSCP 20 30 / 10 = 40 60 ACH Eye Corneal Transplant EYCORTP 60 30 / 15 = 45 105 ACH Eye Corneal Transplant Keratoprost w VitrectomyAnt EYCORTPKVA / = ACH Eye Corneal Transplant w Cataract Phaco+/-IOL EYCORTPCAT / = ACH Eye EUA EYEUA 15 20 / 15 = 35 50 ACH Eye EUA Foreign Body Rust Ring Removal EYEUAFBRM 10 10 / 10 = 20 30 ACH Eye EUA Laser Diode EYLZD 30 15 / 15 = 30 60 ACH Eye EUA+/-Cryopexy EYEUACRY 30 15 / 15 = 30 60 ACH Eye Globe Enucleation EYORBENUC 45 20 / 20 = 40 85 ACH Eye Globe Evisceration EYORBEVIS 30 30 / 10 = 40 70 ACH Eye Globe Fine Needle Aspiration Biopsy EYORBNLASP 0 0 / 0 = 0 0 ACH Eye Injection State Type EYINJ 10 5 / 5 = 10 20 ACH Eye Iridectomy+/-Iridocyclectomy+/-Cyclectomy EYIRDOC / = ACH Eye Iridectomy+/-Irrigation+/-Phacoemulsification EYIRDIR / = ACH Eye Lacrimal Duct Repair EYLDCTRP 15 30 / 10 = 40 55 ACH Eye Lacrimal Gland Duct Canaliculus Repair EYLGCANNRP 30 15 / 15 = 30 60 ACH Eye Lacrimal Gland Duct DCR EYLGDCR 30 15 / 15 = 30 60 ACH Eye Lacrimal Gland Duct DCR Bilateral EYLGDCRB 45 30 / 15 = 45 90 ACH Eye Lacrimal Gland Duct DCR Endoscopic EYLGDCREND 30 30 / 10 = 40 70 ACH Eye Lacrimal Gland Duct Probe+/-Irrg+/-Intub EYLGPRTUBE 15 20 / 10 = 30 45 ACH Eye Lacrimal Gland Duct Revision Jones Tube EYLGDRVJ 20 15 / 15 = 30 50 ACH Eye Laser Excimer EYLZE / = ACH Eye Laser Excimer Bilateral EYLZEB / = ACH Eye Lid Ectropion Repair EYLDECTRP 30 20 / 15 = 35 65 ACH Eye Lid Entropion Repair EYLDENTRP 30 20 / 10 = 30 60 ACH Eye Lid Epilation Cryotherapy EYLDEPILCY 30 30 / 10 = 40 70 ACH Eye Lid Loading Gold Weight Implant EYLDLGWI 20 15 / 10 = 25 45 ACH Eye Lid Ptosis Moderate 3-4 mm Levator Excision EYLDLVRS 20 20 / 10 = 30 50 ACH Eye Lid Ptosis Repair EYLDPTOS 30 20 / 10 = 30 60 ACH Eye Lid Ptosis Repair Bilateral EYLDPTOSB 30 20 / 10 = 30 60 ACH Eye Lid Ptosis Severe > 4mm Frontalis Muscle EYLDPTS4FM 90 20 / 15 = 35 125 ACH Eye Orbit Decomp Endosc w Guided Image EYORBDEIM 0 0 / 0 = 0 0 ACH Eye Orbit Exenteration EYORBEXT 60 30 / 10 = 40 100 ACH Eye Orbit Implant Peg Insertion EYORBPEG 15 20 / 10 = 30 45 ACH Eye Orbit Reconstruction Rep w Buccal Mucosal Grft EYORBRBMG 35 15 / 10 = 25 60 ACH Eye Orbit Reconstruction Repair w Dermis Fat Graft EYORBRDFG 35 15 / 10 = 25 60 ACH Eye Orbital Brachytherapy Plaque Removal EYORBBPR / = ACH Eye Orbital Decompression Anterior EYORBDECA 25 30 / 10 = 40 65 ACH Eye Orbital Decompression Lateral+/-Graves Disease EYORBDECL 60 30 / 10 = 40 100 ACH Eye Orbital Decompression Medial EYORBDECM 30 30 / 10 = 40 70 ACH Eye Orbital Decompression Posterior/Orbitotomy EYORBDECP 30 30 / 10 = 40 70 ACH Eye Orbital Fracture Repair EYORBFXRP 45 30 / 15 = 45 90 ACH Eye Orbital Lesion+/-Mass Excision Laser CO2 EYORBLELZC 15 20 / 10 = 30 45 ACH Eye Orbital Sphere Implant Secondary EYORBSIMPS 30 30 / 10 = 40 70 ACH Eye Orbitotomy Anterior+/-Lacrimal Gland Biopsy EYORBANLGB 30 20 / 20 = 40 70 ACH Eye Peri Orbital Abscess I&D EYID 15 20 / 10 = 30 45

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 25 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Eye Scleral Buckle EYSB 20 30 / 10 = 40 60 ACH Eye Secondary IOL Insertion+/-Removal+/-Suturing EYIOLSEC 60 20 / 10 = 30 90 ACH Eye Soft Tissue Lesion Biopsy+/-Excision+/-Repair EYSTEXBX 45 30 / 10 = 40 85 ACH Eye Soft Tissue Mohs Reconstruction EYSTMOHS / = ACH Eye Strabismus Repair EYSTRP 30 20 / 10 = 30 60 ACH Eye Strabismus Repair Bilateral EYSTRPB 40 20 / 10 = 30 70 ACH Eye Suture Adjustment EYSTRADJ 20 30 / 10 = 40 60 ACH Eye Suture Removal EYSUTRM 15 15 / 15 = 30 45 ACH Eye Trabeculectomy Bleb EYTRAB 60 30 / 20 = 50 110 ACH Eye Trabeculectomy w Cataract Phaco+/-IOL EYTRABCAT / = ACH Eye Trabeculectomy w Implant/Reservoir EYTRABIM 60 20 / 20 = 40 100 ACH Eye Trabeculectomy+/-Goniotomy+/-Gonioplasty EYTRABGONI 60 20 / 15 = 35 95 ACH Eye Trauma+/-Globe Rupture Repair EYTRAUMA 60 30 / 15 = 45 105 ACH Eye Vitrectomy Anterior EYVIANT 60 30 / 15 = 45 105 ACH Eye Vitrectomy Anterior w Cataract Phaco+/-IOL EYVIANTCAT 60 20 / 15 = 35 95 ACH Eye Vitrectomy Posterior 23G EYVI23 15 20 / 15 = 35 50 ACH Eye Vitrectomy Posterior 23G w Cataract & Scl Buck EYVI23CTSB 0 0 / 0 = 0 0 ACH Eye Vitrectomy Posterior 23G w Cataract Procedure EYVI23CAT 50 30 / 15 = 45 95 ACH Eye Vitrectomy Posterior 23G w Scleral Buckle EYVI23SB 45 30 / 15 = 45 90 ACH Eye Vitrectomy Posterior 23G w Secondary IOL EYVI23IOL 50 20 / 15 = 35 85 ACH Eye Vitrectomy Posterior 25G EYVI25 90 30 / 20 = 50 140 ACH Eye Vitrectomy Posterior 25G w Cataract & Scl Buck EYVI25CTSB 0 0 / 0 = 0 0 ACH Eye Vitrectomy Posterior 25G w Cataract Procedure EYVI25CAT 90 30 / 20 = 50 140 ACH Eye Vitrectomy Posterior 25G w Scleral Buckle EYVI25SB 85 30 / 15 = 45 130 ACH Eye Vitrectomy Posterior 25G w Secondary IOL EYVI25IOL 60 30 / 20 = 50 110 ORA ACH Facial Bone+/-I&D+/-Lysis of Adhesions FCBNID / = ACH Mandible Coronoidectomy MNCORNEC 30 30 / 15 = 45 75 ACH Mandible Excision Tori MNEXTORI 0 0 / 0 = 0 0 ACH Mandible Excision Tumor MNEXTUM / = ACH Mandible Implant Removal MNIMREM 90 30 / 20 = 50 140 ACH Mandible Inferior Border Osteo Genioplasty MNIBOSTGEN 0 0 / 0 = 0 0 ACH Mandible Maxilla Excision Tori MNMXEXTORI 0 0 / 0 = 0 0 ACH Mandible Maxilla External Fixation MNMXEXFIX 0 0 / 0 = 0 0 ACH Mandible Maxilla I&D MMID / = ACH Mandible Maxilla Recon w Bone Graft Iliac Crest MNMXRBGIC 0 0 / 0 = 0 0 ACH Mandible Maxilla Reconstruction MNMXRCN 0 0 / 0 = 0 0 ACH Mandible Maxilla Reconstruction w Bone Graft SS MNMXRBNGF 0 0 / 0 = 0 0 ACH Mandible Maxilla Sagittal Split Lefort Ost+/-Gen MNMXSSLF 210 30 / 30 = 60 270 ACH Mandible Osteotomy MNOST 0 0 / 0 = 0 0 ACH Mandible Reconstruction w Bone Graft Iliac Crest MNRCNBGIC 0 0 / 0 = 0 0 ACH Mandible Reconstruction w Bone Graft SS MNRCNBNGF 0 0 / 0 = 0 0 ACH Mandible Reconstruction+/-Augmentation MNRCNAUG 210 20 / 20 = 40 250 ACH Mandible Sagittal Split Osteotomy MNSSOS 90 30 / 30 = 60 150 ACH Mandible Sagittal Split Osteotomy & Genioplasty MNSSOSG 120 40 / 20 = 60 180 ACH Maxilla Excision Tori MXEXCTORI 0 0 / 0 = 0 0

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 26 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Maxilla Excision Tumour MXEXCTUMOR / = ACH Maxilla External Fixation MXEXFIX 0 0 / 0 = 0 0 ACH Maxilla Lefort I Osteotomy MXLFOST 345 75 / 40 = 115 460 ACH Maxilla Lefort II Osteotomy MXLFIIOST 120 40 / 20 = 60 180 ACH Maxilla Lefort III Midface Advancement MXLFIIIMAD 0 0 / 0 = 0 0 ACH Maxilla Mini Plate Distractor Application MXMPDAP 75 30 / 15 = 45 120 ACH Maxilla Osteotomy MXOST 0 0 / 0 = 0 0 ACH Maxilla Reconstruction MXRCN 75 40 / 20 = 60 135 ACH Maxilla Reconstruction with Bone Graft Iliac Crest MXRECBGRIC / = ACH Maxilla Reconstruction with Bone Graft SS MXRECBGRFT / = ACH Maxilla Reduction Closed MXRDNCL 0 0 / 0 = 0 0 ACH Maxilla Surgically Assisted Rapid PalatalExpansion MXSARPE / = ACH Mouth/Oral Alveolar+/-Nerve Avulsion MOALNVAV 0 0 / 0 = 0 0 ACH Mouth/Oral Alveoplasty MOALVPTY 120 45 / 30 = 75 195 ACH Mouth/Oral Antral Fistula Repair MOFISRP 30 20 / 15 = 35 65 ACH Mouth/Oral Bone Excision MOBNRM 0 0 / 0 = 0 0 ACH Mouth/Oral Control Bleed SS MOCB 20 30 / 10 = 40 60 ACH Mouth/Oral Genioplasty Augment Graft MOGNAUGGF 0 0 / 0 = 0 0 ACH Mouth/Oral Genioplasty Reduction MOGNRDN 0 0 / 0 = 0 0 ACH Mouth/Oral Gingivectomy+/-Gingivoplasty MOGINGEC 100 30 / 20 = 50 150 ACH Mouth/Oral Gland Biopsy+/-Excision+/-Lithotripsy MOCGBXEX / = ACH Mouth/Oral Hyperplastic Tissue Excision MOHYTSEX 0 0 / 0 = 0 0 ACH Mouth/Oral I&D/Debridement MOID / = ACH Mouth/Oral Osseointegration Implant Abutment+/-Rem MOIMPRM 0 0 / 0 = 0 0 ACH Mouth/Oral Osseointegration Implant Insert MOIMPIN 0 0 / 0 = 0 0 ACH Mouth/Oral Tissue Biopsy+/-Excision+/-Repair MOBXEXRP 20 15 / 10 = 25 45 ACH Mouth/Oral Vestibuloplasty MOVSTPTY 0 0 / 0 = 0 0 ACH Nasoalveolar Molding NAM NASALVMOLD 5 5 / 5 = 10 15 ACH Sinus Lift w Bone Graft Bilateral SINLFTBGB 0 0 / 0 = 0 0 ACH Teeth Dental Restorations TEEDENREST 70 15 / 10 = 25 95 ACH Teeth Extraction+/-Odontectomy 1-4 TEEXTR1 15 15 / 10 = 25 40 ACH Teeth Extraction+/-Odontectomy 5+ TEEXTR5 60 35 / 20 = 55 115 ACH TMJ Arthrocentesis TMJAT 0 0 / 0 = 0 0 ACH TMJ Arthroplasty TMJARPTY 160 40 / 20 = 60 220 ACH TMJ Arthroplasty w TMJ Prosthetic Recon Bil TMJARPRCNB 220 30 / 30 = 60 280 ACH TMJ Arthroplasty w TMJ Prosthetic Recon Uni TMJARPRCN 240 30 / 30 = 60 300 ACH TMJ Discectomy w Fat Grafting TMJDISCFG / = ORT ACH Amputation Revision SS AMPSRV 60 40 / 15 = 55 115 ACH Ankle Arthrodesis Revision w HDWR+/-Graft ANKADRHDWR / = ACH Ankle Arthrodesis/Fusion+/-Osteotomy+/-Graft ANKADFOG 75 20 / 10 = 30 105 ACH Ankle Arthroplasty Prim ANKAP 130 30 / 10 = 40 170 ACH Ankle Arthroplasty Prim Integra Cad ANKAPIC / = ACH Ankle Arthroplasty Prim Wright Inf ANKAPWI / = ACH Ankle Arthroplasty Rev Integra Cad ANKARIC / = ACH Ankle Arthroplasty Rev Liner Ex Wright Inf ANKARLEWI / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 27 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Ankle Arthroplasty Rev w Arthrodes/Fus Wright Inf ANKARAFWI / = ACH Ankle Arthroplasty Rev Wright Inf ANKARWI / = ACH Ankle Arthroscopy Fusion ANKSCFS 120 30 / 15 = 45 165 ACH Ankle Arthroscopy Ligament Repair ANKSCLGRP 60 25 / 20 = 45 105 ACH Ankle Arthroscopy w Debridement Osteochond+/-Graft ANKSCDOSTG / = ACH Ankle Arthroscopy w Retrograde Drilling ANKSCRETDR / = ACH Ankle Arthroscopy+/-Debridement ANKSC 50 35 / 20 = 55 105 ACH Ankle Arthroscopy+/-Debridement Mini Open ANKSCDMO / = ACH Ankle Arthroscopy+/-Debridement w Open HDWR ANKSCDOHR / = ACH Ankle Arthroscopy+/-Debridement with ORIF ANKSCDORF 100 45 / 15 = 60 160 ACH Ankle Arthroscopy+/-Retrograde Drilling w O-Arm ANKSCRTD 110 30 / 20 = 50 160 ACH Ankle Arthrotomy ANKAT 60 20 / 10 = 30 90 ACH Ankle Debridement Talus w OATS Procedure ANKDTOATS / = ACH Ankle Evans Tendon Repair ANKEVARP 45 20 / 10 = 30 75 ACH Ankle Hardware Removal State Type ANKHWRM 25 30 / 15 = 45 70 ACH Ankle Ligament Reconstruction +/- Graft ANKLIGRECA / = ACH Ankle Ligament w Augment Internal Brace ANKLGAIB / = ACH Ankle Modified Brostrom Ligament Rep+/-Arthroscopy ANKMBLRP 30 15 / 10 = 25 55 ACH Ankle ORIF ANKORIF 60 35 / 15 = 50 110 ACH Ankle ORIF Pilon/Plafond ANKORIFPN 30 20 / 10 = 30 60 ACH Ankle Reduction Closed ANKRDNCL 30 20 / 15 = 35 65 ACH Ankle Reduction Closed Perc Pin+/-Screw Fixation ANKRDCLPPS 35 30 / 15 = 45 80 ACH Ankle Syndesmosis Repair+/-Fixation ANKSYNRF 50 30 / 15 = 45 95 ACH Arm Tendon Lengthening Green Procedure TDALGNG 120 30 / 10 = 40 160 ACH Arm Upper Ex Fix Synthes Application/Adj AUEXHWAP / = ACH Bone Aspiration Iliac Crest BNASPIC / = ACH Bone Biopsy BNBX 70 40 / 15 = 55 125 ACH Bone Biopsy w Graft State Type BNBXGR 70 30 / 15 = 45 115 ACH Bone Biopsy w O-Arm BNBXOARM 90 20 / 20 = 40 130 ACH Bone Graft from Iliac Crest BNGFIC 20 20 / 10 = 30 50 ACH Bone Graft SS BNGF 60 20 / 10 = 30 90 ACH Bone Graft SS w Syn RIA BNGFRIA / = ACH Bone Graft Vascularized BNGFVAS 480 80 / 25 = 105 585 ACH Bone Heterotopic Ossification Excision SS BNHTOEXSS / = ACH Bone Osteochondroma Excision SS BNOSTEX 40 35 / 15 = 50 90 ACH Cast Application+/-Replacement for Spine Scoliosis CSTAPPRSS 30 45 / 20 = 65 95 ACH Cast+/-Dressing Change+/-Pin Removal SS CSTCHG 25 20 / 15 = 35 60 ACH Clavicle ORIF+/-Osteotomy CLVORIF 95 40 / 15 = 55 150 ACH Coccygectomy COCCEC 60 45 / 30 = 75 135 ACH Elbow Arthrodesis/Fusion ELBADF 60 20 / 10 = 30 90 ACH Elbow Arthroplasty Primary ELBAP 120 60 / 30 = 90 210 ACH Elbow Arthroplasty Revision ELBAR 120 60 / 30 = 90 210 ACH Elbow Arthroscopy ELBSC 100 45 / 20 = 65 165 ACH Elbow Arthrotomy ELBAT 75 20 / 10 = 30 105 ACH Elbow Bursa Excision ELBBEX 45 20 / 10 = 30 75 ACH Elbow Epicondyle/Nirschl Debride+/-Tendon Release ELBEDEBTR 35 30 / 20 = 50 85

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 28 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Elbow Ex Fix Synthes Application/Adj ELEXHWAP / = ACH Elbow Hardware Removal ELBHWRM / = ACH Elbow Ligament UCL Repair+/-Allograft ELBLIGUCRP / = ACH Elbow Ligament+/-Tendon Repair ELBLIGRP 90 20 / 10 = 30 120 ACH Elbow Reduction Closed ELBRDNCL 25 30 / 15 = 45 70 ACH Elbow Supracondylar Reduction Perc Pin ELBSCRDPP 30 30 / 15 = 45 75 ACH Elbow/Olecranon ORIF ELBORIF 65 40 / 20 = 60 125 ACH Epiphyseodesis Femur/Tibia EPIPHYSFT 60 40 / 15 = 55 115 ACH Epiphyseodesis Femur/Tibia Bil EPIPHYSFTB 210 30 / 20 = 50 260 ACH Epiphyseodesis Radius/Ulna EPIPHYSRU 60 20 / 20 = 40 100 ACH Exostosis Excision SS EXOSEX 40 35 / 15 = 50 90 ACH Fasciotomy SS FASCOMY 50 30 / 20 = 50 100 ACH Femoral Condyle Drilling w O-Arm FECNDDR 120 30 / 20 = 50 170 ACH Femur Distal Periprosthetic Fracture FMDISPPFX 0 0 / 0 = 0 0 ACH Femur Ex Fix Synthes Hardware Application/Adjust FMEXHWAP / = ACH Femur Excision Boney Bar w Fat Graft FMEXBNFGF 110 30 / 10 = 40 150 ACH Femur Hardware Removal State Type FMHWRM 55 35 / 15 = 50 105 ACH Femur Nail ESIM Nancy FMNIMN 65 50 / 20 = 70 135 ACH Femur Nail ESIM Nancy Hardware Removal FMNIMNHWR 40 30 / 15 = 45 85 ACH Femur Nail IM Hardware Removal State Type FMNIMHWRM 60 35 / 15 = 50 110 ACH Femur Nail IM Lengthening Precice FMNIMLGNP 120 40 / 20 = 60 180 ACH Femur Nail IM S&N Trigen Antegrade FMNIMTRA 145 60 / 25 = 85 230 ACH Femur Nail IM S&N Trigen Retrograde FMNIMTRR 150 45 / 30 = 75 225 ACH Femur Nail IM S&N Trigen Rev/Exchange FMNIMTRRE / = ACH Femur Nail IM Stryker Gamma FMNIMGAM 90 45 / 30 = 75 165 ACH Femur Nail IM Stryker Gamma Rev/Exchange FMNIMGAMRE / = ACH Femur Nail IM Stryker T2 FMNIMST2 90 45 / 20 = 65 155 ACH Femur Nail IM Stryker T2 Recon FMNIMST2RC 90 45 / 30 = 75 165 ACH Femur Nail IM Stryker T2 Rev/Exchange FMNIMST2RE 0 0 / 0 = 0 0 ACH Femur Nail IM Stryker T2 Supracondylar FMNIMST2SC 90 45 / 30 = 75 165 ACH Femur Nail IM Synthes Ante/Retro Rev/Exchange FMNIMSYREV / = ACH Femur Nail IM Synthes Antegrade FMNIMSA 150 45 / 30 = 75 225 ACH Femur Nail IM Synthes Retrograde FMNIMSR 120 45 / 30 = 75 195 ACH Femur Nail IM Synthes TFN FMNIMSYTFN 0 0 / 0 = 0 0 ACH Femur Nail IM Synthes TFN Rev/Exchange FMNIMSYTFR / = ACH Femur ORIF FMORIF 95 50 / 20 = 70 165 ACH Femur ORIF Greater Trochanter FMORIFGRTR / = ACH Femur ORIF Supracondylar FMORIFSUP 120 45 / 30 = 75 195 ACH Femur Osteotomy FMOS 160 65 / 20 = 85 245 ACH Femur Osteotomy Derotational Nail IM Stryker T2 FMOSDNIMT2 90 40 / 20 = 60 150 ACH Femur Rectus Femoris Transfer FMRETRF 90 20 / 15 = 35 125 ACH Femur Reduction Closed w Hip Spica Cast FMRDNCL 35 25 / 20 = 45 80 ACH Femur Skeletal Traction Application FMSKTRAP 0 0 / 0 = 0 0 ACH Fibula Nail IM Acumed Fibula Rod FIBNIMAFR / = ACH Fibula ORIF+/-Osteotomy FIBORIF 60 20 / 15 = 35 95 ACH Foot Accessory Navicular Excision FTACNVEX 55 30 / 15 = 45 100

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 29 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Foot Accessory Navicular Excision BIlateral FTACNVEXB 90 30 / 15 = 45 135 ACH Foot Amputation Symes FTAMPS 90 35 / 10 = 45 135 ACH Foot Amputation Transmetatarsal FTAMPTM 90 35 / 20 = 55 145 ACH Foot Anterior Tarsal Tunnel Decompression FTANTTTDEC / = ACH Foot Arthrotomy Ost Fu Jones+/-Tend Trans+/-Botox FTATOSFJTB 120 50 / 15 = 65 185 ACH Foot Arthrotomy Osteotomy Fusion Jones FTATOSFSJN 150 40 / 15 = 55 205 ACH Foot Arthrotomy+/-Joint Debridement FTATHROJD 45 20 / 20 = 40 85 ACH Foot Bone Fragment Excision FTBNFGEX / = ACH Foot Bone Repair+/-Bone Graft FTBNRPGF 0 0 / 0 = 0 0 ACH Foot Bunionectomy Hallux Valgus+/-Keller's Repair FTBUNEC 130 45 / 15 = 60 190 ACH Foot Bunionectomy+/-Osteotomy Chevron FTBUNOSTCV 75 40 / 15 = 55 130 ACH Foot Bunionectomy+/-Osteotomy Chevron Bilateral FTBUNOSTCB 120 45 / 15 = 60 180 ACH Foot Calcaneal Lengthening FTCALLGN 140 50 / 15 = 65 205 ACH Foot Calcaneal Osteotomy FTCALOST 60 20 / 20 = 40 100 ACH Foot Calcanealcuboid Arthrodesis/Fusion+/-Graft FTCALCAFG / = ACH Foot Calcaneonavicular Bar Excision FTCALEX 75 40 / 15 = 55 130 ACH Foot Flatfoot Reconstruction FTFLATFRCN / = ACH Foot Forefoot Reconstruction FTFFRCN 90 20 / 20 = 40 130 ACH Foot Forefoot Reconstruction Rev+/-HDWR FTFFRCNRHR / = ACH Foot Gastrocsoleus Slider FTGSSL 60 40 / 15 = 55 115 ACH Foot Hardware Removal State Type FTHWRM 30 15 / 15 = 30 60 ACH Foot Hindfoot Arthroscopy+/-Debridement FTHARTD / = ACH Foot Hindfoot Dbl/Triple Arthrodesis/Fusion+/-Graf FTHADF 120 35 / 15 = 50 170 ACH Foot Hindfoot Dbl/Trpl Arthrodes Rev w HDWR+/-Graf FTHADRHWRM / = ACH Foot Hindfoot Nail IM Hardware Removal State Type FTHNIMHWR / = ACH Foot Lapidus Procedure FTLAPID 90 30 / 20 = 50 140 ACH Foot Medial Cuboid Wedge Medial Column Lengthen FTMCLGN 120 60 / 15 = 75 195 ACH Foot Metatarsal Shortening Osteotomy FTMETSO / = ACH Foot Midfoot Arthrodesis Revision w HDWR+/-Graft FTMADRHWRM / = ACH Foot Midfoot Arthrodesis/Fusion+/-Graft FTMADF 75 30 / 20 = 50 125 ACH Foot Naviculocuneiform Arthrodesis/Fusion+/-Graft FTNCADF / = ACH Foot Neuroma Excision SS FTNEUEX 45 30 / 10 = 40 85 ACH Foot ORIF FTORIF 75 30 / 20 = 50 125 ACH Foot ORIF Calcaneus FTORIFCA 75 40 / 15 = 55 130 ACH Foot ORIF Lisfranc FTORIFLF 60 35 / 20 = 55 115 ACH Foot ORIF Talus FTORIFTA 90 40 / 15 = 55 145 ACH Foot Osteotomy FTOST 75 45 / 20 = 65 140 ACH Foot Osteotomy Chevron FTOSTCHV 60 30 / 20 = 50 110 ACH Foot Pantalar Arthrodesis/Fusion+/-Graft FTPTADF / = ACH Foot Plantar Med Rel+/-Osteotomy+/-Tendon+/-Botox FTPLMROTB 180 50 / 15 = 65 245 ACH Foot Plantar Medial Release FTPLMDRL 75 40 / 15 = 55 130 ACH Foot Plantar Medial Release+/-Tend Trans+/-Botox FTPLMRTTB 100 40 / 15 = 55 155 ACH Foot Plantar MedialRelease+/-TendTrans+/-Botox Bil FTPLMRTTBB 175 55 / 20 = 75 250 ACH Foot Posteromed Rel+/-Osteotomy+/-Tend+/-Botox FTSMDRLOTB 180 50 / 15 = 65 245 ACH Foot Posteromedial Release+/-Tend Trans+/-Botox FTSMDRTTB 160 40 / 15 = 55 215 ACH Foot Posteromedial Release+/-TendTrans+/-Botox Bil FTSMDRTTBB 225 55 / 15 = 70 295

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 30 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Foot Posteromedial Releases FTSMDRL 110 45 / 15 = 60 170 ACH Foot Reconstruction Cavovarus FTRCNCV 140 30 / 20 = 50 190 ACH Foot Subtalar Arthrodesis/Fusion+/-Grice+/-Gr Bil FTSTADFB 225 60 / 20 = 80 305 ACH Foot Subtalar Arthrodesis/Fusion+/-Grice+/-Graft FTSTADF 140 35 / 15 = 50 190 ACH Foot Subtalar Fusion Revision+/-HDWR FTSTFRHR / = ACH Foot Talonavicular Arthrodesis/Fusion+/-Graft FTTADF 100 20 / 20 = 40 140 ACH Foot Talonavicular Pin Fixation FTTPNFX 80 60 / 15 = 75 155 ACH Foot Tendon Achilles Lengthening FTACHLGN 50 40 / 15 = 55 105 ACH Foot Tendon Achilles Reconstruction w Tendon Trans FTTNARCNTT 90 30 / 20 = 50 140 ACH Foot Tendon Achilles Release/Lengthen Perc FTTNACHRL 30 30 / 15 = 45 75 ACH Foot Tendon Achilles Repair FTTNACHRP 60 30 / 10 = 40 100 ACH Foot Tendon+/-Ligament Repair+/-Transfer FTLIGRP 70 35 / 25 = 60 130 ACH Foot Tibiotalocalcaneal Arthrodesis/Fusion+/-Graft FTTTCADF 120 45 / 30 = 75 195 ACH Foot/Ankle Ex Fix Synthes Hardware Application/Adj FTAEXHWAP / = ACH Foot+/-Toe Reduction Closed FTRDNCL 30 25 / 15 = 40 70 ACH Forearm Tendon Transfer FORETNTRF 75 25 / 20 = 45 120 ACH Ganglion Aspiration+/-Excision SS GANGASP 5 15 / 10 = 25 30 ACH Hamstring Lengthening Open+/-Repair HAMSTRL 145 45 / 15 = 60 205 ACH Hip Acetabular ORIF+/-Reconstruction HPACORIFRC 150 75 / 30 = 105 255 ACH Hip Acetabular ORIF+/-Reconstruction w Nav HPACORIFRN / = ACH Hip Acetabular Recon Oncology HPACRONC / = ACH Hip Acetabular Recon Oncology w Nav HPACRONCN / = ACH Hip Adductor Tenotomy Open HPADTOPN 130 60 / 20 = 80 210 ACH Hip Adductor Tenotomy Perc+/-Bil+/-Botox+/-Gram HPADTNBBG 40 30 / 20 = 50 90 ACH Hip Arthrogram HPAGM 30 35 / 20 = 55 85 ACH Hip Arthroplasty Acetabular Revision Depuy HPARACED 180 45 / 30 = 75 255 ACH Hip Arthroplasty Acetabular Revision SN HPARACESN 180 45 / 30 = 75 255 ACH Hip Arthroplasty Acetabular Revision Stryker HPARACES 180 45 / 30 = 75 255 ACH Hip Arthroplasty Acetabular Revision Zimmer HPARACEZ 210 45 / 30 = 75 285 ACH Hip Arthroplasty Prim Zimmer CRC HPAPZCRC 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Depuy Actis HPAPDACTIS / = ACH Hip Arthroplasty Prim Depuy Actis Ant Bil+/-Nav HPAPDACTB / = ACH Hip Arthroplasty Prim Depuy Actis Ant+/-Nav HPAPDACT / = ACH Hip Arthroplasty Prim Depuy Corail HPAPDC / = ACH Hip Arthroplasty Prim Depuy Corail Bilateral HPAPDCB 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Depuy Corail DAA HPAPDCA / = ACH Hip Arthroplasty Prim Depuy Corail DAA Bil HPAPDCAB / = ACH Hip Arthroplasty Prim Depuy Corail Direct DS HPAPDCDSB / = ACH Hip Arthroplasty Prim Depuy Corail DS HPAPDCDS / = ACH Hip Arthroplasty Prim Depuy Corail Rev HPAPDCR / = ACH Hip Arthroplasty Prim Depuy Corail Zim Tril DS HPAPDCTRS / = ACH Hip Arthroplasty Prim Depuy Corail Zim Tril DS Bi HPAPDCTRSB / = ACH Hip Arthroplasty Prim Depuy C-Stem AMT HPAPDCSAMT / = ACH Hip Arthroplasty Prim Depuy SROM HPAPDSR 150 45 / 40 = 85 235 ACH Hip Arthroplasty Prim Depuy SROM Bilateral HPAPDSRB / = ACH Hip Arthroplasty Prim Depuy Summit HPAPDS 120 45 / 30 = 75 195

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 31 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Hip Arthroplasty Prim Depuy Summit Bilateral HPAPDSB 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Depuy Summit w Cement HPAPDSC 90 45 / 30 = 75 165 ACH Hip Arthroplasty Prim Depuy Trilock HPAPDTRI 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Depuy Trilock Bil HPAPDTRIB 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Depuy Trilock DAA HPAPDTRIA / = ACH Hip Arthroplasty Prim Depuy Trilock DAA Bil HPAPDTRIAB / = ACH Hip Arthroplasty Prim Microport Conserve Plus HPAPMICPC / = ACH Hip Arthroplasty Prim Microport Conserve Plus Bil HPAPMICPCB / = ACH Hip Arthroplasty Prim Microport Superpath HPAPMICSP / = ACH Hip Arthroplasty Prim Microport Superpath Bil HPAPMICSPB / = ACH Hip Arthroplasty Prim SN Birmingham HPAPSNBIR 120 45 / 30 = 75 195 ACH Hip Arthroplasty Prim SN Birmingham Bil HPAPSNBIB 180 60 / 25 = 85 265 ACH Hip Arthroplasty Prim SN Birmingham+/-Polar HPAPSNBIRP 120 45 / 30 = 75 195 ACH Hip Arthroplasty Prim SN CPCS/Dep Pinn HPAPSNDEP / = ACH Hip Arthroplasty Prim SN Emperion HPAPSNEMP 180 45 / 30 = 75 255 ACH Hip Arthroplasty Prim SN Polar HPAPSNPOL / = ACH Hip Arthroplasty Prim SN Polar Bil HPAPSNPOLB / = ACH Hip Arthroplasty Prim SN Polar DAA HPAPSNPA / = ACH Hip Arthroplasty Prim SN Polar DAA Bil HPAPSNPAB / = ACH Hip Arthroplasty Prim SN Redapt HPAPSNR / = ACH Hip Arthroplasty Prim SN Synergy HPAPSNSYN 180 45 / 30 = 75 255 ACH Hip Arthroplasty Prim SN Synergy Bilateral HPAPSNSYNB 160 55 / 20 = 75 235 ACH Hip Arthroplasty Prim SN Synergy Cemented HPAPSNSYNC 90 45 / 30 = 75 165 ACH Hip Arthroplasty Prim Stryker Accolade HPAPSA 90 45 / 30 = 75 165 ACH Hip Arthroplasty Prim Stryker Accolade DAA HPAPSADAA / = ACH Hip Arthroplasty Prim Stryker Accolade DS Bil HPAPSADSB / = ACH Hip Arthroplasty Prim Stryker Accolade DS Approach HPAPSADS / = ACH Hip Arthroplasty Prim Stryker Exe/Depuy Pinn HPAPSEDP 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Stryker Exeter HPAPSE 120 45 / 30 = 75 195 ACH Hip Arthroplasty Prim Stryker Exeter DAA HPAPSEDAA 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Zim Heritage/Dep Pinn HPAPZHDP 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Zim ML Taper/Dep Pinn HPAPZMLT 150 45 / 30 = 75 225 ACH Hip Arthroplasty Prim Zim Wagner/Dep Pinn HPAPZWDP 150 45 / 30 = 75 225 ACH Hip Arthroplasty Prim Zim/STK HPAPZS 150 45 / 30 = 75 225 ACH Hip Arthroplasty Prim Zimmer Bio Taperloc/Dep Pin HPAPZTLDP / = ACH Hip Arthroplasty Prim Zimmer Biomet Echo Bi-Metric HPAPZEBM 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Zimmer Biomet Taperloc HPAPZT / = ACH Hip Arthroplasty Prim Zimmer Biomet Taperloc Ant HPAPBTLSA / = ACH Hip Arthroplasty Prim Zimmer Biomet Taperloc AntBi HPAPBTLSAB / = ACH Hip Arthroplasty Prim Zimmer Biomet Taperloc Bil HPAPZTB / = ACH Hip Arthroplasty Prim Zimmer Fitmore HPAPZF 0 0 / 0 = 0 0 ACH Hip Arthroplasty Prim Zimmer Heritage HPAPZH 90 45 / 30 = 75 165 ACH Hip Arthroplasty Prim Zimmer ML Taper Ant HPAPZMLTA / = ACH Hip Arthroplasty Prim Zimmer ML Taper Ant Bil HPAPZMLTAB 220 50 / 20 = 70 290 ACH Hip Arthroplasty Prim Zimmer Versys ML Taper HPAPZVMLT 110 45 / 30 = 75 185 ACH Hip Arthroplasty Prim Zimmer Versys ML Taper Bil HPAPZVMLTB 0 0 / 0 = 0 0

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 32 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Hip Arthroplasty Prim Zimmer Wagner Cone HPAPZWC 150 45 / 30 = 75 225 ACH Hip Arthroplasty Prim Zimmer Wagner Cone Bil HPAPZWCB / = ACH Hip Arthroplasty Prim Zimmer Wagner Cone DAA HPAPZWANT / = ACH Hip Arthroplasty Prim Zimmer Wagner SL HPAPZWSL / = ACH Hip Arthroplasty Rev Con Depuy Hemi to Tot Arthro HPARDHTA / = ACH Hip Arthroplasty Rev Con Stryker Hemi to Tot Arthr HPARSHTA / = ACH Hip Arthroplasty Rev Con Zim Bio Hemi to Tot Arthr HPARZBHTA / = ACH Hip Arthroplasty Rev Depuy Corail Rev HPARDCR 140 55 / 30 = 85 225 ACH Hip Arthroplasty Rev Depuy Prostalac Spacer HPARDP 165 45 / 30 = 75 240 ACH Hip Arthroplasty Rev Depuy SROM HPARDSROM 220 60 / 30 = 90 310 ACH Hip Arthroplasty Rev Depuy Summit HPARSUMIT / = ACH Hip Arthroplasty Rev Exactech Spacer HPARES / = ACH Hip Arthroplasty Rev I&D First Stage HPARIDFS / = ACH Hip Arthroplasty Rev I&D Liner/Head Exchange HPARIDPRO / = ACH Hip Arthroplasty Rev Microport LINK MP HPARMLINK / = ACH Hip Arthroplasty Rev SN Birmingham to Dep Trilock HPARSNBDT / = ACH Hip Arthroplasty Rev SN Birmingham to Depuy Corail HPARSNBDC / = ACH Hip Arthroplasty Rev SN Birmingham to Polar HPARSNBPOL / = ACH Hip Arthroplasty Rev SN Birmingham to Redapt HPARSNBRED / = ACH Hip Arthroplasty Rev SN Birmingham to Synergy HPARSNBSY 110 50 / 20 = 70 180 ACH Hip Arthroplasty Rev SN Birmingham to Synergy Bi HPARSNBSYB / = ACH Hip Arthroplasty Rev SN Birmingham to Zimmer MLT HPARSNBZML 110 50 / 20 = 70 180 ACH Hip Arthroplasty Rev SN Echelon+/-Cement HPARSNE 220 60 / 30 = 90 310 ACH Hip Arthroplasty Rev SN Emperion HPARSNEM / = ACH Hip Arthroplasty Rev SN Polar HPARSNPOLR / = ACH Hip Arthroplasty Rev SN Redapt HPARSNR / = ACH Hip Arthroplasty Rev Stryker Accolade HPARSA / = ACH Hip Arthroplasty Rev Stryker Exeter HPARSE 180 60 / 30 = 90 270 ACH Hip Arthroplasty Rev Stryker Restoration Modular HPARSRM 180 60 / 30 = 90 270 ACH Hip Arthroplasty Rev Zimmer Biomet Arcos HPARZAR / = ACH Hip Arthroplasty Rev Zimmer CRC HPARZCRC / = ACH Hip Arthroplasty Rev Zimmer Wagner Cone HPARZWC / = ACH Hip Arthroplasty Rev Zimmer Wagner SL HPARZWSL 180 60 / 30 = 90 270 ACH Hip Arthroscopy CAM/Impingement Takedown+/-Repair HPSCAMTD 120 45 / 30 = 75 195 ACH Hip Arthroscopy Diagnostic HPSCD 60 45 / 20 = 65 125 ACH Hip Arthroscopy+/-Repair HPSC 60 45 / 30 = 75 135 ACH Hip Arthrotomy Osteotomy HPATOS 60 30 / 15 = 45 105 ACH Hip Decompression HPDECOM 45 45 / 30 = 75 120 ACH Hip Decompression Bilateral HPDECOMB 45 45 / 20 = 65 110 ACH Hip Decompression WM X-Ream HPDECOMXR 45 50 / 20 = 70 115 ACH Hip Disarticulation HPDISA 90 45 / 30 = 75 165 ACH Hip Dislocation Reduction Closed HPDRDNCL 30 30 / 15 = 45 75 ACH Hip Dislocation Reduction Open HPDRDNO 60 30 / 10 = 40 100 ACH Hip EUA/Arthrogram/Application of Hip Spica Cast HPEUAGMHSC 40 30 / 15 = 45 85 ACH Hip Excision Arthroplasty Girdlestone HPRAGIR 140 60 / 20 = 80 220 ACH Hip Hemi Arthoplasty Prim Zimmer CRC HPHAPZCRC / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 33 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Hip Hemi Arthroplasty Prim Depuy Actis HPHADACT / = ACH Hip Hemi Arthroplasty Prim Depuy Actis DAA HPHADACTA / = ACH Hip Hemi Arthroplasty Prim Depuy C Stem HPHADCS / = ACH Hip Hemi Arthroplasty Prim Depuy Corail HPHADC 0 0 / 0 = 0 0 ACH Hip Hemi Arthroplasty Prim Depuy Corail DAA HPHADCANT / = ACH Hip Hemi Arthroplasty Prim Depuy Summit HPHADSUM 90 45 / 30 = 75 165 ACH Hip Hemi Arthroplasty Prim Depuy Summit Cement HPHADSUMC 90 45 / 20 = 65 155 ACH Hip Hemi Arthroplasty Prim SN CPCS HPHASNCPCS / = ACH Hip Hemi Arthroplasty Prim SN Synergy HPHASNSYN 0 0 / 0 = 0 0 ACH Hip Hemi Arthroplasty Prim SN Synergy Cement HPHASNSYNC / = ACH Hip Hemi Arthroplasty Prim Stryker Exeter HPHASEXE 120 45 / 30 = 75 195 ACH Hip Hemi Arthroplasty Prim Zim Biomet Taperloc HPHAPZBT 65 45 / 20 = 65 130 ACH Hip Hemi Arthroplasty Prim Zim Biomet Taperloc Ant HPHAPZBTA / = ACH Hip Hemi Arthroplasty Prim Zim Versys Heritage HPHAPZVH 90 50 / 20 = 70 160 ACH Hip Hemi Arthroplasty Prim Zim Versys LDFX HPHAPZVL 0 0 / 0 = 0 0 ACH Hip Hemi Arthroplasty Prim Zim Versys ML Taper HPHAZVMLT 90 50 / 20 = 70 160 ACH Hip Hemi Arthroplasty Rev Zimmer Wagner SL HPHARZWSL 190 60 / 20 = 80 270 ACH Hip I&D HPIRDB 60 30 / 20 = 50 110 ACH Hip ORIF HPORIF 130 60 / 20 = 80 210 ACH Hip ORIF w Pelvic Osteotomy HPORIFPV 200 75 / 20 = 95 295 ACH Hip Osteochondroplasty Mini Open HPOSCHPMO 120 75 / 25 = 100 220 ACH Hip Reduction Closed HPRDNCL 45 30 / 15 = 45 90 ACH Hip Release Iliopsoas HPRLIL 150 30 / 10 = 40 190 ACH Hip Slipped Epiphysis Screw Fixation HPSESCFX 45 55 / 20 = 75 120 ACH Hip Trocanteric Advancement HPTRAD 90 45 / 20 = 65 155 ACH Hip/Femur Bursa Excision HPFMBEX / = ACH Hip/Femur Hardware Removal HPFMHWRM 40 25 / 20 = 45 85 ACH Hip/Femur ORIF DHS HPFMORIDHS 60 60 / 20 = 80 140 ACH Hip/Femur ORIF Synthes Cannulated Screws HPFMORIFCN 60 55 / 20 = 75 135 ACH Hip/Femur Osteot+/-Acetab Recon w Tiss/Tend+/-Boto HPFMOSARTT 290 80 / 25 = 105 395 ACH Hip/Femur Osteot+/-Acetab Recon wTiss/Tend+/-Bo Bi HPFMOSARTB 300 90 / 30 = 120 420 ACH Hip/Femur Osteotomy Periacetabular HPFMOSAC 260 100 / 20 = 120 380 ACH Hip/Femur Osteotomy Synthes Blade Plate HPFMOSS 200 80 / 20 = 100 300 ACH Hip/Femur Osteotomy Synthes Blade Plate Bil HPFMOSSB 300 70 / 30 = 100 400 ACH Hip/Femur Prox Arthroplasty Prim Salv Onc Depuy HPFMAPSOD 300 75 / 30 = 105 405 ACH Hip/Femur Prox Arthroplasty Prim Salv Onc Stryker HPFMAPSOS 225 75 / 30 = 105 330 ACH Hip/Femur Prox Arthroplasty Prim Salv Onc Zimmer HPFMAPSOZ 225 75 / 30 = 105 330 ACH Hip/Femur Prox Arthroplasty Rev Salv Onc Depuy HPFMARSOD 225 75 / 30 = 105 330 ACH Hip/Femur Prox Arthroplasty Rev Salv Onc Stryker HPFMARSOS 225 75 / 30 = 105 330 ACH Hip/Femur Prox/Dist Arthroplasty Prim Salv Onc Dep HPFMAPSODD 0 0 / 0 = 0 0 ACH Hip/Femur Richards Screw Hardware Removal HPFRSHWRM 60 15 / 10 = 25 85 ACH Hip/Femur Synthes Cannulated Screw HardwareRemoval HPFSYCHWRM 45 30 / 10 = 40 85 ACH Hip/Femur Synthes DHS Hardware Removal HPFSYHWRM 45 30 / 10 = 40 85 ACH Hip/Femur Valgus Osteotomy HPFMVOS 130 60 / 15 = 75 205 ACH Humerus Distal ORIF HUMDISORIF 100 50 / 20 = 70 170 ACH Humerus Hardware Removal State Type HUMHWRM 45 20 / 15 = 35 80

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 34 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Humerus Hemi Arthroplasty Prim Stryker MRS HUMAPSMRS 120 45 / 30 = 75 195 ACH Humerus Nail IM Stryker T2 HUMNIMST2 90 20 / 10 = 30 120 ACH Humerus Nail IM Synthes HUMNIMS 90 40 / 20 = 60 150 ACH Humerus Proximal ORIF HUMPRXORIF 60 35 / 20 = 55 115 ACH Humerus Reduction Closed HUMRDCL 30 35 / 15 = 50 80 ACH Humerus Salvage Arthroplasty Revision Oncology HUMSARO 0 0 / 0 = 0 0 ACH Humerus Shaft ORIF HUMSHAFT / = ACH Injection Cyst w Steroid SS INJSTERO 10 20 / 15 = 35 45 ACH Injection Radio Isotope INJRI 5 20 / 15 = 35 40 ACH Injection Trigger Point SS INJTRIG 5 30 / 10 = 40 45 ACH Joint Manipulation Under Anesthesia SS JTMAN 20 15 / 15 = 30 50 ACH Knee Amputation Above+/-Below KNAMPAB 120 45 / 15 = 60 180 ACH Knee Arthrodesis/Fusion+/-Osteotomy KNADFO 120 30 / 15 = 45 165 ACH Knee Arthroplasty Prim Biomet Oxford Fx Lat Uni KNAPBOFLU / = ACH Knee Arthroplasty Prim Biomet Oxford Uni KNAPBOU 100 45 / 30 = 75 175 ACH Knee Arthroplasty Prim Biomet Oxford Uni Bil KNAPBOB 100 45 / 30 = 75 175 ACH Knee Arthroplasty Prim Biomet Oxford w ACL Recon KNAPBOACL / = ACH Knee Arthroplasty Prim Biomet Oxford W/M PFWave KNAPBOPFJ / = ACH Knee Arthroplasty Prim Biomet Oxford W/M PFWave Bi KNAPBOPFJB / = ACH Knee Arthroplasty Prim Biomet Signature KNAPBSIG / = ACH Knee Arthroplasty Prim Biomet Vanguard KNAPBMV 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Biomet Vanguard PFJ KNAPBVPF 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Depuy Attune CR KNAPDATTC / = ACH Knee Arthroplasty Prim Depuy Attune CR Bilateral KNAPDATTCB / = ACH Knee Arthroplasty Prim Depuy Attune PS KNAPDATTUN / = ACH Knee Arthroplasty Prim Depuy Attune PS Bilateral KNAPDATTUB / = ACH Knee Arthroplasty Prim Depuy LCS KNAPDL 120 45 / 30 = 75 195 ACH Knee Arthroplasty Prim Depuy LCS Bilateral KNAPDLB 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Depuy LPS KNAPDLPS 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Depuy SROM Noiles KNAPPDSROM 150 45 / 30 = 75 225 ACH Knee Arthroplasty Prim Depuy SROM Noiles Bilateral KNAPDSROMB 160 50 / 20 = 70 230 ACH Knee Arthroplasty Prim Depuy VVC KNAPDVVC 70 50 / 20 = 70 140 ACH Knee Arthroplasty Prim J&J Sigma RP/MBT KNAPJJSRP 150 45 / 30 = 75 225 ACH Knee Arthroplasty Prim J&J Sigma RP/MBT Bilateral KNAPJJSRPB / = ACH Knee Arthroplasty Prim J&J Sigma TC3 KNAPJJSTC / = ACH Knee Arthroplasty Prim Salvage Oncology Depuy LPS KNAPSOD 360 60 / 30 = 90 450 ACH Knee Arthroplasty Prim Salvage Oncology Zimmer KNAPSOZ 360 50 / 20 = 70 430 ACH Knee Arthroplasty Prim SN Journey II KNAPSNJ2 / = ACH Knee Arthroplasty Prim SN Journey PFJ KNAPSNJPFJ 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim SN Journey Uni KNAPSNJ / = ACH Knee Arthroplasty Prim SN Journey Uni Bil KNAPSNJB / = ACH Knee Arthroplasty Prim SN Journey Uni w ACL Recon KNAPSNJACL / = ACH Knee Arthroplasty Prim SN Legion Oxinium CR KNAPSNLOC / = ACH Knee Arthroplasty Prim SN Legion Oxinium CR Bil KNAPSNLOCB / = ACH Knee Arthroplasty Prim SN Legion Oxinium PS KNAPSNLOP / = ACH Knee Arthroplasty Prim SN Legion Oxinium PS Bil KNAPSNLOPB / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 35 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Knee Arthroplasty Prim STK Triath w Image Guide CR KNAPTIMGCR / = ACH Knee Arthroplasty Prim STK Triath w Image Guide PS KNAPTIMGPS / = ACH Knee Arthroplasty Prim Stryker Avon PFJ KNAPSPFJ 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Stryker Avon PFJ Bil KNAPSPFJB 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Stryker Triathlon CR Bil KNAPSCRB / = ACH Knee Arthroplasty Prim Stryker Triathlon CR/CS KNAPSTRCRS / = ACH Knee Arthroplasty Prim Stryker Triathlon PS KNAPSTPS / = ACH Knee Arthroplasty Prim Stryker Triathlon PS Bil KNAPSPSB / = ACH Knee Arthroplasty Prim Stryker Triathlon TS KNAPSTTS 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Stryker Triathlon TS Bil KNAPSTTSBI / = ACH Knee Arthroplasty Prim W/M PF Wave PFJ KNAPPPFJ 120 45 / 30 = 75 195 ACH Knee Arthroplasty Prim W/M PF Wave PFJ Bil KNAPPPFJB / = ACH Knee Arthroplasty Prim Zim Persona CR Bil KNAPZPERCB / = ACH Knee Arthroplasty Prim Zim Persona w iAssist Guide KNAPZPERIA / = ACH Knee Arthroplasty Prim Zimmer LCCK KNAPZLCCK 110 45 / 30 = 75 185 ACH Knee Arthroplasty Prim Zimmer LPS KNAPZLPS 180 40 / 25 = 65 245 ACH Knee Arthroplasty Prim Zimmer LPS Bil KNAPZLPSB 120 55 / 20 = 75 195 ACH Knee Arthroplasty Prim Zimmer LPS MB KNAPZLPMB 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Zimmer LPS MB Bil KNAPZLPMBB / = ACH Knee Arthroplasty Prim Zimmer Persona CR KNAPZPERCR / = ACH Knee Arthroplasty Prim Zimmer Persona PS/CPS KNAPZPERPS / = ACH Knee Arthroplasty Prim Zimmer Persona PS/CPS Bil KNAPZPERPB / = ACH Knee Arthroplasty Prim Zimmer PFJ KNAPZPF 0 0 / 0 = 0 0 ACH Knee Arthroplasty Prim Zimmer PFJ Bil KNAPZPFB / = ACH Knee Arthroplasty Prim Zimmer RHK KNAPZRHK / = ACH Knee Arthroplasty Prim Zimmer Uni KNAPZUNI 120 45 / 30 = 75 195 ACH Knee Arthroplasty Rev Biomet Hinge Finn KNARBMHNG 0 0 / 0 = 0 0 ACH Knee Arthroplasty Rev Biomet Maxim KNARBM 0 0 / 0 = 0 0 ACH Knee Arthroplasty Rev Biomet Spacer Mold KNARBSM 180 60 / 30 = 90 270 ACH Knee Arthroplasty Rev Biomet Vanguard KNARBMV 180 60 / 30 = 90 270 ACH Knee Arthroplasty Rev Depuy Attune FB KNARDATTF / = ACH Knee Arthroplasty Rev Depuy Attune RP KNARDATTR / = ACH Knee Arthroplasty Rev Depuy LCS KNARDLCS 180 60 / 30 = 90 270 ACH Knee Arthroplasty Rev Depuy LPS KNARDLPS / = ACH Knee Arthroplasty Rev Depuy SROM Noiles KNARDSROM / = ACH Knee Arthroplasty Rev I&D First Stage KNARIDFS / = ACH Knee Arthroplasty Rev I&D Liner Exchange KNARIDLE / = ACH Knee Arthroplasty Rev J&J Sigma TC3 KNARJJST 180 60 / 30 = 90 270 ACH Knee Arthroplasty Rev Microport Medial Pivot KNARMICMP 180 60 / 30 = 90 270 ACH Knee Arthroplasty Rev Patella Resurf +/Liner Ex KNARPTRLE / = ACH Knee Arthroplasty Rev Salvage Oncology Depuy LPS KNARSOD 360 60 / 30 = 90 450 ACH Knee Arthroplasty Rev Salvage Oncology Stryker KNARSOS 360 50 / 20 = 70 430 ACH Knee Arthroplasty Rev SN Legion Oxinium KNARSNLO 0 0 / 0 = 0 0 ACH Knee Arthroplasty Rev SN Legion Oxinium Bil KNARSNLOB / = ACH Knee Arthroplasty Rev Stryker Triathlon MRH KNARSTMRH 0 0 / 0 = 0 0 ACH Knee Arthroplasty Rev Stryker Triathlon TS KNARSTTS 0 0 / 0 = 0 0

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 36 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Knee Arthroplasty Rev Zimmer LCCK KNARZLCCK 180 60 / 30 = 90 270 ACH Knee Arthroplasty Rev Zimmer Persona KNARZPER / = ACH Knee Arthroplasty Rev Zimmer RHK KNARZRHK 120 60 / 30 = 90 210 ACH Knee Arthroplasty Rev Zimmer Segmental Sys KNARZRSEGS / = ACH Knee Arthroplasty Rev/Con Uni-Total State Type KNARCUT 0 0 / 0 = 0 0 ACH Knee Arthroplasty Rev/Con Uni-Total STK TriathTS KNARCUKTTS / = ACH Knee Arthroscopy Bilateral+/-Debridement KNSCB 60 30 / 15 = 45 105 ACH Knee Arthroscopy Cartilage Transplant KNSCCTP 0 0 / 0 = 0 0 ACH Knee Arthroscopy Loose Body Excision KNSCLBR 50 40 / 15 = 55 105 ACH Knee Arthroscopy Meniscal Discoid Sauceriz & Rep KNSCMDSR 60 20 / 20 = 40 100 ACH Knee Arthroscopy Meniscal Root Repair KNSCMRRP 120 25 / 20 = 45 165 ACH Knee Arthroscopy Meniscal Suture Repair KNSCMRP 85 35 / 15 = 50 135 ACH Knee Arthroscopy Meniscal Transplant KNSCMTP / = ACH Knee Arthroscopy Patella Femoral Realign KNSCPFR 45 30 / 15 = 45 90 ACH Knee Arthroscopy Patella Tendon+/-Debridement KNSCPTN 60 30 / 20 = 50 110 ACH Knee Arthroscopy Reattachment Ligament KNSCREALIG / = ACH Knee Arthroscopy Recon ACL Physeal Sparing KNSCACLPS / = ACH Knee Arthroscopy Recon ACL w Quadric Tendon Graft KNSCACLQTG 90 30 / 20 = 50 140 ACH Knee Arthroscopy Reconstruction ACL KNSCACL 120 45 / 20 = 65 185 ACH Knee Arthroscopy Reconstruction ACL Bilateral KNSCACLBIL / = ACH Knee Arthroscopy Reconstruction ACL Hybrid KNSCACLH 90 30 / 20 = 50 140 ACH Knee Arthroscopy Reconstruction ACL Rev KNSCACLRV / = ACH Knee Arthroscopy Reconstruction ACL w BTB Repair KNSCACLBTB 120 60 / 20 = 80 200 ACH Knee Arthroscopy Reconstruction ACL w IT Band KNSCACLITB 90 45 / 15 = 60 150 ACH Knee Arthroscopy Reconstruction ACL/ALL KNSCACLALL / = ACH Knee Arthroscopy Reconstruction ACL/ALL Epiphyseal KNSCACLALE 120 30 / 30 = 60 180 ACH Knee Arthroscopy Reconstruction ACL/LCL KNSCACLLCL / = ACH Knee Arthroscopy Reconstruction ACL/MCL KNSCACLMCL 200 60 / 15 = 75 275 ACH Knee Arthroscopy Reconstruction MPFL KNSCMPFL 90 60 / 15 = 75 165 ACH Knee Arthroscopy Reconstruction Multi Ligament KNSCMULL 250 70 / 25 = 95 345 ACH Knee Arthroscopy Reconstruction Multi Ligament Bil KNSCMULLB 0 0 / 0 = 0 0 ACH Knee Arthroscopy Reconstruction PCL KNSCPCL 160 60 / 15 = 75 235 ACH Knee Arthroscopy Reconstruction Post Lat Corner KNSCPLC / = ACH Knee Arthroscopy Subchondroplasty KNSCSUB / = ACH Knee Arthroscopy Synovectomy KNSCSN / = ACH Knee Arthroscopy w Bone Graft+/-HDWR KNSCHWBGRM 60 20 / 10 = 30 90 ACH Knee Arthroscopy w Debridement w HDWR KNSCDEHDWR / = ACH Knee Arthroscopy w Debridement+/-Meniscal Repair KNSCDBMRP 65 40 / 15 = 55 120 ACH Knee Arthroscopy/Arthrotomy/Trochleoplasty+MPLF+Gt KNSCATTS 0 0 / 0 = 0 0 ACH Knee Arthroscopy/Open Osteochondritis Lesion OCD KNSCOOCD 70 40 / 15 = 55 125 ACH Knee Arthroscopy+/-Debridement KNSC 60 40 / 15 = 55 115 ACH Knee Arthroscopy+/-Repair/ Reattachment ACL KNSCREAACL / = ACH Knee Arthroscopy+/-Retrograde Drilling w O-Arm KNSCRTD 90 40 / 20 = 60 150 ACH Knee Arthrotomy Epiphysis KNATEP 45 30 / 10 = 40 85 ACH Knee Arthrotomy Loose Body Excision KNATLBR 45 30 / 15 = 45 90 ACH Knee Arthrotomy+/-Meniscectomy KNATMENEC 70 30 / 10 = 40 110

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 37 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Knee Arthrotomy+/-Synovectomy KNATSN 45 30 / 15 = 45 90 ACH Knee Baker's Cyst+/-Bursa Excision KNBKCYEX 60 30 / 15 = 45 105 ACH Knee Extra Articular Lateral Tenodesis KNEALT / = ACH Knee Ligament+/-Tendon Repair+/-Transfer KNLIGRP 70 30 / 20 = 50 120 ACH Knee MPFL Recon w Allograft KNMPFLALGF 75 40 / 15 = 55 130 ACH Knee Osteochondral Allograft KNOSALGF 0 0 / 0 = 0 0 ACH Knee Patella Hardware Removal State Type KNPTHWRM 35 30 / 15 = 45 80 ACH Knee Patella Tendon/Ligament Repair KNTLRP / = ACH Knee Patellar ORIF KNPTORIF 70 45 / 20 = 65 135 ACH Knee Patellar Stabilization Tendon Repair KNPTSTRP 90 40 / 15 = 55 145 ACH Knee Patellectomy KNPTEC 20 30 / 10 = 40 60 ACH Knee Patellofemoral Realignment KNPTFER 80 35 / 20 = 55 135 ACH Limb Ace Screw Hardware Removal SS LIMACEHWRM 40 30 / 15 = 45 85 ACH Limb Amputation SS LIMAMP 90 45 / 10 = 55 145 ACH Limb Ex Fix Hardware Removal State Type LIMEFHWRM 45 20 / 15 = 35 80 ACH Limb Ex Fix Large Hoffmann II Hardware Applic SS LIMEFLHFWA 65 45 / 25 = 70 135 ACH Limb Ex Fix Modular Rail Hardware Applic SS LIMEFMRHWA 240 60 / 25 = 85 325 ACH Limb Ex Fix Small Hoffmann II Hardware Applic SS LIMEFSHFWA 145 30 / 15 = 45 190 ACH Limb Ex Fix Taylor Spatial Frame Hardware Appli SS LIMTSFHWAP 275 60 / 30 = 90 365 ACH Limb Ex Fix Taylor Spatial Frame Hardware Rem SS LIMTSFHWRM 60 45 / 15 = 60 120 ACH Limb Hardware Removal SS LIMHWRM 25 35 / 15 = 50 75 ACH Limb Hardware Removal Unthreaded Pins SS LIMHWRUPSS 25 25 / 15 = 40 65 ACH Limb I&D SS LIMIDSS 40 40 / 20 = 60 100 ACH Limb I&D w VAC Application/Change SS LIMIDVAC 0 0 / 0 = 0 0 ACH Limb Lower Fasciotomy LIMLFASC / = ACH Limb Lower Fasciotomy Bil LIMLFASCB / = ACH Limb Lower Length w TSF w Osteotomies+/-Fasciotomy LIMLLTSFOF 350 60 / 20 = 80 430 ACH Limb NonUnion Fracture ORIF w Vascular Bone Gft SS LIMNUFVBG / = ACH Limb Sparing Procedure LIMSPPR 400 75 / 30 = 105 505 ACH Limb Tumour Bone Large ExcisionSS LIMTMLG 150 75 / 30 = 105 255 ACH Limb Tumour Bone Small Excision SS LIMTMSM 75 40 / 30 = 70 145 ACH Limb Tumour Excision Vascular Fibular Bone Graft LIMTRFIBBG 500 60 / 30 = 90 590 ACH Limb Tumour Soft Tissue Excision SS LIMTMST 60 45 / 15 = 60 120 ACH Limb Van Nes Rotationplasty LIMVNRPTY 400 90 / 20 = 110 510 ACH Muscle Biceps+/-Tendon Repair MUSBCTDRP 75 45 / 20 = 65 140 ACH Muscle Hamstring Lengthening Percutaneous MUSHSTRLP 30 25 / 15 = 40 70 ACH Muscle Pectoralis Major Tend Tran w Allograft MUSPMTDTA / = ACH Muscle Pectoralis Major+/-Tend Exp+/-Rep MUSPMTER / = ACH Muscle Quadriceps+/-Tendon Repair MUSQUTDRP 60 45 / 20 = 65 125 ACH Muscle Triceps+/-Tendon Repair MUSTCTDRP 75 45 / 20 = 65 140 ACH Neck Torticollis Release NKTORTRL 45 35 / 15 = 50 95 ACH Pelvis Anterior Subcutaneous Internal Fixation PELANTSUIF / = ACH Pelvis Ex Fix Application PELEXFXAPP 90 60 / 30 = 90 180 ACH Pelvis Hardware Removal State Type PELHWRM 60 30 / 15 = 45 105 ACH Pelvis I&D PELID 45 60 / 20 = 80 125 ACH Pelvis ORIF +/- Reconstruction w Nav PELORIFN / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 38 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Pelvis ORIF Salter Pemberton Daga Congenital PELORIFSP 180 70 / 20 = 90 270 ACH Pelvis ORIF Symphysis Pubis PELORIFS 150 60 / 20 = 80 230 ACH Pelvis ORIF+/-Reconstruction PELORIF 175 60 / 15 = 75 250 ACH Pelvis Osteotomy PELOST 330 60 / 20 = 80 410 ACH Pelvis Osteotomy Exstrophy of Bladder PELOSTX 300 75 / 30 = 105 405 ACH Pelvis Pelvectomy Hemi PELECHEM 300 60 / 30 = 90 390 ACH Pelvis Percutaneous SacroIliac Screw Fixation PELPERSIFX 120 45 / 30 = 75 195 ACH Pelvis Percutaneous SacroIliac Screw Fixation wNav PELPERSIFN / = ACH Radius Distal/Wrist ORIF+/-Osteotomy RADDORIF 90 35 / 15 = 50 140 ACH Radius Ex Fix Synthes Application/Adj RADEXHWAP / = ACH Radius Head Excision+/-Arthroplasty RADHDEX 45 30 / 30 = 60 105 ACH Radius Nail ESIM Nancy Hardware Removal RADNIMNHWR 40 30 / 15 = 45 85 ACH Radius Ulna Nail ESIM Nancy RADNIM 80 35 / 15 = 50 130 ACH Radius/Ulna Distal Joint Debridement+/-Repair RADUJDREP / = ACH Radius/Ulna Distal Joint Recon+/-Allograft RADUJREALL / = ACH Radius/Ulna Ex Fix Synthes Application/Adjust RAUEXHWAP / = ACH Radius/Ulna Hardware Removal State Type RADHWRM 20 25 / 15 = 40 60 ACH Radius/Ulna ORIF+/-Osteotomy RADUORIF 85 40 / 15 = 55 140 ACH Radius/Ulna Reduction Closed RADRDCL 30 20 / 15 = 35 65 ACH Radius/Ulna Reduction Perc Pin RADRDPP 40 25 / 15 = 40 80 ACH Radius/Ulna Styloid Excision RAULNSTYEX 60 45 / 30 = 75 135 ACH Rib ORIF RIBORIF / = ACH Scapula ORIF SCAPORIF 90 45 / 25 = 70 160 ACH Scapula Scapulothoracic Arthroscopy+/-Bursectomy SCASCTHA / = ACH Scapula Scapulothoracic Fusion SCASCTHF / = ACH Shoulder Acromioclavicular Recon w Allograft SHDACRG / = ACH Shoulder Acromioclavicular Separation Repair SHDACSRP 60 30 / 20 = 50 110 ACH Shoulder Acromioplasty SHDACRO / = ACH Shoulder Acromioplasty w Rotator Cuff Repair SHDARCRP 90 45 / 30 = 75 165 ACH Shoulder Arthroplasty Prim Depuy Delta Xtend SHDAPPDD 90 45 / 30 = 75 165 ACH Shoulder Arthroplasty Prim Depuy Global Advantage SHDAPDGA / = ACH Shoulder Arthroplasty Prim Depuy Global AP SHDAPTYPDG 120 60 / 30 = 90 210 ACH Shoulder Arthroplasty Prim Depuy Global Unite SHDAPDGUN / = ACH Shoulder Arthroplasty Prim Depuy ICON SHDAPDIC / = ACH Shoulder Arthroplasty Prim Lima SMR SHDAPLSMR / = ACH Shoulder Arthroplasty Prim Torn Aeq Asc Flex Revrs SHDAPTAAFR / = ACH Shoulder Arthroplasty Prim Tornier Aeq Asc Flex SHDAPTAAFL / = ACH Shoulder Arthroplasty Prim Tornier Simpliciti SHDAPTSIMP / = ACH Shoulder Arthroplasty Prim Zimmer Bigliani SHDAPTYZB 150 60 / 30 = 90 240 ACH Shoulder Arthroplasty Prim Zimmer Bio Comprehensiv SHDAPZBC / = ACH Shoulder Arthroplasty Rev Depuy Delta Xtend SHDARRDD 0 0 / 0 = 0 0 ACH Shoulder Arthroplasty Rev Depuy Global AP SHDARRVDG 150 60 / 30 = 90 240 ACH Shoulder Arthroplasty Rev I&D First Stage SHDARIDFS 0 0 / 0 = 0 0 ACH Shoulder Arthroplasty Rev I&D Head Exchange SHDARIDHDE 0 0 / 0 = 0 0 ACH Shoulder Arthroplasty Rev Lima SMR SHDARLSMR / = ACH Shoulder Arthroplasty Rev Tornier Aeq Asc Flex SHDARTAAFL / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 39 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Shoulder Arthroscopy SHDSC 100 60 / 20 = 80 180 ACH Shoulder Arthroscopy Acromio+/-RCR Bicep Teno Bil SHDSCACPTB / = ACH Shoulder Arthroscopy Acromio+/-RCR+/-Bicep Teno SHDSCACPTY 45 45 / 20 = 65 110 ACH Shoulder Arthroscopy Acromioclav Recon w Graft SHDSCACRG / = ACH Shoulder Arthroscopy Ant Glenoid Recon w Graft SHDSCAGRG / = ACH Shoulder Arthroscopy Instability Rep+/-Bicep Ten SHDSCRBT / = ACH Shoulder Arthroscopy Instability Repair SHDSCR 100 60 / 20 = 80 180 ACH Shoulder Arthroscopy Instability Repair w Allogrft SHDSCRAL / = ACH Shoulder Arthroscopy InstabilRep+/-MiniOpenTendRep SHDSCIRMO 130 60 / 15 = 75 205 ACH Shoulder Arthroscopy Mini Open SHDSCMOPN 115 60 / 15 = 75 190 ACH Shoulder Arthroscopy Repair+/-Latarjet SHDSCRL 180 30 / 15 = 45 225 ACH Shoulder Arthroscopy Rev RCR w/Fascia Lat Auto Gft SHDSCRRFLG / = ACH Shoulder Arthroscopy Rev RCR+/-HDWR+/-Graft SHDSCRRCHG / = ACH Shoulder Arthroscopy w Hardware Removal SHDSCHWRM / = ACH Shoulder Arthroscopy w Latissimus Dorsi Transfer SHDSCLDT 135 30 / 20 = 50 185 ACH Shoulder Arthroscopy w/Lower Trapezius Transfer SHDSCLTT / = ACH Shoulder Arthrotomy SHDAT 120 45 / 30 = 75 195 ACH Shoulder Disarticulation SHDDISA / = ACH Shoulder Glenoid ORIF SHDGORIF / = ACH Shoulder Glenoid Reconstruction SHDGRCN / = ACH Shoulder Hardware Removal State Type SHDHWRM 30 30 / 20 = 50 80 ACH Shoulder Hemi Arthroplasty Prim Arthrosurf HemiCap SHDHAPAHC / = ACH Shoulder Hemi Arthroplasty Prim Dep Glob CAP+/-CTA SHDHAPDGCA 70 50 / 20 = 70 140 ACH Shoulder Hemi Arthroplasty Prim Depuy Global FX SHDHAPDGF 120 60 / 30 = 90 210 ACH Shoulder Hemi Arthroplasty Prim Tornier Aeq HdResf SHDHAPTAR / = ACH Shoulder Hemi Arthroplasty Prim Tornier AeqAsc Flx SHDHAPTAAF / = ACH Shoulder Hemi Arthroplasty Prim Zim Nano Stemless SHDHAPZNAN / = ACH Shoulder Hemi Arthroplasty Prim Zimmer Bigliani SHDHAPZB 120 60 / 30 = 90 210 ACH Shoulder Hemi Arthroplasty Prim Zimmer Sidus SHDHAPZS / = ACH Shoulder Hemi Arthroplasty Rev Tornier Aeq AscFlex SHDHARTAFL / = ACH Shoulder Latissimus Dorsi Repair SHDLDRP 120 60 / 20 = 80 200 ACH Shoulder Latissimus Dorsi Transfer SHDLDT / = ACH Shoulder ORIF+/-Arthrodesis SHDORIFADS 90 60 / 25 = 85 175 ACH Shoulder Reduction Closed SHDCLRD 30 30 / 30 = 60 90 ACH Shoulder Repair Ant+/-Bankart w Latarjet Transfer SHDRPABLT / = ACH Shoulder Repair Anterior+/-Bankart SHDRPAB 100 60 / 20 = 80 180 ACH Shoulder Repair Posterior SHDRPPP 75 45 / 30 = 75 150 ACH Shoulder Rotator Cuff Repair SHDROTRP 60 45 / 20 = 65 125 ACH Spine Growing Rod Insert w/MIS Spine Vision SPGRIMSV 165 90 / 20 = 110 275 ACH Sternoclavicular Joint Recon w Hamstring Allograft STJRHAMA 60 45 / 20 = 65 125 ACH Sternoclavicular Joint Reconstruction STJRECON 120 45 / 20 = 65 185 ACH Tendon Lengthening Percutaneous SS TDLGNP 30 25 / 15 = 40 70 ACH Tendon Release+/-Repair+/-Transfer+/-Length SS TDRLTRFSS 55 40 / 15 = 55 110 ACH Tendon Transfer Split Tibial Anterior TDTRSTBA 90 45 / 15 = 60 150 ACH Tendon Transfer Tibialis+/-Length w Knee Casts Bil TDTRTIBLKB 120 30 / 30 = 60 180 ACH Tibia Ex Fix Synthes Hardware Application/Adjust TIBEXHWAP / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 40 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Tibia Nail ESIM Nancy TIBNIMN 80 45 / 20 = 65 145 ACH Tibia Nail ESIM Nancy Hardware Removal TIBNIMNHWR 40 30 / 15 = 45 85 ACH Tibia Nail IM Fassier Duval TIBNIMFADU 300 60 / 20 = 80 380 ACH Tibia Nail IM Hardware Removal State Type TIBNIMHWR 90 25 / 15 = 40 130 ACH Tibia Nail IM SN Trigen TIBNIMSNT 120 60 / 20 = 80 200 ACH Tibia Nail IM SN Trigen Rev/Exchange TIBNIMSNTR / = ACH Tibia Nail IM Stryker T2 TIBNIMST2 120 30 / 20 = 50 170 ACH Tibia Nail IM Stryker T2 Rev/Exchange TIBNIMST2R 0 0 / 0 = 0 0 ACH Tibia Nail IM Synthes Expert TIBNIMSYEX 120 30 / 20 = 50 170 ACH Tibia Nail IM Synthes Expert Rev/Exchange TIBNIMSERE 0 0 / 0 = 0 0 ACH Tibia ORIF TIBORIF 80 40 / 20 = 60 140 ACH Tibia Osteotomy Distal TIBOSTD 175 55 / 20 = 75 250 ACH Tibia Osteotomy High TIBOSTH 90 45 / 20 = 65 155 ACH Tibia Osteotomy High w Arthroscopy TIBOSTHSC 145 20 / 20 = 40 185 ACH Tibia Osteotomy Tuberos Rep/MPFL/Quadricepsplasty TIBOSTUBMQ 120 45 / 15 = 60 180 ACH Tibia Osteotomy Tuberosity Repair w Arthroscopy TIBOSTUBSC 85 45 / 15 = 60 145 ACH Tibia Osteotomy Tuberosity Repair+/-Lig Recon TIBOSTUBRP 80 45 / 15 = 60 140 ACH Tibia Osteotomy w Taylor Spatial Frame TIBOSTTSF 260 60 / 30 = 90 350 ACH Tibia Plateau ORIF TIBPORIF 70 40 / 20 = 60 130 ACH Tibia Plateau ORIF w Arthroscopy TIBPIFSC 150 45 / 25 = 70 220 ACH Tibia Reduction Closed TIBRNDCL 35 20 / 15 = 35 70 ACH Tibia Sequestrectomy TIBSEQ 90 30 / 10 = 40 130 ACH Tibia+/-Fibula Hardware Removal State Type TIBHWRM 35 30 / 20 = 50 85 ACH Toe Amputation TOEAMP 45 25 / 15 = 40 85 ACH Toe Arthrodesis/Fusion+/-Osteotomy TOEADF 90 30 / 15 = 45 135 ACH Toe Arthroplasty Primary TOEARTP / = ACH Toe Arthroplasty Primary Bilateral TOEARTPB 0 0 / 0 = 0 0 ACH Toe Exploration+/-Arthrotomy+/-Capsulotomy TOEEXPAT / = ACH Toe Hammer/Claw Repair TOEHCRP 45 30 / 15 = 45 90 ACH Toe Nail Excision+/-Radical TOENLEX 20 20 / 15 = 35 55 ACH Toe ORIF TOEORIF 50 35 / 15 = 50 100 ACH Toe Reduction Perc Pinning TOERPP 20 30 / 10 = 40 60 ACH Ulna Shortening/Recessional Osteotomy ULNSHTOS 100 45 / 20 = 65 165 ACH Wrist Arthroscopy WRASC 35 40 / 25 = 65 100 ACH Wrist Arthroscopy w TFCC Repair WRSCPYTFC 90 40 / 15 = 55 145 ACH Wrist Arthrotomy WRAT 90 40 / 15 = 55 145 ACH Wrist Carpal Tunnel Release WRCPR 30 20 / 15 = 35 65 ACH Wrist Debridement & Stabilization ECU Tendon WRDSECUTEN / = ACH Wrist Ex Fix Synthes Application/Adj WREXHWAP / = ACH Wrist Perilunate Dislocation ORIF WRPERDORIF / = ACH Wrist Reduction Closed WRRDNCL 20 20 / 15 = 35 55 ACH Wrist Reduction Perc Pin WRRDNPP 25 30 / 15 = 45 70 ACH Wrist Scaphoid ORIF WRSCFORIF 60 45 / 20 = 65 125 ACH Wrist Scaphoid ORIF w Bone Graft WRSCBNGF 90 60 / 15 = 75 165 ACH Wrist Scaphoid Percutaneous Fixation WRSCPF 35 40 / 15 = 55 90 PLS

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 41 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Abdominoplasty/Panniculectomy+/-Hernia Repair ABDPTY 0 0 / 0 = 0 0 ACH Arm Lymphatic Sparing Liposuction SPY Assisted ARLYSPLISP / = ACH Artery Microvascular Explore+/-Repair SS ARTMVEXPRP 30 30 / 10 = 40 70 ACH Axilla+/-Groin Sudenectomy AXSUDECT 60 30 / 15 = 45 105 ACH Body Lift Circumferential Abdomen+/-Lipo BDYLFTABD / = ACH Body Lift: Cir,Butt,Thigh,Groin,+/-Arm,Chest+/-Lip BDYLFTC 0 0 / 0 = 0 0 ACH Bone Graft to Alveolar Cleft BNGFALV 100 50 / 25 = 75 175 ACH Botox Injection SS BOTXINJSS 15 25 / 15 = 40 55 ACH Brachioplasty/ Arm Lift Bilateral BRALFTB / = ACH Breast Augmentation BRAUG 75 45 / 15 = 60 135 ACH Breast Augmentation Bilateral BRAUGB 120 45 / 20 = 65 185 ACH Breast Augmentation Circumfrential Mastopexy BRAUGCM 120 45 / 20 = 65 185 ACH Breast Capsulotomy w Implant Exchange BRCAPIE 75 30 / 15 = 45 120 ACH Breast Capsulotomy w Implant Exchange Bilateral BRCAPIEB 0 0 / 0 = 0 0 ACH Breast Capsulotomy+/-Implant Rem BRCAP 45 30 / 15 = 45 90 ACH Breast Capsulotomy+/-Implant Rem Bilateral BRCAPB 85 30 / 20 = 50 135 ACH Breast Gynecomastia Excision BRGYMRS 45 30 / 10 = 40 85 ACH Breast Gynecomastia Excision Bilateral BRGYMRSB 70 45 / 20 = 65 135 ACH Breast Gynecomastia Excision w Free Nipple Graft BRGYMWFNG 180 30 / 10 = 40 220 ACH Breast Implant Exchange BRIMEX 0 0 / 0 = 0 0 ACH Breast Implant Exchange Bil BRIMEXB 0 0 / 0 = 0 0 ACH Breast Implant Removal BRIMRM 80 45 / 25 = 70 150 ACH Breast Implant Removal Bilateral BRIMRMB 95 40 / 20 = 60 155 ACH Breast Mastectomy GRS+/-Free Nipple Gft+/-Lipo Bil BRMGRS 180 45 / 20 = 65 245 ACH Breast Mastopexy+/-Augment+/-Liposuction BRMSTPXY 120 30 / 15 = 45 165 ACH Breast Nipple Reconstruction BRNIPRCN 75 30 / 20 = 50 125 ACH Breast Reconstruction Immediate Lat Dorsi FlapwImp BRECIMLDFI / = ACH Breast Reconstruction Immediate w Imp+/-Alloderm BRECIMMIMP / = ACH Breast Reconstruction Immediate w Imp+/-Aloder Bil BRECIMIMPB / = ACH Breast Reconstruction Immediate w Microvs Flap BREIMMICFL / = ACH Breast Reconstruction Immediate w Microvs Flap Bil BREIMMIFBI / = ACH Breast Reconstruction Immediate w TissEx+/-AlloBil BRECIMTEXB / = ACH Breast Reconstruction Immediate w TissEx+/-Allod BRECIMTEX / = ACH Breast Reconstruction Lat Dorsi Flap w Implant BRRCNLDFI / = ACH Breast Reconstruction Microvascular Free Flap BRRCNMVFLP 480 60 / 30 = 90 570 ACH Breast Reconstruction Microvascular Free Flap Bil BRRCNMVFLB / = ACH Breast Reconstruction Revision BRRCNRV 90 20 / 15 = 35 125 ACH Breast Reconstruction Revision w Fat Graft+/-Lipo BRRCNRVFG 90 30 / 15 = 45 135 ACH Breast Reconstruction w Fat Graft +/- Implant BRRFGIM 135 30 / 15 = 45 180 ACH Breast Reconstruction w Fat Graft +/- Implant Bil BRRFGIMB 180 30 / 15 = 45 225 ACH Breast Reconstruction w Implant BRRCNIM 75 45 / 15 = 60 135 ACH Breast Reconstruction w Implant Bilateral BRRCNIMB 150 45 / 20 = 65 215 ACH Breast Reconstruction w Pedicle Flap Bil State Mus BRRCNPFLPB 300 45 / 30 = 75 375 ACH Breast Reconstruction w Pedicle Flap State Muscle BRRCNPFLP 180 45 / 30 = 75 255 ACH Breast Reduction BRRDN 120 45 / 20 = 65 185 ACH Breast Reduction Bil w Abdominoplas+/-Panniculect BRRDNBA / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 42 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Breast Reduction Bilateral BRRDNB 150 45 / 20 = 65 215 ACH Breast Reduction w Liposuction BRRDNLIPO 140 45 / 20 = 65 205 ACH Breast Reduction w Liposuction Bil BRRDNLIPOB 170 45 / 20 = 65 235 ACH Breast Tissue Expander Insertion BTSEXPIN / = ACH Breast Tissue Expander Insertion Bil BTSEXPINB 90 35 / 20 = 55 145 ACH Burn Major Debridement+/-Graft BURMJDBG 150 60 / 30 = 90 240 ACH Burn Minor Debridement+/-Graft BURMIDBG 75 45 / 20 = 65 140 ACH Cranial Bone Graft CRBNGF 60 45 / 30 = 75 135 ACH Dermis Fat Graft SS DRMFTGF 30 20 / 10 = 30 60 ACH Digit Arthroscopy DIGASC 55 30 / 15 = 45 100 ACH Ear Lobe Repair EARLBRP 30 30 / 15 = 45 75 ACH Ear Otoplasty EAROPTY 40 35 / 15 = 50 90 ACH Ear Otoplasty Bilateral EAROPTYB 70 35 / 15 = 50 120 ACH Ear Reconstruction 1st Stage Microtia EARRCN1 250 60 / 20 = 80 330 ACH Ear Reconstruction 2nd Stage Microtia EARRCN2 90 45 / 20 = 65 155 ACH Ear Reconstruction 3rd Stage Microtia EARRCN3 90 40 / 20 = 60 150 ACH Eye Lid Blepharoplasty Lower EYLDBLL 30 20 / 10 = 30 60 ACH Eye Lid Blepharoplasty Lower Bilateral EYLDBLLB 45 30 / 10 = 40 85 ACH Eye Lid Blepharoplasty Upper EYLDBLU 60 30 / 15 = 45 105 ACH Eye Lid Blepharoplasty Upper & Lower EYLDBLUL 50 20 / 10 = 30 80 ACH Eye Lid Blepharoplasty Upper Bilateral EYLDBLUB 75 30 / 15 = 45 120 ACH Eye Lid Blepharoplasty Upper Lower Bilat Ptosis EYLDBLULBP 30 30 / 15 = 45 75 ACH Eye Lid Blepharoplasty Upper Lower Bilateral EYLDBLULB 30 30 / 15 = 45 75 ACH Face & Head Hardware Removal SS FCHDHWRM 15 25 / 15 = 40 55 ACH Face Brow Lift FCBRLFT 90 45 / 30 = 75 165 ACH Face Brow Lift Endoscopic FCBRLFTEND / = ACH Face Brow Lift w Fascia Lata Sling FCBRLFTFLS 200 20 / 10 = 30 230 ACH Face Lift Rhytidectomy FCRHYTEC 180 60 / 30 = 90 270 ACH Facial Bone Reconstruction FCBNRCN 210 60 / 30 = 90 300 ACH Finger Amputation FNGAMP 30 30 / 10 = 40 70 ACH Finger Arthroplasty 1-2+/-Arthrodesis w Implant FNGAPTYV12 90 30 / 15 = 45 135 ACH Finger Arthroplasty 3-4+/-Arthrodesis w Implant FNGAPTYV34 180 30 / 15 = 45 225 ACH Finger Exploration+/-Arthrotomy+/-Capsulotomy FNGEXPAT 60 20 / 15 = 35 95 ACH Finger Hardware Removal State Type FNGHWRM 30 20 / 10 = 30 60 ACH Finger ORIF FNGORIF 60 20 / 15 = 35 95 ACH Finger Reattachment Microvascular FNGRATMV 300 45 / 35 = 80 380 ACH Finger Reduction Closed FNGRDNCL 20 15 / 15 = 30 50 ACH Finger Reduction Perc Pin FNGRDNPP 20 30 / 10 = 40 60 ACH Finger Revision+/-Reconstruction FNGRVRCN 90 45 / 20 = 65 155 ACH Flap Debridement & Myocutaneous Closure FLPDBCL 90 45 / 30 = 75 165 ACH Flap Microvascular Redo SS FLPMVRDO 0 0 / 0 = 0 0 ACH Flap Neck Reconstruction FLPNKRCN 420 60 / 30 = 90 510 ACH Flap Skin+/-Muscle Closure Head+/-Neck FLPCHDNK 75 30 / 30 = 60 135 ACH Flap Skin+/-Muscle Free Flap SS FLPFF 400 90 / 25 = 115 515 ACH Flap Skin+/-Muscle Rotation/Pedicle SS FLPRP 240 60 / 30 = 90 330 ACH Foot Reattachment Microvascular FTRATMV 360 60 / 30 = 90 450

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 43 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Hand Digit Fusion State Site HNDDF 60 45 / 30 = 75 135 ACH Hand Digit Reconstruction Carpal Phalanges HNDRECONCP 210 30 / 20 = 50 260 ACH Hand Dupuytren Contract Release+/-Graft+/-Fasciect HNDDUPY 45 30 / 15 = 45 90 ACH Hand Exploration+/-Artery+/-Nerve+/-Tendon Repair HNDEXPANTR 45 35 / 20 = 55 100 ACH Hand Ligament/Tendon Repair+/-Transfer HNDLIGTDRP 70 30 / 15 = 45 115 ACH Hand Neurolysis HNDNEUR 30 30 / 15 = 45 75 ACH Hand ORIF HNDORIF 15 30 / 45 = 75 90 ACH Hand Osteotomy HNDOS 90 30 / 15 = 45 135 ACH Hand Pollicization Index Finger+/-Thumb Recn HNDPORCN 225 60 / 20 = 80 305 ACH Hand Reattachment Microvascular HNDRATMV 240 60 / 30 = 90 330 ACH Hand Tendon Release+/-Transfer HNDTNTRF 115 20 / 10 = 30 145 ACH Hand+/-Digit Reduction Closed HNDRDNCL 15 15 / 10 = 25 40 ACH Head & Neck Excision Biopsy+/-Repair+/-Zplasty SS HDNKTEBRZ 10 20 / 10 = 30 40 ACH Hemangioma Excision Major >3cm HEMAEXMJ 60 30 / 15 = 45 105 ACH Hemangioma Excision Minor <3cm HEMAEXMI 15 30 / 10 = 40 55 ACH Hematoma Evacuation SS HEMEVSS 45 30 / 15 = 45 90 ACH Injection SS INJSS 10 20 / 15 = 35 45 ACH Jaw Arch Bar Wire Removal JAWABWRM 15 30 / 15 = 45 60 ACH Jaw Reduction Closed+/-Arch Bar JAWRDNCL 60 30 / 15 = 45 105 ACH Laceration Repair SS LACRP 15 20 / 15 = 35 50 ACH Limb Reattachment Microvascular SS LIMBRATMV 180 60 / 30 = 90 270 ACH Limb Tissue Excision Bx+/-Repair+/-Zplasty/Flap SS LIMTEBRZ 20 30 / 15 = 45 65 ACH Lip Cleft Repair 1st Stage LPCLFRP1 90 40 / 20 = 60 150 ACH Lip Cleft Repair+/-Revision w Nasal Repair LPCLFNSRP 90 40 / 20 = 60 150 ACH Lip Cleft Revision LPCLFRV 75 40 / 20 = 60 135 ACH Liposuction Chin & Neck LPOSCNK 60 30 / 20 = 50 110 ACH Liposuction Trunk & Legs LPOSTL 90 30 / 20 = 50 140 ACH Mandible Hardware Removal MNHWRM 60 30 / 20 = 50 110 ACH Mandible ORIF MNORIF 60 60 / 30 = 90 150 ACH Maxilla ORIF MXORIF 90 45 / 30 = 75 165 ACH Melanoma Excision Limb w Keystone Flap MELEXLMFLP 60 30 / 20 = 50 110 ACH Melanoma Wide Excision Face & Neck MELWEXFCN 60 45 / 20 = 65 125 ACH Melanoma Wide Excision Trunk/Extremities MELWEXT 75 60 / 30 = 90 165 ACH Microvascular Lymphaticovenous Anastamosis SS MVLYMVENA / = ACH Microvascular Repair Major SS MVRPMJ 120 30 / 15 = 45 165 ACH Microvascular Repair Minor SS MVRPMI 60 30 / 15 = 45 105 ACH Mouth/Oral Repair Cleft Palate MOPALRP 90 35 / 25 = 60 150 ACH Muscle Repair SS MUSCRP 45 45 / 30 = 75 120 ACH Nerve Brachial Plexus Exploration+/-Repair NVBRPLEX 275 65 / 30 = 95 370 ACH Nerve Expl+/-Transpos+/-Repair Minor SS NVEXTPRP 60 45 / 20 = 65 125 ACH Nerve Exploration+/-Repair+/-Graft w Microscope SS NVEXRPMJ 75 45 / 20 = 65 140 ACH Nerve Graft Sural Harvest NVGFSU 20 10 / 10 = 20 40 ACH Nerve Suprascapular Exploration+/-Repair NVRPSSC 480 60 / 30 = 90 570 ACH Nerve Ulnar Decompression Cubital+/-Transposition NVULTCRN / = ACH Nerve Ulnar Decompression/Transposition NVULTRN 60 30 / 15 = 45 105 ACH Nevus Excision Major >3cm SS NEVEXMJ 30 35 / 15 = 50 80

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 44 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Nevus Excision Minor <3cm SS NEVEXMI 15 25 / 15 = 40 55 ACH Nose Reconstruction NSRCN 0 0 / 0 = 0 0 ACH Nose Reconstruction/Closure w Forehead Flap NSRCNCLFLP 60 30 / 30 = 60 120 ACH Nose Rhinophyma Excision NSRHIEXC 0 0 / 0 = 0 0 ACH Nose Rhinoplasty Open NSRHIPLO 60 30 / 30 = 60 120 ACH Perineal Labioplasty PERLAB 20 30 / 15 = 45 65 ACH Perineum Reconstruction w Abdominal Muscle Flap FLPPRAM 240 60 / 30 = 90 330 ACH Scalp Reattachment Microvascular SCLRATMV 35 45 / 40 = 85 120 ACH Skin Debridement+/-Graft SS SKDBGF 55 45 / 20 = 65 120 ACH Skin Dermoid Excision SKDERMEXC 40 35 / 15 = 50 90 ACH Skin Graft Major SKGFMJ 115 60 / 20 = 80 195 ACH Skin Graft Minor SKGFMI 30 45 / 15 = 60 90 ACH Skin Lesion Excision Laser CO2 SS SKLSEXLZC 25 20 / 15 = 35 60 ACH Skin Lesion Vascular Laser Argon Vbeam Pulse SKLSVALZA 15 20 / 10 = 30 45 ACH Skin Mohs Excision Face and Neck SKMEXFCN 0 0 / 0 = 0 0 ACH Skin Mohs Excision Perineum SKMEXPER / = ACH Skin Tag Excision SS SKTGEX 15 20 / 15 = 35 50 ACH Skin Wound I&D/Debride w VAC Application/Change SS SKWDVACDRS 30 25 / 20 = 45 75 ACH Skin Wound I&D/Debridement SS SKWDBISS 45 30 / 20 = 50 95 ACH Syndactyly Repair+/-Release SS SYNDRP 60 35 / 15 = 50 110 ACH Syndactyly Repair+/-Release SS Bilateral SYNDRPB 170 35 / 15 = 50 220 ACH Temporal Artery Biopsy TMARTBX 10 30 / 15 = 45 55 ACH Tendon Exploration+/-Repair+/-Graft SS TDEXRPGF 60 45 / 20 = 65 125 ACH Tendon Extension+/-Transfer Extensor+/-Flexor SS TDEXTEF 60 30 / 20 = 50 110 ACH Tendon Lysis Tenotomy TDLYSIS 60 25 / 15 = 40 100 ACH Tendon Release Trigger Digit TDRLTRG 20 25 / 15 = 40 60 ACH Thigh Lift Bilateral+/-Lipo THILFTB / = ACH Throat Pharyngoplasty THRPHPTY 60 30 / 25 = 55 115 ACH Thumb Arthroplasty Carpal Metacarpal+/-Trapez THBARTPTY 90 45 / 20 = 65 155 ACH Thumb Lig Recon Inter w MPJ Fus THBLRIMPJF / = ACH Thumb Ligament Ulnar Collateral Rep+/-Recon THBLIGUCRP 50 30 / 15 = 45 95 ACH Thumb Reattachment Microvascular THBRATMV 360 45 / 30 = 75 435 ACH Thumb Trapeziectomy THBTRAPEZ / = ACH Tissue Expander Insert SS TSEXPIN 60 30 / 20 = 50 110 ACH Tissue Expander Removal SS TSEXPRM 60 30 / 15 = 45 105 ACH Tissue Minor Exc Bx+/-Repair+/-Zplasty/Flap SS TSMEBRZ 10 10 / 10 = 20 30 ACH Tissue Reconstruction Post Melanoma Exc+/-SknGftSS TSREPMEGRT / = ACH Tongue Tie Frenulum Release+/-Zplasty TGTIZPTY 10 25 / 10 = 35 45 ACH Trunk Tissue Excision Biopsy+/-Repair+/-Zplasty SS TRUTEBRZ 60 30 / 15 = 45 105 ACH Ulcer Decubitus Debridement+/-Mycutaneous Flap ULCDEEX 90 60 / 30 = 90 180 ACH Wrist Arthrodesis Fusion WRADSFS 145 45 / 20 = 65 210 ACH Wrist Arthroplasty WRAPTY 90 60 / 20 = 80 170 ACH Wrist Arthroscopy Carpal Tunnel Release WRASCCPR / = ACH Wrist Ganglion Excision WRGNGEX 30 30 / 20 = 50 80 ACH Wrist Intercarpal Fusion Four Corner WRICF4C / = ACH Wrist Ligament Reconstruction Scapholunate WRLIGRCN 90 45 / 20 = 65 155

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 45 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Wrist Proximal Row Carpectomy WRPRCARP / = ACH Wrist Scaphoid ORIF w Local Vascular Bone Graft WRSCLVBG 90 45 / 20 = 65 155 ACH Wrist Synovectomy WRSYNEC 30 30 / 20 = 50 80 ACH Zygoma Elevation Reduction Closed ZYRDNCL 15 20 / 15 = 35 50 ACH Zygoma Orbital Floor ORIF ZYORORIF 60 45 / 15 = 60 120 ACH Zygoma ORIF ZYORIF 30 30 / 20 = 50 80 POD ACH Foot Arthrodesis/Fusion 1st MTP Joint FTADF1MTPJ 45 15 / 15 = 30 75 PSY ACH ECT ECT 0 0 / 0 = 0 0 RAD ACH Abdominal Paracentesis+/-Drain Insertion ABDPARA 15 20 / 15 = 35 50 ACH Angiogram Diagnostic Cerebral ANGIOGMDC 60 30 / 10 = 40 100 ACH Artery Embolization ARTEMB 30 45 / 30 = 75 105 ACH Breast Mammogram BRMAMGM 0 0 / 0 = 0 0 ACH Breast Mammogram Bilateral BRMAMGMB 0 0 / 0 = 0 0 ACH Breast Needle Localization BRNL 0 0 / 0 = 0 0 ACH Cryotherapy SS CRYOTHERSS 45 30 / 15 = 45 90 ACH Drain Insertion SS CT Guided DRAININSCT 25 35 / 20 = 55 80 ACH Endovascular Inferior Vena Cava Filter Insertion ENDVIVCFI 15 20 / 20 = 40 55 ACH Endovascular Interventional Radiology Abdomen ENDVIRABD 100 30 / 10 = 40 140 ACH Endovascular Interventional Radiology Cerebral ENDVIRC 120 30 / 10 = 40 160 ACH Endovascular Interventional Radiology Lower Limb ENDVIRLL 100 30 / 10 = 40 140 ACH Endovascular Interventional Radiology LowerLimbBil ENDVIRLLB / = ACH Endovascular Interventional Radiology Pelvis ENDVIRPELV 100 30 / 10 = 40 140 ACH Endovascular Interventional Radiology Thoracic ENDVIRTHO 100 30 / 10 = 40 140 ACH Endovascular Interventional Radiology Upper Limb ENDVIRUL 180 30 / 10 = 40 220 ACH Endovascular Interventional Radiology UpperLimbBil ENDVIRULB / = ACH Gastrojejunal Tube Exchange GSJJTE 20 15 / 15 = 30 50 ACH Joint Injection SS < 4 Joints JTINJL4 15 20 / 15 = 35 50 ACH Joint Injection SS > 4 Joints JTINJG4 25 20 / 15 = 35 60 ACH Joint Injection SS CT Guided JTINGCT 25 20 / 15 = 35 60 ACH Kidney Biopsy Percutaneous KIDBXPRC 30 20 / 10 = 30 60 ACH Kidney Nephrosotomy Insert Percutaneous KIDNINPRC 45 15 / 15 = 30 75 ACH Kidney Nephrostomy Removal+/-Exchange KIDNREMEX 30 15 / 15 = 30 60 ACH Liver Biopsy Percutaneous LVBXPERC 10 35 / 15 = 50 60 ACH Liver Biopsy Transjugular LVBXTJ 30 15 / 15 = 30 60 ACH Lung Coil Percutaneous CT Guided LUCOILCT 60 40 / 15 = 55 115 ACH Mass Biopsy Percutaneous SS MASSBX 30 25 / 15 = 40 70 ACH Mass Biopsy Percutaneous SS CT Guided MASSBXCT 45 40 / 15 = 55 100 ACH MRI w Anesthesia MRIANA 60 30 / 10 = 40 100 ACH MRT SS MRT 0 0 / 0 = 0 0 ACH Nasojejunal Tube Exchange NASJJTE 20 15 / 15 = 30 50 ACH Percutaneous G-Tube Insertion PERGTUBEIN 30 10 / 10 = 20 50 ACH PET Scan PETSCAN 15 120 / 45 = 165 180 ACH Radiation Therapy RDTHER / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 46 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Radiofrequency Ablation SS CT Guided RFABLCT 75 40 / 15 = 55 130 ACH Rectal Catheter Manometer Insertion RECATHMINS 20 15 / 15 = 30 50 ACH Scan Computed Tomography SCANCT 0 0 / 0 = 0 0 ACH Scan Computed Tomography Anesthesia Standby SCANCTA 10 5 / 5 = 10 20 ACH Transjugular Interhepatic Portalcaval Shunt Insert TIPS 60 45 / 30 = 75 135 ACH Ultrasound Intra Operative ULSNINOP 15 10 / 10 = 20 35 ACH Vein Sclerotherapy 30 VNSCLER30 15 30 / 15 = 45 60 ACH Vein Sclerotherapy 60 VNSCLER60 60 20 / 15 = 35 95 ACH Vein Sclerotherapy 75 VNSCLER75 75 20 / 15 = 35 110 RES ACH Thoracentesis Lung TXLUG 30 45 / 30 = 75 105 SPI ACH Injection Intrathecal INJINTRATH 20 20 / 20 = 40 60 ACH Spinal Cord Stimulator Electrode Insert Temporary SPLPETIN 0 0 / 0 = 0 0 ACH Spine Ant DLIF W OLIF 2-3 Lev SPDLOL23 / = ACH Spine Ant DLIF W OLIF 4-5 Lev SPDLOL45 / = ACH Spine Ant DLIF W OLIF 6+ Lev SPDLOL6 / = ACH Spine Ant DLIF w OLIF Pos Fusion MISwNav SPDLOLPFMN / = ACH Spine Ant DLIF W OLIF W Pos Fusion MIS SPDLOLPFM / = ACH Spine Ant DLIF W OLIF W Pos Fusion Open SPDLOLPFO / = ACH Spine Ant DLIF W OLIF W Pos Fusion Open w Nav SPDLOLPFON / = ACH Spine Ant DLIF w Pos Fusion MIS 1 Lev SPDLPFM1 / = ACH Spine Ant DLIF w Pos Fusion MIS 1 Lev w Nav SPDLPFM1N / = ACH Spine Ant DLIF w Pos Fusion MIS 2-3 Lev SPDLPFM23 / = ACH Spine Ant DLIF w Pos Fusion MIS 2-3 Lev w Nav SPDLPFM23N / = ACH Spine Ant DLIF w Pos Fusion MIS 4+ Lev SPDLPFM4 / = ACH Spine Ant DLIF w Pos Fusion MIS 4+ Lev w Nav SPDLPFM4N / = ACH Spine Ant DLIF w Pos Fusion Open 1 Lev SPDLPFO1 / = ACH Spine Ant DLIF w Pos Fusion Open 1 Lev w Nav SPDLPFO1N / = ACH Spine Ant DLIF w Pos Fusion Open 2-3 Lev SPDLPFO23 / = ACH Spine Ant DLIF w Pos Fusion Open 2-3 Lev w Nav SPDLPFO23N / = ACH Spine Ant DLIF w Pos Fusion Open 4+ Lev SPDLPFO4 / = ACH Spine Ant DLIF w Pos Fusion Open 4+ Lev w Nav SPDLPFO4N / = ACH Spine Ant DLIF w Pos Fusion Open/MIS Multi Lev SPDLPFHM / = ACH Spine Ant DLIF w Pos Fusion Open/MISMulti w Nav SPDLPFHNM / = ACH Spine Ant OLIF 1 Lev SPOL1L / = ACH Spine Ant OLIF Multi Lev SPOLML / = ACH Spine Ant OLIF w Pos Fusion SPOLPF / = ACH Spine Ant OLIF w Pos Fusion MIS SPOLPFM / = ACH Spine Ant OLIF w Pos Fusion MIS w Nav SPOLPFMN / = ACH Spine Ant OLIF w Pos Fusion Open/MIS SPOLPFOM / = ACH Spine Ant OLIF w Pos Fusion w Nav SPOLPFN / = ACH Spine Cer Ant Dec w Fus Odontoid Cervical SPCADSOC 120 120 / 30 = 150 270 ACH Spine Cer Ant Dec w Fusion 1 Lev SPCADF1 150 60 / 30 = 90 240 ACH Spine Cer Ant Dec w Fusion 2-3 Lev SPCADF23 / = ACH Spine Cer Ant Dec w Fusion 4-7 Lev SPCADF47 / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 47 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Spine Cer Ant Dec+/-Lam+/-Disc SPCAD 180 90 / 45 = 135 315 ACH Spine Cer Ant Disc Arthroplasty 1 Lev SPCADA1 0 0 / 0 = 0 0 ACH Spine Cer Ant Disc Arthroplasty Multi Lev SPCADAM / = ACH Spine Cer Ant Disc Arthroplasty w Fusion SPCADHAAFH 0 0 / 0 = 0 0 ACH Spine Cer Ant Odontoid Transoral Excision w MRT SPCAOTRMRT 0 0 / 0 = 0 0 ACH Spine Cer Ant Pos Dec w Fusion SPCAPDF 330 100 / 30 = 130 460 ACH Spine Cer Ant Pos Tumour Excision w Fusion w Nav SPCAPTEFN / = ACH Spine Cer Ant Tumour Excision w Fusion SPCATMRMF / = ACH Spine Cer Pos Dec Laminoplasty 1 Lev SPCPDL1 210 90 / 40 = 130 340 ACH Spine Cer Pos Dec Laminoplasty 2-3 Lev SPCPDL23 210 90 / 40 = 130 340 ACH Spine Cer Pos Dec Laminoplasty 4+ Lev SPCPDL4 210 90 / 40 = 130 340 ACH Spine Cer Pos Dec w Fusion 1 Lev SPCPDF1 180 90 / 30 = 120 300 ACH Spine Cer Pos Dec w Fusion 1 Lev w Nav SPCPDF1N 0 0 / 0 = 0 0 ACH Spine Cer Pos Dec w Fusion 2-4 Lev SPCPDF24 180 90 / 40 = 130 310 ACH Spine Cer Pos Dec w Fusion 2-4 Lev w Nav SPCPDF24N 180 90 / 40 = 130 310 ACH Spine Cer Pos Dec w Fusion 5-7 Lev SPCPDF57 0 0 / 0 = 0 0 ACH Spine Cer Pos Dec w Fusion 5-7 Lev w Nav SPCPDF57N 0 0 / 0 = 0 0 ACH Spine Cer Pos Dec w Fusion Occipital Cervical SPCPDSOC 210 90 / 40 = 130 340 ACH Spine Cer Pos Dec+/-Lam+/-Disc MIS SPCPDMIS 120 90 / 40 = 130 250 ACH Spine Cer Pos Dec+/-Lam+/-Disc+/-Cyst 1 Lev SPCPD1 90 75 / 30 = 105 195 ACH Spine Cer Pos Dec+/-Lam+/-Disc+/-Cyst Multi Lev SPCPDM 120 75 / 30 = 105 225 ACH Spine Cer Pos Tumour Excision w Fusion SPCPTMRMF / = ACH Spine Cer/Tho/Lum Pos Fusion w Iliac Redn SPCTLPFIR 300 90 / 30 = 120 420 ACH Spine Cord Tumour/Lipoma Excision SPCDTRDEX 180 75 / 30 = 105 285 ACH Spine CSF Leak Repair SPCSFLRP / = ACH Spine Hardware Removal SS SPHDWRM 55 60 / 25 = 85 140 ACH Spine Hardware Removal SS Emergency E0 SPHDWRME0 60 45 / 20 = 65 125 ACH Spine I&D SS SPIDSS 50 45 / 25 = 70 120 ACH Spine Lum Ant Pos Dec w Fusion SPLAPDF 0 0 / 0 = 0 0 ACH Spine Lum Drain Insertion SPLDIN 30 60 / 20 = 80 110 ACH Spine Lum Pos Detether Fatty Filum Terminale SPLPLDFT 100 30 / 30 = 60 160 ACH Spine Lum Pos Fusion No Instrumentation SPLPFNI 70 55 / 30 = 85 155 ACH Spine Lum Pos Pseudo Meningo/Cystocele Repair SPMYMRP 120 115 / 25 = 140 260 ACH Spine Lum/Sac Pos Bolman w Fusion 1 Lev SPLSPBF1 / = ACH Spine Lumbo Peritoneal Shunt Insertion SPSHLPIN 75 75 / 30 = 105 180 ACH Spine Lumbo Peritoneal Shunt Revision SPSHLPRV 75 50 / 20 = 70 145 ACH Spine Myelomeningocele Repair SPMYERP 120 80 / 30 = 110 230 ACH Spine Rib Expander Magec Rod Insertion SPRIBEXPMR 125 90 / 25 = 115 240 ACH Spine Rib Expander PLUS Rev+/-Magec Rod SPRIBEXPLR 90 90 / 25 = 115 205 ACH Spine Rib Expander PLUS Stage 1 SPRIBEXPL1 100 95 / 30 = 125 225 ACH Spine Rib Expander Solera 4.75 Rev+/-Magec Rod SPRIBEXPSR 145 100 / 30 = 130 275 ACH Spine Rib Expander Solera 4.75 Stage 1 SPRIBEXPS1 120 115 / 30 = 145 265 ACH Spine Rib Expander VEPTR Insertion SPRIBEXPIN 225 100 / 35 = 135 360 ACH Spine Rib Expander VEPTR Jackup/Expansion SPRIBEXPJU 60 65 / 25 = 90 150 ACH Spine Rib Expander VEPTR Revision SPRIBEXPRV 80 70 / 25 = 95 175 ACH Spine Rib Expander Xia 4.5 Insertion SPRIBEXPIX 170 90 / 35 = 125 295

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 48 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Spine Rib Expander Xia 4.5 Revision SPRIBEXPRX 70 70 / 30 = 100 170 ACH Spine Tho Ant Pos Dec w Fusion SPTAPDF 480 90 / 45 = 135 615 ACH Spine Tho Pos Fusion Medtronic Solera SPTPFMS 230 115 / 25 = 140 370 ACH Spine Tho Pos Fusion Medtronic Solera 4.75 SPTPFMS4 200 115 / 35 = 150 350 ACH Spine Tho Pos Fusion Pivot Link Universal/PLUS SPTPPLUS 180 100 / 25 = 125 305 ACH Spine Tho Pos Fusion Synthes Instrument SPTPFSI 360 120 / 45 = 165 525 ACH Spine Tho Pos Fusion w Iliac Redn Medt Solera SPTPFIRMS 280 115 / 30 = 145 425 ACH Spine Tho Pos Fusion w Iliac Redn Universal PLUS SPTPFIRUP 200 115 / 30 = 145 345 ACH Spine Tho/Lum Ant Disc Arthroplasty 1 Lev SPLADA1 0 0 / 0 = 0 0 ACH Spine Tho/Lum Ant Disc Arthroplasty Multi Lev SPLADAM 0 0 / 0 = 0 0 ACH Spine Tho/Lum Ant Disc Arthroplasty w Fusion SPLAHDAF / = ACH Spine Tho/Lum Ant DLIF 1 Lev SPLLIF1 180 75 / 25 = 100 280 ACH Spine Tho/Lum Ant DLIF 2-3 Lev SPLLIF23 300 75 / 25 = 100 400 ACH Spine Tho/Lum Ant DLIF 4+ Lev SPLLIF4 300 75 / 25 = 100 400 ACH Spine Tho/Lum Ant Retro-Per Dec w Fusion 1 Lev SPLADF1 320 90 / 45 = 135 455 ACH Spine Tho/Lum Ant Retro-Per Dec w Fusion 2-3 Lev SPLADF23 240 90 / 45 = 135 375 ACH Spine Tho/Lum Ant Thor Dec w Fusion 1 Lev SPTADF1 300 90 / 45 = 135 435 ACH Spine Tho/Lum Ant Thor Dec w Fusion Multi Lev SPTADFM 300 90 / 45 = 135 435 ACH Spine Tho/Lum Ant Thor Fusion+/-Medtronic Legacy SPTAFML 300 145 / 45 = 190 490 ACH Spine Tho/Lum Ant Thor Tumour Excision w Fusion SPTLATMRMF / = ACH Spine Tho/Lum En Bloc Tumour Exc SPTLEBTUEX 300 60 / 30 = 90 390 ACH Spine Tho/Lum Pos Dec w Fusion 1 Lev SPLPDF1 135 80 / 30 = 110 245 ACH Spine Tho/Lum Pos Dec w Fusion 1 Lev w Nav SPLPDF1N 0 0 / 0 = 0 0 ACH Spine Tho/Lum Pos Dec w Fusion 2-3 Lev SPLPDF23 210 90 / 45 = 135 345 ACH Spine Tho/Lum Pos Dec w Fusion 2-3 Lev w Nav SPLPDF23N 0 0 / 0 = 0 0 ACH Spine Tho/Lum Pos Dec w Fusion 4+ Lev SPLPDF4 240 80 / 30 = 110 350 ACH Spine Tho/Lum Pos Dec w Fusion 4+ Lev w Nav SPLPDF4N 0 0 / 0 = 0 0 ACH Spine Tho/Lum Pos Dec w Fusion MIS 1 Lev SPLPDFMIS1 240 75 / 30 = 105 345 ACH Spine Tho/Lum Pos Dec w Fusion MIS 1 Lev w Nav SPLPDFMI1N 0 0 / 0 = 0 0 ACH Spine Tho/Lum Pos Dec w Fusion MIS 2 Lev SPLPDFMIS2 240 75 / 30 = 105 345 ACH Spine Tho/Lum Pos Dec w Fusion MIS 2 Lev w Nav SPLPDFMI2N 0 0 / 0 = 0 0 ACH Spine Tho/Lum Pos Dec w Fusion MIS 3+ Lev SPLPDFMIS3 240 75 / 30 = 105 345 ACH Spine Tho/Lum Pos Dec w Fusion MIS 3+ Lev w Nav SPLPDFMI3N 0 0 / 0 = 0 0 ACH Spine Tho/Lum Pos Dec w Intradural Stem Cell Impl SPTLPDSCIM 0 0 / 0 = 0 0 ACH Spine Tho/Lum Pos Dec w Kyphoplasty SPTLPDK / = ACH Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 1 Lev SPLPDMIS1 120 75 / 30 = 105 225 ACH Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 2-3 Lev SPLPDMIS23 145 75 / 30 = 105 250 ACH Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 4+ Lev SPLPDMIS4 120 75 / 30 = 105 225 ACH Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 1 Lev SPLPD1 90 75 / 30 = 105 195 ACH Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 2-3 Lev SPLPD23 120 75 / 30 = 105 225 ACH Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 4+ Lev SPLPD4 / = ACH Spine Tho/Lum Pos Fusion Open/MIS Multi Lev SPTLPHOMM / = ACH Spine Tho/Lum Pos Fusion Open/MIS Multi Lev w Nav SPTLPHOMN / = ACH Spine Tho/Lum Pos Fusion w Kyphoplasty SPTLPFK / = ACH Spine Tho/Lum Pos Kyphoplasty SPLPVP 90 75 / 30 = 105 195 ACH Spine Tho/Lum Pos Rev State Type Ped SPTLPRVP 200 90 / 30 = 120 320

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 49 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Spine Tho/Lum Pos Tumour Excision w Fusion SPTPTMRMF / = ACH Spine Tho/Lum Pos Tumour Excision w Fusion MIS SPTPTMRMFM / = ACH Spine Tho/Lum Pos Tumour Excision w Fusion W Nav SPTPTMRMFN / = ACH Spine Tumour Excision Bone SPTMRMB 100 60 / 45 = 105 205 STP ACH Bone Skin Tendon Vein Retrieval Cadaver BNSKTNVRTV 480 30 / 30 = 60 540 ACH Heart Retrieval for Valves Cadaver HRRTRV 120 30 / 30 = 60 180 ACH Skin Tissue Retrieval Cadaver SKTISRTRV 240 30 / 30 = 60 300 ACH Skin+/-Veins Retrieval Cadaver SKNVRETV 180 30 / 30 = 60 240 THO ACH Chest Tube Insertion CHTBIN 5 30 / 10 = 40 45 ACH Esophageal Perforation Repair ESPRFRP 180 90 / 45 = 135 315 ACH Esophagectomy Ivor Lewis ESECTIL 300 90 / 30 = 120 420 ACH Esophagectomy Laparoscopy/Thoracoscopic Ivor Lewis ESECTLCTIL / = ACH Esophagectomy Laparotomy/Thoracoscopic Ivor Lewis ESECTLTIL 0 0 / 0 = 0 0 ACH Esophagectomy Thoracoabdominal ESECTHAB 0 0 / 0 = 0 0 ACH Esophagectomy Transhiatal ESECTH 0 0 / 0 = 0 0 ACH Esophagectomy Transthoracic 3 Hole ESECTT 300 90 / 30 = 120 420 ACH Laparoscopy Diaphragm Pacing Device Insertion LSCDPD 150 45 / 20 = 65 215 ACH Laparoscopy Esophagectomy LSCESG 420 60 / 30 = 90 510 ACH Laparotomy Cardiomyotomy/Heller Myotomy LPYCARDMY 0 0 / 0 = 0 0 ACH Mediastinal Mass Excision MEDMSREM 120 75 / 20 = 95 215 ACH Mediastinal Sternotomy MEDSTOMY 150 60 / 20 = 80 230 ACH Mediastinoscopy Thoracic Anterior MEDSCTXA 0 0 / 0 = 0 0 ACH Mediastinoscopy Thoracic Cerv+/-Flexible Bronch MEDSCTXCFB / = ACH Neck Tracheal Excision NKTRCRS 0 0 / 0 = 0 0 ACH Neck Tracheal Excision w Tracheostomy NKTRCRSTRC 0 0 / 0 = 0 0 ACH Rib Excision RIBRS 90 60 / 30 = 90 180 ACH Rib Excision First Transaxillary Approach RIBRFTA 0 0 / 0 = 0 0 ACH Rib Excision Supraclavicular Cervical RIBRSCC / = ACH Subxiphoid Pericardial Window SUBXIPERWI / = ACH Thoracic Duct Ligation THODCTLIG 180 90 / 30 = 120 300 ACH Thoracoscopy TSC 85 45 / 20 = 65 150 ACH Thoracoscopy/VATS Lung Biopsy TSCLUGBX 60 45 / 20 = 65 125 ACH Thoracoscopy/VATS Lung Bullectomy Apical Pleurect TSCLUGBULP 60 45 / 20 = 65 125 ACH Thoracoscopy/VATS Lung Decortication Empyema TSCLUGDEEM / = ACH Thoracoscopy/VATS Lung Lobect w Cerv Medstinoscpy TSCLUGLBCM / = ACH Thoracoscopy/VATS Lung Lobectomy TSCLUGLB 60 45 / 20 = 65 125 ACH Thoracoscopy/VATS Lung Wedge Excision TSCLUGRS 90 60 / 30 = 90 180 ACH Thoracoscopy/VATS Mediastinal Cyst Excision TSCMEDCYEX / = ACH Thoracoscopy/VATS Operative TSCOP 60 45 / 20 = 65 125 ACH Thoracoscopy/VATS Pectus Excavatum/Nuss Repair TSCPCXRP 85 45 / 15 = 60 145 ACH Thoracoscopy/VATS Sympathectomy TSCSYM 0 0 / 0 = 0 0 ACH Thoracoscopy/VATS Thymectomy +/-Mediastinal Mass TSCTHYM / = ACH Thoracoscopy/VATS Tracheal Esophageal Fistula Rep TSCTRCESFR 240 60 / 20 = 80 320 ACH Thoracotomy THO 150 60 / 20 = 80 230

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 50 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Thoracotomy Diaphragm Rupture Repair THODPHRURP 0 0 / 0 = 0 0 ACH Thoracotomy Hernia Diaphragmatic Repair THODPHHERP 0 0 / 0 = 0 0 ACH Thoracotomy Lung Biopsy THOLUGBX 100 45 / 20 = 65 165 ACH Thoracotomy Lung Bullectomy/Pleurectomy THOLUGBUL 0 0 / 0 = 0 0 ACH Thoracotomy Lung Decortication Empyema THOLUGDC 150 60 / 20 = 80 230 ACH Thoracotomy Lung Lobectomy THOLUGLB 150 75 / 30 = 105 255 ACH Thoracotomy Lung Lobectomy w Cerv Mediastinoscopy THOLUGLBCM / = ACH Thoracotomy Lung Pneumonectomy THOLUGPNEC 150 60 / 20 = 80 230 ACH Thoracotomy Lung Wedge Excision THOLUGRS 120 90 / 45 = 135 255 ACH Thoracotomy Pectus Excavatum Repair THOPCXRP 60 60 / 20 = 80 140 ACH Thoracotomy Pericardial Window THOPCWI 0 0 / 0 = 0 0 ACH Thoracotomy Sympathectomy THOSYM 0 0 / 0 = 0 0 ACH Thoracotomy Tracheal Esophageal Fistula Repair THOTRCESFR 180 60 / 20 = 80 260 ACH Thoracotomy Trauma THOTRAUMA 60 60 / 20 = 80 140 ACH Thoracotomy With Interventional Radiology THOENDVIR / = ACH Throat Bronchoscopy Bronchoalveolar Lavage/BAL THRBSCBL 15 20 / 10 = 30 45 ACH Throat Bronchoscopy Flexible Foreign Body Removal THRBSCFFB 30 20 / 10 = 30 60 ACH Throat Bronchoscopy Flexible+/-Biopsy THRBSCFBX 15 20 / 10 = 30 45 ACH Throat Bronchoscopy Intervention/Stent/Caut/Debulk THRBSCISCD 30 20 / 10 = 30 60 ACH Throat Bronchoscopy Rigid+/-Biopsy THRBSRBX 15 20 / 10 = 30 45 ACH Thymectomy THYMEC 150 90 / 30 = 120 270 TRN ACH AV Fistula Basilic Transposition AVFBT 0 0 / 0 = 0 0 ACH AV Fistula Creation AVFISCR 75 45 / 20 = 65 140 ACH AV Fistula Embolectomy+/-Declot AVFISEMB 50 35 / 15 = 50 100 ACH AV Fistula Ligation AVFISLIG 40 35 / 15 = 50 90 ACH AV Fistula Revision/Repair AVFISRV 0 0 / 0 = 0 0 ACH AV Graft Embolectomy+/-Declot AVGFEMB 60 35 / 20 = 55 115 ACH AV Graft Insertion AVGFIN 90 40 / 20 = 60 150 ACH AV Graft Removal AVGFRM 0 0 / 0 = 0 0 ACH AV Graft Revision AVGFRV 0 0 / 0 = 0 0 ACH Catheter PD/Tenckhoff Insertion/Revision CATNCINRV 45 35 / 10 = 45 90 ACH Catheter PD/Tenckhoff Removal CATNCHRM 10 25 / 10 = 35 45 ACH Human Organ Procurement Retrieval HOPE 180 45 / 30 = 75 255 ACH Human Organ Procurement Retrieval DCD HOPEDCD 120 30 / 40 = 70 190 ACH Kidney Pancreas Transplant Recipient KIDPATRP 120 45 / 30 = 75 195 ACH Kidney Transplant Excision KIDTRPREM / = ACH Kidney Transplant Recipient KIDTRPR 180 30 / 15 = 45 225 ACH Kidney+/-Pancreas Organ Prep Cadaver KIDPAOPC 0 0 / 0 = 0 0 ACH Laparoscopy Catheter Tenchoff Insert/Revision LSCCATNCIN 60 30 / 15 = 45 105 ACH Laparoscopy Nephrectomy Living Donor LSCNPHLD 240 45 / 15 = 60 300 ACH Laparotomy Nephrectomy Living Donor LPYNPHLD 270 45 / 15 = 60 330 ACH Laparotomy Transplant Exploration/Revision LPYTRNEXPL 75 30 / 15 = 45 120 ACH Pancreas Transplant Recipient PANTRPRC 105 60 / 20 = 80 185 URO ACH Bladder Artificial Sphincter Female Insert BLARFSPHCF 180 45 / 30 = 75 255

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 51 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Bladder Artificial Sphincter Male Insert BLARFSPHCM 120 45 / 30 = 75 195 ACH Bladder Artificial Sphincter Male Removal BLARFSPREM / = ACH Catheter Suprapubic Insertion+/-Revision/Change CASPIN 15 10 / 10 = 20 35 ACH Cystolitholapaxy w Laser Holmium CYSLTLZH 30 20 / 15 = 35 65 ACH Cystolitholapaxy w Laser Holmium & TURP CYSLTLZHTU 45 30 / 15 = 45 90 ACH Cystoscopy CYSC 10 10 / 10 = 20 30 ACH Cystoscopy +/-Stent Insert+/-Chg+/- Pyelogram CYSCSTIN 20 15 / 10 = 25 45 ACH Cystoscopy Bladder Biopsy CYBLBX 15 10 / 10 = 20 35 ACH Cystoscopy Bladder Distention CYSBLDIS 10 10 / 10 = 20 30 ACH Cystoscopy Bladder Neck TUR CYSBLNTUR 15 10 / 10 = 20 35 ACH Cystoscopy Bladder Neck TUR w Green Light Laser CYSBLNLZG / = ACH Cystoscopy Bladder Neck TUR w Laser Holmium CYSBLNLZH 30 20 / 15 = 35 65 ACH Cystoscopy Bladder Tumour TUR CYSBLTTUR 15 30 / 10 = 40 55 ACH Cystoscopy Bladder Tumour TUR Chemo Instillation CYSBLTTURC 15 30 / 10 = 40 55 ACH Cystoscopy Bladder Tumour TUR Laser Holmium CYSBLTULZH 30 30 / 10 = 40 70 ACH Cystoscopy Flexible CYSCFLX 15 10 / 10 = 20 35 ACH Cystoscopy Foreign Body Removal CYSCFBRM 25 10 / 10 = 20 45 ACH Cystoscopy Intravesical Botox Injection CYSVBOTINJ 20 10 / 10 = 20 40 ACH Cystoscopy Radiofrequency Ablation Bladder Trigone CYSCRABT / = ACH Cystoscopy Sting Procedure CYSCSTING 15 15 / 10 = 25 40 ACH Cystoscopy Supra Pubic CYSCSP 15 10 / 10 = 20 35 ACH Cystoscopy Transurethral Bulking Agent Injection CYSTURDFIJ 10 10 / 10 = 20 30 ACH Cystoscopy Tumour+/-Fulguration CYSCTMFLG 30 15 / 10 = 25 55 ACH Cystoscopy TUR Ureteral Valves CYSCTURUV 20 15 / 10 = 25 45 ACH Cystoscopy Urethral Dilation CYSCURDIL 20 10 / 15 = 25 45 ACH Cystoscopy w Stent Removal+/-Ureteroscopy CYSCSTRM 20 20 / 10 = 30 50 ACH Endoscopic Ante Ileal Ureterotomy Perc ENSANIURP / = ACH Endoscopic Ante Ileal Ureterotomy Perc Bil ENSANIURPB / = ACH Inguinal Lymph Node Dissection INGNDDS 60 45 / 20 = 65 125 ACH Laparoscopy Adrenalectomy Robotic LSCADRER 120 60 / 30 = 90 210 ACH Laparoscopy Cystectomy Partial Robotic LSCCYPRD / = ACH Laparoscopy Kidney Cyst Decortication LSCKIDCD / = ACH Laparoscopy Lymph Node Biopsy Pelvic/Abdominal LSCLYNDEX 90 30 / 15 = 45 135 ACH Laparoscopy Nephrectomy LSCNPH 150 30 / 20 = 50 200 ACH Laparoscopy Nephrectomy Bilateral LSCNPHB 210 30 / 20 = 50 260 ACH Laparoscopy Nephrectomy Partial LSCNPHPT 150 30 / 20 = 50 200 ACH Laparoscopy Nephrectomy Partial Retroperitoneal LSCNPHPRET 150 30 / 20 = 50 200 ACH Laparoscopy Nephrectomy Partial Robotic LSCNPHPRDV 0 0 / 0 = 0 0 ACH Laparoscopy Nephrectomy Retroperitoneal LSCNPHRET 210 30 / 20 = 50 260 ACH Laparoscopy Nephroureterectomy LSCNPHURE 150 30 / 20 = 50 200 ACH Laparoscopy Nephroureterectomy Robotic LSCNPHURER 0 0 / 0 = 0 0 ACH Laparoscopy Prostate Rad Robot Pel Lymph Nod DisBi LSCPRRARDV / = ACH Laparoscopy Pyeloplasty LSCPLYPTY 130 30 / 20 = 50 180 ACH Laparoscopy Pyeloplasty Robotic LSCPLYRDV 0 0 / 0 = 0 0 ACH Laparoscopy Pyeloplasty Robotic Bilateral LSCPLYRDVB / = ACH Laparoscopy Pyeloplasty w Buccal Muc Graft Robotic LSCPLYPGR / =

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 52 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparoscopy Pyeloplasty w Buccal Mucosal Graft LSCPLYPBG 0 0 / 0 = 0 0 ACH Laparoscopy Pyeloplasty w Buccal Mucosal Graft Bil LSCPLYPBGB 0 0 / 0 = 0 0 ACH Laparoscopy Pyeloplasty w Bucl Muc Graft Robot Bil LSCPLYPGRB / = ACH Laparoscopy Testicle Undescended Diagnostic +/-Exc LSCTSTDIEX 45 20 / 15 = 35 80 ACH Laparoscopy Urachal Cyst Excision Robotic LSCURCRDV / = ACH Laparoscopy Urachal Cyst/Sinus Repair LSCURAC 65 30 / 30 = 60 125 ACH Laparoscopy Ureter Reimplantation Robotic LSCURRER / = ACH Laparoscopy Ureter Reimplantation Robotic Bil LSCURRERB / = ACH Laparoscopy Varicocelectomy LSCVAREC 30 30 / 20 = 50 80 ACH Laparotomy Abd Retrop Node Dissect w Vasc Repair LPYABDRNVR 380 60 / 25 = 85 465 ACH Laparotomy Abdominal Retroperitoneal Node Dissecti LPYABDRPND 210 60 / 30 = 90 300 ACH Laparotomy Bladder Augmentation LPYBLAUG 120 45 / 20 = 65 185 ACH Laparotomy Bladder Cystectomy Ileal Conduit LPYBLCYILC 210 45 / 20 = 65 275 ACH Laparotomy Bladder Cystectomy Indiana Pouch LPYBLCYINP 330 60 / 30 = 90 420 ACH Laparotomy Bladder Cystectomy Partial LPYBLCYPT 180 45 / 20 = 65 245 ACH Laparotomy Bladder Cystectomy Studer Cont Divers LPYBLCYSCD 300 60 / 30 = 90 390 ACH Laparotomy Bladder Cystolithotomy Suprapubic LPYBLCYLIT 45 30 / 15 = 45 90 ACH Laparotomy Bladder Diverticulectomy LPYBLDIVEC 90 45 / 20 = 65 155 ACH Laparotomy Bladder Extrophy Repair LPYBLEXRP 180 45 / 20 = 65 245 ACH Laparotomy Bladder Fistula Vesicoenteric Repair LPYBLFVERP 115 25 / 20 = 45 160 ACH Laparotomy Bladder Fistula Vesicovaginal Repair LPYBLFVVRP 100 40 / 20 = 60 160 ACH Laparotomy Bladder Foreign Body Removal LPYBLFBRM 30 45 / 20 = 65 95 ACH Laparotomy Bladder Neck YV Plasty LPYBLNYVPL / = ACH Laparotomy Bladder Rupture Repair LPYBLRURP 150 30 / 15 = 45 195 ACH Laparotomy Bladder Vesicostomy LPYBLVOST 30 45 / 20 = 65 95 ACH Laparotomy Colposacropexy LPYCOLSX 90 30 / 15 = 45 135 ACH Laparotomy Cystostomy Suprapubic LPYCYSOSTS 30 45 / 20 = 65 95 ACH Laparotomy Ileal Conduit/Urostomy Stoma Revision LPYILURREV / = ACH Laparotomy Kidney Biopsy+/-Exploration LPYKIDBXEX 60 45 / 20 = 65 125 ACH Laparotomy Mitrofanoff Procedure LPYMITOF 150 45 / 20 = 65 215 ACH Laparotomy Mitrofanoff Procedure w Cecostomy tube LPYMITOCEC 180 45 / 20 = 65 245 ACH Laparotomy Mitrofanoff Revision LPYMITOFRV 45 20 / 20 = 40 85 ACH Laparotomy Nephrectomy Bilateral LPYNPHB 120 45 / 20 = 65 185 ACH Laparotomy Nephrectomy Partial LPYNPHPT 60 45 / 20 = 65 125 ACH Laparotomy Nephrectomy Radical LPYNPHRAD 60 45 / 20 = 65 125 ACH Laparotomy Nephrectomy Radical W Tumour Thrombus LPYNPHRTT / = ACH Laparotomy Nephrectomy Wilms Tumour LPYNPHWTU 100 45 / 20 = 65 165 ACH Laparotomy Nephropyelo+/-Ureterop+/-Stent+/Cysto LPYNPHPYUT 90 40 / 15 = 55 145 ACH Laparotomy Nephroureterectomy LPYNPHURE 120 45 / 20 = 65 185 ACH Laparotomy Prostatectomy Partial LPYPRTPAR 120 60 / 30 = 90 210 ACH Laparotomy Prostatectomy Rad/Pelvic Node Dissect LPYPRTRPND / = ACH Laparotomy Renal Cryoablation LPYRNCRY 0 0 / 0 = 0 0 ACH Laparotomy Urachal Cyst Excision LPYUCEX 30 30 / 10 = 40 70 ACH Laparotomy Ureter Reimplantation LPYURREIM 80 45 / 20 = 65 145 ACH Laparotomy Ureter Reimplantation Bilateral LPYURREIMB 100 45 / 20 = 65 165 ACH Laparotomy Ureter Repair LPYURRP 120 45 / 20 = 65 185

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 53 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Laparotomy Ureterectomy+/-Ureteroureterostomy LPYUROST 45 45 / 20 = 65 110 ACH Laparotomy Uretheral Repair+/-Uretheroplasty LPYUTHRP 60 45 / 20 = 65 125 ACH Nephrolitho Perc & Calyceal Diverti Exc+/-Stent Rm NPHLTHPCAL 40 30 / 15 = 45 85 ACH Nephrolithotripsy Perc Operativ w Laser+/-Stnt Ins NPHLTHPRLZ 90 35 / 25 = 60 150 ACH Nephrolithotripsy Percutaneous Bil+/-Stent Rm NPHLTHPRCB 120 45 / 30 = 75 195 ACH Nephrolithotripsy Percutaneous+/-Stent Rm NPHLTHPRC 60 45 / 30 = 75 135 ACH Nephropyeloplasy Percutaneous NPHPPTYPRC 60 20 / 10 = 30 90 ACH Penile Prosthesis Insertion/Revision PENPROSIN 60 30 / 15 = 45 105 ACH Penile Prosthesis Removal PENPROSRM 40 30 / 15 = 45 85 ACH Penile Urethral Reconstruction PENURRECON 120 25 / 20 = 45 165 ACH Penis Chordee Repair PENCORDRP 30 20 / 10 = 30 60 ACH Penis Circumcision PENCIRC 10 20 / 10 = 30 40 ACH Penis Circumcision w Cystoscopy PENCIRCCYS 15 20 / 10 = 30 45 ACH Penis Circumcision w Meatoplasty PENCIRCMP 10 20 / 10 = 30 40 ACH Penis Dorsal Ventral Slit PENDVSL 30 20 / 10 = 30 60 ACH Penis Hypospadias Repair Distal+/-Cystoscopy PENHYDSPRD 30 20 / 10 = 30 60 ACH Penis Hypospadias Repair Proximal+/-Cystoscopy PENHYDSPRP 60 20 / 10 = 30 90 ACH Penis Hypospadias w Chordee Repair PENHYPOCOR 30 30 / 10 = 40 70 ACH Penis Nesbit Repair PENNSBRP 60 30 / 20 = 50 110 ACH Penis Penectomy PENEC 120 30 / 20 = 50 170 ACH Penis Penectomy Sentinel Node Dissection PENECNDS / = ACH Penis Phalloplasty/Penoplasty PENPHPTY 15 25 / 10 = 35 50 ACH Penis Priapism Drainage PENPRIAD / = ACH Penis Repair PENRP 30 20 / 10 = 30 60 ACH Perineal Cyst Excision PERNCYSEX 20 30 / 10 = 40 60 ACH Prostate Cryosurgery PRTCRYO 0 0 / 0 = 0 0 ACH Prostate Cryosurgery Salvage PRTCRYOS 0 0 / 0 = 0 0 ACH Prostate Needle Biopsy PRNLBX 15 15 / 10 = 25 40 ACH Prostate TURP PRTTUR 30 30 / 10 = 40 70 ACH Prostate TURP w Bladder Tumour TUR PRTTURBT 0 0 / 0 = 0 0 ACH Prostate TURP w Green Light Laser PRTTURLZG / = ACH Testicle Biopsy+/-Vasogram TSTBX 25 20 / 15 = 35 60 ACH Testicle Epididymal Cyst Excision TSTEPCYEX 30 30 / 15 = 45 75 ACH Testicle Hydrocele Excision/Repair TSTHYDEX 25 25 / 10 = 35 60 ACH Testicle Hydrocele Excision/Repair Bilateral TSTHYDEXB 25 25 / 10 = 35 60 ACH Testicle Implant Insertion TSTIMIN 25 20 / 10 = 30 55 ACH Testicle Implant Removal TSTIMRM 25 20 / 10 = 30 55 ACH Testicle Orchidectomy Bilateral TSTORCB 30 20 / 10 = 30 60 ACH Testicle Orchidectomy Radical TSTORCRAD 30 20 / 10 = 30 60 ACH Testicle Orchidectomy Scrotal TSTORCSCL 20 20 / 10 = 30 50 ACH Testicle Orchidopexy TSTORCPXY 15 20 / 10 = 30 45 ACH Testicle Orchidopexy Bilateral TSTORCPXYB 25 20 / 15 = 35 60 ACH Testicle Orchidopexy Bilateral w Circumcision TSTORPXPNB 20 20 / 10 = 30 50 ACH Testicle Orchidopexy Unilateral w Circumcision TSTORPXPN 20 20 / 10 = 30 50 ACH Testicle Spermatocelectomy TSTSMTEC 30 30 / 15 = 45 75 ACH Testicle Torsion Repair+/-Fixation+/-Orchidectomy TSTTORRPFX 20 20 / 10 = 30 50

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 54 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Testicle Varicocelectomy+/-Dorsal Vein Ligation TSTVRDVLIG 20 20 / 15 = 35 55 ACH Testicle+/-Scrotal Exploration TSTSCTEXP 20 20 / 10 = 30 50 ACH Ureteroscopy URSC 15 15 / 15 = 30 45 ACH Ureteroscopy +/-Stent +/-Pyelo +/-Bx +/-Stone Ext URSCSTIN 20 10 / 10 = 20 40 ACH Ureteroscopy Antegrade w Holmium Laser+/-Stent Ins URSCALZH 30 15 / 15 = 30 60 ACH Ureteroscopy Bilateral URSCB / = ACH Ureteroscopy wLsr Ho+/-St+/-Pyel+/-Bx+/-StoneEx URSCLZH 30 15 / 15 = 30 60 ACH Ureteroscopy wLsr Ho+/-St+/-Pyel+/-Bx+/-StoneEx Bi URSCLZHB 40 15 / 15 = 30 70 ACH Ureteroscopy+/-Stent+/-Pyelo+/-Bx +/-Stone Ext Bi URSCSTINB / = ACH Urethra Caruncle Excision URCUEX 20 30 / 15 = 45 65 ACH Urethra Meatoplasty/Meatotomy URMEATPTY 5 15 / 15 = 30 35 ACH Urethra Skenes Cyst Excision URSKCYEX / = ACH Urethral Diverticulum Excision URDIVEX 45 20 / 15 = 35 80 ACH Urethral Genital Warts Ablation w Laser Holmium URGWTABLZH / = ACH Urethral Meatoplasty w Cystoscopy URMEATCY 15 10 / 15 = 25 40 ACH Urethral Reconstruction Posterior URRCNP 0 0 / 0 = 0 0 ACH Urethral Reconstruction w Mucosal Graft URRCNMG 100 30 / 15 = 45 145 ACH Urethral Sling Male URSLINGM 60 30 / 20 = 50 110 ACH Urethral Vaginal Fistula Repair URVFSRP 90 45 / 20 = 65 155 ACH Urethrectomy, Perineal Approach URETH 60 45 / 15 = 60 120 ACH Urethroplasty URPTY 60 20 / 15 = 35 95 ACH Urethrostomy Perineal UROSTPER 75 45 / 30 = 75 150 ACH Urethrotomy Endoscopic+/-Retrograde Urethrogram UROTEND 15 30 / 15 = 45 60 ACH Urethrotomy w Laser UROTLZ 15 30 / 10 = 40 55 ACH Vaginal Bladder Sling Pubovaginal Lata Fascia VAGBLSLPVL / = ACH Vaginal Fistula Vesicovaginal Repair VAGFISVVRP 0 0 / 0 = 0 0 ACH Vaginoscopy VAGSC 10 30 / 15 = 45 55 ACH Vasectomy VASEC 15 20 / 10 = 30 45 ACH Vasectomy Bilateral VASECB 15 20 / 10 = 30 45 ACH Vasogram VASGRM 30 30 / 15 = 45 75 ACH Vasovasostomy VASVOST 150 45 / 20 = 65 215 VAS ACH Angiogram Diagnostic ANGIOGMD 180 30 / 10 = 40 220 ACH Angiogram Therapeutic ANGIOGMT 180 30 / 10 = 40 220 ACH Angiogram/Venogram Intraoperative ANGIOGMOP 30 10 / 10 = 20 50 ACH Angioplasty SS ANGIOPTY / = ACH Aorta Cerclage Endo Leak Repair HRAOCELRP / = ACH Aortic Artery Thrombectomy HRAOTHEC / = ACH Artery Brachial Embolectomy ARTBREMB / = ACH Artery Peripheral Thrombectomy Bilateral SS ARTPFTHB 0 0 / 0 = 0 0 ACH Artery Peripheral Thrombectomy SS ARTPFTH 0 0 / 0 = 0 0 ACH Axillo Brachio Artery Bypass AXBRBY 0 0 / 0 = 0 0 ACH Axillo Femoral Artery Bypass Redo AXFEBYR 0 0 / 0 = 0 0 ACH Axillo Femoral Artery Bypass Uni/Bi AXBFEBY 0 0 / 0 = 0 0 ACH Carotid Artery Aneurysm Repair CTANRP 0 0 / 0 = 0 0 ACH Carotid Artery Body Tumour Excision CTABDTEX 150 45 / 20 = 65 215

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 55 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case ACH Carotid Artery Endarterectomy+/-Embolectomy CTAENDEMB 0 0 / 0 = 0 0 ACH Carotid Subclavian Artery Bypass CTSUBABY 0 0 / 0 = 0 0 ACH Endovascular AAA Repair ENDVAAA 0 0 / 0 = 0 0 ACH Endovascular AAA Repair Percutaneous ENDVAAAPRC / = ACH Endovascular Fenestrated Stenting ENDVFST 0 0 / 0 = 0 0 ACH Endovascular Internal Iliac Arty Coil Embolization ENDVIIACE / = ACH Endovascular Post AAA Artery Repair SS ENDVAAALR / = ACH Endovascular Thoracic Aorta Aneurysm Stent ENDVTXAAST 0 0 / 0 = 0 0 ACH Endovascular Thoracoabdominal Stent Insertion ENDVTHABST 0 0 / 0 = 0 0 ACH Femoral Artery Endarterectomy+/-Embolectomy FEAENDEMB 0 0 / 0 = 0 0 ACH Femoral Artery False Aneurysm Repair FEAFANRP 0 0 / 0 = 0 0 ACH Femoral Artery Profundoplasty FEPFPTY 0 0 / 0 = 0 0 ACH Femoral Popliteal Artery Bypass FEPOPABY 0 0 / 0 = 0 0 ACH Femoral Popliteal Artery Bypass Redo FEPOPABYRD / = ACH Femoral Popliteal Artery Bypass Vein Graft FEPOPABYVG / = ACH Femoral Tibial Artery Bypass FETBABY / = ACH Femoral Tibial Artery Bypass Redo FETBABYRD / = ACH Femoral to Femoral Artery Bypass FEFEABY 0 0 / 0 = 0 0 ACH Femoral to Femoral Artery Bypass Redo FEFEABYRD 0 0 / 0 = 0 0 ACH Iliac Artery Aneurysm Repair ILARANRP 0 0 / 0 = 0 0 ACH Iliac Artery Endarterectomy+/-Embolectomy ILARENDEMB 0 0 / 0 = 0 0 ACH Iliac Femoral Artery Bypass ILFEABY 0 0 / 0 = 0 0 ACH Iliac Femoral Artery Bypass Redo ILFEABYRD / = ACH Laparotomy AA Debranching & Extra Anatomic Bypass LPYAADEABY 0 0 / 0 = 0 0 ACH Laparotomy AAA Booked LPYAAABK 0 0 / 0 = 0 0 ACH Laparotomy AAA Redo LPYAAARD 0 0 / 0 = 0 0 ACH Laparotomy AAA Ruptured LPYAAARU 0 0 / 0 = 0 0 ACH Laparotomy Aortic Artery Endarterectomy LPYAOAREND 0 0 / 0 = 0 0 ACH Laparotomy Aorto Bifemoral Artery Bypass LPYAOBFEBY 0 0 / 0 = 0 0 ACH Laparotomy Aorto Bifemoral Artery Bypass Redo LPYAOBFERD 0 0 / 0 = 0 0 ACH Laparotomy Aorto Mesenteric Artery Bypass LPYAMESABY 0 0 / 0 = 0 0 ACH Laparotomy Aorto Renal Artery Bypass LPYAORNBY 0 0 / 0 = 0 0 ACH Laparotomy Aorto Renal Artery Repair LPYAORNRP 0 0 / 0 = 0 0 ACH Laparotomy Artery Stent GraftRemovalwGraftInsertSS LPYSTRMGSS / = ACH Laparotomy Renal Artery Aneurysm Repair LPYRNANRP 0 0 / 0 = 0 0 ACH Laparotomy Renal Artery Reimplantation LPYRNREIM 0 0 / 0 = 0 0 ACH Laparotomy Vena Cava Repair LPYVCRS 0 0 / 0 = 0 0 ACH Peripheral Artery Stent Insertion SS PFARTSTIN 0 0 / 0 = 0 0 ACH Popliteal Artery Aneurysm Repair POPARANBY 0 0 / 0 = 0 0 ACH Popliteal Artery Endarterectomy+/-Embolectomy POPARENDEM 0 0 / 0 = 0 0 ACH Thoracotomy Aorta Aneurysm Repair THOAARP 0 0 / 0 = 0 0 ACH Thoracotomy Aortic Arch Debranching THOARADEB / = ACH Vein Retrieval Segment SS VNRTRVSG 150 75 / 20 = 95 245 ACH Vessel Ligation SS VSLLIG 90 60 / 30 = 90 180

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 56 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected] Procedure Standard Time as of: 2021-04-06 Site: ACH Procedure Cat: 25 Selected Show Procedures: ALL

Notes 01) Contact Nurse Clinician for procedures without times. 02) Report includes all active procedures associated at this . 03) Report includes Procedures which have a 'Standard Skin to Skin Proc' time when 'Show Procedures' parameter= 'With Standard Times.' 04) Report Sort Order: i) ii) iii)

Definitions Standard Setup Duration (mins) / Teardown Duration (mins) Procedure Code (Mnemonic) as documented on the AHS CAL Zone OR Manager application Booking. Procedure Category as specified in the AHS CAL Zone OR Manager Procedure Dictionary. Standard Booked Procedure Description, as specified in the AHS CAL Zone OR Manager application Procedure Dictionary. Data determined by parameter selection. ALL includes procedures with and without specific times. AHS CAL Zone Site/Site Group (mnemonic) as defined in the AHS CAL Zone OR Manager system. to + +

Parameters Selected Dwntm PDF 04 - Proc Std Time ANA; CAR; COH; DEN; ENT; GEN; GI; GYN; MED; NEU; OBS; OPH; ORA; ORT; PLS; POD; PSY; RAD; RES; SPI; STP; THO; TRN; URO; VAS ALL ACH

Generated: 2021-04-06 11:02 Source: CAL ORIS medsurg Internal: proc_std_time 57 of 57 v.20191007 Disclaimer: This report is confidential. If received in error, notify AHS CAL ORIS via [email protected]