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RGH Procedure Cat: 25 Selected Show Procedures: ALL

RGH Procedure Cat: 25 Selected Show Procedures: ALL

Procedure Standard Time as of: 2021-04-06 Site: RGH 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 RGH Anesthesia Awake Intubation ANAWKINTB 10 10 / 10 = 20 30 RGH Anesthesia Block in PACU Pre OR Admission ANABKRR 10 5 / 10 = 15 25 RGH Anesthesia Blood Patch ANABLDPT 10 5 / 5 = 10 20 RGH Anesthesia Epidural Steroid+/-Analgesia Inject SS ANAEPINJ 10 10 / 10 = 20 30 RGH Anesthesia for XRay ANAXRAY 15 10 / 10 = 20 35 RGH Anesthesia Insert Long Line IV<1 Year ANALINE<1 0 0 / 0 = 0 0 RGH Anesthesia Insert Long Line IV>1 Year ANALINE>1 10 10 / 10 = 20 30 RGH Anesthesia Intubate Only OR ANAINTB 15 10 / 10 = 20 35 RGH Anesthesia Intubate Only PACU ANAINTBRR 10 5 / 5 = 10 20 RGH Anesthesia Local+/-Regional Block State Type ANABKOR 30 15 / 15 = 30 60 RGH Anesthesia Post Op Readmit to PACU ANARADMRR 10 10 / 10 = 20 30 RGH Anesthesia Pseudocholinesterase Deficiency ANAPSURR 10 10 / 10 = 20 30 RGH Anesthesia Spinal Block ANASPBK 10 10 / 10 = 20 30 RGH Anesthesia Spine Facet Injection ANASPINJ 10 10 / 10 = 20 30 RGH Lumbar Puncture LUPUNC 5 15 / 10 = 25 30 CAR RGH Cardiac Catheterization & Balloon Angioplasty HRCARCBANG 0 0 / 0 = 0 0 RGH Cardiac Catheterization w Full Biopsy HRCARCBX / = RGH Cardiac Catheterization w Partial Biopsy HRCARCBXP / = RGH Cardiac Catheterization+/-Valvoplasty HRCARCVL / = RGH Catheter Insertion Aphoresis CAINAPHP 0 0 / 0 = 0 0 RGH Heart Cardioversion HRCARDVS 15 15 / 15 = 30 45 RGH Heart Echocardiogram HRECHO 30 10 / 10 = 20 50 RGH Heart Echocardiogram Transesophageal HRECHOTE 15 10 / 10 = 20 35 RGH Heart Electrophysiology Study+/-Ablation HREPSA 15 10 / 10 = 20 35 RGH Heart ICD Extract Gen/Lead/Drain Infec+/-Temp Pace HRICEXDRI / = RGH Heart ICD Insert Dual Chamber HRICDDC / = RGH Heart ICD Insert Dual Chamber Groin Approach HRICDDCGA / = RGH Heart ICD Insert Single Chamber HRICDSC / = RGH Heart ICD Insert Single Chamber Groin Approach HRICDSCGA / = RGH Heart ICD Insert Single Chamber Subcutaneous HRICDSCS / = RGH Heart ICD Insert w CRT HRICDCRT / = RGH Heart ICD Insert w CRT Endocardial Transeptal HRICDCREND / = RGH Heart ICD Revision Generator Replace w Lead Insert HRICDRVGLD / = RGH Heart ICD Revision Generator Replacement HRICDRVG / = RGH Heart ICD Revision Lead Extr+/-Replac+/-Gen Replac HRICDRVLG / = RGH Heart ICD Revision Lead Extrac Las wReplac for CRT HRICDRVLZC / = RGH Heart ICD Revision Lead Extract w Replace for CRT HRICDRVLXC / = RGH Heart ICD Revision Lead Reposition HRICDRVL / = RGH Heart ICD Revision LV Lead Upgrade CRT+/-Gen Chng HRICDRVCRT / = RGH Heart Loop Recorder Insertion HRLOOPRI / = RGH Heart Loop Recorder Removal HRLOOPRR / = RGH Pacemaker Extraction Gen+/-Lead/Drain Infec+/-Temp HRPMEXDRI / = RGH Pacemaker Insert Dual Chamber HRPMDC 70 35 / 20 = 55 125 RGH Pacemaker Insert Dual Chamber Groin Approach HRPMDCGA / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Pacemaker Insert Single Chamber HRPMSC 50 35 / 20 = 55 105 RGH Pacemaker Insert Single Chamber Groin Approach HRPMSCGA / = RGH Pacemaker Insert Temporary HRPMINTP / = RGH Pacemaker Insert w CRT HRPMCRT / = RGH Pacemaker Insert w CRT Endocardial Transeptal HRPMCRTEND / = RGH Pacemaker Insert w His Bundle Pacing HRPMHISBP / = RGH Pacemaker Insert/Extraction Leadless HRPMLDLS / = RGH Pacemaker Revision Gen & Lead Upgrade to ICD HRPMRVICD / = RGH Pacemaker Revision Gen & Lead Upgrade to ICD w CRT HRPMRVICDC / = RGH Pacemaker Revision Generator Replace w Lead Insert HRPMRVGLEA / = RGH Pacemaker Revision Generator Replacement HRPMRVG / = RGH Pacemaker Revision Lead Extr Laser wReplac for CRT HRPMRVLZC / = RGH Pacemaker Revision Lead Extr+/-Replac+/-Gen Replac HRPMRVLG / = RGH Pacemaker Revision Lead Extrac w Replace for CRT HRPMRVLCRT / = RGH Pacemaker Revision Lead Reposition HRPMRVL / = RGH Pacemaker Revision LV LeadUpgrade forCRT+/-GenChg HRPMRVCRT / = RGH Pacemaker/ICD Ext Laser Gen+/-Lead/Drain Inf+/-Tem HRPMICEXLZ / = RGH Pacemaker/ICD Generator Removal HRPMICDGRE / = RGH Pacemaker/ICD Pocket Rev+/-Hematoma/Capsu/Scar Rev HRPMICDPK / = RGH Thoracotomy Heart Epicardial Lead Insertion THOEPCARLI / = COH RGH Aorta Ascend Arch Repl Endo Thor AA Stent+/-Hybrid HRAOARENDH / = RGH Aorta Coarctation w Graft HRCOAOGF / = RGH Aortic Coarctation Repair w/o Graft HRCOAORP / = RGH Aortic Root Dissection+/-Graft HRAORTGF / = RGH CABG Multiple Primary HRCABGMP / = RGH CABG Multiple Primary w Ablation RF HRCABGMPRF / = RGH CABG Multiple Redo HRCABGMR / = RGH CABG w Aortic Root Repair/Repl HRCABGARR / = RGH CABG w Aortic Root Repair/Repl Redo HRCABGARTR / = RGH CABG w Ascending Hemiarch Replace HRCABASHR / = RGH CABG w Valve Aortic Pulmonary Replace HRVLPUBY / = RGH CABG w Valve Repair/Repl Aortic HRCABGVA / = RGH CABG w Valve Repair/Repl Aortic Ablation RF HRCABGVARF / = RGH CABG w Valve Repair/Repl Aortic Mitral+/-Tric Redo HRCABGVRR / = RGH CABG w Valve Repair/Repl Aortic Mitral+/-Tricusp HRCABGVR / = RGH CABG w Valve Repair/Repl Aortic Redo HRCABGVARR / = RGH CABG w Valve Repair/Repl Mitral Ablation RF HRCABGVMRF / = RGH CABG w Valve Repair/Repl Mitral+/-Tricuspid HRCABGVMTR / = RGH CABG w Valve Repair/Repl Mitral+/-Tricuspid Redo HRCABGVMRR / = RGH Cardiopulmonary Bypass for Hypothermia HRBYHYPO / = RGH ECMO HRBYECMO / = RGH ECMO Line Repositioning HRBYECMOLR 50 10 / 10 = 20 70 RGH Heart Aneurysm Repair Bypass HRANRPBY / = RGH Heart Aortic Valve Implant Transcath Apical TAVI HRTAVIA / = RGH Heart Aortic Valve Implant Transcath Axillary TAVI HRTAVIAX / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Heart Aortic Valve Implant Transcath Direct TAVI HRTAVID / = RGH Heart Aortic Valve Implant Transcath Femoral TAVI HRTAVIF / = RGH Heart Atrial Septal Defect Repair Bypass HRASDRPBY / = RGH Heart Heartmate Insertion HRHMTIN / = RGH Heart Impella Insertion HRIMPELLIN 0 0 / 0 = 0 0 RGH Heart Patent Ductus Arteriosis HRPDAN / = RGH Heart Pericardial Centesis HRPRICNP / = RGH Heart Tumour Excision w Bypass HRTUEX / = RGH Heart Ventral Septal Defect Repair Bypass HRVENSDRP / = RGH Heart Ventricular Assist Device Insertion HRVADIN / = RGH Heart Ventricular Assist Device Insertion MIS HRVADINMIS / = RGH Heart Ventricular Assist Device Removal HRVADRM / = RGH Post Open Heart Reopen Bleed HRPSOHRBL / = RGH Post Open Heart Reopen Low Flow HRPSOHRLF / = RGH Post Open Heart Sternal Closure HRPSOHSCL / = RGH Post Open Heart Sternal Plating HRPSOHSFX / = RGH Pulmonary Embolectomy w Bypass HRPUEMBBY / = RGH Sternal Debridement Post Open Heart STDBPSOH 0 0 / 0 = 0 0 RGH Sternal Rewiring STREWIR 0 0 / 0 = 0 0 RGH Sternal Wire Removal STWIRRM 0 0 / 0 = 0 0 RGH Sternotomy Pericardectomy STPCEC 0 0 / 0 = 0 0 RGH Thoracic Aneurysm Dissection+/-Replace w Bypass HRTXANBY / = RGH Thoracoabdominal Aortic Aneurysm Repair w Bypass HRTAARBY / = RGH Valve Aortic & Ascending Hemiarch Replacement HRVLASHEMR / = RGH Valve Aortic & Mitral Repair/ Replace+/-Tricuspid HRVLAMRRT / = RGH Valve Aortic & Mitral Repair/Replace+/-Tricus Redo HRVLAMRTR / = RGH Valve Aortic Repl Ross Proc+/-Allograft+/-Homograf HRVLARPAH / = RGH Valve Aortic Replacement Hemisternotomy HRVLAOHST / = RGH Valve Aortic Replacement Primary Ablation RF HRVLAORF / = RGH Valve Aortic Replacement Primary Prosthesis HRVLAOPR / = RGH Valve Aortic Replacement Primary Tissue HRVLAOTS / = RGH Valve Aortic Replacement Redo Prosthesis HRVLAOPRRD / = RGH Valve Aortic Replacement Redo Tissue HRVLAOTSRD / = RGH Valve Aortic Replacement Thoracotomy HRVLAOTHO / = RGH Valve Aortic Replacement w Homograft HRVLAOHG / = RGH Valve Aortic Sparing Aortic Root Replacement HRVLASARR / = RGH Valve Mitral Clip Repair HRVLMICPR / = RGH Valve Mitral Commissurotomy HRVLMICOM / = RGH Valve Mitral Repair HRVLMIRP / = RGH Valve Mitral Repair/Replace+/-Tricuspid HRVLMIRRT / = RGH Valve Mitral Repair/Replace+/-Tricuspid Redo HRVLMIRRTR / = RGH Valve Mitral Replacement Minimally Invasive MIVS HRVLMRMI / = RGH Valve Mitral Replacement Primary Ablation RF HRVLMIRF / = RGH Valve Mitral Replacement Primary Prosthesis HRVLMIPR / = RGH Valve Mitral Replacement Primary Tissue HRVLMITS / = RGH Valve Mitral Replacement Redo Prosthesis HRVLMIPRRD / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Valve Mitral Replacement Redo Tissue HRVLMITSRD / = RGH Valve Pulmonary Replacement Primary Prosthesis HRVLPUPR / = RGH Valve Pulmonary Replacement Primary Tissue HRVLPUTS / = RGH Valve Pulmonary Replacement Redo Prosth HRVLPUPRRD / = RGH Valve Pulmonary Replacement Redo Tissue HRVLPUTSRD / = RGH Valve Replacement Bentall Prosthesis HRVLBENT / = RGH Valve Replacement Bentall Redo HRVLBENTRD / = RGH Valve Tricuspid Repair HRVLTRRP / = RGH Valve Tricuspid Replacement Primary Tissue HRVLTRTS / = RGH Valve Tricuspid Replacement Prosthesis HRVLTRPR / = RGH Valve Tricuspid Replacement Redo Prosthesis HRVLTRPRRD / = RGH Valve Tricuspid Replacement Redo Tissue HRVLTRTSRD / = ENT RGH Adenoidectomy ADNEC 20 20 / 20 = 40 60 RGH Adenoidectomy M&T ADNMT 20 20 / 20 = 40 60 RGH Adenoidectomy SMDT ADNSMDT 20 20 / 20 = 40 60 RGH Auditory Brain Stem Response ABSR / = RGH Cranial Middle Fossa Dehiscence SemiCircular Canal CRMFDSCC / = RGH Cranial Orbital Sinus & Maxilla Explor/Excis/Recon CRORBSINMX 0 0 / 0 = 0 0 RGH Cranial Orbital Sinus Tumour Explor/Excision/Recon CRORBSIN 0 0 / 0 = 0 0 RGH Cystic Hygroma Excision CYHYGEX 180 20 / 15 = 35 215 RGH Ear Baha Implant Revision EARBAHAREV / = RGH Ear Baha Implant Single Stage Attract EARBAHAATT / = RGH Ear Baha Implant Single Stage Attract Bil EARBAHAATB / = RGH Ear Baha Implant Single Stage Dermalock EARBAHADER / = RGH Ear Baha Implant Stage 1+/-Graft EARBAHAIM1 0 0 / 0 = 0 0 RGH Ear Baha Implant Stage 2 EARBAHAIM2 0 0 / 0 = 0 0 RGH Ear Conduction Hearing Aide Ponto Implant MIS EARBCPONTO / = RGH Ear Canal Exostosis Exc+/-Recon Splt Thk Skin Grft EARCANEXOX 120 25 / 15 = 40 160 RGH Ear Canal Tumor Exc w/Recon Splt Thk Skin Grft EARCANTUMX / = RGH Ear Cochlear Implant EARCOCIM 0 0 / 0 = 0 0 RGH Ear Cochlear Implant Bilateral EARCOCIMB 0 0 / 0 = 0 0 RGH Ear Cochlear Implant Rev+/-Rem+/-Replacement EARCIRMRPR 0 0 / 0 = 0 0 RGH Ear Cochlear Implant Revision EARCOCIMRV 0 0 / 0 = 0 0 RGH Ear EUA +/-Debridement EAREUA 10 15 / 15 = 30 40 RGH Ear Foreign Body Removal EARFBRM 10 10 / 10 = 20 30 RGH Ear Mastoidectomy EARMAS 90 35 / 20 = 55 145 RGH Ear Mastoidectomy Tumor Resection w Image Guidance EARMTRIMG 0 0 / 0 = 0 0 RGH Ear Meatal Atresia Correction EARMACORR 15 15 / 10 = 25 40 RGH Ear Myringoplasty EARMYPTY 10 15 / 15 = 30 40 RGH Ear Myringotomy+/-Tube Insertion EARMYTBIN 10 15 / 15 = 30 40 RGH Ear Myringotomy+/-Tube Insertion Bilateral EARMYTBINB 10 15 / 15 = 30 40 RGH Ear Myringotomy+/-Tube Insertion w ABR EARMYTBABR 0 0 / 0 = 0 0 RGH Ear Ossiculoplasty EAROSS 60 15 / 15 = 30 90 RGH Ear Ossiculoplasty Revision EAROSSRV 0 0 / 0 = 0 0 RGH Ear Ossiculoplasty w Tympanomastoidectomy EAROSSTYM 100 15 / 15 = 30 130

Generated: 2021-04-06 11:09 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: RGH 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 RGH Ear Ossiculoplasty w Tympanoplasty EAROSSTYP 100 15 / 15 = 30 130 RGH Ear Ossiculoplasty with Tympanoplasty Revision EAROSSTYRV 90 15 / 15 = 30 120 RGH Ear Preauricular Sinus+/-Cyst Excision EARPSICYEX 30 20 / 20 = 40 70 RGH Ear Stapedectomy EARSTAPD 75 35 / 15 = 50 125 RGH Ear Stapedotomy EARSTAPO / = RGH Ear Stapedotomy Laser CO2 EARSTOLZC 0 0 / 0 = 0 0 RGH Ear Stapedotomy Revision EARSTAPORV / = RGH Ear Stapedotomy Revision Laser CO2 EARSTORLZC 45 35 / 15 = 50 95 RGH Ear Transcanal Glomus Tumour Excision EARTCGTEX / = RGH Ear Tympanomastoidectomy EARTYMSEC 120 35 / 15 = 50 170 RGH Ear Tympanomastoidectomy 2nd Look EARTYM2L / = RGH Ear Tympanomastoidectomy Revision EARTYMSECR 60 20 / 20 = 40 100 RGH Ear Tympanoplasty Endaural EARTYPYE / = RGH Ear Tympanoplasty Post Auricular EARTYPYPA / = RGH Ear Tympanoplasty Transcanal EARTYPTYTC 50 35 / 15 = 50 100 RGH Ear Tympanoplasty w Synthetic Graft EARTYPDC 0 0 / 0 = 0 0 RGH Ear Tympanoplasty+/-Graft EARTYPTY 50 35 / 15 = 50 100 RGH Ear Tympanoplasty+/-Graft Bilateral EARTYPTYB / = RGH Liposuction w/Vocal Fold Fat Injection LPOVFFINJ / = RGH Mandibulectomy Hemi MNECHEMI 360 20 / 15 = 35 395 RGH Mandibulectomy Marginal MNECMARG / = RGH Maxillectomy Infrastructure w Obturator Mold MXIWOM / = RGH Maxillectomy Orbital Excision Reconstruction MXECORBEXE 240 20 / 15 = 35 275 RGH Mouth/Oral Buccal Tissue Excision+/-Skin Graft MOBCCTUEXG 20 20 / 20 = 40 60 RGH Mouth/Oral Lesion Laser CO2 MOLELZC 30 30 / 20 = 50 80 RGH Mouth/Oral Ranula Excision MORANEX 45 15 / 15 = 30 75 RGH Mouth/Oral Tongue Lesion Excision Laser YAG MOTGLELZY 0 0 / 0 = 0 0 RGH Neck Biopsy+/-I&D NKBX 30 20 / 20 = 40 70 RGH Neck Branchial Cleft Cyst+/-Sinus Excision NKBRACCYEX 35 30 / 20 = 50 85 RGH Neck Chondroplasty Thyroid Laser CO2 NKRCTCL / = RGH Neck Dissect Laryn Pharyngectomy+/-Trach Jej Flap NKDISLPTFJ 0 0 / 0 = 0 0 RGH Neck Dissect Laryngectomy w TEP+/-Thyroidectomy NKDISLTT / = RGH Neck Dissect Laryngectomy w TEP+/-Thyroidectomy Bi NKDISLTTB / = RGH Neck Dissect Mandible Glossectomy+/-Trach Fr Flap NKDISMGTFR 0 0 / 0 = 0 0 RGH Neck Dissect Mandible Tongue & Reconstruction NKDISMNTG 600 25 / 15 = 40 640 RGH Neck Dissect Mandible+/-Tracheostomy NKDISMNTR 720 25 / 15 = 40 760 RGH Neck Dissect Minor NKDISMI 60 45 / 20 = 65 125 RGH Neck Dissect Radical NKDISRAD 160 45 / 20 = 65 225 RGH Neck Dissect w/Transoral Excision Tongue Laser C02 NKDISTGCO2 / = RGH Neck Dissect w/Transoral Excision Tonsil Laser CO2 NKDISTLCO2 / = RGH Neck Hyoid Myotomy w Airway Reconst Stage 1 NKHYMYARS1 240 40 / 25 = 65 305 RGH Neck Laryngectomy w TEP+/-Thyroidectomy NKLGTT 120 45 / 25 = 70 190 RGH Neck Parathyroidectomy Unilateral Image Directed NKPTHUID 75 45 / 25 = 70 145 RGH Neck Parotidectomy Limited NKPARTECL 0 0 / 0 = 0 0 RGH Neck Parotidectomy Partial/Lobectomy NKPARTECS 100 35 / 20 = 55 155 RGH Neck Parotidectomy Total NKPARTEC 100 35 / 20 = 55 155

Generated: 2021-04-06 11:09 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: RGH 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 RGH Neck Parotidectomy w Lymph Node Dissection NKPARLYNDS / = RGH Neck Submandibular Gland Excision NKSMGLEX 50 30 / 15 = 45 95 RGH Neck Thyroglossal Duct Cyst Excision NKTHGLCYEX 60 30 / 15 = 45 105 RGH Neck Thyroplasty NKTHYPTY 90 15 / 15 = 30 120 RGH Neck Tracheal Reconstruction+/-Bone Graft NKTRRCN 150 30 / 20 = 50 200 RGH Neck Tracheoesophageal Puncture NKTREPUNC 25 15 / 10 = 25 50 RGH Neck Tracheostomy NKTRC 30 35 / 15 = 50 80 RGH Neck Tracheostomy Closure NKTRCCL 40 15 / 15 = 30 70 RGH Neck Tracheostomy Revision+/-Stenosis Repair NKTRCRVSRP 30 15 / 15 = 30 60 RGH Neck Tracheostomy Tube Change NKTRCTC 15 15 / 15 = 30 45 RGH Needle Aspiration Fine SS NLASP 5 10 / 10 = 20 25 RGH Nose Antrostomy Caldwell Luc NSANTCLDLU 40 25 / 20 = 45 85 RGH Nose Choanal Atresia Repair NSCHATRP 15 20 / 15 = 35 50 RGH Nose Control Bleed Endoscopic NSCBENS 30 20 / 15 = 35 65 RGH Nose Foreign Body Removal NSFBRM 5 15 / 10 = 25 30 RGH Nose Lesion+/-Papilloma Excision Laser CO2 NSLEPLLZC 20 25 / 20 = 45 65 RGH Nose Nasopharyngeal Endoscopy Fiberoptic NSNPGENSFO 15 20 / 20 = 40 55 RGH Nose Nasopharyngeal EUA+/-Biopsy NSNPGEUABX 15 20 / 20 = 40 55 RGH Nose Open Reduction NSORIF 30 15 / 10 = 25 55 RGH Nose Packing Insert NSPKIN 15 15 / 10 = 25 40 RGH Nose Reduction Closed NSRDNCL 10 15 / 15 = 30 40 RGH Nose Rhinoplasty w Ear Graft NSRHPTYGF 40 15 / 10 = 25 65 RGH Nose Rhinoplasty+/-Tip NSRHPTY 40 20 / 20 = 40 80 RGH Nose Rhinotomy NSRHOMY 60 15 / 15 = 30 90 RGH Nose Septal Perforation Closure+/-Septal Button NSSEPCL 30 25 / 15 = 40 70 RGH Nose Septoplasty/SMR & Tonsillectomy NSSEPTYTNS 60 25 / 15 = 40 100 RGH Nose Septoplasty/SMR w Pyriformoplasty NSSEPTYPYR / = RGH Nose Septoplasty/SMR w UPP+/-Tonsillectomy NSSEPTYU3P 40 25 / 15 = 40 80 RGH Nose Septoplasty/SMR+/-SMDT NSSEPTYSMD 25 25 / 15 = 40 65 RGH Nose Septorhinoplasty OpenwNoseSinFuncEndoImagGuid NSSEPOFEIM 160 30 / 20 = 50 210 RGH Nose Septorhinoplasty/Sinus Functional Endo NSSPTYAEPT 35 25 / 15 = 40 75 RGH Nose Septorhinoplasty/SMR Open NSSEPRHPTO 80 25 / 15 = 40 120 RGH Nose Septorhinoplasty/SMR w Bone Graft Calvariel NSSEPRBGC 0 0 / 0 = 0 0 RGH Nose Septorhinoplasty/SMR+/-SMDT NSSEPRHPTY 40 25 / 15 = 40 80 RGH Nose Septum Cauterization SMD+/-SMDT NSSEPCUSMD 30 20 / 15 = 35 65 RGH Nose Sinoscopy Eustacian Tuboplasty NSSIEUST 45 25 / 15 = 40 85 RGH Nose Sinoscopy+/- Nasal Debridement NSSISCNDB 30 15 / 15 = 30 60 RGH Nose Sinoscopy+/-Nasal Cautery NSSISC 30 25 / 20 = 45 75 RGH Nose Sinoscopy+/-Tonsillectomy+/-Adenoidectomy NSSITNSADN / = RGH Nose Sinus Ant+/-Ethm+/-Spen+/-Sept w Image Guide NSSIAESIMG 65 30 / 20 = 50 115 RGH Nose Sinus Functional Endo w Image Guide+/-SMR NSSINFEIS 60 30 / 20 = 50 110 RGH Nose Sinus Functional Endo w Image Guide+/-SMR Bil NSSINFEISB 120 30 / 20 = 50 170 RGH Nose Sinus Functional Endo+/- SMR Bil NSSINFESSB 55 25 / 20 = 45 100 RGH Nose Sinus Functional Endo+/-SMR NSSINFESS 55 25 / 20 = 45 100 RGH Nose Sinus+/-Ant+/-Ethmoid+/-Polyp+/-Turb+/-Sphen NSSIBINEAP 30 30 / 20 = 50 80 RGH Nose Turbinoplasty Bil NSTURBB / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Sinus & Orbital Exploration+/-Excision SINORBEXPX 45 20 / 15 = 35 80 RGH Throat Bronchoscopy Rigid Laser CO2 THRBSRLZC 20 30 / 20 = 50 70 RGH Throat Bronchoscopy Rigid Laser YAG THRBSRLZY 0 0 / 0 = 0 0 RGH Throat Bronchoscopy Rigid/Laryngoscopy Suspension THRBSRLGS / = RGH Throat Bronchoscopy Rigid+/-FB Removal THRBSRFBRM 15 30 / 20 = 50 65 RGH Throat Endoscopy Upper Foreign Body Removal THRENFBRM 20 30 / 20 = 50 70 RGH Throat Endoscopy Zenkers Diverticulum THRENSCZDV 30 25 / 20 = 45 75 RGH Throat Endoscopy Zenkers Diverticulum Laser CO2 THRENSCZDC / = RGH Throat Excision Nasopharyngeal Tumour THRNSPGTU 60 20 / 20 = 40 100 RGH Throat Laryngoscopy Esophgscpy+/-Ballon Dilat+/-Bx THRLGEGBDB / = RGH Throat Laryngoscopy Laser CO2 THRLGSLZC 30 30 / 25 = 55 85 RGH Throat Laryngoscopy Laser CO2 Arytenoid+/-Stit Lat THRLGSLZAL 35 20 / 20 = 40 75 RGH Throat Laryngoscopy Micro Suspension+/-Biopsy THRLGSMIS 15 20 / 25 = 45 60 RGH Throat Laryngoscopy Subglot Sten Dil THRLGSMSD 0 0 / 0 = 0 0 RGH Throat Laryngoscopy Subglot Sten Dil Laser CO2 THRLGSMSDC / = RGH Throat Laryngoscopy T-Tube Insert+/-Rev THRLGSTT 20 20 / 25 = 45 65 RGH Throat Pan Quadroscopy THRENSCQUA 15 20 / 20 = 40 55 RGH Throat Pan Quadroscopy w Tonsillectomy THRENSCQUT / = RGH Throat Tracheoesophageal Fistula Repair Endoscopic THRTEFREN / = RGH Throat Transnasal Esophagoscopy +/- Balloon Dilat THRTRNEGBD / = RGH Throat UPP w Uvular FlapTonsillect Part Glossectom THRU3PFTPG 125 30 / 20 = 50 175 RGH Throat UPP+/-Tonsil+/-Adenoidectomy THRU3P 30 20 / 15 = 35 65 RGH Throat Uvulopharyngoplasty Laser CO2 THRU3PLZC 40 30 / 20 = 50 90 RGH Tongue Biopsy TGBX 20 20 / 20 = 40 60 RGH Tongue Excision Laser CO2 TGRELZC 30 20 / 15 = 35 65 RGH Tongue Glossectomy TGGLEC 120 35 / 20 = 55 175 RGH Tongue Glossectomy Hemi TGGLECH 30 35 / 20 = 55 85 RGH Tongue Wedge Excision TGWDGRS 30 20 / 15 = 35 65 RGH Tonsil Abscess Drainage TNSABSID 15 20 / 20 = 40 55 RGH Tonsil Post Op Hemmorhage Arrest TNSBLDAR 20 20 / 20 = 40 60 RGH Tonsillectomy TNSEC 20 20 / 20 = 40 60 RGH Tonsillectomy & Adenoidectomy TNSADNEC 20 20 / 20 = 40 60 RGH Tonsillectomy & Adenoidectomy & M&T TNSADMMT 20 20 / 20 = 40 60 RGH Tonsillectomy & Adenoidectomy & M&T Bil TNSADMMTB 20 20 / 20 = 40 60 RGH Tonsillectomy & Adenoidectomy Ear EUA Bilateral TNSADEARB 15 15 / 10 = 25 40 RGH Tonsillectomy & Adenoidectomy w Pharyngoplasty TNSADNPHA / = RGH Tonsillectomy & Adenoidectomy+/-BSMDT TNSADBSMDT 20 15 / 10 = 25 45 RGH Tonsillectomy+/- Pharyngoplasty TNSPHAR 20 20 / 15 = 35 55 RGH Vocal Cord Injection/Augmentation State Type VOCINJ 15 20 / 20 = 40 55 RGH Voice Box Insert Artificial Blom Singer VBOXINBLOM 0 0 / 0 = 0 0 GEN RGH Abdominal Wall Mass Excision ABDWLMSEX 30 20 / 20 = 40 70 RGH Abdominal Wound Closure ABDWDCL 70 20 / 20 = 40 110 RGH Axilla Exploration AXEXP 30 20 / 15 = 35 65 RGH Axilla Node Biopsy AXNDBX 20 20 / 15 = 35 55 RGH Axilla Node Dissection AXNDDIS 40 25 / 15 = 40 80

Generated: 2021-04-06 11:09 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: RGH 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 RGH Axilla Node Dissection Sentinel AXNDDISL 30 25 / 15 = 40 70 RGH Bone Marrow Aspirate+/-Biopsy BNMRASPBX 65 15 / 15 = 30 95 RGH Breast Biopsy+/-Needle Loc BRBXNLOC 20 25 / 15 = 40 60 RGH Breast Biopsy+/-Needle Loc Bilateral BRBXNLOCB 40 25 / 15 = 40 80 RGH Breast Biopsy+/-Needle Loc Seg/Lump BRBXNLSG 30 25 / 15 = 40 70 RGH Breast Biopsy+/-Needle Loc Seg/Lump Ax Nodes BRBXNLSGND 60 30 / 15 = 45 105 RGH Breast I&D BRID 20 20 / 15 = 35 55 RGH Breast Mastectomy Prophylactic BRMP 60 25 / 15 = 40 100 RGH Breast Mastectomy Prophylactic Bilateral BRMPB 90 35 / 15 = 50 140 RGH Breast Mastectomy Seg/Lump BRMSG 30 25 / 15 = 40 70 RGH Breast Mastectomy Seg/Lump Ax Nodes BRMSGND 60 30 / 15 = 45 105 RGH Breast Mastectomy Seg/Lump Ax Nodes Bil BRMSGNDB 75 35 / 15 = 50 125 RGH Breast Mastectomy Seg/Lump Bil BRMSGB 45 25 / 15 = 40 85 RGH Breast Mastectomy Seg/Lump Sent w Ax Nodes BRMSGNDS 60 35 / 15 = 50 110 RGH Breast Mastectomy Seg/Lump Sent/Need Loc/Ax No Bil BRMSGNDSNB / = RGH Breast Mastectomy Seg/Lump Sent+/-Ax Nodes Bil BRMSGNDSB 80 35 / 15 = 50 130 RGH Breast Mastectomy Seg/Lump Sent+/-Need Loc+/-Ax No BRMSGNDSNL 60 35 / 15 = 50 110 RGH Breast Mastectomy Seg/Lump w Sentinel Nodes BRMSGSND 45 40 / 20 = 60 105 RGH Breast Mastectomy Seg/Lump+/-Needle Loc BRMSGNL 35 25 / 15 = 40 75 RGH Breast Mastectomy Total BRMTL 60 30 / 15 = 45 105 RGH Breast Mastectomy Total Ax Nodes BRMTLND 70 30 / 15 = 45 115 RGH Breast Mastectomy Total Ax Nodes Bilateral BRMTLNDB 100 35 / 15 = 50 150 RGH Breast Mastectomy Total Bilateral BRMTLB 90 35 / 15 = 50 140 RGH Breast Mastectomy Total Sent+/-Ax Nodes BRMTLNDS 65 35 / 15 = 50 115 RGH Breast Mastectomy Total Sent+/-Ax Nodes Bilateral BRMTLNDSB 100 35 / 15 = 50 150 RGH Catheter Broviac Insertion CABROVIN 45 20 / 10 = 30 75 RGH Catheter Broviac Removal CABROVRM 15 20 / 10 = 30 45 RGH Catheter Central Line Removal CACLNRM 30 20 / 10 = 30 60 RGH Catheter Central Line+/-Venous Insert+/-PICC CACVLNIN 60 20 / 10 = 30 90 RGH Catheter Chemoport/IVAD Insertion CACHEIVDIN 45 20 / 10 = 30 75 RGH Catheter Chemoport/IVAD Removal CACHEMRM 15 20 / 10 = 30 45 RGH Catheter Insert State Type CAIN 45 20 / 10 = 30 75 RGH Catheter Removal State Type CARM 5 20 / 10 = 30 35 RGH Cecostomy Tube Change CECTBC 30 15 / 15 = 30 60 RGH Cyst Lipoma+/-Adenoma+/-Fibroma Excision State Typ CYLIPEX 30 20 / 15 = 35 65 RGH Cyst+/-Abscess I&D SS CYIDABC 30 20 / 15 = 35 65 RGH Cyst+/-Mole+/-Nevus Excision SS CYMLNVEX 15 20 / 15 = 35 50 RGH Dressing Change+/-VAC SS DRSCHVAC 50 35 / 15 = 50 100 RGH Endoscopic Adrenalectomy Posterior ENSADREP / = RGH Endoscopic Adrenalectomy Posterior Bilateral ENSADREPB / = RGH Esophageal Cervical Repair Open ESCRPOPN 150 90 / 30 = 120 270 RGH Esophagogastrectomy+/-Thoracotomy ESGSTHO 300 90 / 30 = 120 420 RGH EUA SS EUA 5 15 / 10 = 25 30 RGH Foreign Body Removal SS FBRM 30 20 / 10 = 30 60 RGH Gastric Neurostimulator IPG Insertion GASNSIPGIN / = RGH Gastric Neurostimulator IPG Replacement GASNSIPGR / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Gastroscopy GSSCFLX 20 30 / 10 = 40 60 RGH Gastroscopy PEG GSSCPEGIN 30 30 / 30 = 60 90 RGH Gastroscopy Tube Change+/-Removal GSSTBCNG 30 30 / 15 = 45 75 RGH Hemorrhoidectomy HMMRHEC 30 25 / 15 = 40 70 RGH Hernia Abdominal Incisional Repair HERABDINRP 50 30 / 15 = 45 95 RGH Hernia Epigastric and Umbilical Repair HEREPUMRP / = RGH Hernia Epigastric Repair HEREPRP 25 25 / 15 = 40 65 RGH Hernia Inguinal/Femoral Incarcerated Repair HERINFEIRP 50 30 / 15 = 45 95 RGH Hernia Inguinal/Femoral Recurrent Repair HERINFERRP 45 25 / 15 = 40 85 RGH Hernia Inguinal/Femoral Repair HERINFERP 35 25 / 15 = 40 75 RGH Hernia Inguinal/Femoral Repair Bilateral HERINFERPB 60 25 / 15 = 40 100 RGH Hernia Inguinal/Femoral w Hydrocele Repair HERINFEHRP 45 25 / 10 = 35 80 RGH Hernia Inguinal/Femoral w Hydrocele Repair Bil HERINFEHRB 60 20 / 15 = 35 95 RGH Hernia Mesh Removal HERMSRM 35 25 / 15 = 40 75 RGH Hernia Omphalocele Repair HEROMPRP 60 20 / 20 = 40 100 RGH Hernia Parastomal Repair HERPSRP 45 50 / 15 = 65 110 RGH Hernia Spigelian Repair HERSPGRP 30 20 / 15 = 35 65 RGH Hernia Umbilical Repair HERUMRP 30 25 / 15 = 40 70 RGH Hernia Ventral Repair HERVENRP 45 25 / 15 = 40 85 RGH Inguinal Explore+/-Exc+/-Biop Sentinel Node INGEXBXNDS 30 20 / 15 = 35 65 RGH Inguinal Explore+/-Excision+/-Biopsy INGEXBX 30 20 / 15 = 35 65 RGH Laparoscopy Abdominal Irrigation/Washout LSCABDIXO / = RGH Laparoscopy Adrenalectomy LSCADRE 90 45 / 20 = 65 155 RGH Laparoscopy Adrenalectomy Bilateral LSCADREB 360 60 / 30 = 90 450 RGH Laparoscopy Appendectomy LSCAPPY 45 30 / 15 = 45 90 RGH Laparoscopy Assist Abd Intraperitoneal Chemo Heat LSCAABDIPC / = RGH Laparoscopy Assisted Hernia Incisional Repair LSCHERINRP 55 30 / 15 = 45 100 RGH Laparoscopy Bowel Colon Decompression LSCBWCOLDP / = RGH Laparoscopy Bowel Colostomy Creation LSCBWCOLCR / = RGH Laparoscopy Bowel Excision Abdominal Perineal LSCBWABP 240 60 / 30 = 90 330 RGH Laparoscopy Bowel Excision Anterior LSCBWA 180 45 / 30 = 75 255 RGH Laparoscopy Bowel Excision Anterior w Ostomy LSCBWAOST 220 45 / 20 = 65 285 RGH Laparoscopy Bowel Excision Cecectomy LSCBWCECE 45 30 / 15 = 45 90 RGH Laparoscopy Bowel Excision Cecostomy LSCBWCEC 180 60 / 30 = 90 270 RGH Laparoscopy Bowel Excision Colectomy Hemi Left LSCBWCOLHL 180 45 / 30 = 75 255 RGH Laparoscopy Bowel Excision Colectomy Hemi Right LSCBWCOLHR 165 45 / 30 = 75 240 RGH Laparoscopy Bowel Excision Colectomy Total LSCBWCOLTL 120 45 / 30 = 75 195 RGH Laparoscopy Bowel Excision Colostomy LSCBWCOL 100 60 / 30 = 90 190 RGH Laparoscopy Bowel Excision Colostomy Closure LSCBWCOLC 120 30 / 30 = 60 180 RGH Laparoscopy Bowel Excision Ileoanal Pouch LSCBWILAP 0 0 / 0 = 0 0 RGH Laparoscopy Bowel Excision Ileoceccal LSCBWILCE 120 45 / 30 = 75 195 RGH Laparoscopy Bowel Excision Ileocolectomy LSCBWILCO 120 45 / 30 = 75 195 RGH Laparoscopy Bowel Excision Ileostomy LSCBWILO 120 30 / 30 = 60 180 RGH Laparoscopy Bowel Excision Ileostomy Closure LSCBWILOC 90 30 / 30 = 60 150 RGH Laparoscopy Bowel Excision Proctectomy LSCBWPRO 0 0 / 0 = 0 0 RGH Laparoscopy Bowel Excision Proctocolectomy LSCBWPCO 150 60 / 30 = 90 240

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparoscopy Bowel Excision Proctocolectomy Restor LSCBWPCOR 240 60 / 30 = 90 330 RGH Laparoscopy Bowel Excision Small LSCBWSM 120 30 / 30 = 60 180 RGH Laparoscopy Bowel Ileostomy Creation LSCBWILOCR 120 30 / 30 = 60 180 RGH Laparoscopy Bowel Perforation Repair LSCBWPRFRP 120 45 / 30 = 75 195 RGH Laparoscopy Bowel Pullthrough LSCBWPLTHR 240 45 / 30 = 75 315 RGH Laparoscopy Bowel Rectopexy LSCPYRPXY / = RGH Laparoscopy Cardiomyotomy/Heller Myotomy LSCCARDMY 120 60 / 30 = 90 210 RGH Laparoscopy Cholangiopancreatograghy Retrograde LSCCHOPGR / = RGH Laparoscopy Cholecystectomy LSCCHO 50 30 / 15 = 45 95 RGH Laparoscopy Cholecystectomy & ECBD LSCCHOECB 0 0 / 0 = 0 0 RGH Laparoscopy Cholecystectomy Cholangiogram LSCCHOGM 80 30 / 15 = 45 125 RGH Laparoscopy Cholecystectomy Cholangiogram w ECBD LSCCHOGMEC 80 30 / 15 = 45 125 RGH Laparoscopy Cholecystectomy Liver Biopsy LSCCHOLVBX 75 30 / 20 = 50 125 RGH Laparoscopy Cholecystoenterostomy LSCCHOENT 60 30 / 15 = 45 105 RGH Laparoscopy Esophagogasterectomy TransThoracic LSCESGTT 0 0 / 0 = 0 0 RGH Laparoscopy Esophagogastrectomy Transhiatal LSCESGTH 0 0 / 0 = 0 0 RGH Laparoscopy G Tube Insertion Endoscopic Assisted LSCGSTENA 0 0 / 0 = 0 0 RGH Laparoscopy Gastrectomy LSCGS 360 40 / 20 = 60 420 RGH Laparoscopy Gastric Bariatric Banding LSCGBB 0 0 / 0 = 0 0 RGH Laparoscopy Gastric Bariatric Banding Removal LSCGBBRM 60 45 / 20 = 65 125 RGH Laparoscopy Gastric Bariatric Banding Revision LSCGBBR 90 45 / 20 = 65 155 RGH Laparoscopy Gastric Bariatric Sleeve LSCGBS 0 0 / 0 = 0 0 RGH Laparoscopy Gastric Bypass Roux en Y LSCGBREY / = RGH Laparoscopy Gastric Ulcer Repair LSCGSULRP 60 30 / 15 = 45 105 RGH Laparoscopy Gastric Wedge Excision GIST LSCGSWGR 150 45 / 20 = 65 215 RGH Laparoscopy Gastroenterostomy LSCGSENT 180 30 / 30 = 60 240 RGH Laparoscopy Gastrojejunostomy LSCGSJJ 0 0 / 0 = 0 0 RGH Laparoscopy Gastroplasty Reversal LSCGSPLR / = RGH Laparoscopy Gastrostomy LSCGSOST 30 30 / 30 = 60 90 RGH Laparoscopy Hernia Abdominal Incisional Repair LSCHERABDI 100 30 / 15 = 45 145 RGH Laparoscopy Hernia Diaphragmatic Repair LSCHERDPHR / = RGH Laparoscopy Hernia Inguinal Repair TAPP LSCINGTAPP 30 30 / 20 = 50 80 RGH Laparoscopy Hernia Inguinal Repair TAPP Bilateral LSCINTAPPB 45 30 / 20 = 50 95 RGH Laparoscopy Hernia Inguinal Repair TEPP LSCINGTEPP 30 30 / 20 = 50 80 RGH Laparoscopy Hernia Inguinal Repair TEPP Bilateral LSCINTEPPB 45 30 / 20 = 50 95 RGH Laparoscopy Hernia Inguinal/Femoral Repair LSCHERINFE 30 25 / 15 = 40 70 RGH Laparoscopy Hernia Inguinal/Femoral Repair Bil LSCHERINFB 40 25 / 15 = 40 80 RGH Laparoscopy Hernia Parastomal Repair LSCHERPAR 60 20 / 20 = 40 100 RGH Laparoscopy Hernia Spigelian Repair LSCHERSPG 30 15 / 15 = 30 60 RGH Laparoscopy Hernia Umbilical Repair LSCHERUM 60 35 / 15 = 50 110 RGH Laparoscopy Hernia Ventral Repair LSCHERVEN 60 20 / 20 = 40 100 RGH Laparoscopy Jejunostomy LSCJJOST 45 30 / 20 = 50 95 RGH Laparoscopy Liver Biopsy LSCLVBX 120 30 / 30 = 60 180 RGH Laparoscopy Liver Cyst Excision LSCLIVCYEX 90 45 / 30 = 75 165 RGH Laparoscopy Liver Cyst Fenestration LSCLVCFEN 0 0 / 0 = 0 0 RGH Laparoscopy Liver Excision LSCLVRS 0 0 / 0 = 0 0

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparoscopy Liver Radiofrequency Ablation LSCLVRFAB 0 0 / 0 = 0 0 RGH Laparoscopy Lysis Adhesions LSCLYSAD 60 30 / 20 = 50 110 RGH Laparoscopy Median Arcuate Ligament Division LSCMEDALD / = RGH Laparoscopy Nissen Fundoplication LSCNIFUN 150 45 / 15 = 60 210 RGH Laparoscopy Nissen Fundoplication Revision LSCNIFUNRV 180 45 / 15 = 60 240 RGH Laparoscopy Pancreatectomy Distal LSCPANECD 0 0 / 0 = 0 0 RGH Laparoscopy Pancreatic Cyst Enucleation LSCPANCENC 210 90 / 30 = 120 330 RGH Laparoscopy Paraesophageal Hiatus Hernia Repair LSCPESHHER 200 45 / 15 = 60 260 RGH Laparoscopy Pyloromyotomy LSCPYMYOT 0 0 / 0 = 0 0 RGH Laparoscopy Pyloroplasty LSCPYPTY 150 45 / 15 = 60 210 RGH Laparoscopy Splenectomy LSCSPLEC 110 30 / 30 = 60 170 RGH Laparoscopy Splenectomy Hand Assisted LSCSPLECM 155 30 / 30 = 60 215 RGH Laparoscopy Vagotomy LSCVGOMY 60 30 / 20 = 50 110 RGH Laparoscopy Vagotomy Pyloroplasty LSCVGPYPTY 90 30 / 20 = 50 140 RGH Laparotomy Abd Intrap Chemo Heat w Ves Res+/-Rep G LPYIPCHVRR 270 90 / 30 = 120 390 RGH Laparotomy Abdominal Diaphragm Rupture Repair LPYABDPHRP 120 45 / 30 = 75 195 RGH Laparotomy Abdominal Intraperitoneal Chemo Heated LPYABDIPCH 270 90 / 30 = 120 390 RGH Laparotomy Abdominal Irrigation/Washout+/-VAC Drsg LPYABDIWO 90 30 / 20 = 50 140 RGH Laparotomy Abdominal Wall Reconstruction LPYABDWLRC 120 20 / 15 = 35 155 RGH Laparotomy Abscess Drainage LPYABCDRN 90 30 / 30 = 60 150 RGH Laparotomy Adrenalectomy Anterior LPYADREA 180 60 / 30 = 90 270 RGH Laparotomy Adrenalectomy Lateral LPYADREL 120 45 / 15 = 60 180 RGH Laparotomy Appendectomy LPYAPPY 35 25 / 15 = 40 75 RGH Laparotomy Arrest Bleeding LPYARRBLD 120 35 / 20 = 55 175 RGH Laparotomy Bowel Colon Decompression LPYBWCOLDP 90 30 / 30 = 60 150 RGH Laparotomy Bowel Colostomy Creation LPYBWCOLCR / = RGH Laparotomy Bowel Excis Abd-Perineal Abdominal Por LPYBWABPA 0 0 / 0 = 0 0 RGH Laparotomy Bowel Excis Abd-Perineal Perineal Port LPYBWABPP 0 0 / 0 = 0 0 RGH Laparotomy Bowel Excis Proctocolectomy Restorativ LPYBWPCOR 150 45 / 30 = 75 225 RGH Laparotomy Bowel Excision Abdominal Perineal LPYBWABP 180 50 / 20 = 70 250 RGH Laparotomy Bowel Excision Anterior LPYBWA 120 45 / 20 = 65 185 RGH Laparotomy Bowel Excision Anterior w Ostomy LPYBWAOST 220 45 / 20 = 65 285 RGH Laparotomy Bowel Excision Cecostomy LPYBWCEC 120 45 / 20 = 65 185 RGH Laparotomy Bowel Excision Colectomy Hemi Left LPYBWCOLHL 120 45 / 20 = 65 185 RGH Laparotomy Bowel Excision Colectomy Hemi Right LPYBWCOLHR 110 45 / 20 = 65 175 RGH Laparotomy Bowel Excision Colectomy Segmental LPYBWCOLSG 110 45 / 20 = 65 175 RGH Laparotomy Bowel Excision Colectomy Total LPYBWCOLTL 120 45 / 20 = 65 185 RGH Laparotomy Bowel Excision Colostomy LPYBWCOL 75 45 / 20 = 65 140 RGH Laparotomy Bowel Excision Colostomy Closure LPYBWCOLC 120 40 / 20 = 60 180 RGH Laparotomy Bowel Excision Colostomy Revision LPYBWCOLRV 90 40 / 20 = 60 150 RGH Laparotomy Bowel Excision Duhamel Procedure LPYBWDUHAM 120 30 / 30 = 60 180 RGH Laparotomy Bowel Excision Ileoanal Pouch LPYBWILAP 120 50 / 20 = 70 190 RGH Laparotomy Bowel Excision Ileocecal LPYBWILCE 120 45 / 20 = 65 185 RGH Laparotomy Bowel Excision Ileocolectomy LPYBWILCO 90 45 / 20 = 65 155 RGH Laparotomy Bowel Excision Ileostomy LPYBWILO 75 35 / 20 = 55 130 RGH Laparotomy Bowel Excision Ileostomy Closure LPYBWILOC 60 35 / 20 = 55 115

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparotomy Bowel Excision Ileostomy Loop Closure LPYBWILOLC 60 35 / 20 = 55 115 RGH Laparotomy Bowel Excision Ileostomy Revision LPYBWILORV 75 35 / 20 = 55 130 RGH Laparotomy Bowel Excision Proctectomy LPYBWPRO 0 0 / 0 = 0 0 RGH Laparotomy Bowel Excision Proctocolectomy LPYBWPCO 165 45 / 20 = 65 230 RGH Laparotomy Bowel Excision Small LPYBWSM 80 35 / 20 = 55 135 RGH Laparotomy Bowel Ileostomy Creation LPYBWILOCR / = RGH Laparotomy Bowel Obstruction LPYBWOBSTN 60 45 / 25 = 70 130 RGH Laparotomy Bowel PENA LPYBWPENA 120 60 / 30 = 90 210 RGH Laparotomy Bowel Perforation Repair LPYBWPRFRP 60 45 / 25 = 70 130 RGH Laparotomy Bowel Pullthrough LPYBWPLTHR 275 90 / 30 = 120 395 RGH Laparotomy Bowel Rectopexy+/-Anterior Excision LPYBWRPXA 70 45 / 30 = 75 145 RGH Laparotomy Bowel Serial Tranvs Enteroplasty LPYBWSTREN / = RGH Laparotomy Cholecystectomy LPYCHO 90 35 / 20 = 55 145 RGH Laparotomy Cholecystectomy Cholangiogram LPYCHOGM 120 40 / 20 = 60 180 RGH Laparotomy Cholecystectomy Cholangiogram w ECBD LPYCHOGMEC 120 45 / 30 = 75 195 RGH Laparotomy Cholecystectomy Liver Biopsy LPYCHOLVBX 120 30 / 30 = 60 180 RGH Laparotomy Cholecystectomy Radical LPYCHORAD 150 45 / 20 = 65 215 RGH Laparotomy Cholecystoenterostomy LPYCHOENT 90 45 / 30 = 75 165 RGH Laparotomy Cholecystojejunostomy Roux En Y LPYCHORNY 210 60 / 30 = 90 300 RGH Laparotomy Choledochoduodenostomy LPYCHODUOS 180 60 / 30 = 90 270 RGH Laparotomy Esophagectomy LPYESG 360 60 / 30 = 90 450 RGH Laparotomy Esophagogastrectomy LPYESGSEC 330 60 / 45 = 105 435 RGH Laparotomy Esophagogastrectomy Transhiatal LPYESGTH 270 60 / 30 = 90 360 RGH Laparotomy Esophagostomy LPYESOST 45 45 / 20 = 65 110 RGH Laparotomy Exploratory LPYEXPL 90 30 / 20 = 50 140 RGH Laparotomy Exploratory Oncology LPYEXPLONC 200 45 / 30 = 75 275 RGH Laparotomy Gastrectomy Partial LPYGSPT 150 45 / 20 = 65 215 RGH Laparotomy Gastrectomy Total LPYGSTL 240 45 / 20 = 65 305 RGH Laparotomy Gastric Bariatric Banding Port Revision LPYGSBBPRV / = RGH Laparotomy Gastric Bariatric Sleeve LPYGBS 240 45 / 20 = 65 305 RGH Laparotomy Gastric Revision LPYGSRV 120 45 / 20 = 65 185 RGH Laparotomy Gastric Ulcer Repair LPYGSULRP 60 40 / 20 = 60 120 RGH Laparotomy Gastric Wedge Excision GIST LPYGWEGIS / = RGH Laparotomy Gastrochesis Repair LPYGSCHRP 45 45 / 20 = 65 110 RGH Laparotomy Gastrojejunoduodenostomy LPYGSJJDOS 120 45 / 20 = 65 185 RGH Laparotomy Gastrojejunostomy LPYGSJJ 150 45 / 20 = 65 215 RGH Laparotomy Gastroplasty LPYGSPLY 90 45 / 20 = 65 155 RGH Laparotomy Gastroplasty Revision+/-Reversal LPYGSPLYRV 100 45 / 20 = 65 165 RGH Laparotomy Gastrostomy Closure LPYGSOSC 30 30 / 15 = 45 75 RGH Laparotomy Gastrostomy Tube Insertion LPYGSOSTTI 60 45 / 20 = 65 125 RGH Laparotomy Hepaticojejunostomy LPYHEPJJ 0 0 / 0 = 0 0 RGH Laparotomy Hepaticojejunostomy Kasai Procedure LPYHEPJJKP 210 60 / 30 = 90 300 RGH Laparotomy Hernia Diaphragmatic Repair LPYHERDPRP 180 45 / 30 = 75 255 RGH Laparotomy Jejunostomy Tube Insertion LPYJJOSTTI 60 45 / 20 = 65 125 RGH Laparotomy Liver Abscess+/-Cyst Excision LPYLVABCY 150 45 / 30 = 75 225 RGH Laparotomy Liver Bile Duct Expl+/-Excision+/-Recon LPYLVDEXP / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparotomy Liver Biopsy LPYLVBX 30 45 / 20 = 65 95 RGH Laparotomy Liver Excision Lobectomy/Segmental LPYLVLBSG / = RGH Laparotomy Liver Excision w Vessel Dissec+/-Repla LPYLVRSVS 0 0 / 0 = 0 0 RGH Laparotomy Liver Radiofrequency Ablation LPYLVRFAB 300 60 / 30 = 90 390 RGH Laparotomy Liver Repair LPYLVRP 40 60 / 20 = 80 120 RGH Laparotomy Lymph Node Biopsy Pelvic/Abdominal LPYPVLNDBX 60 45 / 20 = 65 125 RGH Laparotomy Lymph Node Dissection Pelv/Ingui+/-Sent LPYPVILYND 0 0 / 0 = 0 0 RGH Laparotomy Lymph Node Dissection+/-Biop Pel/Abd LPYPVLYND 150 45 / 20 = 65 215 RGH Laparotomy Lymphadenectomy LPYLYEC 90 60 / 45 = 105 195 RGH Laparotomy Lysis Adhesions LPYLYSAD 90 45 / 20 = 65 155 RGH Laparotomy Nissen Fundoplicat+/-Hiatal Hernia Rep LPYNIFUN 210 45 / 30 = 75 285 RGH Laparotomy Nissen Fundoplication Revision LPYNIFUNRV 150 60 / 30 = 90 240 RGH Laparotomy Omentectomy LPYOMENEC 75 45 / 30 = 75 150 RGH Laparotomy Packing Change+/-Removal LPYPKCHRM 60 45 / 30 = 75 135 RGH Laparotomy Pancreas Cystogastrostomy LPYPANCYG 0 0 / 0 = 0 0 RGH Laparotomy Pancreas Whipples Procedure LPYPANWIP 300 45 / 30 = 75 375 RGH Laparotomy Pancreatectomy Distal LPYPANECD 210 45 / 30 = 75 285 RGH Laparotomy Pancreatic Cyst Excision+/-Drainage LPYPANCY 120 45 / 30 = 75 195 RGH Laparotomy Pancreatic Debridement LPYPANDB 135 60 / 30 = 90 225 RGH Laparotomy Pancreatic Enucleation LPYPANENUC / = RGH Laparotomy Pancreaticojejunostomy LPYPANJJ 0 0 / 0 = 0 0 RGH Laparotomy Portal Vein Broviac Removal LPYPVBR / = RGH Laparotomy Portal Vein Broviac w Liver Biopsy LPYPVBLB / = RGH Laparotomy Pyloromyotomy LPYPYMYOT 90 60 / 30 = 90 180 RGH Laparotomy Pyloroplasty LPYPYPTY 75 60 / 30 = 90 165 RGH Laparotomy Retroperitoneal Mass Excision LPYRETROM / = RGH Laparotomy Spleen Repair LPYSPLRP 150 45 / 30 = 75 225 RGH Laparotomy Splenectomy LPYSPLEC 90 45 / 30 = 75 165 RGH Laparotomy Trauma LPYTRAUMA 75 45 / 25 = 70 145 RGH Laparotomy w Endovascular IR Lower Limb Bil LPYENDVLLB / = RGH Laparotomy w Endovascular IR Upper Limb Bil LPYENDVULB / = RGH Laparotomy With Endovascular IR Abdomen LPYENDVABD / = RGH Laparotomy With Endovascular IR Lower Limb LPYENDVLL / = RGH Laparotomy With Endovascular IR Pelvis LPYENDVPEL / = RGH Laparotomy With Endovascular IR Upper Limb LPYENDVUL / = RGH Limb Infusion Chemotherapy SS LIMINFCHEM 90 45 / 30 = 75 165 RGH Limb Perfusion w Bypass LIMPERFBP 210 60 / 30 = 90 300 RGH Melanoma Wide Exc Trunk/Extrem w Sentinel Node Bx MELWEXNDS 150 30 / 20 = 50 200 RGH Melanoma Wide Excision Face & Neck w Sent Node Bx MELWEXFNS 45 20 / 15 = 35 80 RGH Melanoma Wide ExcTrunk/Extrem w Ax/Groin Ly Node MELWEXTND 150 30 / 20 = 50 200 RGH Muscle Biopsy SS MUSCBX 30 20 / 10 = 30 60 RGH Neck Cervical Node Biopsy+/-Dissection NKCVNDBX 30 30 / 20 = 50 80 RGH Neck Cervical Node Biopsy+/-Dissection Sentinel NKCVNDBXS 0 0 / 0 = 0 0 RGH Neck Cricopharyngeal Myotomy Endoscopic NKCRCMYES 60 30 / 20 = 50 110 RGH Neck Cricopharyngeal Myotomy Endoscopic Laser CO2 NKCRCMYESC / = RGH Neck Cricopharyngeal Myotomy Zenkers NKCRCMYDIV 60 20 / 20 = 40 100

Generated: 2021-04-06 11:09 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: RGH 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 RGH Neck Parathyroidectomy & Thymectomy NKPTHECTHY / = RGH Neck Parathyroidectomy Exploration Redo NKPTHECRD 70 35 / 20 = 55 125 RGH Neck Parathyroidectomy Four Gland Exploration NKPTH4EX 180 30 / 20 = 50 230 RGH Neck Parathyroidectomy Sternotomy NKPARTHYST 0 0 / 0 = 0 0 RGH Neck Parathyroidectomy Total Four Gland NKPTHECT4 180 30 / 20 = 50 230 RGH Neck Parathyroidectomy Transplant Auto NKPTHECAU 0 0 / 0 = 0 0 RGH Neck Parathyroidectomy Unilateral NKPTHECUNI 60 35 / 20 = 55 115 RGH Neck Thyroglossal Cystectomy NKTHYCYS 90 30 / 15 = 45 135 RGH Neck Thyroidectomy Lobectomy+/-Biopsy NKTHYLBBX 65 35 / 20 = 55 120 RGH Neck Thyroidectomy Total NKTHYECTL 115 35 / 20 = 55 170 RGH Neck Thyroidectomy Total w Lymph Node Dissection NKTHYTLLND / = RGH Neck Thyroidectomy Total w Parathyroidectomy NKTHYTLPAR / = RGH Neck Thyroidectomy Total w Stern+/-Lym Node Disect NKTHYTSTLN / = RGH Neck Thyroidectomy Total w Sternotomy NKTHYTLSTE / = RGH Neck Trauma Exploration+/-Repair NKTRAUMA 60 45 / 20 = 65 125 RGH Pectus Bar Removal PCXBARRM 60 30 / 20 = 50 110 RGH Pectus Repair Open PCXRPO 60 30 / 15 = 45 105 RGH Pilonidal Sinus Excision+/-I&D PILSIEX 20 25 / 20 = 45 65 RGH Post Operative Bleed Arrest SS POBLD 30 30 / 15 = 45 75 RGH Rectal Anal Advancement Flap REALADVFLP 60 25 / 20 = 45 105 RGH Rectal Anal Biopsy REALBX 10 25 / 20 = 45 55 RGH Rectal Anal Dilation REALD 10 25 / 10 = 35 45 RGH Rectal Anal Fistulotomy+/-Fistulect+/-Seton Suture REFISSET 20 25 / 20 = 45 65 RGH Rectal Anal Polypectomy REALPOLEC 30 25 / 15 = 40 70 RGH Rectal Anal Soft Tissue Excision REALSTEX 45 25 / 20 = 45 90 RGH Rectal Anal Sphincter Artificial REALASPH 100 25 / 20 = 45 145 RGH Rectal Anal Sphincteroplasty REALSPHPTY 45 25 / 20 = 45 90 RGH Rectal Anal Warts Excision REALWRT 15 25 / 20 = 45 60 RGH Rectal Anoplasty+/-Diamond Flap REALPTYDFP 30 25 / 20 = 45 75 RGH Rectal Anoplasty+/-Imperforated Anus REALPTYIM 100 25 / 20 = 45 145 RGH Rectal Anoplasty+/-Muscle Flap REALPTYMFP 90 25 / 20 = 45 135 RGH Rectal Fistulotomy w Flap REFISOMYFL 15 25 / 20 = 45 60 RGH Rectal Ischial Abscess I&D+/-Excision REISCABC 20 25 / 15 = 40 60 RGH Rectal Mucosal Strip+/-Prolapse Repair+/-Delorme REMSREPRP 55 30 / 20 = 50 105 RGH Rectal Perianal Fistulectomy REPERFIS 15 25 / 15 = 40 55 RGH Rectal Pouchoplasty REPOUC 15 25 / 20 = 45 60 RGH Rectal Proctopexy+/-Plication REPROPXY 80 30 / 20 = 50 130 RGH Rectal Rectocele Repair +/- Perineorrhaphy RECELERP 30 25 / 20 = 45 75 RGH Rectal Sphincterotomy Internal RESPHCINT 10 25 / 20 = 45 55 RGH Rectal Transanal Villous Tumour Excision REVILTU 30 25 / 20 = 45 75 RGH Rectal Vaginal Fistula Repair REVAGFISRP 60 25 / 20 = 45 105 RGH Rectosigmoidectomy Perineal RESIGECPER 60 45 / 20 = 65 125 RGH Sacral Coccygeal Teratoma Excision SACCOCTEX 150 45 / 20 = 65 215 RGH Sacral Mass Excision Pre Kraske Approach SACMEXKRA 0 0 / 0 = 0 0 RGH Sarcoma Excision Trunk/Extremity SAREXCTE / = RGH Sigmoidoscopy Flexible+/-Biopsy SIGSCFLX 30 30 / 10 = 40 70

Generated: 2021-04-06 11:09 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: RGH 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 RGH Sigmoidoscopy Rigid+/-Biopsy SIGSCRG 15 20 / 10 = 30 45 RGH Skin Biopsy+/-Excision SS SKBXEX 15 20 / 10 = 30 45 RGH Soft Tissue Biopsy+/-Excision+/-Repair SS STBXEXRP 30 30 / 20 = 50 80 RGH Suture Removal SS SUTRM 5 10 / 10 = 20 25 RGH Throat Esophageal Dilation THRESD 15 20 / 15 = 35 50 RGH Throat Esophagoscopy Flexible+/-FB Removal THRESCFLFB 20 30 / 10 = 40 60 RGH Throat Esophagoscopy Rigid+/-FB Removal THRESCRGFB 20 30 / 15 = 45 65 RGH Transanal Endoscopic Microsurgery/TEMS TRALTEMS 100 45 / 20 = 65 165 RGH Transanal Minimally Invasive Surgery TAMIS TRALTAMIS / = RGH Vein Phlebectomy VNP 30 20 / 20 = 40 70 RGH Vein Phlebectomy Bilateral VNPB 40 20 / 20 = 40 80 RGH Vein Saph Femoral Ligation+/-Phlebectomy VNSFELP 45 30 / 15 = 45 90 RGH Vein Saph Femoral Ligation+/-Phlebectomy Bilateral VNSFELPB 90 35 / 15 = 50 140 RGH Vein Saph Long Ligate+/-Strip VNSLLS 45 30 / 15 = 45 90 RGH Vein Saph Long Ligate+/-Strip Bil VNSLLSB 60 35 / 15 = 50 110 RGH Vein Saph Long Ligate+/-Strip+/-Phlebec VNSLLSP 60 30 / 15 = 45 105 RGH Vein Saph Long Ligate+/Strip+/-Phlebec Bil VNSLLSPB 90 35 / 15 = 50 140 RGH Vein Saph Short & Long Ligate+/-Strip VNSSLLS 80 30 / 15 = 45 125 RGH Vein Saph Short & Long Ligate+/-Strip Bil VNSSLLSB 100 35 / 15 = 50 150 RGH Vein Saph Short & Long Ligate+/-Strip+/-Phleb VNSSLLSP 80 30 / 15 = 45 125 RGH Vein Saph Short & Long Ligate+/-Strip+/-Phleb Bil VNSSLLSPB 120 35 / 15 = 50 170 RGH Vein Saph Short Ligate+/-Strip VNSSLS 30 30 / 15 = 45 75 RGH Vein Saph Short Ligate+/-Strip Bil VNSSLSB 65 35 / 15 = 50 115 RGH Vein Saph Short Ligate+/-Strip+/-Phleb VNSSLSP 30 30 / 15 = 45 75 RGH Vein Saph Short Ligate+/-Strip+/-Phleb Bil VNSSLSPB 60 35 / 15 = 50 110 RGH Warts Cauterization SS WTCUSS 30 20 / 15 = 35 65 GI RGH Colonoscopy+/-Biopsy COLSCBX 30 30 / 15 = 45 75 RGH Colonoscopy+/-Biopsy+/-Polypectomy COLSCBXP 0 0 / 0 = 0 0 RGH Colonoscopy+/-Polypectomy COLPOLEC 30 30 / 15 = 45 75 RGH Endoscopic Retrograde Cholangio Pancreatic Duct ENSCRCP 30 30 / 10 = 40 70 RGH Endoscopic Submucosal Dissection Esoph+/-Stom+/Duo ENSDIS / = RGH Endoscopy+/-Gastroscopy Upper & Biopsy ENSCUBX 20 10 / 15 = 25 45 RGH Esophogeal Sclerotherapy ESOSCL 0 0 / 0 = 0 0 RGH Gastroscopy G Tube Insertion GSSCGIN 20 30 / 10 = 40 60 GYN RGH Caesarean Section Complex CSSECTCOMP / = RGH Caesarean Section Complex w Interv Radiology CSSECTCIR / = RGH Caesarean Section Prim CSSECTP 30 45 / 20 = 65 95 RGH Caesarean Section Prim w Tubal Ligat/Salping CSSECTPBS 30 45 / 20 = 65 95 RGH Caesarean Section Repeat CSSECTR 30 45 / 20 = 65 95 RGH Caesarean Section Repeat w Tubal Ligat/Salping CSSECTRTBS 35 45 / 20 = 65 100 RGH Caesarean Section w EXIT Procedure CSSECEXIT / = RGH Caesarean Section w Hysterectomy CSSECTHYS / = RGH Cervix Ablation Laser CO2 and Cone Biopsy LEEP CXABLEELZC 20 20 / 15 = 35 55 RGH Cervix Ablation Laser CO2+/-Endocervical Biopsy CXABLZC 15 20 / 20 = 40 55

Generated: 2021-04-06 11:09 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: RGH 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 RGH Cervix Biopsy CXBX 20 10 / 10 = 20 40 RGH Cervix Cauterization CXCU 10 10 / 10 = 20 30 RGH Cervix Colposcopy Endocervical Biopsy & Pap Smear CXCCPP 15 10 / 10 = 20 35 RGH Cervix Cone Biopsy CXCNBX 10 20 / 15 = 35 45 RGH Cervix Cone Biopsy Laser CO2 CXCNBXLZC 20 20 / 15 = 35 55 RGH Cervix Cone Biopsy LEEP CXCNBXLEEP 10 20 / 15 = 35 45 RGH Cervix Insert Fletch Full Selectr HDR Interstitial CXINSFFHDI / = RGH Cervix Insertion Fletcher Full Selectron HDR CXINSFFHD 0 0 / 0 = 0 0 RGH Cervix IUD Insertion/Removal/Replacement CXIUD 10 20 / 15 = 35 45 RGH Cervix Laceration Repair CXRP 10 10 / 10 = 20 30 RGH Cervix Pap Smear CXPAPSM 5 10 / 10 = 20 25 RGH Cervix Polypectomy CXPOLEC 10 20 / 15 = 35 45 RGH Cervix Shirodkar Suture Removal CXSHSURM 15 10 / 10 = 20 35 RGH Cervix Shirodkar Suturing CXSHSU 10 20 / 15 = 35 45 RGH Cervix Stenosis Dilation CXSTD 15 10 / 10 = 20 35 RGH Cervix Trachelectomy Vaginal CXTRCVAG 45 30 / 15 = 45 90 RGH Cystoscopy Peri Urethral Injection CYSPURINJ 15 20 / 10 = 30 45 RGH D&C Diagnostic DCD 10 20 / 15 = 35 45 RGH D&C Exc Retained Placenta+/-Post Partum Hemorrhage DCEXRPPPH 10 20 / 15 = 35 45 RGH D&C Incomplete Product Concept+/-Suction+/-Genetic DCINCOM 10 20 / 15 = 35 45 RGH D&C Therapeutic DCT 15 10 / 10 = 20 35 RGH Dilation & Evacuation Uterus+/-Genetic Studies DEVAC 20 10 / 10 = 20 40 RGH Fetal Ext Cephalic Version+/-Caesarean Section FETEXCVCS 30 15 / 15 = 30 60 RGH Genital Warts Excision Cauterization GENWTEXCU 20 10 / 10 = 20 40 RGH Genital Warts Excision Laser CO2 GENWTEXLZC 20 10 / 10 = 20 40 RGH Hysterectomy Abd Subtotal Colposacpxy+/-SO/AP/TVT HYSABDSTC / = RGH Hysterectomy Abdominal HYSABD 65 40 / 20 = 60 125 RGH Hysterectomy Abdominal Burch HYSABDB 80 40 / 20 = 60 140 RGH Hysterectomy Abdominal Rad+/-Node Sampling+/-SO HYSABDRND 100 40 / 20 = 60 160 RGH Hysterectomy Abdominal Subtotal+/-SO HYSABDST 45 40 / 20 = 60 105 RGH Hysterectomy Abdominal+/-SO HYSABDSOB 70 40 / 20 = 60 130 RGH Hysterectomy Abdominal+/-SO w Node Sampling HYSABDSONS 100 40 / 20 = 60 160 RGH Hysterectomy Laparosc Tot+/-SO/Cys/Ly/En Laser CO2 HYSLSCTSZC / = RGH Hysterectomy Laparoscopy Radical HYSLSCRAD 0 0 / 0 = 0 0 RGH Hysterectomy Laparoscopy Subtotal+/-SO HYSLSCSTL 120 50 / 15 = 65 185 RGH Hysterectomy Laparoscopy Tot+/-Burch/ULSus/AP/Cys HYSLSCTLBU / = RGH Hysterectomy Laparoscopy Tot+/-SO/Cysto/Lysis/Endo HYSLSCTLCL 95 45 / 25 = 70 165 RGH Hysterectomy Laparoscopy Total+/-SO HYSLSCTL 90 30 / 25 = 55 145 RGH Hysterectomy Laparoscopy Total+/-SO w Cystoscopy HYSLSCTLCY 95 45 / 25 = 70 165 RGH Hysterectomy Laparoscopy Total+/-SO wNode Sampling HYSLSCSONS / = RGH Hysterectomy Laparoscopy Total+/-SO/Cysto Sgl Port HYSLSCTLSP / = RGH Hysterectomy Vag +/- Perineorrhaphy HYSVAG 55 35 / 20 = 55 110 RGH Hysterectomy Vag Laparosc Assist+/-SO HYSVAGLSC 100 35 / 20 = 55 155 RGH Hysterectomy Vag Laparosc Assist+/-SO w Node Samp HYSVAGLSCN 100 35 / 20 = 55 155 RGH Hysterectomy Vag Laparosc Asst+/-SO/VS/AP/TVT/TOT HYSVAGLSCV 200 50 / 20 = 70 270 RGH Hysterectomy Vag Laparosc Asst+/-SO/VS/CYS/LYS/End HYSVAGLSVC / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Hysterectomy Vag w SO HYSVAGSOB 65 35 / 20 = 55 120 RGH Hysterectomy Vag+/-SO A&P Repair Vault Suspension HYSVAGAPVS 135 45 / 20 = 65 200 RGH Hysterectomy Vag+/-SO A&P Vault Susp TVT/TOT HYSVAGAPCT 140 45 / 20 = 65 205 RGH Hysterectomy Vag+/-SO w TVT HYSVAGSOTV 50 25 / 20 = 45 95 RGH Hysterectomy Vag+/-SO w Vault Suspension+/-TVT HYSVAGSVT 45 30 / 20 = 50 95 RGH Hysterectomy Vag+/-SO+/-Ant+/-Pos Repair HYSVAGAP 70 35 / 20 = 55 125 RGH Hysteroscopy Diagnostic+/-D&C+/-Polypectomy HSCDCP 15 20 / 15 = 35 50 RGH Hysteroscopy Oper Myomec Myosure w Ablate Novasure HSCOPMYOAN 25 25 / 15 = 40 65 RGH Hysteroscopy Oper Myomectomy+/-Polypectomy Myosure HSCOPMPMYO 25 25 / 15 = 40 65 RGH Hysteroscopy Oper+/-Myomec+/-Polypectomy+/-D&C HSCOPMPDC 25 25 / 15 = 40 65 RGH Hysteroscopy Operative Endometrial Ablat Novasure HSCOPEAN 15 15 / 15 = 30 45 RGH Hysteroscopy Operative Endometrial Ablation HSCOPEA 25 25 / 15 = 40 65 RGH Hysteroscopy Operative Tubal Sterilization ESSURE HSCOPTBESS 15 15 / 10 = 25 40 RGH Hysterotomy+/-Therapeutic Abortion HYSOMTA 25 10 / 10 = 20 45 RGH Labia Bartholin Cyst I&D Marsupialization LABID 15 20 / 15 = 35 50 RGH Labia Fusion Release LABFSRL 15 20 / 15 = 35 50 RGH Labia Lesion Excision Laser CO2 LABLELZC 20 15 / 10 = 25 45 RGH Labia Reduction Laser CO2 LABREDLZC 0 0 / 0 = 0 0 RGH Labial Vaginal Laceration+/-Rupture+/-Tear Repair LABVAGRP 15 20 / 15 = 35 50 RGH Laparoscopy Assisted Marshall Marchetti Burch LSCMMBUR 100 30 / 20 = 50 150 RGH Laparoscopy Burch w/AP/Cysto+/-Suprapubic Catheter LSCBURAPSU / = RGH Laparoscopy Cervix Cerclage LSCCXCER 70 35 / 20 = 55 125 RGH Laparoscopy Cervix Cerclage+/-Lysis Laser CO2 LSCCXCERZC / = RGH Laparoscopy Colposacpxy w Hyst Vag+/-SO/AP/TVT/TOT LSCCOLSXHV 235 35 / 20 = 55 290 RGH Laparoscopy Colposacpxy+/-SO w AP Rpr+/- Perineorr LSCCOLSXAP 165 35 / 20 = 55 220 RGH Laparoscopy Colposacropexy+/-SO LSCCOLSX 180 50 / 20 = 70 250 RGH Laparoscopy Colposacropexy+/-SO/AP Repair/TVT/TOT LSCCOLSXAT 280 35 / 20 = 55 335 RGH Laparoscopy Diagnostic LSCDIA 25 30 / 20 = 50 75 RGH Laparoscopy Diagnostic & D&C LSCDIADC 25 30 / 20 = 50 75 RGH Laparoscopy Diagnostic & Hysteroscopy Operative LSCDHSCOP 45 25 / 20 = 45 90 RGH Laparoscopy Diagnostic Hysteroscopy Diagnos+/-D&C LSCHSCDIAD 40 30 / 20 = 50 90 RGH Laparoscopy Diagnostic Hysteroscopy Hydrotub+/-D&C LSCHYSHYT 30 30 / 20 = 50 80 RGH Laparoscopy Diagnostic Possible Open LSCDIALPY 60 15 / 10 = 25 85 RGH Laparoscopy Ectopic Preg C-Sect Incision Corn/Cerv LSCECPRGCC / = RGH Laparoscopy Ectopic Pregnancy Rem+/-Salpingectomy LSCECPRGRM 45 30 / 20 = 50 95 RGH Laparoscopy Endomet Exc+/-Ilio/Hypo Neurectomy LSCEEXIHNE / = RGH Laparoscopy Endomet Exc+/-SO/Lys/Cyst LSCEESLC / = RGH Laparoscopy Endomet Exc+/-SO/Lys/Cyst/Cys/Sig LSCEESLCCS / = RGH Laparoscopy Endomet Exc+/-SO/Lys/Cyst/Hys+/-Hydro LSCEESLCHH / = RGH Laparoscopy Endometriosis Excision LSCEEX 25 30 / 20 = 50 75 RGH Laparoscopy Hydrotubation LSCHYDT 20 30 / 20 = 50 70 RGH Laparoscopy Lymphadenectomy LSCLYEC 90 30 / 20 = 50 140 RGH Laparoscopy Myomectomy LSCMYOEC 150 30 / 20 = 50 200 RGH Laparoscopy Oophorectomy LSCOOPEC 50 30 / 20 = 50 100 RGH Laparoscopy Oophorectomy Bilateral LSCOOPECB 60 30 / 20 = 50 110 RGH Laparoscopy Oper+/-Hysteros HT/SO/Ly/End Laser CO2 LSCOPHHSZC / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparoscopy Operative LSCOP 30 30 / 20 = 50 80 RGH Laparoscopy Operative Hysteroscopy Diagnostic LSCOPHSCD 40 30 / 20 = 50 90 RGH Laparoscopy Operative Hysteroscopy Hydrotuba+/-D&C LSCOPHHYDC / = RGH Laparoscopy Operative Hysteroscopy Oper Tubal Cann LSCHSCTBCN 60 30 / 20 = 50 110 RGH Laparoscopy Operative Hysteroscopy Operative LSCHSCOP 65 30 / 20 = 50 115 RGH Laparoscopy Operative Laser CO2 LSCOPLZC 110 30 / 20 = 50 160 RGH Laparoscopy Operative Staging Oncology LSCSTGONC 240 30 / 30 = 60 300 RGH Laparoscopy Operative+/-SO/Lys/Endo/Cys Laser CO2 LSCOPSLEZC / = RGH Laparoscopy Ovarian Cystectomy LSCOVCYEC 60 30 / 20 = 50 110 RGH Laparoscopy Pelvic Lymphadenectomy & Vaginal Trach LSCLYMECVT 0 0 / 0 = 0 0 RGH Laparoscopy Pelvic Mass LSCPVMS 30 30 / 20 = 50 80 RGH Laparoscopy Salpingectomy LSCSALEC 40 30 / 20 = 50 90 RGH Laparoscopy Salpingectomy Bil w Hyster Diag+/-D&C LSCSBHDC 45 30 / 15 = 45 90 RGH Laparoscopy Salpingectomy Bil w HysterOpEndomAblat LSCSBHOPEA 0 0 / 0 = 0 0 RGH Laparoscopy Salpingectomy Bil w Oophorectomy Uni LSCSALBOU 95 30 / 20 = 50 145 RGH Laparoscopy Salpingectomy Bilateral LSCSALECB 45 30 / 20 = 50 95 RGH Laparoscopy Salpingectomy Contraceptive LSCSALECC 40 30 / 20 = 50 90 RGH Laparoscopy Salpingectomy Contraceptive Bil LSCSALECCB 45 30 / 20 = 50 95 RGH Laparoscopy Salpingoophorectomy LSCSALOO 60 30 / 20 = 50 110 RGH Laparoscopy Salpingoophorectomy Bilateral LSCSALOOB 65 30 / 20 = 50 115 RGH Laparoscopy Trachelectomy LSCTRC / = RGH Laparoscopy Tubal Clip LSCTBCL 15 30 / 20 = 50 65 RGH Laparoscopy Tubal Clip Hyst Op Endomet Abl Novasur LSCTBHSENO / = RGH Laparoscopy Tubal Clip Hyst Op Endomet Ablation LSCTBHSCEA 40 30 / 20 = 50 90 RGH Laparoscopy Tubal Clip Hysteroscopy Diag LSCTBHSCDI 25 30 / 20 = 50 75 RGH Laparoscopy Tubal Clip Removal LSCTBCLR 15 30 / 20 = 50 65 RGH Laparoscopy Tubal Clip w D&C Therapeutic LSCTBDCT 20 30 / 20 = 50 70 RGH Laparoscopy Tuboplasty Reanast+/-Clip Rev LSCTBREAT 45 30 / 20 = 50 95 RGH Laparoscopy TVT Removal LSCTVTRM 120 20 / 10 = 30 150 RGH Laparoscopy Urethropexy LSCUTHPXY 90 30 / 20 = 50 140 RGH Laparoscopy URO/GYN Mesh Revision+/-Extraction LSCMESHRV 45 30 / 20 = 50 95 RGH Laparoscopy Uterine Susp+/-SO/AP/Entero/TVT/Cys LSCUTSAETC / = RGH Laparoscopy Uterine Suspension LSCUTSUS 45 30 / 20 = 50 95 RGH Laparoscopy Vaginal Vault Suspension LSCVAGVSUS 60 30 / 20 = 50 110 RGH Laparotomy Bladder Sling Abdominovaginal LPYBLSLAVG 120 30 / 15 = 45 165 RGH Laparotomy Bladder Sling Suburethral LPYBLSLSUR 120 30 / 15 = 45 165 RGH Laparotomy Colposacropexy+/-SO/AP Repair/Cysto LPYCOLSXSC / = RGH Laparotomy Debulking Oncology LPYDEBUONC / = RGH Laparotomy Ectopic Pregnancy Rem+/-Salpingectomy LPYECPRGRM 40 30 / 20 = 50 90 RGH Laparotomy Oophorectomy LPYOOPEC 50 30 / 20 = 50 100 RGH Laparotomy Oophorectomy Bilateral LPYOOPECB 70 30 / 20 = 50 120 RGH Laparotomy Ovarian Cystectomy LPYOVCYEC 55 30 / 20 = 50 105 RGH Laparotomy Pelvic Exenteration Oncology LPYPVEXNT 420 15 / 10 = 25 445 RGH Laparotomy Pelvic Mass LPYPVMS 90 15 / 10 = 25 115 RGH Laparotomy Salpingectomy LPYSALEC 50 30 / 20 = 50 100 RGH Laparotomy Salpingectomy Bilateral LPYSALECB 60 30 / 20 = 50 110

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparotomy Salpingoophorectomy LPYSALOO 50 30 / 20 = 50 100 RGH Laparotomy Salpingoophorectomy Bilateral LPYSALOOB 60 30 / 20 = 50 110 RGH Laparotomy Second Look LPY2LOOK 120 15 / 10 = 25 145 RGH Laparotomy Staging Oncology LPYSTGONC 120 15 / 10 = 25 145 RGH Laparotomy Tubal Clip LPYTBCL 20 30 / 20 = 50 70 RGH Laparotomy Tuboplasty Reanast+/-Clip Rev LPYTBREAT 75 30 / 20 = 50 125 RGH Laparotomy Urethropexy Anterior+/-Burch LPYUTHAB 60 15 / 10 = 25 85 RGH Laparotomy URO/GYN Mesh Revision+/-Extraction LPYMESHRV 60 30 / 15 = 45 105 RGH Laparotomy Uterus Myomectomy LPYUTMYOEC 60 30 / 20 = 50 110 RGH Laparotomy Uterus Post Operative Bleed Arrest LPYUTPOBLD 60 15 / 10 = 25 85 RGH Laparotomy Vaginal Vault Suspension LPYVAGSUS 75 30 / 20 = 50 125 RGH Laparotomy Vaginal Vault Suspension w Burch w Cyst LPYVAGSBC / = RGH Maternal+/-Fetal Monitoring MATFETMON / = RGH Neovagina Creation VAGNEO / = RGH Nerve Stimulator Explant Sacrum NVSTSAEX 0 0 / 0 = 0 0 RGH Nerve Stimulator Insertion Sacrum NVSTINSA 0 0 / 0 = 0 0 RGH Nerve Stimulator IP Generator Replacement Sacrum NVSTGRSA 0 0 / 0 = 0 0 RGH Nerve Stimulator Revision Sacrum NVSTRVSA 0 0 / 0 = 0 0 RGH Perineal Female Genital Repair+/-Defibulation PEFEGENREP / = RGH Perineal Interstitial Template Brachytherapy HDR PERITBHDR / = RGH Perineum Tissue Excision Biopsy+/-Repair+/-Zplasty PERTEBRZ 15 30 / 20 = 50 65 RGH Trial Forcep Delivery TRIALDL 15 15 / 10 = 25 40 RGH Uterus Endometrial Biopsy UTENDBX 10 15 / 10 = 25 35 RGH Uterus Insertion Endometrial Rotte Applicator HDR UTIENDRAHD / = RGH Vaginal A&P Cystocele/Rectocele/Enterocele Repair VAGAPRP 30 30 / 20 = 50 80 RGH Vaginal A&P Repair w TVT/TOT VAGAPRPT 60 30 / 20 = 50 110 RGH Vaginal A&P Repair w Vault Susp TVT/TOT VAGAPRPVTV / = RGH Vaginal A&P Repair w Vault Suspension VAGAPRPVS 75 20 / 10 = 30 105 RGH Vaginal Anterior/Cystocele Repair VAGARP 30 30 / 15 = 45 75 RGH Vaginal Bladder Sling Pubovaginal Rectus Fascia VAGBLSLPBV 120 45 / 15 = 60 180 RGH Vaginal Cervical Myomectomy VAGMYOMEC / = RGH Vaginal Colpocleisis+/-D&C VAGCOLPO 60 20 / 10 = 30 90 RGH Vaginal Dilation VAGDIL 10 10 / 10 = 20 30 RGH Vaginal EUA VAGEUA 10 15 / 15 = 30 40 RGH Vaginal EUA Cystoscopy & Sigmoidoscopy VAGSCYSIG 20 15 / 10 = 25 45 RGH Vaginal Hymenectomy VAGHYM 10 20 / 15 = 35 45 RGH Vaginal Insertion Fletcher Selectron Micro HDR VAGFLSLHDR 15 30 / 20 = 50 65 RGH Vaginal Introitoplasty w Graft+/-Buccal or Skin VAGINGBS / = RGH Vaginal Labor & Delivery Generic VAGLBDEL 30 20 / 10 = 30 60 RGH Vaginal Lefort Procedure+/-Hysteroscopy+/-D&C VAGLEFOR 60 20 / 10 = 30 90 RGH Vaginal Posterior/Rectocele Repair VAGPRP 30 30 / 15 = 45 75 RGH Vaginal Septum Excision VAGSEPEX 20 15 / 10 = 25 45 RGH Vaginal TOT Insert VAGTOVT 25 30 / 15 = 45 70 RGH Vaginal TVT Insert VAGTVT 25 30 / 15 = 45 70 RGH Vaginal TVT Rev VAGTVTRV 45 20 / 10 = 30 75 RGH Vaginal URO/GYN Mesh Revision+/-Extraction VAGMESHRV 45 30 / 20 = 50 95

Generated: 2021-04-06 11:09 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: RGH 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 RGH Vaginal Vault Biopsy+/-Mass Excision VAGVLTBX 10 10 / 10 = 20 30 RGH Vaginal Vault Laser CO2 VAGVLTLZC 15 30 / 15 = 45 60 RGH Vaginal Vault Repair VAGVLTRP 30 30 / 15 = 45 75 RGH Vaginal Vault Suspension VAGVLTS 60 30 / 25 = 55 115 RGH Vaginectomy VAGEC 60 30 / 15 = 45 105 RGH Vaginoplasty VAGPTY 60 15 / 10 = 25 85 RGH Vaginoplasty Myocutaneous Flap VAGMYOC 60 15 / 10 = 25 85 RGH Vaginoplasty w Skin Graft VAGSKGF 60 30 / 20 = 50 110 RGH Vulvar Biopsy VULBX 15 20 / 15 = 35 50 RGH Vulvar Laser Treatment CO2 VULLZC 10 15 / 10 = 25 35 RGH Vulvectomy Radical VULVRAD 90 15 / 10 = 25 115 RGH Vulvectomy Radical & Lymphadenectomy VULVRADL 120 15 / 10 = 25 145 RGH Vulvectomy Simple VULSIM 30 15 / 10 = 25 55 MED RGH Blood Autologus Transfusion BLDAUTRF 30 15 / 15 = 30 60 RGH Bone Marrow Retrieval for Transplant BNMRRTRV 0 0 / 0 = 0 0 RGH Breast Brachytherapy TBCC BRBRACYTB / = RGH Prostate Brachytherapy Mick 200 TBCC PRTBRMICTB / = RGH Prostate Transperineal Brachytherapy HDR PRTTPBHDR / = NEU RGH Carotid Artery Pacemaker Insertion CTAPM 0 0 / 0 = 0 0 RGH Carotid Artery Pacemaker Rev/Generator Replacement CTAPMRBR 45 45 / 20 = 65 110 RGH Cranial Burr Hole Depth Elect Implant Epilepsy CRBHIMELC 0 0 / 0 = 0 0 RGH Cranial Burr Hole Evac Hematoma Subdural CRBHEVHEM / = RGH Cranial Burr Hole for CJD Brain Biopsy CRBHCJDB 0 0 / 0 = 0 0 RGH Cranial Burr Hole Stereotax DBS Lead Ins/Depressn CRBHSXDBD / = RGH Cranial Burr Hole Stereotax DBS Lead Ins/Move Dis CRBHSXDBM 0 0 / 0 = 0 0 RGH Cranial Burr Hole Stereotax Radiofrequency Lesion CRBHSXRFL / = RGH Cranial Burr Hole+/-Brain/Tumour Biopsy CRBHBX 0 0 / 0 = 0 0 RGH Cranial Burr Hole+/-Brain/Tumour Biopsy w Nav CRBHBXSN / = RGH Cranial CSF Leak Repair CRCSFLKRP 0 0 / 0 = 0 0 RGH Cranial Cyst Exc+/-Colloid Endoscopic+/-Axiem CRCCRE 0 0 / 0 = 0 0 RGH Cranial DBS Percutaneous Extension Removal CRDBSLRM 0 0 / 0 = 0 0 RGH Cranial DBS Revision+/-Generator CRDBSLRGI 0 0 / 0 = 0 0 RGH Cranial Encephalocele Repair CRENCRP 0 0 / 0 = 0 0 RGH Cranial EVD/ROSA Bolt Removal CREVROBR / = RGH Cranial Externalize Ventricular Peritoneal Shunt CRVPSNT 0 0 / 0 = 0 0 RGH Cranial Generator IPG Initial SS CRDBSGEN 0 0 / 0 = 0 0 RGH Cranial Generator IPG Replacement SS CRDBSGENR 0 0 / 0 = 0 0 RGH Cranial Halo Application CRHALOAP 0 0 / 0 = 0 0 RGH Cranial Hardware Removal CRHWRM 90 75 / 20 = 95 185 RGH Cranial ICP Monitor Insertion CRICPIN 0 0 / 0 = 0 0 RGH Cranial Occipital Nerve Expl w Lead+/-Implant IPG CRONELI / = RGH Cranial Occipital Nerve Generator IPG Replacement CROCNGIPGR 0 0 / 0 = 0 0 RGH Cranial Occipital Nerve Stimulator Insertion CROCNSI 0 0 / 0 = 0 0 RGH Cranial Occipital Nerve Temporary lead CROCNST 0 0 / 0 = 0 0

Generated: 2021-04-06 11:09 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: RGH 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 RGH Cranial Pit Tumour Exc Transnasal Endo CROPITTRE / = RGH Cranial Pit Tumour Exc Transnasal Endo MRT CROPITTREM / = RGH Cranial Pit Tumour Exc Transnasal Endo Ped MRT CROPITREMP / = RGH Cranial Pit Tumour Exc Transnasal Endo w Nav CROPITTREN / = RGH Cranial Pit Tumour Exc Transnasal Endo w Nav MRT CROPITRENM / = RGH Cranial Pit Tumour Transsphenoid Hypophysect MRT CROPITHMRI 0 0 / 0 = 0 0 RGH Cranial Pit Tumour Transsphenoid Hypophysect w Nav CROPITTHN / = RGH Cranial Pit Tumour Transsphenoid Hypophysectomy CROPITHYP 0 0 / 0 = 0 0 RGH Cranial SEEG w Laser Thermal Therapy LITT CRSEEGLITT / = RGH Cranial Skull Base Tumour Excision Endoscopic CRSKBTUEN / = RGH Cranial Skull Base Tumour Excision Endoscopic MRT CRSKBTUENM / = RGH Cranial Skull Base Tumour Excision Endoscopic Nav CRSKBTUENN / = RGH Cranial Stereotax Robot ROSA Depth Elec Epi CRSROSA / = RGH Cranial Stereotax Robot ROSA Depth Elec Epi MRT CRSROSAMRT / = RGH Cranial Stereotax Robot ROSA Depth Elec Epi Ped CRSROSAPED / = RGH Cranial Stereotax Robot ROSA Depth Elec Epi Ped MR CRSROSAPM / = RGH Cranial Third Ventriculoscopy/stomy Endoscopic CRTVOSCE / = RGH Cranial Vault Reconstruction Endoscopic CRFCRCNEN 0 0 / 0 = 0 0 RGH Cranial Vault Remodeling Synostosis CRVTRSYN / = RGH Cranial Vault Remodelling w Fronto Orbital Advance CRVTRFOA / = RGH Cranial Vent/Perit Shunt Convert Vent/Atrial Shunt CRVTPCOVAS / = RGH Cranial Ventricul Peritoneal Shunt Insert+/-Axiem CRVPSNTIN 0 0 / 0 = 0 0 RGH Cranial Ventricular Atrial Shunt Insert+/-Revision CRVASNTIN 0 0 / 0 = 0 0 RGH Cranial Ventricular Drain Insertion EVD CRVDIN 0 0 / 0 = 0 0 RGH Cranial Ventricular Peritoneal Shunt Removal CRVPSNTRM 0 0 / 0 = 0 0 RGH Cranial Ventricular Peritoneal Shunt Rev +/-Axiem CRVPSNTRV 0 0 / 0 = 0 0 RGH Cranial Ventricular Pleural Shunt Insertion CRVPLSIN / = RGH Cranial Ventricular Reservoir Insertion CRVRESIN / = RGH Cranial Ventricular Reservoir Neonatal Insert CRVRESNEO 0 0 / 0 = 0 0 RGH Cranial Ventriculoscopy w Choroid Plexus Coag CRTVOSCPC / = RGH Cranial Ventriculoscopy/tomy Flex+/-Bx/Cys Fen End CRTVOSFCE 0 0 / 0 = 0 0 RGH Cranial Ventriculoscopy/tomy Rig+/-Bx/Cys Fen End CRTVOSRCE / = RGH Craniectomy Dermoid Extracranial CRECDMEX 0 0 / 0 = 0 0 RGH Craniectomy Dermoid Intracranial CRCDMIC / = RGH Craniectomy Skull Tumour CRSKTU 0 0 / 0 = 0 0 RGH Craniectomy Skull Tumour w Nav CRSKTUSN / = RGH Craniofacial Reconstruction CRFCRCN 0 0 / 0 = 0 0 RGH Cranioplasty+/-Infected Bone Flap CRPTY 90 75 / 20 = 95 185 RGH Craniotomy Aneurysm Clipping CROANCL 0 0 / 0 = 0 0 RGH Craniotomy Aneurysm Clipping MRT CROANCM / = RGH Craniotomy Aneurysm Clipping w CPB CROANCPB 0 0 / 0 = 0 0 RGH Craniotomy Aneurysm Clipping w Nav CROANCN / = RGH Craniotomy Aneurysm Clipping w Nav MRT CROANCNM / = RGH Craniotomy Arteriovenous Malformation CROAVMAL 0 0 / 0 = 0 0 RGH Craniotomy Arteriovenous Malformation MRT CROAVMALM / = RGH Craniotomy Arteriovenous Malformation w Nav CROAVMALN / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Craniotomy Arteriovenous Malformation w Nav MRT CROAVMALNM / = RGH Craniotomy Corpus Callosotomy Epilepsy Nav Ped MRT CROCOCENPM / = RGH Craniotomy Corpus Callosotomy Epilepsy w Nav CROCOCA 0 0 / 0 = 0 0 RGH Craniotomy Decompression Skull Fracture CRODECFX 0 0 / 0 = 0 0 RGH Craniotomy Depth Elec/Grid Impl Epilepsy CROEDEGI 0 0 / 0 = 0 0 RGH Craniotomy Depth Elec/Grid Impl Epilepsy MRT CROEDEGIM / = RGH Craniotomy Depth Elec/Grid Impl Epilepsy w Nav CROEDEGIN / = RGH Craniotomy Depth Elec/Grid Impl Epilepsy w Nav MRT CROEDEGINM / = RGH Craniotomy Depth Elec/Grid Removal Epilepsy CROEDEGR / = RGH Craniotomy Depth Elect Impl Epilepsy Stereotx w Fr CROEDEISF / = RGH Craniotomy Evac Hematoma Sub/Epidural/Abscess/Cyst CROEVHEM / = RGH Craniotomy Excision Cavernoma CROREMC 0 0 / 0 = 0 0 RGH Craniotomy Excision Cavernoma MRT CROREMCM / = RGH Craniotomy Excision Cavernoma w Nav CROREMCN / = RGH Craniotomy Excision Cavernoma w Nav MRT CROREMCNM / = RGH Craniotomy for Direct Cerebrovascular Bypass CROCTCTBY 0 0 / 0 = 0 0 RGH Craniotomy for Indirect Cerebrovascular Bypass CROENARSY / = RGH Craniotomy Foreign Body Removal CROFBR / = RGH Craniotomy Hemispherectomy for Epilepsy w Nav CROHEM / = RGH Craniotomy Lobect+/- Elec+/-Grid Rem Epilep w Nav CROEPLEXN / = RGH Craniotomy Lobectom+/-Elec+/-Grid Rem Epilepsy MRT CROEPLEM / = RGH Craniotomy Lobectomy CROLOB / = RGH Craniotomy Lobectomy for Epilepsy Awake CROEPLEA 0 0 / 0 = 0 0 RGH Craniotomy Lobectomy for Epilepsy Awake MRT CROEPLEAMR 0 0 / 0 = 0 0 RGH Craniotomy Lobectomy for Epilepsy Awake w Nav CROEPLEAN / = RGH Craniotomy Lobectomy for Epilepsy Awake w Nav MRT CROEPLEANM / = RGH Craniotomy Lobectomy for Epilepsy w ECOG CROEPEEG 0 0 / 0 = 0 0 RGH Craniotomy Lobectomy for Epilepsy w ECOG MRT CROEPEEGM / = RGH Craniotomy Lobectomy for Epilepsy w ECOG Nav MRT CROEPEEGNM / = RGH Craniotomy Lobectomy for Epilepsy w ECOG w Nav CROEPEEGN / = RGH Craniotomy Lobectomy for Epilepsy w Nav CROEPLEN / = RGH Craniotomy Lobectomy for Epilepsy w Nav MRT CROEPLENM / = RGH Craniotomy Lobectomy+/- Elec+/-Grid Rem Epilepsy CROEPLEX 0 0 / 0 = 0 0 RGH Craniotomy Microvasc Cranial Nerve Decomp Nav MRT CROCRNVDNM / = RGH Craniotomy Microvasc Cranial Nerve Decompres W Nav CROCRNVDN / = RGH Craniotomy Microvasc Cranial Nerve Decompress CROCRNVD 0 0 / 0 = 0 0 RGH Craniotomy Microvasc Cranial Nerve Decompress MRT CROCRNVDM / = RGH Craniotomy Post Fossa Foramen Magnum Decomp/Chiari CROPFCHR 0 0 / 0 = 0 0 RGH Craniotomy Post Fossa Tumour Excision CROPFT 180 90 / 30 = 120 300 RGH Craniotomy Post Fossa Tumour Excision MRT CROPFTM / = RGH Craniotomy Post Fossa Tumour Excision Nav MRT CROPFTNM / = RGH Craniotomy Post Fossa Tumour Excision w EVD Nav CROPFTEN / = RGH Craniotomy Post Fossa Tumour Excision w Nav CROPFTN / = RGH Craniotomy Robotic Stereotaxic Tumour Biopsy MRT CRORBSXTBX / = RGH Craniotomy Stereotaxic Brain Biopsy Frameless Nav CROSXBBXFN 0 0 / 0 = 0 0 RGH Craniotomy Stereotaxic Brain Biopsy w Leksell Fram CROSXBBXF 0 0 / 0 = 0 0

Generated: 2021-04-06 11:09 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: RGH 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 RGH Craniotomy Suboccipital Acoustic Neuroma CROSOCAC 0 0 / 0 = 0 0 RGH Craniotomy Suboccipital Acoustic Neuroma MRT CROSOTURM / = RGH Craniotomy Suboccipital Acoustic Neuroma w Nav CROSOCACN / = RGH Craniotomy Suboccipital Tumour Excision CROSOTUR / = RGH Craniotomy Suboccipital Tumour Excision MRT CROSOTM / = RGH Craniotomy Suboccipital Tumour Excision w Nav CROSOTSN / = RGH Craniotomy Suboccipital Tumour Excision w Nav MRT CROSOTSNM / = RGH Craniotomy Translabyrinth Acoustic Neuroma Exc MRT CROTACCSM / = RGH Craniotomy Translabyrinth Acoustic Neuroma Excis CROTACCS 0 0 / 0 = 0 0 RGH Craniotomy Tum Exc Awake Mot/Speech Map MRT CROTURMAM / = RGH Craniotomy Tum Exc Awake Mot/Speech Map w Nav CROTURMAN / = RGH Craniotomy Tum Exc Awake Mot/Speech Map w Nav MRT CROTURMANM / = RGH Craniotomy Tum Exc Orbitozygomatic Appr CROTURMO / = RGH Craniotomy Tum Exc Orbitozygomatic Appr w Nav CROTURMON / = RGH Craniotomy Tum Exc Orbitozygomatic Appr w Nav MRT CROTURMONM / = RGH Craniotomy Tumour Biopsy CROTUBX 0 0 / 0 = 0 0 RGH Craniotomy Tumour Biopsy With Nav CROTUBXN / = RGH Craniotomy Tumour Excision CROTURMMI 0 0 / 0 = 0 0 RGH Craniotomy Tumour Excision MRT CROTURMM 0 0 / 0 = 0 0 RGH Craniotomy Tumour Excision Pediatric MRT CROTURMPM 0 0 / 0 = 0 0 RGH Craniotomy Tumour Excision Redo CROTURMR 0 0 / 0 = 0 0 RGH Craniotomy Tumour Excision Redo MRT CROTURMRM / = RGH Craniotomy Tumour Excision Redo w Nav CROTURMRN / = RGH Craniotomy Tumour Excision Redo w Nav MRT CROTURRNM / = RGH Craniotomy Tumour Excision Robotic MRT CRORBTURMI / = RGH Craniotomy Tumour Excision w Nav CROTURMSN 0 0 / 0 = 0 0 RGH Craniotomy Tumour Excision w Nav MRT CROTURMNM / = RGH Craniotomy w Endovascular Interventional Radiology CROENDVIR / = RGH Inguinal Periph Nerve Stimulator Electrode InsTemp INGPNVSETI / = RGH Inguinal Periph Nerve Stimulator Insert INGPNVSIN / = RGH Inguinal Periph Nerve Stimulator Rev+/-Rem INGPNVSRV / = RGH Laparoscopy Assist Lmbr Perit Shunt Insertion LSCALPSI / = RGH Laparoscopy Assist Lmbr Perit Shunt Revision LSCALPSR / = RGH Laparoscopy Assist Ventric/Perit Shunt Rev+/-Axiem LSCAVPSRAX / = RGH LaparoscopyAssist VentricPeritShunt Insert+/-Axiem LSCAVPSIAX / = RGH Laparotomy Peritoneal Shunt Insert LPYPTSNT 90 60 / 30 = 90 180 RGH MRI Anesthesia Standby Leksell Headrest MRIANALKS 0 0 / 0 = 0 0 RGH MRI Anesthesia Standby Radionics Headrest MRIANARDI 0 0 / 0 = 0 0 RGH Nerve Axillary Exploration+/-Repair NVAXEXRP 0 0 / 0 = 0 0 RGH Nerve Biopsy SS NVBX 0 0 / 0 = 0 0 RGH Nerve Femoral Cutaneous Exploration+/-Repair NVFECEXRP 0 0 / 0 = 0 0 RGH Nerve Ilio-inguinal Exploration+/-Repair NVILINEXRP 0 0 / 0 = 0 0 RGH Nerve Lateral Femoral Cutaneous Exploration+/-Rep NVLFECEXRP 0 0 / 0 = 0 0 RGH Nerve Peripheral Entrapment Release NVPFENRL 0 0 / 0 = 0 0 RGH Nerve Peripheral Neuroma Excision NVPFNEX 0 0 / 0 = 0 0 RGH Nerve Peripheral Tumour Excision NVPFTURM 0 0 / 0 = 0 0

Generated: 2021-04-06 11:09 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: RGH 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 RGH Nerve Peroneal Exploration+/-Repair Lateral NVPNEXRPL 0 0 / 0 = 0 0 RGH Nerve Peroneal Exploration+/-Repair Posterior NVPNEXRPP 0 0 / 0 = 0 0 RGH Nerve Popliteal Fossa Exploration+/-Repair NVPOPFEXRP 0 0 / 0 = 0 0 RGH Nerve Posterior Interosseous Exploration+/-Repair NVPSIOEXRP 0 0 / 0 = 0 0 RGH Nerve Radial Exploration+/-Repair NVRADEXRP 0 0 / 0 = 0 0 RGH Nerve Sciatic Exploration+/-Repair NVSCEXRP 0 0 / 0 = 0 0 RGH Nerve Stimulator Revision +/-Removal Vagus NVSTVGREV / = RGH Nerve Stimulator Insertion Vagus NVSTVGIN 0 0 / 0 = 0 0 RGH Nerve Stimulator IPG Generator Replacement Vagus NVSTGRVAGU / = RGH Nerve Sural Exploration+/-Repair NVSUEXRP 0 0 / 0 = 0 0 RGH Nerve Thoracic Outlet Decompression NVTHODEC 0 0 / 0 = 0 0 RGH Nerve Tibial Exploration+/-Repair NVTBEXRP 0 0 / 0 = 0 0 RGH Nerve Trans Abdominal Pelvic Tumour Excision NVTAPTEX 0 0 / 0 = 0 0 RGH Nerve Trigeminal Rhizotomy Balloon NVTRRHZ 0 0 / 0 = 0 0 RGH Nerve Trigeminal Rhizotomy RF NVTRRHRF 0 0 / 0 = 0 0 RGH Nerve Ulnar Exploration Neurolysis+/-Repair NVULEXRP 75 45 / 30 = 75 150 RGH Nose Transnasal CSF Leak Repair Endoscopic NTRNCSFLKE / = RGH Scalp Wound I&D/Debridement+/-Repair SCWIDDR 50 45 / 15 = 60 110 RGH Spinal Cord Stimulator Elect w IPG Gen Ins SS SPLPEGIN / = RGH Spinal Cord Stimulator Electrode Insertion SPLPEPIN 0 0 / 0 = 0 0 RGH Spinal Cord Stimulator IPG Generator Insert SPLPSGIN 0 0 / 0 = 0 0 RGH Spinal Cord Stimulator IPG Generator Replace SS SPLPSGRP 0 0 / 0 = 0 0 RGH Spinal Cord Stimulator Removal Total SS SPLPSGRM 0 0 / 0 = 0 0 RGH Spinal Cord Stimulator Revision Total SPLPEPRV 0 0 / 0 = 0 0 RGH Spine Baclofen Pump Insertion SPINTPIN 0 0 / 0 = 0 0 RGH Spine Baclofen Pump Removal SPINTPRM 0 0 / 0 = 0 0 RGH Spine Baclofen Pump Revision SPINTPRV 0 0 / 0 = 0 0 RGH Spine Baclofen Pump Test Dose SPINTPINT 0 0 / 0 = 0 0 RGH Spine Pos DREZ RF Lesion W SPLDREZL / = RGH Spine Pos W Rhizotomy 1-2 level SPPLMR12 150 75 / 30 = 105 255 RGH Spine Pos Laminoplasty W Rhizotomy 3+ levels SPPLMR3 / = RGH Spine Syringo Peritoneal Shunt Insert/Revision SPSHSYPINR 0 0 / 0 = 0 0 RGH Spine Syringo Pleural Shunt Insertion SPSHSPLIN / = OPH RGH Eye Anterior Foreign Body Removal Magnetic EYFBRM 20 10 / 10 = 20 40 RGH Eye Botox Injection EYBOTINJ 10 10 / 10 = 20 30 RGH Eye Cataract Phacoemulsification+/-IOL EYCATIOL 30 20 / 20 = 40 70 RGH Eye Cataract Phacoemulsification+/-IOL Bil EYCATIOLB 60 30 / 20 = 50 110 RGH Eye Chalazion Excision EYLDCHAL 10 20 / 15 = 35 45 RGH Eye Conjunctivial Lesion Biopsy EYCNJLBX 15 30 / 15 = 45 60 RGH Eye Conjunctivoplasty EYCNJPLGFT 60 30 / 15 = 45 105 RGH Eye Cornea Eyelid Reinnerv w Sural Nerve Graft EYCOLDRSNG 180 45 / 30 = 75 255 RGH Eye Cornea Keratotomy EYCORKOMY / = RGH Eye Cornea Pterygium Excision+/-Graft EYCORPTR 0 0 / 0 = 0 0 RGH Eye Cornea Scleroconjunctivectomy AmnioticMembrane EYCORKSCNJ 30 20 / 10 = 30 60 RGH Eye Corneal Repair+/-Lesion Excision EYCORRP 40 30 / 20 = 50 90

Generated: 2021-04-06 11:09 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: RGH 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 RGH Eye Corneal Scraping EYCORSCP 0 0 / 0 = 0 0 RGH Eye Corneal Transplant EYCORTP 60 30 / 15 = 45 105 RGH Eye Corneal Transplant Keratoprost w VitrectomyAnt EYCORTPKVA 150 30 / 30 = 60 210 RGH Eye Corneal Transplant w Cataract Phaco+/-IOL EYCORTPCAT / = RGH Eye EUA EYEUA 20 15 / 10 = 25 45 RGH Eye EUA Foreign Body Rust Ring Removal EYEUAFBRM 10 10 / 10 = 20 30 RGH Eye EUA Laser Diode EYLZD 10 35 / 15 = 50 60 RGH Eye EUA+/-Cryopexy EYEUACRY 0 0 / 0 = 0 0 RGH Eye Globe Enucleation EYORBENUC 45 25 / 15 = 40 85 RGH Eye Globe Evisceration EYORBEVIS 25 25 / 15 = 40 65 RGH Eye Globe Fine Needle Aspiration Biopsy EYORBNLASP 20 15 / 15 = 30 50 RGH Eye Injection State Type EYINJ 0 0 / 0 = 0 0 RGH Eye Iridectomy+/-Iridocyclectomy+/-Cyclectomy EYIRDOC 60 20 / 15 = 35 95 RGH Eye Iridectomy+/-Irrigation+/-Phacoemulsification EYIRDIR / = RGH Eye Lacrimal Duct Repair EYLDCTRP 30 30 / 20 = 50 80 RGH Eye Lacrimal Gland Duct Canaliculus Repair EYLGCANNRP 20 30 / 20 = 50 70 RGH Eye Lacrimal Gland Duct DCR EYLGDCR 30 20 / 15 = 35 65 RGH Eye Lacrimal Gland Duct DCR Bilateral EYLGDCRB 40 20 / 15 = 35 75 RGH Eye Lacrimal Gland Duct DCR Endoscopic EYLGDCREND 30 30 / 15 = 45 75 RGH Eye Lacrimal Gland Duct Probe+/-Irrg+/-Intub EYLGPRTUBE 15 20 / 20 = 40 55 RGH Eye Lacrimal Gland Duct Revision Jones Tube EYLGDRVJ 20 20 / 15 = 35 55 RGH Eye Laser Excimer EYLZE / = RGH Eye Laser Excimer Bilateral EYLZEB / = RGH Eye Lid Ectropion Repair EYLDECTRP 30 25 / 15 = 40 70 RGH Eye Lid Entropion Repair EYLDENTRP 30 25 / 15 = 40 70 RGH Eye Lid Epilation Cryotherapy EYLDEPILCY 30 25 / 15 = 40 70 RGH Eye Lid Loading Gold Weight Implant EYLDLGWI 20 20 / 15 = 35 55 RGH Eye Lid Ptosis Moderate 3-4 mm Levator Excision EYLDLVRS 20 20 / 10 = 30 50 RGH Eye Lid Ptosis Repair EYLDPTOS 20 20 / 15 = 35 55 RGH Eye Lid Ptosis Repair Bilateral EYLDPTOSB 20 20 / 15 = 35 55 RGH Eye Lid Ptosis Severe > 4mm Frontalis Muscle EYLDPTS4FM 90 20 / 15 = 35 125 RGH Eye Orbit Decomp Endosc w Guided Image EYORBDEIM 80 20 / 20 = 40 120 RGH Eye Orbit Exenteration EYORBEXT 60 20 / 15 = 35 95 RGH Eye Orbit Implant Peg Insertion EYORBPEG 15 20 / 15 = 35 50 RGH Eye Orbit Reconstruction Rep w Buccal Mucosal Grft EYORBRBMG 35 30 / 10 = 40 75 RGH Eye Orbit Reconstruction Repair w Dermis Fat Graft EYORBRDFG 35 30 / 10 = 40 75 RGH Eye Orbital Brachytherapy Plaque Removal EYORBBPR 45 15 / 15 = 30 75 RGH Eye Orbital Decompression Anterior EYORBDECA 90 30 / 10 = 40 130 RGH Eye Orbital Decompression Lateral+/-Graves Disease EYORBDECL 90 30 / 15 = 45 135 RGH Eye Orbital Decompression Medial EYORBDECM 90 30 / 10 = 40 130 RGH Eye Orbital Decompression Posterior/Orbitotomy EYORBDECP 90 45 / 15 = 60 150 RGH Eye Orbital Fracture Repair EYORBFXRP 45 30 / 15 = 45 90 RGH Eye Orbital Lesion+/-Mass Excision Laser CO2 EYORBLELZC 15 20 / 10 = 30 45 RGH Eye Orbital Sphere Implant Secondary EYORBSIMPS 25 20 / 10 = 30 55 RGH Eye Orbitotomy Anterior+/-Lacrimal Gland Biopsy EYORBANLGB 30 20 / 20 = 40 70 RGH Eye Peri Orbital Abscess I&D EYID 15 20 / 10 = 30 45

Generated: 2021-04-06 11:09 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: RGH 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 RGH Eye Scleral Buckle EYSB 60 25 / 15 = 40 100 RGH Eye Secondary IOL Insertion+/-Removal+/-Suturing EYIOLSEC 45 20 / 10 = 30 75 RGH Eye Soft Tissue Lesion Biopsy+/-Excision+/-Repair EYSTEXBX 35 15 / 10 = 25 60 RGH Eye Soft Tissue Mohs Reconstruction EYSTMOHS / = RGH Eye Strabismus Repair EYSTRP 30 30 / 15 = 45 75 RGH Eye Strabismus Repair Bilateral EYSTRPB 45 20 / 10 = 30 75 RGH Eye Suture Adjustment EYSTRADJ 20 20 / 10 = 30 50 RGH Eye Suture Removal EYSUTRM 15 15 / 15 = 30 45 RGH Eye Trabeculectomy Bleb EYTRAB 35 30 / 15 = 45 80 RGH Eye Trabeculectomy w Cataract Phaco+/-IOL EYTRABCAT / = RGH Eye Trabeculectomy w Implant/Reservoir EYTRABIM 45 30 / 20 = 50 95 RGH Eye Trabeculectomy+/-Goniotomy+/-Gonioplasty EYTRABGONI 60 30 / 15 = 45 105 RGH Eye Trauma+/-Globe Rupture Repair EYTRAUMA 75 30 / 20 = 50 125 RGH Eye Vitrectomy Anterior EYVIANT 40 30 / 15 = 45 85 RGH Eye Vitrectomy Anterior w Cataract Phaco+/-IOL EYVIANTCAT / = RGH Eye Vitrectomy Posterior 23G EYVI23 45 30 / 15 = 45 90 RGH Eye Vitrectomy Posterior 23G w Cataract & Scl Buck EYVI23CTSB 90 30 / 20 = 50 140 RGH Eye Vitrectomy Posterior 23G w Cataract Procedure EYVI23CAT 50 30 / 15 = 45 95 RGH Eye Vitrectomy Posterior 23G w Scleral Buckle EYVI23SB 75 30 / 15 = 45 120 RGH Eye Vitrectomy Posterior 23G w Secondary IOL EYVI23IOL 50 30 / 15 = 45 95 RGH Eye Vitrectomy Posterior 25G EYVI25 45 30 / 15 = 45 90 RGH Eye Vitrectomy Posterior 25G w Cataract & Scl Buck EYVI25CTSB 90 30 / 20 = 50 140 RGH Eye Vitrectomy Posterior 25G w Cataract Procedure EYVI25CAT 60 30 / 15 = 45 105 RGH Eye Vitrectomy Posterior 25G w Scleral Buckle EYVI25SB 85 30 / 15 = 45 130 RGH Eye Vitrectomy Posterior 25G w Secondary IOL EYVI25IOL 60 30 / 15 = 45 105 ORA RGH Facial Bone+/-I&D+/-Lysis of Adhesions FCBNID 60 25 / 20 = 45 105 RGH Mandible Coronoidectomy MNCORNEC 0 0 / 0 = 0 0 RGH Mandible Excision Tori MNEXTORI 0 0 / 0 = 0 0 RGH Mandible Excision Tumor MNEXTUM / = RGH Mandible Implant Removal MNIMREM 0 0 / 0 = 0 0 RGH Mandible Inferior Border Osteo Genioplasty MNIBOSTGEN 0 0 / 0 = 0 0 RGH Mandible Maxilla Excision Tori MNMXEXTORI 55 30 / 15 = 45 100 RGH Mandible Maxilla MNMXEXFIX 0 0 / 0 = 0 0 RGH Mandible Maxilla I&D MMID / = RGH Mandible Maxilla Recon w Bone Graft Iliac Crest MNMXRBGIC 0 0 / 0 = 0 0 RGH Mandible Maxilla Reconstruction MNMXRCN 120 40 / 20 = 60 180 RGH Mandible Maxilla Reconstruction w Bone Graft SS MNMXRBNGF 0 0 / 0 = 0 0 RGH Mandible Maxilla Sagittal Split Lefort Ost+/-Gen MNMXSSLF 200 40 / 30 = 70 270 RGH Mandible MNOST 0 0 / 0 = 0 0 RGH Mandible Reconstruction w Bone Graft Iliac Crest MNRCNBGIC 0 0 / 0 = 0 0 RGH Mandible Reconstruction w Bone Graft SS MNRCNBNGF 0 0 / 0 = 0 0 RGH Mandible Reconstruction+/-Augmentation MNRCNAUG 70 30 / 30 = 60 130 RGH Mandible Sagittal Split Osteotomy MNSSOS / = RGH Mandible Sagittal Split Osteotomy & Genioplasty MNSSOSG 0 0 / 0 = 0 0 RGH Maxilla Excision Tori MXEXCTORI 55 30 / 10 = 40 95

Generated: 2021-04-06 11:09 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: RGH 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 RGH Maxilla Excision Tumour MXEXCTUMOR / = RGH Maxilla External Fixation MXEXFIX 0 0 / 0 = 0 0 RGH Maxilla Lefort I Osteotomy MXLFOST 200 40 / 20 = 60 260 RGH Maxilla Lefort II Osteotomy MXLFIIOST 115 45 / 25 = 70 185 RGH Maxilla Lefort III Midface Advancement MXLFIIIMAD 0 0 / 0 = 0 0 RGH Maxilla Mini Plate Distractor Application MXMPDAP / = RGH Maxilla Osteotomy MXOST 0 0 / 0 = 0 0 RGH Maxilla Reconstruction MXRCN 0 0 / 0 = 0 0 RGH Maxilla Reconstruction with Bone Graft Iliac Crest MXRECBGRIC / = RGH Maxilla Reconstruction with Bone Graft SS MXRECBGRFT / = RGH Maxilla Reduction Closed MXRDNCL 0 0 / 0 = 0 0 RGH Maxilla Surgically Assisted Rapid PalatalExpansion MXSARPE / = RGH Mouth/Oral Alveolar+/-Nerve Avulsion MOALNVAV 0 0 / 0 = 0 0 RGH Mouth/Oral Alveoplasty MOALVPTY 120 15 / 10 = 25 145 RGH Mouth/Oral Antral Fistula Repair MOFISRP 60 40 / 15 = 55 115 RGH Mouth/Oral Bone Excision MOBNRM 15 10 / 10 = 20 35 RGH Mouth/Oral Control Bleed SS MOCB 20 10 / 10 = 20 40 RGH Mouth/Oral Genioplasty Augment Graft MOGNAUGGF 0 0 / 0 = 0 0 RGH Mouth/Oral Genioplasty Reduction MOGNRDN 0 0 / 0 = 0 0 RGH Mouth/Oral Gingivectomy+/-Gingivoplasty MOGINGEC 0 0 / 0 = 0 0 RGH Mouth/Oral Gland Biopsy+/-Excision+/-Lithotripsy MOCGBXEX / = RGH Mouth/Oral Hyperplastic Tissue Excision MOHYTSEX 0 0 / 0 = 0 0 RGH Mouth/Oral I&D/Debridement MOID / = RGH Mouth/Oral Osseointegration Implant Abutment+/-Rem MOIMPRM 55 45 / 20 = 65 120 RGH Mouth/Oral Osseointegration Implant Insert MOIMPIN 100 50 / 20 = 70 170 RGH Mouth/Oral Tissue Biopsy+/-Excision+/-Repair MOBXEXRP 20 15 / 10 = 25 45 RGH Mouth/Oral Vestibuloplasty MOVSTPTY 100 45 / 20 = 65 165 RGH Nasoalveolar Molding NAM NASALVMOLD / = RGH Sinus Lift w Bone Graft Bilateral SINLFTBGB 0 0 / 0 = 0 0 RGH Teeth Dental Restorations TEEDENREST 45 30 / 15 = 45 90 RGH Teeth Extraction+/-Odontectomy 1-4 TEEXTR1 0 0 / 0 = 0 0 RGH Teeth Extraction+/-Odontectomy 5+ TEEXTR5 60 35 / 20 = 55 115 RGH TMJ TMJAT 90 55 / 25 = 80 170 RGH TMJ TMJARPTY 45 35 / 15 = 50 95 RGH TMJ Arthroplasty w TMJ Prosthetic Recon Bil TMJARPRCNB / = RGH TMJ Arthroplasty w TMJ Prosthetic Recon Uni TMJARPRCN 0 0 / 0 = 0 0 RGH TMJ w Fat Grafting TMJDISCFG / = ORT RGH Amputation Revision SS AMPSRV 50 30 / 20 = 50 100 RGH Ankle Revision w HDWR+/-Graft ANKADRHDWR / = RGH Ankle Arthrodesis/Fusion+/-Osteotomy+/-Graft ANKADFOG 75 30 / 15 = 45 120 RGH Ankle Arthroplasty Prim ANKAP 130 45 / 25 = 70 200 RGH Ankle Arthroplasty Prim Integra Cad ANKAPIC / = RGH Ankle Arthroplasty Prim Wright Inf ANKAPWI / = RGH Ankle Arthroplasty Rev Integra Cad ANKARIC / = RGH Ankle Arthroplasty Rev Liner Ex Wright Inf ANKARLEWI 60 30 / 20 = 50 110

Generated: 2021-04-06 11:09 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: RGH 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 RGH Ankle Arthroplasty Rev w Arthrodes/Fus Wright Inf ANKARAFWI 120 30 / 30 = 60 180 RGH Ankle Arthroplasty Rev Wright Inf ANKARWI 120 30 / 30 = 60 180 RGH Ankle Fusion ANKSCFS 0 0 / 0 = 0 0 RGH Ankle Arthroscopy Ligament Repair ANKSCLGRP 60 30 / 15 = 45 105 RGH Ankle Arthroscopy w Debridement Osteochond+/-Graft ANKSCDOSTG / = RGH Ankle Arthroscopy w Retrograde Drilling ANKSCRETDR / = RGH Ankle Arthroscopy+/-Debridement ANKSC 60 45 / 20 = 65 125 RGH Ankle Arthroscopy+/-Debridement Mini Open ANKSCDMO / = RGH Ankle Arthroscopy+/-Debridement w Open HDWR ANKSCDOHR / = RGH Ankle Arthroscopy+/-Debridement with ORIF ANKSCDORF / = RGH Ankle Arthroscopy+/-Retrograde Drilling w O-Arm ANKSCRTD 0 0 / 0 = 0 0 RGH Ankle ANKAT 45 30 / 15 = 45 90 RGH Ankle Debridement Talus w OATS Procedure ANKDTOATS / = RGH Ankle Evans Tendon Repair ANKEVARP 40 30 / 15 = 45 85 RGH Ankle Hardware Removal State Type ANKHWRM 20 25 / 15 = 40 60 RGH Ankle Ligament Reconstruction +/- Graft ANKLIGRECA / = RGH Ankle Ligament w Augment Internal Brace ANKLGAIB / = RGH Ankle Modified Brostrom Ligament Rep+/-Arthroscopy ANKMBLRP / = RGH Ankle ORIF ANKORIF 45 30 / 15 = 45 90 RGH Ankle ORIF Pilon/Plafond ANKORIFPN 45 30 / 15 = 45 90 RGH Ankle Reduction Closed ANKRDNCL 20 15 / 15 = 30 50 RGH Ankle Reduction Closed Perc Pin+/-Screw Fixation ANKRDCLPPS 60 35 / 15 = 50 110 RGH Ankle Syndesmosis Repair+/-Fixation ANKSYNRF 45 20 / 15 = 35 80 RGH Arm Tendon Lengthening Green Procedure TDALGNG 150 45 / 20 = 65 215 RGH Arm Upper Ex Fix Synthes Application/Adj AUEXHWAP / = RGH Bone Aspiration Iliac Crest BNASPIC / = RGH Bone Biopsy BNBX 30 30 / 15 = 45 75 RGH Bone Biopsy w Graft State Type BNBXGR 45 30 / 15 = 45 90 RGH Bone Biopsy w O-Arm BNBXOARM / = RGH Bone Graft from Iliac Crest BNGFIC 20 10 / 10 = 20 40 RGH Bone Graft SS BNGF 20 10 / 10 = 20 40 RGH Bone Graft SS w Syn RIA BNGFRIA / = RGH Bone Graft Vascularized BNGFVAS 480 80 / 25 = 105 585 RGH Bone Heterotopic Ossification Excision SS BNHTOEXSS / = RGH Bone Osteochondroma Excision SS BNOSTEX 70 35 / 25 = 60 130 RGH Cast Application+/-Replacement for Spine Scoliosis CSTAPPRSS / = RGH Cast+/-Dressing Change+/-Pin Removal SS CSTCHG 30 20 / 10 = 30 60 RGH Clavicle ORIF+/-Osteotomy CLVORIF 65 40 / 20 = 60 125 RGH Coccygectomy COCCEC 60 30 / 20 = 50 110 RGH Elbow Arthrodesis/Fusion ELBADF 60 30 / 15 = 45 105 RGH Elbow Arthroplasty Primary ELBAP 120 45 / 15 = 60 180 RGH Elbow Arthroplasty Revision ELBAR 120 45 / 15 = 60 180 RGH Elbow Arthroscopy ELBSC 60 45 / 15 = 60 120 RGH Elbow Arthrotomy ELBAT 75 30 / 15 = 45 120 RGH Elbow Bursa Excision ELBBEX 25 30 / 15 = 45 70 RGH Elbow Epicondyle/Nirschl Debride+/-Tendon Release ELBEDEBTR 35 30 / 20 = 50 85

Generated: 2021-04-06 11:09 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: RGH 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 RGH Elbow Ex Fix Synthes Application/Adj ELEXHWAP / = RGH Elbow Hardware Removal ELBHWRM / = RGH Elbow Ligament UCL Repair+/-Allograft ELBLIGUCRP / = RGH Elbow Ligament+/-Tendon Repair ELBLIGRP 60 30 / 15 = 45 105 RGH Elbow Reduction Closed ELBRDNCL 45 20 / 10 = 30 75 RGH Elbow Supracondylar Reduction Perc Pin ELBSCRDPP 45 30 / 15 = 45 90 RGH Elbow/Olecranon ORIF ELBORIF 65 35 / 15 = 50 115 RGH Epiphyseodesis Femur/Tibia EPIPHYSFT 60 45 / 15 = 60 120 RGH Epiphyseodesis Femur/Tibia Bil EPIPHYSFTB / = RGH Epiphyseodesis Radius/Ulna EPIPHYSRU / = RGH Exostosis Excision SS EXOSEX 30 30 / 15 = 45 75 RGH Fasciotomy SS FASCOMY 60 45 / 15 = 60 120 RGH Femoral Condyle Drilling w O-Arm FECNDDR / = RGH Femur Distal Periprosthetic Fracture FMDISPPFX 70 50 / 20 = 70 140 RGH Femur Ex Fix Synthes Hardware Application/Adjust FMEXHWAP / = RGH Femur Excision Boney Bar w Fat Graft FMEXBNFGF 90 60 / 30 = 90 180 RGH Femur Hardware Removal State Type FMHWRM 45 30 / 15 = 45 90 RGH Femur Nail ESIM Nancy FMNIMN 120 45 / 30 = 75 195 RGH Femur Nail ESIM Nancy Hardware Removal FMNIMNHWR 30 30 / 15 = 45 75 RGH Femur Nail IM Hardware Removal State Type FMNIMHWRM 30 30 / 15 = 45 75 RGH Femur Nail IM Lengthening Precice FMNIMLGNP / = RGH Femur Nail IM S&N Trigen Antegrade FMNIMTRA 150 50 / 20 = 70 220 RGH Femur Nail IM S&N Trigen Retrograde FMNIMTRR 150 50 / 30 = 80 230 RGH Femur Nail IM S&N Trigen Rev/Exchange FMNIMTRRE 180 50 / 20 = 70 250 RGH Femur Nail IM Stryker Gamma FMNIMGAM 90 50 / 20 = 70 160 RGH Femur Nail IM Stryker Gamma Rev/Exchange FMNIMGAMRE 120 50 / 20 = 70 190 RGH Femur Nail IM Stryker T2 FMNIMST2 90 40 / 20 = 60 150 RGH Femur Nail IM Stryker T2 Recon FMNIMST2RC 90 50 / 20 = 70 160 RGH Femur Nail IM Stryker T2 Rev/Exchange FMNIMST2RE 120 40 / 20 = 60 180 RGH Femur Nail IM Stryker T2 Supracondylar FMNIMST2SC 90 50 / 20 = 70 160 RGH Femur Nail IM Synthes Ante/Retro Rev/Exchange FMNIMSYREV 150 50 / 20 = 70 220 RGH Femur Nail IM Synthes Antegrade FMNIMSA 100 50 / 20 = 70 170 RGH Femur Nail IM Synthes Retrograde FMNIMSR 120 30 / 20 = 50 170 RGH Femur Nail IM Synthes TFN FMNIMSYTFN 0 0 / 0 = 0 0 RGH Femur Nail IM Synthes TFN Rev/Exchange FMNIMSYTFR / = RGH Femur ORIF FMORIF 75 45 / 20 = 65 140 RGH Femur ORIF Greater Trochanter FMORIFGRTR / = RGH Femur ORIF Supracondylar FMORIFSUP 120 50 / 20 = 70 190 RGH Femur Osteotomy FMOS 120 50 / 20 = 70 190 RGH Femur Osteotomy Derotational Nail IM Stryker T2 FMOSDNIMT2 90 40 / 20 = 60 150 RGH Femur Rectus Femoris Transfer FMRETRF 90 60 / 30 = 90 180 RGH Femur Reduction Closed w Hip Spica Cast FMRDNCL 30 30 / 20 = 50 80 RGH Femur Skeletal Traction Application FMSKTRAP 0 0 / 0 = 0 0 RGH Fibula Nail IM Acumed Fibula Rod FIBNIMAFR / = RGH Fibula ORIF+/-Osteotomy FIBORIF 45 30 / 15 = 45 90 RGH Foot Accessory Navicular Excision FTACNVEX 60 25 / 15 = 40 100

Generated: 2021-04-06 11:09 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: RGH 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 RGH Foot Accessory Navicular Excision BIlateral FTACNVEXB 0 0 / 0 = 0 0 RGH Foot Amputation Symes FTAMPS 60 25 / 15 = 40 100 RGH Foot Amputation Transmetatarsal FTAMPTM 60 25 / 15 = 40 100 RGH Foot Anterior Tarsal Tunnel Decompression FTANTTTDEC / = RGH Foot Arthrotomy Ost Fu Jones+/-Tend Trans+/-Botox FTATOSFJTB 120 50 / 15 = 65 185 RGH Foot Arthrotomy Osteotomy Fusion Jones FTATOSFSJN 180 45 / 30 = 75 255 RGH Foot Arthrotomy+/-Joint Debridement FTATHROJD 45 20 / 20 = 40 85 RGH Foot Bone Fragment Excision FTBNFGEX / = RGH Foot Bone Repair+/-Bone Graft FTBNRPGF / = RGH Foot Bunionectomy Hallux Valgus+/-Keller's Repair FTBUNEC 45 25 / 15 = 40 85 RGH Foot Bunionectomy+/-Osteotomy Chevron FTBUNOSTCV 30 25 / 15 = 40 70 RGH Foot Bunionectomy+/-Osteotomy Chevron Bilateral FTBUNOSTCB 50 25 / 15 = 40 90 RGH Foot Calcaneal Lengthening FTCALLGN 150 60 / 20 = 80 230 RGH Foot Calcaneal Osteotomy FTCALOST 60 20 / 20 = 40 100 RGH Foot Calcanealcuboid Arthrodesis/Fusion+/-Graft FTCALCAFG / = RGH Foot Calcaneonavicular Bar Excision FTCALEX 60 45 / 20 = 65 125 RGH Foot Flatfoot Reconstruction FTFLATFRCN / = RGH Foot Forefoot Reconstruction FTFFRCN 90 20 / 20 = 40 130 RGH Foot Forefoot Reconstruction Rev+/-HDWR FTFFRCNRHR / = RGH Foot Gastrocsoleus Slider FTGSSL 45 45 / 30 = 75 120 RGH Foot Hardware Removal State Type FTHWRM 30 15 / 15 = 30 60 RGH Foot Hindfoot Arthroscopy+/-Debridement FTHARTD / = RGH Foot Hindfoot Dbl//Fusion+/-Graf FTHADF 90 30 / 15 = 45 135 RGH Foot Hindfoot Dbl/Trpl Arthrodes Rev w HDWR+/-Graf FTHADRHWRM / = RGH Foot Hindfoot Nail IM Hardware Removal State Type FTHNIMHWR / = RGH Foot Lapidus Procedure FTLAPID 90 30 / 20 = 50 140 RGH Foot Medial Cuboid Wedge Medial Column Lengthen FTMCLGN 120 60 / 30 = 90 210 RGH Foot Metatarsal Shortening Osteotomy FTMETSO / = RGH Foot Midfoot Arthrodesis Revision w HDWR+/-Graft FTMADRHWRM / = RGH Foot Midfoot Arthrodesis/Fusion+/-Graft FTMADF 0 0 / 0 = 0 0 RGH Foot Naviculocuneiform Arthrodesis/Fusion+/-Graft FTNCADF / = RGH Foot Neuroma Excision SS FTNEUEX 20 25 / 15 = 40 60 RGH Foot ORIF FTORIF 90 30 / 15 = 45 135 RGH Foot ORIF Calcaneus FTORIFCA 60 30 / 15 = 45 105 RGH Foot ORIF Lisfranc FTORIFLF 60 35 / 20 = 55 115 RGH Foot ORIF Talus FTORIFTA 60 30 / 20 = 50 110 RGH Foot Osteotomy FTOST 45 25 / 15 = 40 85 RGH Foot Osteotomy Chevron FTOSTCHV 45 25 / 15 = 40 85 RGH Foot Pantalar Arthrodesis/Fusion+/-Graft FTPTADF / = RGH Foot Plantar Med Rel+/-Osteotomy+/-Tendon+/-Botox FTPLMROTB 150 50 / 15 = 65 215 RGH Foot Plantar Medial Release FTPLMDRL 90 30 / 20 = 50 140 RGH Foot Plantar Medial Release+/-Tend Trans+/-Botox FTPLMRTTB 90 30 / 20 = 50 140 RGH Foot Plantar MedialRelease+/-TendTrans+/-Botox Bil FTPLMRTTBB / = RGH Foot Posteromed Rel+/-Osteotomy+/-Tend+/-Botox FTSMDRLOTB 130 50 / 15 = 65 195 RGH Foot Posteromedial Release+/-Tend Trans+/-Botox FTSMDRTTB 120 45 / 20 = 65 185 RGH Foot Posteromedial Release+/-TendTrans+/-Botox Bil FTSMDRTTBB / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Foot Posteromedial Releases FTSMDRL 120 45 / 20 = 65 185 RGH Foot Reconstruction Cavovarus FTRCNCV 0 0 / 0 = 0 0 RGH Foot Subtalar Arthrodesis/Fusion+/-Grice+/-Gr Bil FTSTADFB 225 50 / 30 = 80 305 RGH Foot Subtalar Arthrodesis/Fusion+/-Grice+/-Graft FTSTADF 60 25 / 15 = 40 100 RGH Foot Subtalar Fusion Revision+/-HDWR FTSTFRHR / = RGH Foot Talonavicular Arthrodesis/Fusion+/-Graft FTTADF 0 0 / 0 = 0 0 RGH Foot Talonavicular Pin Fixation FTTPNFX 75 45 / 30 = 75 150 RGH Foot Tendon Achilles Lengthening FTACHLGN 90 60 / 20 = 80 170 RGH Foot Tendon Achilles Reconstruction w Tendon Trans FTTNARCNTT 90 30 / 20 = 50 140 RGH Foot Tendon Achilles Release/Lengthen Perc FTTNACHRL 30 30 / 15 = 45 75 RGH Foot Tendon Achilles Repair FTTNACHRP 35 30 / 15 = 45 80 RGH Foot Tendon+/-Ligament Repair+/-Transfer FTLIGRP 45 30 / 15 = 45 90 RGH Foot Tibiotalocalcaneal Arthrodesis/Fusion+/-Graft FTTTCADF 120 45 / 30 = 75 195 RGH Foot/Ankle Ex Fix Synthes Hardware Application/Adj FTAEXHWAP / = RGH Foot+/-Toe Reduction Closed FTRDNCL 15 30 / 15 = 45 60 RGH Forearm Tendon Transfer FORETNTRF 90 30 / 20 = 50 140 RGH Ganglion Aspiration+/-Excision SS GANGASP 15 15 / 15 = 30 45 RGH Hamstring Lengthening Open+/-Repair HAMSTRL 90 45 / 30 = 75 165 RGH Hip Acetabular ORIF+/-Reconstruction HPACORIFRC 180 45 / 30 = 75 255 RGH Hip Acetabular ORIF+/-Reconstruction w Nav HPACORIFRN / = RGH Hip Acetabular Recon Oncology HPACRONC / = RGH Hip Acetabular Recon Oncology w Nav HPACRONCN / = RGH Hip Adductor Tenotomy Open HPADTOPN 120 45 / 30 = 75 195 RGH Hip Adductor Tenotomy Perc+/-Bil+/-Botox+/-Gram HPADTNBBG 45 30 / 20 = 50 95 RGH Hip HPAGM 75 30 / 15 = 45 120 RGH Hip Arthroplasty Acetabular Revision Depuy HPARACED 110 50 / 20 = 70 180 RGH Hip Arthroplasty Acetabular Revision SN HPARACESN 110 50 / 20 = 70 180 RGH Hip Arthroplasty Acetabular Revision Stryker HPARACES 180 45 / 30 = 75 255 RGH Hip Arthroplasty Acetabular Revision Zimmer HPARACEZ 110 50 / 20 = 70 180 RGH Hip Arthroplasty Prim Zimmer CRC HPAPZCRC 110 50 / 20 = 70 180 RGH Hip Arthroplasty Prim Depuy Actis HPAPDACTIS / = RGH Hip Arthroplasty Prim Depuy Actis Ant Bil+/-Nav HPAPDACTB / = RGH Hip Arthroplasty Prim Depuy Actis Ant+/-Nav HPAPDACT / = RGH Hip Arthroplasty Prim Depuy Corail HPAPDC 85 50 / 15 = 65 150 RGH Hip Arthroplasty Prim Depuy Corail Bilateral HPAPDCB 180 60 / 30 = 90 270 RGH Hip Arthroplasty Prim Depuy Corail DAA HPAPDCA 150 45 / 20 = 65 215 RGH Hip Arthroplasty Prim Depuy Corail DAA Bil HPAPDCAB 130 40 / 20 = 60 190 RGH Hip Arthroplasty Prim Depuy Corail Direct DS HPAPDCDSB / = RGH Hip Arthroplasty Prim Depuy Corail DS HPAPDCDS / = RGH Hip Arthroplasty Prim Depuy Corail Rev HPAPDCR / = RGH Hip Arthroplasty Prim Depuy Corail Zim Tril DS HPAPDCTRS / = RGH Hip Arthroplasty Prim Depuy Corail Zim Tril DS Bi HPAPDCTRSB / = RGH Hip Arthroplasty Prim Depuy C-Stem AMT HPAPDCSAMT 85 50 / 15 = 65 150 RGH Hip Arthroplasty Prim Depuy SROM HPAPDSR 150 45 / 15 = 60 210 RGH Hip Arthroplasty Prim Depuy SROM Bilateral HPAPDSRB 0 70 / 30 = 100 100 RGH Hip Arthroplasty Prim Depuy Summit HPAPDS 85 50 / 20 = 70 155

Generated: 2021-04-06 11:09 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: RGH 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 RGH Hip Arthroplasty Prim Depuy Summit Bilateral HPAPDSB 200 60 / 15 = 75 275 RGH Hip Arthroplasty Prim Depuy Summit w Cement HPAPDSC 85 50 / 15 = 65 150 RGH Hip Arthroplasty Prim Depuy Trilock HPAPDTRI 80 50 / 20 = 70 150 RGH Hip Arthroplasty Prim Depuy Trilock Bil HPAPDTRIB 0 0 / 0 = 0 0 RGH Hip Arthroplasty Prim Depuy Trilock DAA HPAPDTRIA 150 45 / 30 = 75 225 RGH Hip Arthroplasty Prim Depuy Trilock DAA Bil HPAPDTRIAB / = RGH Hip Arthroplasty Prim Microport Conserve Plus HPAPMICPC / = RGH Hip Arthroplasty Prim Microport Conserve Plus Bil HPAPMICPCB / = RGH Hip Arthroplasty Prim Microport Superpath HPAPMICSP / = RGH Hip Arthroplasty Prim Microport Superpath Bil HPAPMICSPB / = RGH Hip Arthroplasty Prim SN Birmingham HPAPSNBIR 110 50 / 15 = 65 175 RGH Hip Arthroplasty Prim SN Birmingham Bil HPAPSNBIB 110 50 / 15 = 65 175 RGH Hip Arthroplasty Prim SN Birmingham+/-Polar HPAPSNBIRP 110 50 / 20 = 70 180 RGH Hip Arthroplasty Prim SN CPCS/Dep Pinn HPAPSNDEP / = RGH Hip Arthroplasty Prim SN Emperion HPAPSNEMP 180 45 / 30 = 75 255 RGH Hip Arthroplasty Prim SN Polar HPAPSNPOL 75 55 / 20 = 75 150 RGH Hip Arthroplasty Prim SN Polar Bil HPAPSNPOLB / = RGH Hip Arthroplasty Prim SN Polar DAA HPAPSNPA 105 55 / 20 = 75 180 RGH Hip Arthroplasty Prim SN Polar DAA Bil HPAPSNPAB / = RGH Hip Arthroplasty Prim SN Redapt HPAPSNR / = RGH Hip Arthroplasty Prim SN Synergy HPAPSNSYN 180 45 / 30 = 75 255 RGH Hip Arthroplasty Prim SN Synergy Bilateral HPAPSNSYNB 160 55 / 20 = 75 235 RGH Hip Arthroplasty Prim SN Synergy Cemented HPAPSNSYNC 85 50 / 20 = 70 155 RGH Hip Arthroplasty Prim Stryker Accolade HPAPSA 85 50 / 20 = 70 155 RGH Hip Arthroplasty Prim Stryker Accolade DAA HPAPSADAA / = RGH Hip Arthroplasty Prim Stryker Accolade DS Bil HPAPSADSB / = RGH Hip Arthroplasty Prim Stryker Accolade DS Approach HPAPSADS / = RGH Hip Arthroplasty Prim Stryker Exe/Depuy Pinn HPAPSEDP 110 50 / 20 = 70 180 RGH Hip Arthroplasty Prim Stryker Exeter HPAPSE 95 50 / 20 = 70 165 RGH Hip Arthroplasty Prim Stryker Exeter DAA HPAPSEDAA / = RGH Hip Arthroplasty Prim Zim Heritage/Dep Pinn HPAPZHDP 110 50 / 20 = 70 180 RGH Hip Arthroplasty Prim Zim ML Taper/Dep Pinn HPAPZMLT 100 50 / 20 = 70 170 RGH Hip Arthroplasty Prim Zim Wagner/Dep Pinn HPAPZWDP 105 50 / 20 = 70 175 RGH Hip Arthroplasty Prim Zim/STK HPAPZS 150 45 / 30 = 75 225 RGH Hip Arthroplasty Prim Zimmer Bio Taperloc/Dep Pin HPAPZTLDP / = RGH Hip Arthroplasty Prim Zimmer Biomet Echo Bi-Metric HPAPZEBM 75 50 / 15 = 65 140 RGH Hip Arthroplasty Prim Zimmer Biomet Taperloc HPAPZT 80 50 / 15 = 65 145 RGH Hip Arthroplasty Prim Zimmer Biomet Taperloc Ant HPAPBTLSA 125 40 / 15 = 55 180 RGH Hip Arthroplasty Prim Zimmer Biomet Taperloc AntBi HPAPBTLSAB 175 40 / 20 = 60 235 RGH Hip Arthroplasty Prim Zimmer Biomet Taperloc Bil HPAPZTB 130 40 / 20 = 60 190 RGH Hip Arthroplasty Prim Zimmer Fitmore HPAPZF 80 50 / 20 = 70 150 RGH Hip Arthroplasty Prim Zimmer Heritage HPAPZH 90 50 / 20 = 70 160 RGH Hip Arthroplasty Prim Zimmer ML Taper Ant HPAPZMLTA 130 45 / 15 = 60 190 RGH Hip Arthroplasty Prim Zimmer ML Taper Ant Bil HPAPZMLTAB 220 50 / 20 = 70 290 RGH Hip Arthroplasty Prim Zimmer Versys ML Taper HPAPZVMLT 85 50 / 15 = 65 150 RGH Hip Arthroplasty Prim Zimmer Versys ML Taper Bil HPAPZVMLTB 160 50 / 20 = 70 230

Generated: 2021-04-06 11:09 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: RGH 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 RGH Hip Arthroplasty Prim Zimmer Wagner Cone HPAPZWC 100 50 / 15 = 65 165 RGH Hip Arthroplasty Prim Zimmer Wagner Cone Bil HPAPZWCB / = RGH Hip Arthroplasty Prim Zimmer Wagner Cone DAA HPAPZWANT 125 40 / 20 = 60 185 RGH Hip Arthroplasty Prim Zimmer Wagner SL HPAPZWSL 130 50 / 15 = 65 195 RGH Hip Arthroplasty Rev Con Depuy Hemi to Tot Arthro HPARDHTA / = RGH Hip Arthroplasty Rev Con Stryker Hemi to Tot Arthr HPARSHTA / = RGH Hip Arthroplasty Rev Con Zim Bio Hemi to Tot Arthr HPARZBHTA / = RGH Hip Arthroplasty Rev Depuy Corail Rev HPARDCR 140 55 / 30 = 85 225 RGH Hip Arthroplasty Rev Depuy Prostalac Spacer HPARDP 220 60 / 20 = 80 300 RGH Hip Arthroplasty Rev Depuy SROM HPARDSROM 0 0 / 0 = 0 0 RGH Hip Arthroplasty Rev Depuy Summit HPARSUMIT 130 50 / 15 = 65 195 RGH Hip Arthroplasty Rev Exactech Spacer HPARES / = RGH Hip Arthroplasty Rev I&D First Stage HPARIDFS 80 50 / 20 = 70 150 RGH Hip Arthroplasty Rev I&D Liner/Head Exchange HPARIDPRO 50 50 / 20 = 70 120 RGH Hip Arthroplasty Rev Microport LINK MP HPARMLINK 180 50 / 20 = 70 250 RGH Hip Arthroplasty Rev SN Birmingham to Dep Trilock HPARSNBDT / = RGH Hip Arthroplasty Rev SN Birmingham to Depuy Corail HPARSNBDC / = RGH Hip Arthroplasty Rev SN Birmingham to Polar HPARSNBPOL / = RGH Hip Arthroplasty Rev SN Birmingham to Redapt HPARSNBRED / = RGH Hip Arthroplasty Rev SN Birmingham to Synergy HPARSNBSY 110 50 / 20 = 70 180 RGH Hip Arthroplasty Rev SN Birmingham to Synergy Bi HPARSNBSYB / = RGH Hip Arthroplasty Rev SN Birmingham to Zimmer MLT HPARSNBZML 110 50 / 20 = 70 180 RGH Hip Arthroplasty Rev SN Echelon+/-Cement HPARSNE 0 0 / 0 = 0 0 RGH Hip Arthroplasty Rev SN Emperion HPARSNEM / = RGH Hip Arthroplasty Rev SN Polar HPARSNPOLR / = RGH Hip Arthroplasty Rev SN Redapt HPARSNR 110 50 / 20 = 70 180 RGH Hip Arthroplasty Rev Stryker Accolade HPARSA / = RGH Hip Arthroplasty Rev Stryker Exeter HPARSE 0 0 / 0 = 0 0 RGH Hip Arthroplasty Rev Stryker Restoration Modular HPARSRM 150 60 / 20 = 80 230 RGH Hip Arthroplasty Rev Zimmer Biomet Arcos HPARZAR 180 40 / 20 = 60 240 RGH Hip Arthroplasty Rev Zimmer CRC HPARZCRC / = RGH Hip Arthroplasty Rev Zimmer Wagner Cone HPARZWC / = RGH Hip Arthroplasty Rev Zimmer Wagner SL HPARZWSL 120 60 / 20 = 80 200 RGH Hip Arthroscopy CAM/Impingement Takedown+/-Repair HPSCAMTD 120 45 / 30 = 75 195 RGH Hip Arthroscopy Diagnostic HPSCD 60 45 / 20 = 65 125 RGH Hip Arthroscopy+/-Repair HPSC 60 45 / 30 = 75 135 RGH Hip Arthrotomy Osteotomy HPATOS 50 40 / 20 = 60 110 RGH Hip Decompression HPDECOM 50 50 / 20 = 70 120 RGH Hip Decompression Bilateral HPDECOMB 45 45 / 20 = 65 110 RGH Hip Decompression WM X-Ream HPDECOMXR 45 50 / 20 = 70 115 RGH Hip Disarticulation HPDISA 90 45 / 30 = 75 165 RGH Hip Dislocation Reduction Closed HPDRDNCL 30 15 / 15 = 30 60 RGH Hip Dislocation Reduction Open HPDRDNO 90 40 / 20 = 60 150 RGH Hip EUA/Arthrogram/Application of Hip Spica Cast HPEUAGMHSC 60 15 / 10 = 25 85 RGH Hip Excision Arthroplasty Girdlestone HPRAGIR 90 45 / 30 = 75 165 RGH Hip Hemi Arthoplasty Prim Zimmer CRC HPHAPZCRC / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Hip Hemi Arthroplasty Prim Depuy Actis HPHADACT / = RGH Hip Hemi Arthroplasty Prim Depuy Actis DAA HPHADACTA / = RGH Hip Hemi Arthroplasty Prim Depuy C Stem HPHADCS 90 45 / 15 = 60 150 RGH Hip Hemi Arthroplasty Prim Depuy Corail HPHADC 60 50 / 20 = 70 130 RGH Hip Hemi Arthroplasty Prim Depuy Corail DAA HPHADCANT / = RGH Hip Hemi Arthroplasty Prim Depuy Summit HPHADSUM 90 45 / 20 = 65 155 RGH Hip Hemi Arthroplasty Prim Depuy Summit Cement HPHADSUMC 90 45 / 30 = 75 165 RGH Hip Hemi Arthroplasty Prim SN CPCS HPHASNCPCS / = RGH Hip Hemi Arthroplasty Prim SN Synergy HPHASNSYN 60 50 / 20 = 70 130 RGH Hip Hemi Arthroplasty Prim SN Synergy Cement HPHASNSYNC / = RGH Hip Hemi Arthroplasty Prim Stryker Exeter HPHASEXE 120 45 / 30 = 75 195 RGH Hip Hemi Arthroplasty Prim Zim Biomet Taperloc HPHAPZBT / = RGH Hip Hemi Arthroplasty Prim Zim Biomet Taperloc Ant HPHAPZBTA / = RGH Hip Hemi Arthroplasty Prim Zim Versys Heritage HPHAPZVH 90 50 / 20 = 70 160 RGH Hip Hemi Arthroplasty Prim Zim Versys LDFX HPHAPZVL 90 45 / 20 = 65 155 RGH Hip Hemi Arthroplasty Prim Zim Versys ML Taper HPHAZVMLT 90 50 / 20 = 70 160 RGH Hip Hemi Arthroplasty Rev Zimmer Wagner SL HPHARZWSL / = RGH Hip I&D HPIRDB 60 30 / 20 = 50 110 RGH Hip ORIF HPORIF / = RGH Hip ORIF w Pelvic Osteotomy HPORIFPV 180 45 / 30 = 75 255 RGH Hip Osteochondroplasty Mini Open HPOSCHPMO 90 50 / 20 = 70 160 RGH Hip Reduction Closed HPRDNCL 15 15 / 15 = 30 45 RGH Hip Release Iliopsoas HPRLIL 0 0 / 0 = 0 0 RGH Hip Slipped Epiphysis Screw Fixation HPSESCFX 60 45 / 30 = 75 135 RGH Hip Trocanteric Advancement HPTRAD 60 45 / 30 = 75 135 RGH Hip/Femur Bursa Excision HPFMBEX / = RGH Hip/Femur Hardware Removal HPFMHWRM / = RGH Hip/Femur ORIF DHS HPFMORIDHS 45 50 / 20 = 70 115 RGH Hip/Femur ORIF Synthes Cannulated Screws HPFMORIFCN 40 50 / 20 = 70 110 RGH Hip/Femur Osteot+/-Acetab Recon w Tiss/Tend+/-Boto HPFMOSARTT 0 0 / 0 = 0 0 RGH Hip/Femur Osteot+/-Acetab Recon wTiss/Tend+/-Bo Bi HPFMOSARTB 0 0 / 0 = 0 0 RGH Hip/Femur Osteotomy Periacetabular HPFMOSAC 90 45 / 15 = 60 150 RGH Hip/Femur Osteotomy Synthes Blade Plate HPFMOSS 240 45 / 30 = 75 315 RGH Hip/Femur Osteotomy Synthes Blade Plate Bil HPFMOSSB 240 45 / 30 = 75 315 RGH Hip/Femur Prox Arthroplasty Prim Salv Onc Depuy HPFMAPSOD 0 0 / 0 = 0 0 RGH Hip/Femur Prox Arthroplasty Prim Salv Onc Stryker HPFMAPSOS 0 0 / 0 = 0 0 RGH Hip/Femur Prox Arthroplasty Prim Salv Onc Zimmer HPFMAPSOZ 0 0 / 0 = 0 0 RGH Hip/Femur Prox Arthroplasty Rev Salv Onc Depuy HPFMARSOD 0 0 / 0 = 0 0 RGH Hip/Femur Prox Arthroplasty Rev Salv Onc Stryker HPFMARSOS 0 0 / 0 = 0 0 RGH Hip/Femur Prox/Dist Arthroplasty Prim Salv Onc Dep HPFMAPSODD 0 0 / 0 = 0 0 RGH Hip/Femur Richards Screw Hardware Removal HPFRSHWRM 0 0 / 0 = 0 0 RGH Hip/Femur Synthes Cannulated Screw HardwareRemoval HPFSYCHWRM 40 50 / 20 = 70 110 RGH Hip/Femur Synthes DHS Hardware Removal HPFSYHWRM 40 50 / 20 = 70 110 RGH Hip/Femur Valgus Osteotomy HPFMVOS 120 60 / 30 = 90 210 RGH Humerus Distal ORIF HUMDISORIF 100 60 / 15 = 75 175 RGH Humerus Hardware Removal State Type HUMHWRM 30 30 / 15 = 45 75

Generated: 2021-04-06 11:09 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: RGH 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 RGH Humerus Hemi Arthroplasty Prim Stryker MRS HUMAPSMRS 120 60 / 30 = 90 210 RGH Humerus Nail IM Stryker T2 HUMNIMST2 100 60 / 20 = 80 180 RGH Humerus Nail IM Synthes HUMNIMS 100 60 / 20 = 80 180 RGH Humerus Proximal ORIF HUMPRXORIF 100 60 / 15 = 75 175 RGH Humerus Reduction Closed HUMRDCL 15 15 / 15 = 30 45 RGH Humerus Salvage Arthroplasty Revision Oncology HUMSARO 0 0 / 0 = 0 0 RGH Humerus Shaft ORIF HUMSHAFT / = RGH Injection Cyst w Steroid SS INJSTERO 5 15 / 10 = 25 30 RGH Injection Radio Isotope INJRI 5 10 / 15 = 25 30 RGH Injection Trigger Point SS INJTRIG 5 30 / 10 = 40 45 RGH Joint Manipulation Under Anesthesia SS JTMAN 15 15 / 15 = 30 45 RGH Knee Amputation Above+/-Below KNAMPAB 60 45 / 15 = 60 120 RGH Knee Arthrodesis/Fusion+/-Osteotomy KNADFO 120 40 / 20 = 60 180 RGH Knee Arthroplasty Prim Biomet Oxford Fx Lat Uni KNAPBOFLU / = RGH Knee Arthroplasty Prim Biomet Oxford Uni KNAPBOU 85 50 / 15 = 65 150 RGH Knee Arthroplasty Prim Biomet Oxford Uni Bil KNAPBOB 85 50 / 15 = 65 150 RGH Knee Arthroplasty Prim Biomet Oxford w ACL Recon KNAPBOACL / = RGH Knee Arthroplasty Prim Biomet Oxford W/M PFWave KNAPBOPFJ / = RGH Knee Arthroplasty Prim Biomet Oxford W/M PFWave Bi KNAPBOPFJB / = RGH Knee Arthroplasty Prim Biomet Signature KNAPBSIG 150 35 / 35 = 70 220 RGH Knee Arthroplasty Prim Biomet Vanguard KNAPBMV 80 50 / 20 = 70 150 RGH Knee Arthroplasty Prim Biomet Vanguard PFJ KNAPBVPF 80 50 / 20 = 70 150 RGH Knee Arthroplasty Prim Depuy Attune CR KNAPDATTC 80 50 / 20 = 70 150 RGH Knee Arthroplasty Prim Depuy Attune CR Bilateral KNAPDATTCB / = RGH Knee Arthroplasty Prim Depuy Attune PS KNAPDATTUN 80 50 / 20 = 70 150 RGH Knee Arthroplasty Prim Depuy Attune PS Bilateral KNAPDATTUB / = RGH Knee Arthroplasty Prim Depuy LCS KNAPDL 100 50 / 20 = 70 170 RGH Knee Arthroplasty Prim Depuy LCS Bilateral KNAPDLB 140 50 / 20 = 70 210 RGH Knee Arthroplasty Prim Depuy LPS KNAPDLPS 0 0 / 0 = 0 0 RGH Knee Arthroplasty Prim Depuy SROM Noiles KNAPPDSROM 150 60 / 15 = 75 225 RGH Knee Arthroplasty Prim Depuy SROM Noiles Bilateral KNAPDSROMB 160 50 / 20 = 70 230 RGH Knee Arthroplasty Prim Depuy VVC KNAPDVVC 70 50 / 20 = 70 140 RGH Knee Arthroplasty Prim J&J Sigma RP/MBT KNAPJJSRP 150 65 / 20 = 85 235 RGH Knee Arthroplasty Prim J&J Sigma RP/MBT Bilateral KNAPJJSRPB 160 50 / 20 = 70 230 RGH Knee Arthroplasty Prim J&J Sigma TC3 KNAPJJSTC 115 50 / 20 = 70 185 RGH Knee Arthroplasty Prim Salvage Oncology Depuy LPS KNAPSOD 0 0 / 0 = 0 0 RGH Knee Arthroplasty Prim Salvage Oncology Zimmer KNAPSOZ 360 50 / 20 = 70 430 RGH Knee Arthroplasty Prim SN Journey II KNAPSNJ2 / = RGH Knee Arthroplasty Prim SN Journey PFJ KNAPSNJPFJ 0 0 / 0 = 0 0 RGH Knee Arthroplasty Prim SN Journey Uni KNAPSNJ / = RGH Knee Arthroplasty Prim SN Journey Uni Bil KNAPSNJB 140 45 / 20 = 65 205 RGH Knee Arthroplasty Prim SN Journey Uni w ACL Recon KNAPSNJACL / = RGH Knee Arthroplasty Prim SN Legion Oxinium CR KNAPSNLOC 90 50 / 15 = 65 155 RGH Knee Arthroplasty Prim SN Legion Oxinium CR Bil KNAPSNLOCB / = RGH Knee Arthroplasty Prim SN Legion Oxinium PS KNAPSNLOP 90 50 / 15 = 65 155 RGH Knee Arthroplasty Prim SN Legion Oxinium PS Bil KNAPSNLOPB / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Knee Arthroplasty Prim STK Triath w Image Guide CR KNAPTIMGCR 120 50 / 20 = 70 190 RGH Knee Arthroplasty Prim STK Triath w Image Guide PS KNAPTIMGPS 130 50 / 20 = 70 200 RGH Knee Arthroplasty Prim Stryker Avon PFJ KNAPSPFJ 85 50 / 20 = 70 155 RGH Knee Arthroplasty Prim Stryker Avon PFJ Bil KNAPSPFJB 0 0 / 0 = 0 0 RGH Knee Arthroplasty Prim Stryker Triathlon CR Bil KNAPSCRB 110 45 / 30 = 75 185 RGH Knee Arthroplasty Prim Stryker Triathlon CR/CS KNAPSTRCRS 120 50 / 20 = 70 190 RGH Knee Arthroplasty Prim Stryker Triathlon PS KNAPSTPS 120 50 / 20 = 70 190 RGH Knee Arthroplasty Prim Stryker Triathlon PS Bil KNAPSPSB 130 45 / 30 = 75 205 RGH Knee Arthroplasty Prim Stryker Triathlon TS KNAPSTTS 0 0 / 0 = 0 0 RGH Knee Arthroplasty Prim Stryker Triathlon TS Bil KNAPSTTSBI / = RGH Knee Arthroplasty Prim W/M PF Wave PFJ KNAPPPFJ 100 50 / 20 = 70 170 RGH Knee Arthroplasty Prim W/M PF Wave PFJ Bil KNAPPPFJB / = RGH Knee Arthroplasty Prim Zim Persona CR Bil KNAPZPERCB 105 50 / 15 = 65 170 RGH Knee Arthroplasty Prim Zim Persona w iAssist Guide KNAPZPERIA 120 50 / 15 = 65 185 RGH Knee Arthroplasty Prim Zimmer LCCK KNAPZLCCK 110 50 / 15 = 65 175 RGH Knee Arthroplasty Prim Zimmer LPS KNAPZLPS 95 50 / 15 = 65 160 RGH Knee Arthroplasty Prim Zimmer LPS Bil KNAPZLPSB 120 50 / 20 = 70 190 RGH Knee Arthroplasty Prim Zimmer LPS MB KNAPZLPMB 0 0 / 0 = 0 0 RGH Knee Arthroplasty Prim Zimmer LPS MB Bil KNAPZLPMBB / = RGH Knee Arthroplasty Prim Zimmer Persona CR KNAPZPERCR 105 50 / 15 = 65 170 RGH Knee Arthroplasty Prim Zimmer Persona PS/CPS KNAPZPERPS 115 50 / 15 = 65 180 RGH Knee Arthroplasty Prim Zimmer Persona PS/CPS Bil KNAPZPERPB 110 45 / 15 = 60 170 RGH Knee Arthroplasty Prim Zimmer PFJ KNAPZPF 80 50 / 15 = 65 145 RGH Knee Arthroplasty Prim Zimmer PFJ Bil KNAPZPFB 120 50 / 20 = 70 190 RGH Knee Arthroplasty Prim Zimmer RHK KNAPZRHK / = RGH Knee Arthroplasty Prim Zimmer Uni KNAPZUNI 120 50 / 20 = 70 190 RGH Knee Arthroplasty Rev Biomet Hinge Finn KNARBMHNG 0 0 / 0 = 0 0 RGH Knee Arthroplasty Rev Biomet Maxim KNARBM 210 60 / 20 = 80 290 RGH Knee Arthroplasty Rev Biomet Spacer Mold KNARBSM 180 60 / 20 = 80 260 RGH Knee Arthroplasty Rev Biomet Vanguard KNARBMV 140 60 / 20 = 80 220 RGH Knee Arthroplasty Rev Depuy Attune FB KNARDATTF 150 50 / 20 = 70 220 RGH Knee Arthroplasty Rev Depuy Attune RP KNARDATTR 150 50 / 20 = 70 220 RGH Knee Arthroplasty Rev Depuy LCS KNARDLCS 180 60 / 20 = 80 260 RGH Knee Arthroplasty Rev Depuy LPS KNARDLPS / = RGH Knee Arthroplasty Rev Depuy SROM Noiles KNARDSROM / = RGH Knee Arthroplasty Rev I&D First Stage KNARIDFS 95 50 / 20 = 70 165 RGH Knee Arthroplasty Rev I&D Liner Exchange KNARIDLE 50 30 / 15 = 45 95 RGH Knee Arthroplasty Rev J&J Sigma TC3 KNARJJST 100 60 / 30 = 90 190 RGH Knee Arthroplasty Rev Microport Medial Pivot KNARMICMP 180 60 / 20 = 80 260 RGH Knee Arthroplasty Rev Patella Resurf +/Liner Ex KNARPTRLE 80 50 / 15 = 65 145 RGH Knee Arthroplasty Rev Salvage Oncology Depuy LPS KNARSOD 360 50 / 20 = 70 430 RGH Knee Arthroplasty Rev Salvage Oncology Stryker KNARSOS 360 50 / 20 = 70 430 RGH Knee Arthroplasty Rev SN Legion Oxinium KNARSNLO 140 60 / 20 = 80 220 RGH Knee Arthroplasty Rev SN Legion Oxinium Bil KNARSNLOB / = RGH Knee Arthroplasty Rev Stryker Triathlon MRH KNARSTMRH 0 0 / 0 = 0 0 RGH Knee Arthroplasty Rev Stryker Triathlon TS KNARSTTS 0 0 / 0 = 0 0

Generated: 2021-04-06 11:09 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: RGH 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 RGH Knee Arthroplasty Rev Zimmer LCCK KNARZLCCK 140 50 / 15 = 65 205 RGH Knee Arthroplasty Rev Zimmer Persona KNARZPER / = RGH Knee Arthroplasty Rev Zimmer RHK KNARZRHK 120 60 / 20 = 80 200 RGH Knee Arthroplasty Rev Zimmer Segmental Sys KNARZRSEGS / = RGH Knee Arthroplasty Rev/Con Uni-Total State Type KNARCUT 135 45 / 20 = 65 200 RGH Knee Arthroplasty Rev/Con Uni-Total STK TriathTS KNARCUKTTS / = RGH Knee Arthroscopy Bilateral+/-Debridement KNSCB 40 25 / 15 = 40 80 RGH Knee Arthroscopy Cartilage Transplant KNSCCTP 0 0 / 0 = 0 0 RGH Knee Arthroscopy Loose Body Excision KNSCLBR 30 25 / 15 = 40 70 RGH Knee Arthroscopy Meniscal Discoid Sauceriz & Rep KNSCMDSR / = RGH Knee Arthroscopy Meniscal Root Repair KNSCMRRP / = RGH Knee Arthroscopy Meniscal Suture Repair KNSCMRP 0 0 / 0 = 0 0 RGH Knee Arthroscopy Meniscal Transplant KNSCMTP / = RGH Knee Arthroscopy Patella Femoral Realign KNSCPFR 45 30 / 15 = 45 90 RGH Knee Arthroscopy Patella Tendon+/-Debridement KNSCPTN 60 30 / 20 = 50 110 RGH Knee Arthroscopy Reattachment Ligament KNSCREALIG / = RGH Knee Arthroscopy Recon ACL Physeal Sparing KNSCACLPS / = RGH Knee Arthroscopy Recon ACL w Quadric Tendon Graft KNSCACLQTG 90 30 / 20 = 50 140 RGH Knee Arthroscopy Reconstruction ACL KNSCACL 90 40 / 15 = 55 145 RGH Knee Arthroscopy Reconstruction ACL Bilateral KNSCACLBIL / = RGH Knee Arthroscopy Reconstruction ACL Hybrid KNSCACLH 90 30 / 20 = 50 140 RGH Knee Arthroscopy Reconstruction ACL Rev KNSCACLRV / = RGH Knee Arthroscopy Reconstruction ACL w BTB Repair KNSCACLBTB 0 0 / 0 = 0 0 RGH Knee Arthroscopy Reconstruction ACL w IT Band KNSCACLITB / = RGH Knee Arthroscopy Reconstruction ACL/ALL KNSCACLALL / = RGH Knee Arthroscopy Reconstruction ACL/ALL Epiphyseal KNSCACLALE / = RGH Knee Arthroscopy Reconstruction ACL/LCL KNSCACLLCL / = RGH Knee Arthroscopy Reconstruction ACL/MCL KNSCACLMCL 180 30 / 20 = 50 230 RGH Knee Arthroscopy Reconstruction MPFL KNSCMPFL 90 40 / 15 = 55 145 RGH Knee Arthroscopy Reconstruction Multi Ligament KNSCMULL 0 0 / 0 = 0 0 RGH Knee Arthroscopy Reconstruction Multi Ligament Bil KNSCMULLB 0 0 / 0 = 0 0 RGH Knee Arthroscopy Reconstruction PCL KNSCPCL 0 0 / 0 = 0 0 RGH Knee Arthroscopy Reconstruction Post Lat Corner KNSCPLC / = RGH Knee Arthroscopy Subchondroplasty KNSCSUB / = RGH Knee Arthroscopy KNSCSN / = RGH Knee Arthroscopy w Bone Graft+/-HDWR KNSCHWBGRM 0 0 / 0 = 0 0 RGH Knee Arthroscopy w Debridement w HDWR KNSCDEHDWR / = RGH Knee Arthroscopy w Debridement+/-Meniscal Repair KNSCDBMRP / = RGH Knee Arthroscopy/Arthrotomy/Trochleoplasty+MPLF+Gt KNSCATTS 0 0 / 0 = 0 0 RGH Knee Arthroscopy/Open Osteochondritis Lesion OCD KNSCOOCD 120 30 / 20 = 50 170 RGH Knee Arthroscopy+/-Debridement KNSC 20 25 / 15 = 40 60 RGH Knee Arthroscopy+/-Repair/ Reattachment ACL KNSCREAACL 180 30 / 20 = 50 230 RGH Knee Arthroscopy+/-Retrograde Drilling w O-Arm KNSCRTD 0 0 / 0 = 0 0 RGH Knee Arthrotomy Epiphysis KNATEP 0 0 / 0 = 0 0 RGH Knee Arthrotomy Loose Body Excision KNATLBR 45 30 / 20 = 50 95 RGH Knee Arthrotomy+/-Meniscectomy KNATMENEC 20 30 / 15 = 45 65

Generated: 2021-04-06 11:09 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: RGH 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 RGH Knee Arthrotomy+/-Synovectomy KNATSN 0 0 / 0 = 0 0 RGH Knee Baker's Cyst+/-Bursa Excision KNBKCYEX 25 30 / 15 = 45 70 RGH Knee Extra Articular Lateral Tenodesis KNEALT / = RGH Knee Ligament+/-Tendon Repair+/-Transfer KNLIGRP 75 45 / 15 = 60 135 RGH Knee MPFL Recon w Allograft KNMPFLALGF 75 20 / 20 = 40 115 RGH Knee Osteochondral Allograft KNOSALGF 0 0 / 0 = 0 0 RGH Knee Patella Hardware Removal State Type KNPTHWRM 0 0 / 0 = 0 0 RGH Knee Patella Tendon/Ligament Repair KNTLRP / = RGH Knee Patellar ORIF KNPTORIF 50 30 / 20 = 50 100 RGH Knee Patellar Stabilization Tendon Repair KNPTSTRP 50 30 / 20 = 50 100 RGH Knee Patellectomy KNPTEC 20 30 / 10 = 40 60 RGH Knee Patellofemoral Realignment KNPTFER 60 30 / 20 = 50 110 RGH Limb Ace Screw Hardware Removal SS LIMACEHWRM 60 40 / 20 = 60 120 RGH Limb Amputation SS LIMAMP 50 30 / 15 = 45 95 RGH Limb Ex Fix Hardware Removal State Type LIMEFHWRM 30 30 / 15 = 45 75 RGH Limb Ex Fix Large Hoffmann II Hardware Applic SS LIMEFLHFWA 90 45 / 20 = 65 155 RGH Limb Ex Fix Modular Rail Hardware Applic SS LIMEFMRHWA / = RGH Limb Ex Fix Small Hoffmann II Hardware Applic SS LIMEFSHFWA 90 45 / 20 = 65 155 RGH Limb Ex Fix Taylor Spatial Frame Hardware Appli SS LIMTSFHWAP / = RGH Limb Ex Fix Taylor Spatial Frame Hardware Rem SS LIMTSFHWRM 0 0 / 0 = 0 0 RGH Limb Hardware Removal SS LIMHWRM 20 25 / 15 = 40 60 RGH Limb Hardware Removal Unthreaded Pins SS LIMHWRUPSS 0 0 / 0 = 0 0 RGH Limb I&D SS LIMIDSS 30 30 / 15 = 45 75 RGH Limb I&D w VAC Application/Change SS LIMIDVAC 50 30 / 20 = 50 100 RGH Limb Lower Fasciotomy LIMLFASC / = RGH Limb Lower Fasciotomy Bil LIMLFASCB / = RGH Limb Lower Length w TSF w +/-Fasciotomy LIMLLTSFOF / = RGH Limb NonUnion Fracture ORIF w Vascular Bone Gft SS LIMNUFVBG / = RGH Limb Sparing Procedure LIMSPPR 0 0 / 0 = 0 0 RGH Limb Tumour Bone Large ExcisionSS LIMTMLG 150 75 / 30 = 105 255 RGH Limb Tumour Bone Small Excision SS LIMTMSM 60 30 / 15 = 45 105 RGH Limb Tumour Excision Vascular Fibular Bone Graft LIMTRFIBBG 0 0 / 0 = 0 0 RGH Limb Tumour Soft Tissue Excision SS LIMTMST 30 20 / 15 = 35 65 RGH Limb Van Nes LIMVNRPTY 390 45 / 30 = 75 465 RGH Muscle Biceps+/-Tendon Repair MUSBCTDRP 75 30 / 15 = 45 120 RGH Muscle Hamstring Lengthening Percutaneous MUSHSTRLP 30 25 / 15 = 40 70 RGH Muscle Pectoralis Major Tend Tran w Allograft MUSPMTDTA / = RGH Muscle Pectoralis Major+/-Tend Exp+/-Rep MUSPMTER / = RGH Muscle Quadriceps+/-Tendon Repair MUSQUTDRP 55 30 / 15 = 45 100 RGH Muscle Triceps+/-Tendon Repair MUSTCTDRP 75 30 / 15 = 45 120 RGH Neck Torticollis Release NKTORTRL 45 45 / 15 = 60 105 RGH Pelvis Anterior Subcutaneous PELANTSUIF / = RGH Pelvis Ex Fix Application PELEXFXAPP 90 30 / 30 = 60 150 RGH Pelvis Hardware Removal State Type PELHWRM 50 30 / 15 = 45 95 RGH Pelvis I&D PELID 45 60 / 20 = 80 125 RGH Pelvis ORIF +/- Reconstruction w Nav PELORIFN / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Pelvis ORIF Salter Pemberton Daga Congenital PELORIFSP 0 0 / 0 = 0 0 RGH Pelvis ORIF Symphysis Pubis PELORIFS 150 75 / 30 = 105 255 RGH Pelvis ORIF+/-Reconstruction PELORIF 140 50 / 20 = 70 210 RGH Pelvis Osteotomy PELOST 240 75 / 20 = 95 335 RGH Pelvis Osteotomy Exstrophy of Bladder PELOSTX 300 75 / 30 = 105 405 RGH Pelvis Pelvectomy Hemi PELECHEM 300 60 / 30 = 90 390 RGH Pelvis Percutaneous SacroIliac Screw Fixation PELPERSIFX 120 45 / 30 = 75 195 RGH Pelvis Percutaneous SacroIliac Screw Fixation wNav PELPERSIFN / = RGH Radius Distal/Wrist ORIF+/-Osteotomy RADDORIF 60 30 / 15 = 45 105 RGH Radius Ex Fix Synthes Application/Adj RADEXHWAP / = RGH Radius Head Excision+/-Arthroplasty RADHDEX 45 30 / 20 = 50 95 RGH Radius Nail ESIM Nancy Hardware Removal RADNIMNHWR / = RGH Radius Ulna Nail ESIM Nancy RADNIM 60 45 / 30 = 75 135 RGH Radius/Ulna Distal Joint Debridement+/-Repair RADUJDREP / = RGH Radius/Ulna Distal Joint Recon+/-Allograft RADUJREALL / = RGH Radius/Ulna Ex Fix Synthes Application/Adjust RAUEXHWAP / = RGH Radius/Ulna Hardware Removal State Type RADHWRM 30 20 / 15 = 35 65 RGH Radius/Ulna ORIF+/-Osteotomy RADUORIF 65 30 / 15 = 45 110 RGH Radius/Ulna Reduction Closed RADRDCL 15 15 / 15 = 30 45 RGH Radius/Ulna Reduction Perc Pin RADRDPP 20 30 / 15 = 45 65 RGH Radius/Ulna Styloid Excision RAULNSTYEX 60 45 / 30 = 75 135 RGH Rib ORIF RIBORIF / = RGH Scapula ORIF SCAPORIF 90 45 / 25 = 70 160 RGH Scapula Scapulothoracic Arthroscopy+/-Bursectomy SCASCTHA / = RGH Scapula Scapulothoracic Fusion SCASCTHF / = RGH Shoulder Acromioclavicular Recon w Allograft SHDACRG / = RGH Shoulder Acromioclavicular Separation Repair SHDACSRP 50 40 / 20 = 60 110 RGH Shoulder SHDACRO 20 40 / 20 = 60 80 RGH Shoulder Acromioplasty w Rotator Cuff Repair SHDARCRP 65 40 / 20 = 60 125 RGH Shoulder Arthroplasty Prim Depuy Delta Xtend SHDAPPDD 160 50 / 20 = 70 230 RGH Shoulder Arthroplasty Prim Depuy Global Advantage SHDAPDGA / = RGH Shoulder Arthroplasty Prim Depuy Global AP SHDAPTYPDG 150 50 / 20 = 70 220 RGH Shoulder Arthroplasty Prim Depuy Global Unite SHDAPDGUN 180 50 / 20 = 70 250 RGH Shoulder Arthroplasty Prim Depuy ICON SHDAPDIC / = RGH Shoulder Arthroplasty Prim Lima SMR SHDAPLSMR / = RGH Shoulder Arthroplasty Prim Torn Aeq Asc Flex Revrs SHDAPTAAFR 150 50 / 20 = 70 220 RGH Shoulder Arthroplasty Prim Tornier Aeq Asc Flex SHDAPTAAFL 150 50 / 20 = 70 220 RGH Shoulder Arthroplasty Prim Tornier Simpliciti SHDAPTSIMP 120 45 / 15 = 60 180 RGH Shoulder Arthroplasty Prim Zimmer Bigliani SHDAPTYZB 150 50 / 20 = 70 220 RGH Shoulder Arthroplasty Prim Zimmer Bio Comprehensiv SHDAPZBC / = RGH Shoulder Arthroplasty Rev Depuy Delta Xtend SHDARRDD 190 50 / 20 = 70 260 RGH Shoulder Arthroplasty Rev Depuy Global AP SHDARRVDG 150 45 / 30 = 75 225 RGH Shoulder Arthroplasty Rev I&D First Stage SHDARIDFS 190 50 / 20 = 70 260 RGH Shoulder Arthroplasty Rev I&D Head Exchange SHDARIDHDE 190 50 / 20 = 70 260 RGH Shoulder Arthroplasty Rev Lima SMR SHDARLSMR / = RGH Shoulder Arthroplasty Rev Tornier Aeq Asc Flex SHDARTAAFL 140 55 / 20 = 75 215

Generated: 2021-04-06 11:09 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: RGH 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 RGH Shoulder Arthroscopy SHDSC 45 35 / 20 = 55 100 RGH Shoulder Arthroscopy Acromio+/-RCR Bicep Teno Bil SHDSCACPTB / = RGH Shoulder Arthroscopy Acromio+/-RCR+/-Bicep Teno SHDSCACPTY 75 45 / 20 = 65 140 RGH Shoulder Arthroscopy Acromioclav Recon w Graft SHDSCACRG / = RGH Shoulder Arthroscopy Ant Glenoid Recon w Graft SHDSCAGRG / = RGH Shoulder Arthroscopy Instability Rep+/-Bicep Ten SHDSCRBT / = RGH Shoulder Arthroscopy Instability Repair SHDSCR 75 45 / 20 = 65 140 RGH Shoulder Arthroscopy Instability Repair w Allogrft SHDSCRAL / = RGH Shoulder Arthroscopy InstabilRep+/-MiniOpenTendRep SHDSCIRMO / = RGH Shoulder Arthroscopy Mini Open SHDSCMOPN 60 45 / 20 = 65 125 RGH Shoulder Arthroscopy Repair+/-Latarjet SHDSCRL 180 30 / 15 = 45 225 RGH Shoulder Arthroscopy Rev RCR w/Fascia Lat Auto Gft SHDSCRRFLG / = RGH Shoulder Arthroscopy Rev RCR+/-HDWR+/-Graft SHDSCRRCHG 75 45 / 20 = 65 140 RGH Shoulder Arthroscopy w Hardware Removal SHDSCHWRM / = RGH Shoulder Arthroscopy w Latissimus Dorsi Transfer SHDSCLDT 45 35 / 20 = 55 100 RGH Shoulder Arthroscopy w/Lower Trapezius Transfer SHDSCLTT / = RGH Shoulder Arthrotomy SHDAT 60 30 / 30 = 60 120 RGH Shoulder Disarticulation SHDDISA 90 45 / 30 = 75 165 RGH Shoulder Glenoid ORIF SHDGORIF 120 40 / 20 = 60 180 RGH Shoulder Glenoid Reconstruction SHDGRCN / = RGH Shoulder Hardware Removal State Type SHDHWRM 30 30 / 20 = 50 80 RGH Shoulder Hemi Arthroplasty Prim Arthrosurf HemiCap SHDHAPAHC / = RGH Shoulder Hemi Arthroplasty Prim Dep Glob CAP+/-CTA SHDHAPDGCA 70 50 / 20 = 70 140 RGH Shoulder Hemi Arthroplasty Prim Depuy Global FX SHDHAPDGF 140 50 / 20 = 70 210 RGH Shoulder Hemi Arthroplasty Prim Tornier Aeq HdResf SHDHAPTAR 70 50 / 20 = 70 140 RGH Shoulder Hemi Arthroplasty Prim Tornier AeqAsc Flx SHDHAPTAAF 90 45 / 20 = 65 155 RGH Shoulder Hemi Arthroplasty Prim Zim Nano Stemless SHDHAPZNAN / = RGH Shoulder Hemi Arthroplasty Prim Zimmer Bigliani SHDHAPZB 140 50 / 20 = 70 210 RGH Shoulder Hemi Arthroplasty Prim Zimmer Sidus SHDHAPZS / = RGH Shoulder Hemi Arthroplasty Rev Tornier Aeq AscFlex SHDHARTAFL 90 60 / 20 = 80 170 RGH Shoulder Latissimus Dorsi Repair SHDLDRP 120 60 / 30 = 90 210 RGH Shoulder Latissimus Dorsi Transfer SHDLDT / = RGH Shoulder ORIF+/-Arthrodesis SHDORIFADS 100 45 / 20 = 65 165 RGH Shoulder Reduction Closed SHDCLRD 15 15 / 15 = 30 45 RGH Shoulder Repair Ant+/-Bankart w Latarjet Transfer SHDRPABLT 90 40 / 20 = 60 150 RGH Shoulder Repair Anterior+/-Bankart SHDRPAB 90 45 / 20 = 65 155 RGH Shoulder Repair Posterior SHDRPPP 75 45 / 30 = 75 150 RGH Shoulder Rotator Cuff Repair SHDROTRP 50 40 / 20 = 60 110 RGH Spine Growing Rod Insert w/MIS Spine Vision SPGRIMSV / = RGH Sternoclavicular Joint Recon w Hamstring Allograft STJRHAMA 0 0 / 0 = 0 0 RGH Sternoclavicular Joint Reconstruction STJRECON / = RGH Tendon Lengthening Percutaneous SS TDLGNP 30 30 / 15 = 45 75 RGH Tendon Release+/-Repair+/-Transfer+/-Length SS TDRLTRFSS 90 45 / 20 = 65 155 RGH Tendon Transfer Split Tibial Anterior TDTRSTBA 120 45 / 20 = 65 185 RGH Tendon Transfer Tibialis+/-Length w Knee Casts Bil TDTRTIBLKB / = RGH Tibia Ex Fix Synthes Hardware Application/Adjust TIBEXHWAP / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Tibia Nail ESIM Nancy TIBNIMN 0 0 / 0 = 0 0 RGH Tibia Nail ESIM Nancy Hardware Removal TIBNIMNHWR / = RGH Tibia Nail IM Fassier Duval TIBNIMFADU 0 0 / 0 = 0 0 RGH Tibia Nail IM Hardware Removal State Type TIBNIMHWR 50 25 / 15 = 40 90 RGH Tibia Nail IM SN Trigen TIBNIMSNT 90 45 / 30 = 75 165 RGH Tibia Nail IM SN Trigen Rev/Exchange TIBNIMSNTR 120 45 / 30 = 75 195 RGH Tibia Nail IM Stryker T2 TIBNIMST2 80 40 / 20 = 60 140 RGH Tibia Nail IM Stryker T2 Rev/Exchange TIBNIMST2R 80 40 / 20 = 60 140 RGH Tibia Nail IM Synthes Expert TIBNIMSYEX 80 40 / 20 = 60 140 RGH Tibia Nail IM Synthes Expert Rev/Exchange TIBNIMSERE 110 40 / 20 = 60 170 RGH Tibia ORIF TIBORIF 75 40 / 20 = 60 135 RGH Tibia Osteotomy Distal TIBOSTD 90 45 / 20 = 65 155 RGH Tibia Osteotomy High TIBOSTH 95 45 / 20 = 65 160 RGH Tibia Osteotomy High w Arthroscopy TIBOSTHSC 0 0 / 0 = 0 0 RGH Tibia Osteotomy Tuberos Rep/MPFL/Quadricepsplasty TIBOSTUBMQ 0 0 / 0 = 0 0 RGH Tibia Osteotomy Tuberosity Repair w Arthroscopy TIBOSTUBSC 120 30 / 20 = 50 170 RGH Tibia Osteotomy Tuberosity Repair+/-Lig Recon TIBOSTUBRP 90 45 / 20 = 65 155 RGH Tibia Osteotomy w Taylor Spatial Frame TIBOSTTSF 150 50 / 20 = 70 220 RGH Tibia Plateau ORIF TIBPORIF 95 45 / 20 = 65 160 RGH Tibia Plateau ORIF w Arthroscopy TIBPIFSC / = RGH Tibia Reduction Closed TIBRNDCL 15 15 / 15 = 30 45 RGH Tibia Sequestrectomy TIBSEQ 60 30 / 20 = 50 110 RGH Tibia+/-Fibula Hardware Removal State Type TIBHWRM 20 25 / 15 = 40 60 RGH Toe Amputation TOEAMP 30 30 / 15 = 45 75 RGH Toe Arthrodesis/Fusion+/-Osteotomy TOEADF 35 25 / 15 = 40 75 RGH Toe Arthroplasty Primary TOEARTP / = RGH Toe Arthroplasty Primary Bilateral TOEARTPB / = RGH Toe Exploration+/-Arthrotomy+/-Capsulotomy TOEEXPAT / = RGH Toe Hammer/Claw Repair TOEHCRP 30 25 / 15 = 40 70 RGH Toe Nail Excision+/-Radical TOENLEX 20 20 / 10 = 30 50 RGH Toe ORIF TOEORIF 30 20 / 15 = 35 65 RGH Toe Reduction Perc Pinning TOERPP / = RGH Ulna Shortening/Recessional Osteotomy ULNSHTOS 60 30 / 15 = 45 105 RGH Wrist Arthroscopy WRASC 60 45 / 20 = 65 125 RGH Wrist Arthroscopy w TFCC Repair WRSCPYTFC 30 45 / 15 = 60 90 RGH Wrist Arthrotomy WRAT 60 45 / 20 = 65 125 RGH Wrist Carpal Tunnel Release WRCPR 20 20 / 15 = 35 55 RGH Wrist Debridement & Stabilization ECU Tendon WRDSECUTEN / = RGH Wrist Ex Fix Synthes Application/Adj WREXHWAP / = RGH Wrist Perilunate Dislocation ORIF WRPERDORIF / = RGH Wrist Reduction Closed WRRDNCL 15 15 / 15 = 30 45 RGH Wrist Reduction Perc Pin WRRDNPP 20 30 / 15 = 45 65 RGH Wrist Scaphoid ORIF WRSCFORIF 90 30 / 15 = 45 135 RGH Wrist Scaphoid ORIF w Bone Graft WRSCBNGF 90 30 / 15 = 45 135 RGH Wrist Scaphoid Percutaneous Fixation WRSCPF 45 30 / 15 = 45 90 PLS

Generated: 2021-04-06 11:09 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: RGH 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 RGH Abdominoplasty/Panniculectomy+/-Hernia Repair ABDPTY 90 30 / 20 = 50 140 RGH Arm Lymphatic Sparing Liposuction SPY Assisted ARLYSPLISP / = RGH Artery Microvascular Explore+/-Repair SS ARTMVEXPRP 90 45 / 30 = 75 165 RGH Axilla+/-Groin Sudenectomy AXSUDECT 40 20 / 15 = 35 75 RGH Body Lift Circumferential Abdomen+/-Lipo BDYLFTABD / = RGH Body Lift: Cir,Butt,Thigh,Groin,+/-Arm,Chest+/-Lip BDYLFTC 0 0 / 0 = 0 0 RGH Bone Graft to Alveolar Cleft BNGFALV 20 30 / 15 = 45 65 RGH Botox Injection SS BOTXINJSS 5 15 / 10 = 25 30 RGH Brachioplasty/ Arm Lift Bilateral BRALFTB / = RGH Breast Augmentation BRAUG 60 30 / 20 = 50 110 RGH Breast Augmentation Bilateral BRAUGB 60 30 / 20 = 50 110 RGH Breast Augmentation Circumfrential Mastopexy BRAUGCM 60 30 / 15 = 45 105 RGH Breast Capsulotomy w Implant Exchange BRCAPIE 45 30 / 15 = 45 90 RGH Breast Capsulotomy w Implant Exchange Bilateral BRCAPIEB 75 30 / 15 = 45 120 RGH Breast Capsulotomy+/-Implant Rem BRCAP 45 30 / 15 = 45 90 RGH Breast Capsulotomy+/-Implant Rem Bilateral BRCAPB 45 30 / 15 = 45 90 RGH Breast Gynecomastia Excision BRGYMRS 45 30 / 15 = 45 90 RGH Breast Gynecomastia Excision Bilateral BRGYMRSB 60 30 / 15 = 45 105 RGH Breast Gynecomastia Excision w Free Nipple Graft BRGYMWFNG / = RGH Breast Implant Exchange BRIMEX 50 30 / 15 = 45 95 RGH Breast Implant Exchange Bil BRIMEXB 75 40 / 15 = 55 130 RGH Breast Implant Removal BRIMRM 45 30 / 15 = 45 90 RGH Breast Implant Removal Bilateral BRIMRMB 45 30 / 15 = 45 90 RGH Breast Mastectomy GRS+/-Free Nipple Gft+/-Lipo Bil BRMGRS 150 30 / 15 = 45 195 RGH Breast Mastopexy+/-Augment+/-Liposuction BRMSTPXY 45 30 / 15 = 45 90 RGH Breast Nipple Reconstruction BRNIPRCN 60 30 / 15 = 45 105 RGH Breast Reconstruction Immediate Lat Dorsi FlapwImp BRECIMLDFI / = RGH Breast Reconstruction Immediate w Imp+/-Alloderm BRECIMMIMP 75 0 / 0 = 0 75 RGH Breast Reconstruction Immediate w Imp+/-Aloder Bil BRECIMIMPB 100 0 / 0 = 0 100 RGH Breast Reconstruction Immediate w Microvs Flap BREIMMICFL 475 0 / 0 = 0 475 RGH Breast Reconstruction Immediate w Microvs Flap Bil BREIMMIFBI 640 0 / 0 = 0 640 RGH Breast Reconstruction Immediate w TissEx+/-AlloBil BRECIMTEXB 90 0 / 0 = 0 90 RGH Breast Reconstruction Immediate w TissEx+/-Allod BRECIMTEX 60 0 / 0 = 0 60 RGH Breast Reconstruction Lat Dorsi Flap w Implant BRRCNLDFI 240 40 / 20 = 60 300 RGH Breast Reconstruction Microvascular Free Flap BRRCNMVFLP 420 60 / 30 = 90 510 RGH Breast Reconstruction Microvascular Free Flap Bil BRRCNMVFLB 650 70 / 30 = 100 750 RGH Breast Reconstruction Revision BRRCNRV 90 20 / 15 = 35 125 RGH Breast Reconstruction Revision w Fat Graft+/-Lipo BRRCNRVFG 90 30 / 15 = 45 135 RGH Breast Reconstruction w Fat Graft +/- Implant BRRFGIM 40 35 / 15 = 50 90 RGH Breast Reconstruction w Fat Graft +/- Implant Bil BRRFGIMB 60 35 / 15 = 50 110 RGH Breast Reconstruction w Implant BRRCNIM 60 30 / 15 = 45 105 RGH Breast Reconstruction w Implant Bilateral BRRCNIMB 80 30 / 15 = 45 125 RGH Breast Reconstruction w Pedicle Flap Bil State Mus BRRCNPFLPB 300 45 / 20 = 65 365 RGH Breast Reconstruction w Pedicle Flap State Muscle BRRCNPFLP 180 45 / 20 = 65 245 RGH Breast Reduction BRRDN 60 30 / 15 = 45 105 RGH Breast Reduction Bil w Abdominoplas+/-Panniculect BRRDNBA 330 30 / 15 = 45 375

Generated: 2021-04-06 11:09 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: RGH 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 RGH Breast Reduction Bilateral BRRDNB 90 30 / 15 = 45 135 RGH Breast Reduction w Liposuction BRRDNLIPO 80 30 / 15 = 45 125 RGH Breast Reduction w Liposuction Bil BRRDNLIPOB 110 30 / 15 = 45 155 RGH Breast Tissue Expander Insertion BTSEXPIN 45 30 / 20 = 50 95 RGH Breast Tissue Expander Insertion Bil BTSEXPINB 45 30 / 20 = 50 95 RGH Burn Major Debridement+/-Graft BURMJDBG 45 45 / 20 = 65 110 RGH Burn Minor Debridement+/-Graft BURMIDBG 45 30 / 15 = 45 90 RGH Cranial Bone Graft CRBNGF 20 10 / 10 = 20 40 RGH Dermis Fat Graft SS DRMFTGF 30 20 / 10 = 30 60 RGH Digit Arthroscopy DIGASC 30 45 / 20 = 65 95 RGH Ear Lobe Repair EARLBRP 45 30 / 15 = 45 90 RGH Ear Otoplasty EAROPTY 30 20 / 15 = 35 65 RGH Ear Otoplasty Bilateral EAROPTYB 45 20 / 15 = 35 80 RGH Ear Reconstruction 1st Stage Microtia EARRCN1 45 20 / 15 = 35 80 RGH Ear Reconstruction 2nd Stage Microtia EARRCN2 45 20 / 15 = 35 80 RGH Ear Reconstruction 3rd Stage Microtia EARRCN3 0 0 / 0 = 0 0 RGH Eye Lid Blepharoplasty Lower EYLDBLL 20 20 / 15 = 35 55 RGH Eye Lid Blepharoplasty Lower Bilateral EYLDBLLB 70 20 / 10 = 30 100 RGH Eye Lid Blepharoplasty Upper EYLDBLU 45 20 / 15 = 35 80 RGH Eye Lid Blepharoplasty Upper & Lower EYLDBLUL 50 20 / 15 = 35 85 RGH Eye Lid Blepharoplasty Upper Bilateral EYLDBLUB 70 20 / 15 = 35 105 RGH Eye Lid Blepharoplasty Upper Lower Bilat Ptosis EYLDBLULBP 70 20 / 15 = 35 105 RGH Eye Lid Blepharoplasty Upper Lower Bilateral EYLDBLULB 50 20 / 15 = 35 85 RGH Face & Head Hardware Removal SS FCHDHWRM 15 25 / 15 = 40 55 RGH Face Brow Lift FCBRLFT 90 45 / 15 = 60 150 RGH Face Brow Lift Endoscopic FCBRLFTEND / = RGH Face Brow Lift w Fascia Lata Sling FCBRLFTFLS 200 20 / 10 = 30 230 RGH Face Lift Rhytidectomy FCRHYTEC 130 45 / 15 = 60 190 RGH Facial Bone Reconstruction FCBNRCN / = RGH Finger Amputation FNGAMP 45 20 / 15 = 35 80 RGH Finger Arthroplasty 1-2+/-Arthrodesis w Implant FNGAPTYV12 90 30 / 15 = 45 135 RGH Finger Arthroplasty 3-4+/-Arthrodesis w Implant FNGAPTYV34 180 30 / 15 = 45 225 RGH Finger Exploration+/-Arthrotomy+/-Capsulotomy FNGEXPAT 90 30 / 20 = 50 140 RGH Finger Hardware Removal State Type FNGHWRM 30 30 / 15 = 45 75 RGH Finger ORIF FNGORIF 45 30 / 15 = 45 90 RGH Finger Reattachment Microvascular FNGRATMV 370 60 / 30 = 90 460 RGH Finger Reduction Closed FNGRDNCL 10 15 / 10 = 25 35 RGH Finger Reduction Perc Pin FNGRDNPP 15 30 / 10 = 40 55 RGH Finger Revision+/-Reconstruction FNGRVRCN 45 30 / 15 = 45 90 RGH Flap Debridement & Myocutaneous Closure FLPDBCL 110 30 / 20 = 50 160 RGH Flap Microvascular Redo SS FLPMVRDO 0 0 / 0 = 0 0 RGH Flap Neck Reconstruction FLPNKRCN 300 45 / 20 = 65 365 RGH Flap Skin+/-Muscle Closure Head+/-Neck FLPCHDNK 80 30 / 20 = 50 130 RGH Flap Skin+/-Muscle Free Flap SS FLPFF 360 45 / 20 = 65 425 RGH Flap Skin+/-Muscle Rotation/Pedicle SS FLPRP 100 45 / 20 = 65 165 RGH Foot Reattachment Microvascular FTRATMV 370 60 / 30 = 90 460

Generated: 2021-04-06 11:09 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: RGH 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 RGH Hand Digit Fusion State Site HNDDF 45 20 / 20 = 40 85 RGH Hand Digit Reconstruction Carpal Phalanges HNDRECONCP 0 0 / 0 = 0 0 RGH Hand Dupuytren Contract Release+/-Graft+/-Fasciect HNDDUPY 45 20 / 15 = 35 80 RGH Hand Exploration+/-Artery+/-Nerve+/-Tendon Repair HNDEXPANTR / = RGH Hand Ligament/Tendon Repair+/-Transfer HNDLIGTDRP 60 20 / 20 = 40 100 RGH Hand Neurolysis HNDNEUR 60 30 / 20 = 50 110 RGH Hand ORIF HNDORIF 15 25 / 45 = 70 85 RGH Hand Osteotomy HNDOS 45 30 / 20 = 50 95 RGH Hand Pollicization Index Finger+/-Thumb Recn HNDPORCN 55 30 / 20 = 50 105 RGH Hand Reattachment Microvascular HNDRATMV 360 60 / 30 = 90 450 RGH Hand Tendon Release+/-Transfer HNDTNTRF 90 45 / 15 = 60 150 RGH Hand+/-Digit Reduction Closed HNDRDNCL 15 30 / 15 = 45 60 RGH Head & Neck Excision Biopsy+/-Repair+/-Zplasty SS HDNKTEBRZ 15 15 / 15 = 30 45 RGH Hemangioma Excision Major >3cm HEMAEXMJ 30 20 / 15 = 35 65 RGH Hemangioma Excision Minor <3cm HEMAEXMI 15 20 / 15 = 35 50 RGH Hematoma Evacuation SS HEMEVSS 45 20 / 15 = 35 80 RGH Injection SS INJSS 5 10 / 10 = 20 25 RGH Jaw Arch Bar Wire Removal JAWABWRM 50 20 / 20 = 40 90 RGH Closed+/-Arch Bar JAWRDNCL 45 20 / 15 = 35 80 RGH Laceration Repair SS LACRP 40 20 / 15 = 35 75 RGH Limb Reattachment Microvascular SS LIMBRATMV 360 60 / 30 = 90 450 RGH Limb Tissue Excision Bx+/-Repair+/-Zplasty/Flap SS LIMTEBRZ 20 30 / 15 = 45 65 RGH Lip Cleft Repair 1st Stage LPCLFRP1 90 30 / 15 = 45 135 RGH Lip Cleft Repair+/-Revision w Nasal Repair LPCLFNSRP 90 30 / 15 = 45 135 RGH Lip Cleft Revision LPCLFRV 35 20 / 15 = 35 70 RGH Liposuction Chin & Neck LPOSCNK 35 30 / 15 = 45 80 RGH Liposuction Trunk & Legs LPOSTL 35 45 / 20 = 65 100 RGH Mandible Hardware Removal MNHWRM 35 20 / 20 = 40 75 RGH Mandible ORIF MNORIF 60 45 / 20 = 65 125 RGH Maxilla ORIF MXORIF 300 45 / 20 = 65 365 RGH Melanoma Excision Limb w Keystone Flap MELEXLMFLP 60 30 / 20 = 50 110 RGH Melanoma Wide Excision Face & Neck MELWEXFCN 45 20 / 15 = 35 80 RGH Melanoma Wide Excision Trunk/Extremities MELWEXT 60 20 / 15 = 35 95 RGH Microvascular Lymphaticovenous Anastamosis SS MVLYMVENA / = RGH Microvascular Repair Major SS MVRPMJ 120 30 / 15 = 45 165 RGH Microvascular Repair Minor SS MVRPMI 60 30 / 15 = 45 105 RGH Mouth/Oral Repair Cleft Palate MOPALRP 120 30 / 15 = 45 165 RGH Muscle Repair SS MUSCRP 40 20 / 15 = 35 75 RGH Nerve Brachial Plexus Exploration+/-Repair NVBRPLEX 300 45 / 30 = 75 375 RGH Nerve Expl+/-Transpos+/-Repair Minor SS NVEXTPRP 30 45 / 15 = 60 90 RGH Nerve Exploration+/-Repair+/-Graft w Microscope SS NVEXRPMJ 55 45 / 30 = 75 130 RGH Nerve Graft Sural Harvest NVGFSU 20 45 / 30 = 75 95 RGH Nerve Suprascapular Exploration+/-Repair NVRPSSC 480 45 / 30 = 75 555 RGH Nerve Ulnar Decompression Cubital+/-Transposition NVULTCRN / = RGH Nerve Ulnar Decompression/Transposition NVULTRN 25 30 / 20 = 50 75 RGH Nevus Excision Major >3cm SS NEVEXMJ 25 20 / 15 = 35 60

Generated: 2021-04-06 11:09 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: RGH 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 RGH Nevus Excision Minor <3cm SS NEVEXMI 15 20 / 15 = 35 50 RGH Nose Reconstruction NSRCN 180 30 / 30 = 60 240 RGH Nose Reconstruction/Closure w Forehead Flap NSRCNCLFLP / = RGH Nose Rhinophyma Excision NSRHIEXC 0 0 / 0 = 0 0 RGH Nose Rhinoplasty Open NSRHIPLO 50 20 / 20 = 40 90 RGH Perineal Labioplasty PERLAB 25 30 / 15 = 45 70 RGH Perineum Reconstruction w Abdominal Muscle Flap FLPPRAM 190 45 / 20 = 65 255 RGH Scalp Reattachment Microvascular SCLRATMV 240 45 / 30 = 75 315 RGH Skin Debridement+/-Graft SS SKDBGF 45 20 / 20 = 40 85 RGH Skin Dermoid Excision SKDERMEXC 20 20 / 15 = 35 55 RGH Skin Graft Major SKGFMJ 80 45 / 30 = 75 155 RGH Skin Graft Minor SKGFMI 40 30 / 20 = 50 90 RGH Skin Lesion Excision Laser CO2 SS SKLSEXLZC 0 0 / 0 = 0 0 RGH Skin Lesion Vascular Laser Argon Vbeam Pulse SKLSVALZA 0 0 / 0 = 0 0 RGH Skin Mohs Excision Face and Neck SKMEXFCN 90 15 / 10 = 25 115 RGH Skin Mohs Excision Perineum SKMEXPER / = RGH Skin Tag Excision SS SKTGEX 15 20 / 15 = 35 50 RGH Skin Wound I&D/Debride w VAC Application/Change SS SKWDVACDRS 60 35 / 25 = 60 120 RGH Skin Wound I&D/Debridement SS SKWDBISS 50 30 / 20 = 50 100 RGH Syndactyly Repair+/-Release SS SYNDRP 55 30 / 15 = 45 100 RGH Syndactyly Repair+/-Release SS Bilateral SYNDRPB / = RGH Temporal Artery Biopsy TMARTBX 10 20 / 15 = 35 45 RGH Tendon Exploration+/-Repair+/-Graft SS TDEXRPGF 60 30 / 15 = 45 105 RGH Tendon Extension+/-Transfer Extensor+/-Flexor SS TDEXTEF 60 30 / 20 = 50 110 RGH Tendon Lysis Tenotomy TDLYSIS 20 30 / 20 = 50 70 RGH Tendon Release Trigger Digit TDRLTRG 20 20 / 15 = 35 55 RGH Thigh Lift Bilateral+/-Lipo THILFTB / = RGH Throat Pharyngoplasty THRPHPTY 30 15 / 15 = 30 60 RGH Thumb Arthroplasty Carpal Metacarpal+/-Trapez THBARTPTY 90 45 / 20 = 65 155 RGH Thumb Lig Recon Inter w MPJ Fus THBLRIMPJF / = RGH Thumb Ligament Ulnar Collateral Rep+/-Recon THBLIGUCRP 60 30 / 20 = 50 110 RGH Thumb Reattachment Microvascular THBRATMV 360 60 / 30 = 90 450 RGH Thumb Trapeziectomy THBTRAPEZ 60 45 / 20 = 65 125 RGH Tissue Expander Insert SS TSEXPIN 45 30 / 20 = 50 95 RGH Tissue Expander Removal SS TSEXPRM 45 30 / 20 = 50 95 RGH Tissue Minor Exc Bx+/-Repair+/-Zplasty/Flap SS TSMEBRZ 25 20 / 10 = 30 55 RGH Tissue Reconstruction Post Melanoma Exc+/-SknGftSS TSREPMEGRT / = RGH Tongue Tie Frenulum Release+/-Zplasty TGTIZPTY 10 30 / 15 = 45 55 RGH Trunk Tissue Excision Biopsy+/-Repair+/-Zplasty SS TRUTEBRZ 60 30 / 20 = 50 110 RGH Ulcer Decubitus Debridement+/-Mycutaneous Flap ULCDEEX 120 30 / 30 = 60 180 RGH Wrist Arthrodesis Fusion WRADSFS 110 30 / 20 = 50 160 RGH Wrist Arthroplasty WRAPTY 110 30 / 20 = 50 160 RGH Wrist Arthroscopy Carpal Tunnel Release WRASCCPR / = RGH Wrist Ganglion Excision WRGNGEX 20 30 / 15 = 45 65 RGH Wrist Intercarpal Fusion Four Corner WRICF4C / = RGH Wrist Ligament Reconstruction Scapholunate WRLIGRCN 70 45 / 20 = 65 135

Generated: 2021-04-06 11:09 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: RGH 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 RGH Wrist Proximal Row Carpectomy WRPRCARP / = RGH Wrist Scaphoid ORIF w Local Vascular Bone Graft WRSCLVBG 0 0 / 0 = 0 0 RGH Wrist Synovectomy WRSYNEC 110 30 / 20 = 50 160 RGH Zygoma Elevation Reduction Closed ZYRDNCL 25 20 / 15 = 35 60 RGH Zygoma Orbital Floor ORIF ZYORORIF 60 45 / 15 = 60 120 RGH Zygoma ORIF ZYORIF 60 30 / 15 = 45 105 POD RGH Foot Arthrodesis/Fusion 1st MTP Joint FTADF1MTPJ 45 15 / 15 = 30 75 PSY RGH ECT ECT 5 5 / 5 = 10 15 RAD RGH Abdominal Paracentesis+/-Drain Insertion ABDPARA / = RGH Angiogram Diagnostic Cerebral ANGIOGMDC / = RGH Artery Embolization ARTEMB 60 30 / 30 = 60 120 RGH Breast Mammogram BRMAMGM 0 0 / 0 = 0 0 RGH Breast Mammogram Bilateral BRMAMGMB 0 0 / 0 = 0 0 RGH Breast Needle Localization BRNL 15 15 / 10 = 25 40 RGH Cryotherapy SS CRYOTHERSS / = RGH Drain Insertion SS CT Guided DRAININSCT / = RGH Endovascular Inferior Vena Cava Filter Insertion ENDVIVCFI 15 20 / 10 = 30 45 RGH Endovascular Interventional Radiology Abdomen ENDVIRABD / = RGH Endovascular Interventional Radiology Cerebral ENDVIRC / = RGH Endovascular Interventional Radiology Lower Limb ENDVIRLL / = RGH Endovascular Interventional Radiology LowerLimbBil ENDVIRLLB / = RGH Endovascular Interventional Radiology Pelvis ENDVIRPELV / = RGH Endovascular Interventional Radiology Thoracic ENDVIRTHO / = RGH Endovascular Interventional Radiology Upper Limb ENDVIRUL / = RGH Endovascular Interventional Radiology UpperLimbBil ENDVIRULB / = RGH Gastrojejunal Tube Exchange GSJJTE 0 0 / 0 = 0 0 RGH Joint Injection SS < 4 Joints JTINJL4 / = RGH Joint Injection SS > 4 Joints JTINJG4 / = RGH Joint Injection SS CT Guided JTINGCT / = RGH Kidney Biopsy Percutaneous KIDBXPRC 30 20 / 10 = 30 60 RGH Kidney Nephrosotomy Insert Percutaneous KIDNINPRC 45 15 / 15 = 30 75 RGH Kidney Nephrostomy Removal+/-Exchange KIDNREMEX 30 15 / 15 = 30 60 RGH Liver Biopsy Percutaneous LVBXPERC 70 30 / 20 = 50 120 RGH Liver Biopsy Transjugular LVBXTJ / = RGH Lung Coil Percutaneous CT Guided LUCOILCT / = RGH Mass Biopsy Percutaneous SS MASSBX / = RGH Mass Biopsy Percutaneous SS CT Guided MASSBXCT / = RGH MRI w Anesthesia MRIANA 0 0 / 0 = 0 0 RGH MRT SS MRT 0 0 / 0 = 0 0 RGH Nasojejunal Tube Exchange NASJJTE 0 0 / 0 = 0 0 RGH Percutaneous G-Tube Insertion PERGTUBEIN / = RGH PET Scan PETSCAN / = RGH Radiation Therapy RDTHER / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Radiofrequency Ablation SS CT Guided RFABLCT / = RGH Rectal Catheter Manometer Insertion RECATHMINS / = RGH Scan Computed Tomography SCANCT 0 0 / 0 = 0 0 RGH Scan Computed Tomography Anesthesia Standby SCANCTA 0 0 / 0 = 0 0 RGH Transjugular Interhepatic Portalcaval Shunt Insert TIPS 0 0 / 0 = 0 0 RGH Ultrasound Intra Operative ULSNINOP 15 10 / 10 = 20 35 RGH Vein Sclerotherapy 30 VNSCLER30 15 20 / 20 = 40 55 RGH Vein Sclerotherapy 60 VNSCLER60 0 0 / 0 = 0 0 RGH Vein Sclerotherapy 75 VNSCLER75 0 0 / 0 = 0 0 RES RGH Thoracentesis Lung TXLUG 0 0 / 0 = 0 0 SPI RGH Injection Intrathecal INJINTRATH / = RGH Spinal Cord Stimulator Electrode Insert Temporary SPLPETIN 0 0 / 0 = 0 0 RGH Spine Ant DLIF W OLIF 2-3 Lev SPDLOL23 / = RGH Spine Ant DLIF W OLIF 4-5 Lev SPDLOL45 / = RGH Spine Ant DLIF W OLIF 6+ Lev SPDLOL6 / = RGH Spine Ant DLIF w OLIF Pos Fusion MISwNav SPDLOLPFMN / = RGH Spine Ant DLIF W OLIF W Pos Fusion MIS SPDLOLPFM / = RGH Spine Ant DLIF W OLIF W Pos Fusion Open SPDLOLPFO / = RGH Spine Ant DLIF W OLIF W Pos Fusion Open w Nav SPDLOLPFON / = RGH Spine Ant DLIF w Pos Fusion MIS 1 Lev SPDLPFM1 / = RGH Spine Ant DLIF w Pos Fusion MIS 1 Lev w Nav SPDLPFM1N / = RGH Spine Ant DLIF w Pos Fusion MIS 2-3 Lev SPDLPFM23 / = RGH Spine Ant DLIF w Pos Fusion MIS 2-3 Lev w Nav SPDLPFM23N / = RGH Spine Ant DLIF w Pos Fusion MIS 4+ Lev SPDLPFM4 / = RGH Spine Ant DLIF w Pos Fusion MIS 4+ Lev w Nav SPDLPFM4N / = RGH Spine Ant DLIF w Pos Fusion Open 1 Lev SPDLPFO1 / = RGH Spine Ant DLIF w Pos Fusion Open 1 Lev w Nav SPDLPFO1N / = RGH Spine Ant DLIF w Pos Fusion Open 2-3 Lev SPDLPFO23 / = RGH Spine Ant DLIF w Pos Fusion Open 2-3 Lev w Nav SPDLPFO23N / = RGH Spine Ant DLIF w Pos Fusion Open 4+ Lev SPDLPFO4 / = RGH Spine Ant DLIF w Pos Fusion Open 4+ Lev w Nav SPDLPFO4N / = RGH Spine Ant DLIF w Pos Fusion Open/MIS Multi Lev SPDLPFHM / = RGH Spine Ant DLIF w Pos Fusion Open/MISMulti w Nav SPDLPFHNM / = RGH Spine Ant OLIF 1 Lev SPOL1L / = RGH Spine Ant OLIF Multi Lev SPOLML / = RGH Spine Ant OLIF w Pos Fusion SPOLPF / = RGH Spine Ant OLIF w Pos Fusion MIS SPOLPFM / = RGH Spine Ant OLIF w Pos Fusion MIS w Nav SPOLPFMN / = RGH Spine Ant OLIF w Pos Fusion Open/MIS SPOLPFOM / = RGH Spine Ant OLIF w Pos Fusion w Nav SPOLPFN / = RGH Spine Cer Ant Dec w Fus Odontoid Cervical SPCADSOC 0 0 / 0 = 0 0 RGH Spine Cer Ant Dec w Fusion 1 Lev SPCADF1 0 0 / 0 = 0 0 RGH Spine Cer Ant Dec w Fusion 2-3 Lev SPCADF23 / = RGH Spine Cer Ant Dec w Fusion 4-7 Lev SPCADF47 / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Spine Cer Ant Dec+/-Lam+/-Disc SPCAD 0 0 / 0 = 0 0 RGH Spine Cer Ant Disc Arthroplasty 1 Lev SPCADA1 0 0 / 0 = 0 0 RGH Spine Cer Ant Disc Arthroplasty Multi Lev SPCADAM / = RGH Spine Cer Ant Disc Arthroplasty w Fusion SPCADHAAFH 0 0 / 0 = 0 0 RGH Spine Cer Ant Odontoid Transoral Excision w MRT SPCAOTRMRT 0 0 / 0 = 0 0 RGH Spine Cer Ant Pos Dec w Fusion SPCAPDF 0 0 / 0 = 0 0 RGH Spine Cer Ant Pos Tumour Excision w Fusion w Nav SPCAPTEFN / = RGH Spine Cer Ant Tumour Excision w Fusion SPCATMRMF / = RGH Spine Cer Pos Dec Laminoplasty 1 Lev SPCPDL1 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec Laminoplasty 2-3 Lev SPCPDL23 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec Laminoplasty 4+ Lev SPCPDL4 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec w Fusion 1 Lev SPCPDF1 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec w Fusion 1 Lev w Nav SPCPDF1N 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec w Fusion 2-4 Lev SPCPDF24 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec w Fusion 2-4 Lev w Nav SPCPDF24N 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec w Fusion 5-7 Lev SPCPDF57 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec w Fusion 5-7 Lev w Nav SPCPDF57N 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec w Fusion Occipital Cervical SPCPDSOC 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec+/-Lam+/-Disc MIS SPCPDMIS 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec+/-Lam+/-Disc+/-Cyst 1 Lev SPCPD1 0 0 / 0 = 0 0 RGH Spine Cer Pos Dec+/-Lam+/-Disc+/-Cyst Multi Lev SPCPDM 0 0 / 0 = 0 0 RGH Spine Cer Pos Tumour Excision w Fusion SPCPTMRMF / = RGH Spine Cer/Tho/Lum Pos Fusion w Iliac Redn SPCTLPFIR / = RGH Spine Cord Tumour/Lipoma Excision SPCDTRDEX 0 0 / 0 = 0 0 RGH Spine CSF Leak Repair SPCSFLRP / = RGH Spine Hardware Removal SS SPHDWRM 75 60 / 30 = 90 165 RGH Spine Hardware Removal SS Emergency E0 SPHDWRME0 / = RGH Spine I&D SS SPIDSS 60 45 / 30 = 75 135 RGH Spine Lum Ant Pos Dec w Fusion SPLAPDF 0 0 / 0 = 0 0 RGH Spine Lum Drain Insertion SPLDIN 0 0 / 0 = 0 0 RGH Spine Lum Pos Detether Fatty Filum Terminale SPLPLDFT 0 0 / 0 = 0 0 RGH Spine Lum Pos Fusion No Instrumentation SPLPFNI 180 0 / 30 = 30 210 RGH Spine Lum Pos Pseudo Meningo/Cystocele Repair SPMYMRP 0 0 / 0 = 0 0 RGH Spine Lum/Sac Pos Bolman w Fusion 1 Lev SPLSPBF1 / = RGH Spine Lumbo Peritoneal Shunt Insertion SPSHLPIN 0 0 / 0 = 0 0 RGH Spine Lumbo Peritoneal Shunt Revision SPSHLPRV 0 0 / 0 = 0 0 RGH Spine Myelomeningocele Repair SPMYERP / = RGH Spine Rib Expander Magec Rod Insertion SPRIBEXPMR / = RGH Spine Rib Expander PLUS Rev+/-Magec Rod SPRIBEXPLR / = RGH Spine Rib Expander PLUS Stage 1 SPRIBEXPL1 / = RGH Spine Rib Expander Solera 4.75 Rev+/-Magec Rod SPRIBEXPSR / = RGH Spine Rib Expander Solera 4.75 Stage 1 SPRIBEXPS1 / = RGH Spine Rib Expander VEPTR Insertion SPRIBEXPIN 120 90 / 40 = 130 250 RGH Spine Rib Expander VEPTR Jackup/Expansion SPRIBEXPJU 0 0 / 0 = 0 0 RGH Spine Rib Expander VEPTR Revision SPRIBEXPRV 0 0 / 0 = 0 0 RGH Spine Rib Expander Xia 4.5 Insertion SPRIBEXPIX / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Spine Rib Expander Xia 4.5 Revision SPRIBEXPRX / = RGH Spine Tho Ant Pos Dec w Fusion SPTAPDF 360 90 / 45 = 135 495 RGH Spine Tho Pos Fusion Medtronic Solera SPTPFMS 375 60 / 60 = 120 495 RGH Spine Tho Pos Fusion Medtronic Solera 4.75 SPTPFMS4 / = RGH Spine Tho Pos Fusion Pivot Link Universal/PLUS SPTPPLUS / = RGH Spine Tho Pos Fusion Synthes Instrument SPTPFSI 360 150 / 60 = 210 570 RGH Spine Tho Pos Fusion w Iliac Redn Medt Solera SPTPFIRMS / = RGH Spine Tho Pos Fusion w Iliac Redn Universal PLUS SPTPFIRUP / = RGH Spine Tho/Lum Ant Disc Arthroplasty 1 Lev SPLADA1 0 0 / 0 = 0 0 RGH Spine Tho/Lum Ant Disc Arthroplasty Multi Lev SPLADAM 0 0 / 0 = 0 0 RGH Spine Tho/Lum Ant Disc Arthroplasty w Fusion SPLAHDAF / = RGH Spine Tho/Lum Ant DLIF 1 Lev SPLLIF1 0 0 / 0 = 0 0 RGH Spine Tho/Lum Ant DLIF 2-3 Lev SPLLIF23 0 0 / 0 = 0 0 RGH Spine Tho/Lum Ant DLIF 4+ Lev SPLLIF4 0 0 / 0 = 0 0 RGH Spine Tho/Lum Ant Retro-Per Dec w Fusion 1 Lev SPLADF1 150 80 / 40 = 120 270 RGH Spine Tho/Lum Ant Retro-Per Dec w Fusion 2-3 Lev SPLADF23 240 60 / 30 = 90 330 RGH Spine Tho/Lum Ant Thor Dec w Fusion 1 Lev SPTADF1 0 0 / 0 = 0 0 RGH Spine Tho/Lum Ant Thor Dec w Fusion Multi Lev SPTADFM 300 90 / 45 = 135 435 RGH Spine Tho/Lum Ant Thor Fusion+/-Medtronic Legacy SPTAFML 400 150 / 45 = 195 595 RGH Spine Tho/Lum Ant Thor Tumour Excision w Fusion SPTLATMRMF / = RGH Spine Tho/Lum En Bloc Tumour Exc SPTLEBTUEX / = RGH Spine Tho/Lum Pos Dec w Fusion 1 Lev SPLPDF1 220 45 / 20 = 65 285 RGH Spine Tho/Lum Pos Dec w Fusion 1 Lev w Nav SPLPDF1N 0 0 / 0 = 0 0 RGH Spine Tho/Lum Pos Dec w Fusion 2-3 Lev SPLPDF23 220 45 / 20 = 65 285 RGH Spine Tho/Lum Pos Dec w Fusion 2-3 Lev w Nav SPLPDF23N 0 0 / 0 = 0 0 RGH Spine Tho/Lum Pos Dec w Fusion 4+ Lev SPLPDF4 400 45 / 20 = 65 465 RGH Spine Tho/Lum Pos Dec w Fusion 4+ Lev w Nav SPLPDF4N 0 0 / 0 = 0 0 RGH Spine Tho/Lum Pos Dec w Fusion MIS 1 Lev SPLPDFMIS1 185 55 / 20 = 75 260 RGH Spine Tho/Lum Pos Dec w Fusion MIS 1 Lev w Nav SPLPDFMI1N 0 0 / 0 = 0 0 RGH Spine Tho/Lum Pos Dec w Fusion MIS 2 Lev SPLPDFMIS2 200 60 / 20 = 80 280 RGH Spine Tho/Lum Pos Dec w Fusion MIS 2 Lev w Nav SPLPDFMI2N 0 0 / 0 = 0 0 RGH Spine Tho/Lum Pos Dec w Fusion MIS 3+ Lev SPLPDFMIS3 280 65 / 20 = 85 365 RGH Spine Tho/Lum Pos Dec w Fusion MIS 3+ Lev w Nav SPLPDFMI3N 0 0 / 0 = 0 0 RGH Spine Tho/Lum Pos Dec w Intradural Stem Cell Impl SPTLPDSCIM 0 0 / 0 = 0 0 RGH Spine Tho/Lum Pos Dec w Kyphoplasty SPTLPDK / = RGH Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 1 Lev SPLPDMIS1 45 40 / 20 = 60 105 RGH Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 2-3 Lev SPLPDMIS23 120 75 / 30 = 105 225 RGH Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 4+ Lev SPLPDMIS4 120 75 / 30 = 105 225 RGH Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 1 Lev SPLPD1 45 40 / 20 = 60 105 RGH Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 2-3 Lev SPLPD23 120 45 / 20 = 65 185 RGH Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 4+ Lev SPLPD4 / = RGH Spine Tho/Lum Pos Fusion Open/MIS Multi Lev SPTLPHOMM 130 60 / 25 = 85 215 RGH Spine Tho/Lum Pos Fusion Open/MIS Multi Lev w Nav SPTLPHOMN / = RGH Spine Tho/Lum Pos Fusion w Kyphoplasty SPTLPFK / = RGH Spine Tho/Lum Pos Kyphoplasty SPLPVP 50 30 / 30 = 60 110 RGH Spine Tho/Lum Pos Rev State Type Ped SPTLPRVP / =

Generated: 2021-04-06 11:09 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: RGH 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 RGH Spine Tho/Lum Pos Tumour Excision w Fusion SPTPTMRMF / = RGH Spine Tho/Lum Pos Tumour Excision w Fusion MIS SPTPTMRMFM / = RGH Spine Tho/Lum Pos Tumour Excision w Fusion W Nav SPTPTMRMFN / = RGH Spine Tumour Excision Bone SPTMRMB 0 0 / 0 = 0 0 STP RGH Bone Skin Tendon Vein Retrieval Cadaver BNSKTNVRTV 480 30 / 30 = 60 540 RGH Heart Retrieval for Valves Cadaver HRRTRV / = RGH Skin Tissue Retrieval Cadaver SKTISRTRV 240 30 / 30 = 60 300 RGH Skin+/-Veins Retrieval Cadaver SKNVRETV 180 30 / 20 = 50 230 THO RGH Chest Tube Insertion CHTBIN 0 0 / 0 = 0 0 RGH Esophageal Perforation Repair ESPRFRP 240 90 / 45 = 135 375 RGH Esophagectomy Ivor Lewis ESECTIL 300 90 / 30 = 120 420 RGH Esophagectomy Laparoscopy/Thoracoscopic Ivor Lewis ESECTLCTIL / = RGH Esophagectomy Laparotomy/Thoracoscopic Ivor Lewis ESECTLTIL / = RGH Esophagectomy Thoracoabdominal ESECTHAB 0 0 / 0 = 0 0 RGH Esophagectomy Transhiatal ESECTH 0 0 / 0 = 0 0 RGH Esophagectomy Transthoracic 3 Hole ESECTT 300 90 / 30 = 120 420 RGH Laparoscopy Diaphragm Pacing Device Insertion LSCDPD 0 0 / 0 = 0 0 RGH Laparoscopy Esophagectomy LSCESG 0 0 / 0 = 0 0 RGH Laparotomy Cardiomyotomy/Heller Myotomy LPYCARDMY 0 0 / 0 = 0 0 RGH Mediastinal Mass Excision MEDMSREM 120 75 / 20 = 95 215 RGH Mediastinal Sternotomy MEDSTOMY 120 75 / 30 = 105 225 RGH Mediastinoscopy Thoracic Anterior MEDSCTXA 0 0 / 0 = 0 0 RGH Mediastinoscopy Thoracic Cerv+/-Flexible Bronch MEDSCTXCFB / = RGH Neck Tracheal Excision NKTRCRS 0 0 / 0 = 0 0 RGH Neck Tracheal Excision w Tracheostomy NKTRCRSTRC 0 0 / 0 = 0 0 RGH Rib Excision RIBRS 90 60 / 30 = 90 180 RGH Rib Excision First Transaxillary Approach RIBRFTA 120 40 / 20 = 60 180 RGH Rib Excision Supraclavicular Cervical RIBRSCC / = RGH Subxiphoid Pericardial Window SUBXIPERWI / = RGH Thoracic Duct Ligation THODCTLIG 180 90 / 30 = 120 300 RGH Thoracoscopy TSC 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Lung Biopsy TSCLUGBX 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Lung Bullectomy Apical Pleurect TSCLUGBULP 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Lung Decortication Empyema TSCLUGDEEM / = RGH Thoracoscopy/VATS Lung Lobect w Cerv Medstinoscpy TSCLUGLBCM / = RGH Thoracoscopy/VATS Lung Lobectomy TSCLUGLB 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Lung Wedge Excision TSCLUGRS 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Mediastinal Cyst Excision TSCMEDCYEX / = RGH Thoracoscopy/VATS Operative TSCOP 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Pectus Excavatum/Nuss Repair TSCPCXRP 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Sympathectomy TSCSYM 0 0 / 0 = 0 0 RGH Thoracoscopy/VATS Thymectomy +/-Mediastinal Mass TSCTHYM / = RGH Thoracoscopy/VATS Tracheal Esophageal Fistula Rep TSCTRCESFR / = RGH Thoracotomy THO 180 75 / 30 = 105 285

Generated: 2021-04-06 11:09 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: RGH 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 RGH Thoracotomy Diaphragm Rupture Repair THODPHRURP 0 0 / 0 = 0 0 RGH Thoracotomy Hernia Diaphragmatic Repair THODPHHERP 175 75 / 20 = 95 270 RGH Thoracotomy Lung Biopsy THOLUGBX 100 60 / 30 = 90 190 RGH Thoracotomy Lung Bullectomy/Pleurectomy THOLUGBUL 60 90 / 35 = 125 185 RGH Thoracotomy Lung Decortication Empyema THOLUGDC 150 75 / 35 = 110 260 RGH Thoracotomy Lung Lobectomy THOLUGLB 150 75 / 30 = 105 255 RGH Thoracotomy Lung Lobectomy w Cerv Mediastinoscopy THOLUGLBCM / = RGH Thoracotomy Lung Pneumonectomy THOLUGPNEC 150 75 / 30 = 105 255 RGH Thoracotomy Lung Wedge Excision THOLUGRS 150 90 / 45 = 135 285 RGH Thoracotomy Pectus Excavatum Repair THOPCXRP 0 0 / 0 = 0 0 RGH Thoracotomy Pericardial Window THOPCWI 75 90 / 45 = 135 210 RGH Thoracotomy Sympathectomy THOSYM 0 0 / 0 = 0 0 RGH Thoracotomy Tracheal Esophageal Fistula Repair THOTRCESFR 180 90 / 30 = 120 300 RGH Thoracotomy Trauma THOTRAUMA 210 90 / 45 = 135 345 RGH Thoracotomy With Interventional Radiology THOENDVIR / = RGH Throat Bronchoscopy Bronchoalveolar Lavage/BAL THRBSCBL 15 30 / 30 = 60 75 RGH Throat Bronchoscopy Flexible Foreign Body Removal THRBSCFFB 20 30 / 10 = 40 60 RGH Throat Bronchoscopy Flexible+/-Biopsy THRBSCFBX 15 20 / 10 = 30 45 RGH Throat Bronchoscopy Intervention/Stent/Caut/Debulk THRBSCISCD 0 0 / 0 = 0 0 RGH Throat Bronchoscopy Rigid+/-Biopsy THRBSRBX 30 30 / 20 = 50 80 RGH Thymectomy THYMEC 0 0 / 0 = 0 0 TRN RGH AV Fistula Basilic Transposition AVFBT 0 0 / 0 = 0 0 RGH AV Fistula Creation AVFISCR 0 0 / 0 = 0 0 RGH AV Fistula Embolectomy+/-Declot AVFISEMB 0 0 / 0 = 0 0 RGH AV Fistula Ligation AVFISLIG 40 20 / 10 = 30 70 RGH AV Fistula Revision/Repair AVFISRV 0 0 / 0 = 0 0 RGH AV Graft Embolectomy+/-Declot AVGFEMB 0 0 / 0 = 0 0 RGH AV Graft Insertion AVGFIN 0 0 / 0 = 0 0 RGH AV Graft Removal AVGFRM 0 0 / 0 = 0 0 RGH AV Graft Revision AVGFRV 0 0 / 0 = 0 0 RGH Catheter PD/Tenckhoff Insertion/Revision CATNCINRV 0 0 / 0 = 0 0 RGH Catheter PD/Tenckhoff Removal CATNCHRM 10 10 / 10 = 20 30 RGH Human Organ Procurement Retrieval HOPE 180 60 / 45 = 105 285 RGH Human Organ Procurement Retrieval DCD HOPEDCD / = RGH Kidney Pancreas Transplant Recipient KIDPATRP / = RGH Kidney Transplant Excision KIDTRPREM / = RGH Kidney Transplant Recipient KIDTRPR / = RGH Kidney+/-Pancreas Organ Prep Cadaver KIDPAOPC / = RGH Laparoscopy Catheter Tenchoff Insert/Revision LSCCATNCIN 60 30 / 15 = 45 105 RGH Laparoscopy Nephrectomy Living Donor LSCNPHLD 0 0 / 0 = 0 0 RGH Laparotomy Nephrectomy Living Donor LPYNPHLD 0 0 / 0 = 0 0 RGH Laparotomy Transplant Exploration/Revision LPYTRNEXPL 0 0 / 0 = 0 0 RGH Pancreas Transplant Recipient PANTRPRC 0 0 / 0 = 0 0 URO RGH Bladder Artificial Sphincter Female Insert BLARFSPHCF 120 30 / 15 = 45 165

Generated: 2021-04-06 11:09 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: RGH 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 RGH Bladder Artificial Sphincter Male Insert BLARFSPHCM 120 35 / 15 = 50 170 RGH Bladder Artificial Sphincter Male Removal BLARFSPREM 60 20 / 20 = 40 100 RGH Catheter Suprapubic Insertion+/-Revision/Change CASPIN 15 10 / 10 = 20 35 RGH Cystolitholapaxy w Laser Holmium CYSLTLZH 30 15 / 15 = 30 60 RGH Cystolitholapaxy w Laser Holmium & TURP CYSLTLZHTU 80 25 / 15 = 40 120 RGH Cystoscopy CYSC 10 10 / 10 = 20 30 RGH Cystoscopy +/-Stent Insert+/-Chg+/- Pyelogram CYSCSTIN 15 15 / 10 = 25 40 RGH Cystoscopy Bladder Biopsy CYBLBX 20 15 / 10 = 25 45 RGH Cystoscopy Bladder Distention CYSBLDIS 10 15 / 10 = 25 35 RGH Cystoscopy Bladder Neck TUR CYSBLNTUR 40 20 / 10 = 30 70 RGH Cystoscopy Bladder Neck TUR w Green Light Laser CYSBLNLZG 25 15 / 10 = 25 50 RGH Cystoscopy Bladder Neck TUR w Laser Holmium CYSBLNLZH 45 15 / 10 = 25 70 RGH Cystoscopy Bladder Tumour TUR CYSBLTTUR 30 20 / 15 = 35 65 RGH Cystoscopy Bladder Tumour TUR Chemo Instillation CYSBLTTURC 45 20 / 10 = 30 75 RGH Cystoscopy Bladder Tumour TUR Laser Holmium CYSBLTULZH 30 15 / 10 = 25 55 RGH Cystoscopy Flexible CYSCFLX 20 10 / 10 = 20 40 RGH Cystoscopy Foreign Body Removal CYSCFBRM 30 10 / 10 = 20 50 RGH Cystoscopy Intravesical Botox Injection CYSVBOTINJ 15 20 / 10 = 30 45 RGH Cystoscopy Radiofrequency Ablation Bladder Trigone CYSCRABT / = RGH Cystoscopy Sting Procedure CYSCSTING 40 20 / 10 = 30 70 RGH Cystoscopy Supra Pubic CYSCSP 15 10 / 15 = 25 40 RGH Cystoscopy Transurethral Bulking Agent Injection CYSTURDFIJ 10 10 / 10 = 20 30 RGH Cystoscopy Tumour+/-Fulguration CYSCTMFLG 30 15 / 10 = 25 55 RGH Cystoscopy TUR Ureteral Valves CYSCTURUV 10 20 / 10 = 30 40 RGH Cystoscopy Urethral Dilation CYSCURDIL 10 15 / 10 = 25 35 RGH Cystoscopy w Stent Removal+/-Ureteroscopy CYSCSTRM 20 20 / 10 = 30 50 RGH Endoscopic Ante Ileal Ureterotomy Perc ENSANIURP 75 40 / 20 = 60 135 RGH Endoscopic Ante Ileal Ureterotomy Perc Bil ENSANIURPB 105 40 / 20 = 60 165 RGH Inguinal Lymph Node Dissection INGNDDS 60 25 / 15 = 40 100 RGH Laparoscopy Adrenalectomy Robotic LSCADRER 120 60 / 30 = 90 210 RGH Laparoscopy Cystectomy Partial Robotic LSCCYPRD 45 30 / 25 = 55 100 RGH Laparoscopy Kidney Cyst Decortication LSCKIDCD 90 40 / 20 = 60 150 RGH Laparoscopy Lymph Node Biopsy Pelvic/Abdominal LSCLYNDEX 90 45 / 30 = 75 165 RGH Laparoscopy Nephrectomy LSCNPH 120 50 / 20 = 70 190 RGH Laparoscopy Nephrectomy Bilateral LSCNPHB 210 75 / 30 = 105 315 RGH Laparoscopy Nephrectomy Partial LSCNPHPT 120 45 / 25 = 70 190 RGH Laparoscopy Nephrectomy Partial Retroperitoneal LSCNPHPRET 120 30 / 30 = 60 180 RGH Laparoscopy Nephrectomy Partial Robotic LSCNPHPRDV 120 60 / 30 = 90 210 RGH Laparoscopy Nephrectomy Retroperitoneal LSCNPHRET 150 60 / 20 = 80 230 RGH Laparoscopy Nephroureterectomy LSCNPHURE 210 45 / 30 = 75 285 RGH Laparoscopy Nephroureterectomy Robotic LSCNPHURER 120 50 / 30 = 80 200 RGH Laparoscopy Prostate Rad Robot Pel Lymph Nod DisBi LSCPRRARDV 250 50 / 20 = 70 320 RGH Laparoscopy Pyeloplasty LSCPLYPTY 130 45 / 20 = 65 195 RGH Laparoscopy Pyeloplasty Robotic LSCPLYRDV 115 50 / 20 = 70 185 RGH Laparoscopy Pyeloplasty Robotic Bilateral LSCPLYRDVB 180 55 / 20 = 75 255 RGH Laparoscopy Pyeloplasty w Buccal Muc Graft Robotic LSCPLYPGR 120 30 / 20 = 50 170

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparoscopy Pyeloplasty w Buccal Mucosal Graft LSCPLYPBG 120 20 / 20 = 40 160 RGH Laparoscopy Pyeloplasty w Buccal Mucosal Graft Bil LSCPLYPBGB 180 20 / 20 = 40 220 RGH Laparoscopy Pyeloplasty w Bucl Muc Graft Robot Bil LSCPLYPGRB 180 30 / 20 = 50 230 RGH Laparoscopy Testicle Undescended Diagnostic +/-Exc LSCTSTDIEX 60 30 / 20 = 50 110 RGH Laparoscopy Urachal Cyst Excision Robotic LSCURCRDV 60 50 / 20 = 70 130 RGH Laparoscopy Urachal Cyst/Sinus Repair LSCURAC 65 30 / 30 = 60 125 RGH Laparoscopy Ureter Reimplantation Robotic LSCURRER 75 40 / 20 = 60 135 RGH Laparoscopy Ureter Reimplantation Robotic Bil LSCURRERB 100 40 / 20 = 60 160 RGH Laparoscopy Varicocelectomy LSCVAREC 90 45 / 15 = 60 150 RGH Laparotomy Abd Retrop Node Dissect w Vasc Repair LPYABDRNVR 380 60 / 25 = 85 465 RGH Laparotomy Abdominal Retroperitoneal Node Dissecti LPYABDRPND 175 70 / 20 = 90 265 RGH Laparotomy Bladder Augmentation LPYBLAUG 180 45 / 20 = 65 245 RGH Laparotomy Bladder Cystectomy Ileal Conduit LPYBLCYILC 240 50 / 20 = 70 310 RGH Laparotomy Bladder Cystectomy Indiana Pouch LPYBLCYINP 330 60 / 30 = 90 420 RGH Laparotomy Bladder Cystectomy Partial LPYBLCYPT 120 45 / 20 = 65 185 RGH Laparotomy Bladder Cystectomy Studer Cont Divers LPYBLCYSCD 350 60 / 20 = 80 430 RGH Laparotomy Bladder Cystolithotomy Suprapubic LPYBLCYLIT 30 30 / 10 = 40 70 RGH Laparotomy Bladder Diverticulectomy LPYBLDIVEC 90 40 / 20 = 60 150 RGH Laparotomy Bladder Extrophy Repair LPYBLEXRP 300 60 / 30 = 90 390 RGH Laparotomy Bladder Fistula Vesicoenteric Repair LPYBLFVERP 115 25 / 20 = 45 160 RGH Laparotomy Bladder Fistula Vesicovaginal Repair LPYBLFVVRP 100 40 / 20 = 60 160 RGH Laparotomy Bladder Foreign Body Removal LPYBLFBRM 30 30 / 10 = 40 70 RGH Laparotomy Bladder Neck YV Plasty LPYBLNYVPL 80 30 / 20 = 50 130 RGH Laparotomy Bladder Rupture Repair LPYBLRURP 70 40 / 20 = 60 130 RGH Laparotomy Bladder Vesicostomy LPYBLVOST 50 25 / 15 = 40 90 RGH Laparotomy Colposacropexy LPYCOLSX 90 30 / 15 = 45 135 RGH Laparotomy Cystostomy Suprapubic LPYCYSOSTS 45 30 / 15 = 45 90 RGH Laparotomy Ileal Conduit/Urostomy Stoma Revision LPYILURREV 30 20 / 15 = 35 65 RGH Laparotomy Kidney Biopsy+/-Exploration LPYKIDBXEX 150 60 / 30 = 90 240 RGH Laparotomy Mitrofanoff Procedure LPYMITOF 210 60 / 30 = 90 300 RGH Laparotomy Mitrofanoff Procedure w Cecostomy tube LPYMITOCEC / = RGH Laparotomy Mitrofanoff Revision LPYMITOFRV / = RGH Laparotomy Nephrectomy Bilateral LPYNPHB 90 60 / 30 = 90 180 RGH Laparotomy Nephrectomy Partial LPYNPHPT 150 60 / 20 = 80 230 RGH Laparotomy Nephrectomy Radical LPYNPHRAD 120 60 / 25 = 85 205 RGH Laparotomy Nephrectomy Radical W Tumour Thrombus LPYNPHRTT 350 70 / 20 = 90 440 RGH Laparotomy Nephrectomy Wilms Tumour LPYNPHWTU 240 60 / 30 = 90 330 RGH Laparotomy Nephropyelo+/-Ureterop+/-Stent+/Cysto LPYNPHPYUT 120 60 / 30 = 90 210 RGH Laparotomy Nephroureterectomy LPYNPHURE 180 60 / 25 = 85 265 RGH Laparotomy Prostatectomy Partial LPYPRTPAR 60 20 / 20 = 40 100 RGH Laparotomy Prostatectomy Rad/Pelvic Node Dissect LPYPRTRPND 130 40 / 20 = 60 190 RGH Laparotomy Renal Cryoablation LPYRNCRY 120 40 / 20 = 60 180 RGH Laparotomy Urachal Cyst Excision LPYUCEX 75 30 / 20 = 50 125 RGH Laparotomy Ureter Reimplantation LPYURREIM 150 45 / 20 = 65 215 RGH Laparotomy Ureter Reimplantation Bilateral LPYURREIMB 150 35 / 20 = 55 205 RGH Laparotomy Ureter Repair LPYURRP 150 60 / 20 = 80 230

Generated: 2021-04-06 11:09 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: RGH 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 RGH Laparotomy Ureterectomy+/-Ureteroureterostomy LPYUROST 180 45 / 20 = 65 245 RGH Laparotomy Uretheral Repair+/-Uretheroplasty LPYUTHRP 60 45 / 15 = 60 120 RGH Nephrolitho Perc & Calyceal Diverti Exc+/-Stent Rm NPHLTHPCAL 150 30 / 15 = 45 195 RGH Nephrolithotripsy Perc Operativ w Laser+/-Stnt Ins NPHLTHPRLZ 90 35 / 25 = 60 150 RGH Nephrolithotripsy Percutaneous Bil+/-Stent Rm NPHLTHPRCB 180 35 / 25 = 60 240 RGH Nephrolithotripsy Percutaneous+/-Stent Rm NPHLTHPRC 90 35 / 20 = 55 145 RGH Nephropyeloplasy Percutaneous NPHPPTYPRC 90 30 / 20 = 50 140 RGH Penile Prosthesis Insertion/Revision PENPROSIN 150 30 / 15 = 45 195 RGH Penile Prosthesis Removal PENPROSRM 40 20 / 15 = 35 75 RGH Penile Urethral Reconstruction PENURRECON 60 25 / 20 = 45 105 RGH Penis Chordee Repair PENCORDRP 30 20 / 10 = 30 60 RGH Penis Circumcision PENCIRC 25 20 / 15 = 35 60 RGH Penis Circumcision w Cystoscopy PENCIRCCYS 30 20 / 15 = 35 65 RGH Penis Circumcision w Meatoplasty PENCIRCMP / = RGH Penis Dorsal Ventral Slit PENDVSL 30 30 / 10 = 40 70 RGH Penis Hypospadias Repair Distal+/-Cystoscopy PENHYDSPRD 30 20 / 10 = 30 60 RGH Penis Hypospadias Repair Proximal+/-Cystoscopy PENHYDSPRP 60 20 / 10 = 30 90 RGH Penis Hypospadias w Chordee Repair PENHYPOCOR 60 30 / 20 = 50 110 RGH Penis Nesbit Repair PENNSBRP 60 30 / 20 = 50 110 RGH Penis Penectomy PENEC 120 30 / 20 = 50 170 RGH Penis Penectomy Sentinel Node Dissection PENECNDS 90 20 / 15 = 35 125 RGH Penis Phalloplasty/Penoplasty PENPHPTY 15 25 / 10 = 35 50 RGH Penis Priapism Drainage PENPRIAD 20 20 / 15 = 35 55 RGH Penis Repair PENRP 60 30 / 15 = 45 105 RGH Perineal Cyst Excision PERNCYSEX 30 20 / 10 = 30 60 RGH Prostate Cryosurgery PRTCRYO 120 30 / 15 = 45 165 RGH Prostate Cryosurgery Salvage PRTCRYOS 70 30 / 20 = 50 120 RGH Prostate Needle Biopsy PRNLBX 25 15 / 10 = 25 50 RGH Prostate TURP PRTTUR 60 30 / 10 = 40 100 RGH Prostate TURP w Bladder Tumour TUR PRTTURBT 60 20 / 10 = 30 90 RGH Prostate TURP w Green Light Laser PRTTURLZG 40 30 / 15 = 45 85 RGH Testicle Biopsy+/-Vasogram TSTBX 30 15 / 10 = 25 55 RGH Testicle Epididymal Cyst Excision TSTEPCYEX 30 20 / 15 = 35 65 RGH Testicle Hydrocele Excision/Repair TSTHYDEX 30 25 / 10 = 35 65 RGH Testicle Hydrocele Excision/Repair Bilateral TSTHYDEXB / = RGH Testicle Implant Insertion TSTIMIN 25 30 / 15 = 45 70 RGH Testicle Implant Removal TSTIMRM 25 10 / 10 = 20 45 RGH Testicle Orchidectomy Bilateral TSTORCB 30 15 / 15 = 30 60 RGH Testicle Orchidectomy Radical TSTORCRAD 40 25 / 15 = 40 80 RGH Testicle Orchidectomy Scrotal TSTORCSCL 30 15 / 15 = 30 60 RGH Testicle Orchidopexy TSTORCPXY 25 25 / 15 = 40 65 RGH Testicle Orchidopexy Bilateral TSTORCPXYB 15 30 / 15 = 45 60 RGH Testicle Orchidopexy Bilateral w Circumcision TSTORPXPNB / = RGH Testicle Orchidopexy Unilateral w Circumcision TSTORPXPN / = RGH Testicle Spermatocelectomy TSTSMTEC 30 30 / 15 = 45 75 RGH Testicle Torsion Repair+/-Fixation+/-Orchidectomy TSTTORRPFX 30 20 / 10 = 30 60

Generated: 2021-04-06 11:09 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: RGH 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 RGH Testicle Varicocelectomy+/-Dorsal Vein Ligation TSTVRDVLIG 30 30 / 15 = 45 75 RGH Testicle+/-Scrotal Exploration TSTSCTEXP 30 30 / 15 = 45 75 RGH Ureteroscopy URSC 40 20 / 10 = 30 70 RGH Ureteroscopy +/-Stent +/-Pyelo +/-Bx +/-Stone Ext URSCSTIN 30 20 / 10 = 30 60 RGH Ureteroscopy Antegrade w Holmium Laser+/-Stent Ins URSCALZH 30 20 / 15 = 35 65 RGH Ureteroscopy Bilateral URSCB 60 20 / 10 = 30 90 RGH Ureteroscopy wLsr Ho+/-St+/-Pyel+/-Bx+/-StoneEx URSCLZH 50 20 / 15 = 35 85 RGH Ureteroscopy wLsr Ho+/-St+/-Pyel+/-Bx+/-StoneEx Bi URSCLZHB 80 20 / 15 = 35 115 RGH Ureteroscopy+/-Stent+/-Pyelo+/-Bx +/-Stone Ext Bi URSCSTINB 60 20 / 10 = 30 90 RGH Urethra Caruncle Excision URCUEX 25 30 / 15 = 45 70 RGH Urethra Meatoplasty/Meatotomy URMEATPTY 10 20 / 15 = 35 45 RGH Urethra Skenes Cyst Excision URSKCYEX 45 30 / 15 = 45 90 RGH Urethral Diverticulum Excision URDIVEX 60 30 / 15 = 45 105 RGH Urethral Genital Warts Ablation w Laser Holmium URGWTABLZH 10 15 / 10 = 25 35 RGH Urethral Meatoplasty w Cystoscopy URMEATCY 0 0 / 0 = 0 0 RGH Urethral Reconstruction Posterior URRCNP 165 60 / 20 = 80 245 RGH Urethral Reconstruction w Mucosal Graft URRCNMG 120 30 / 15 = 45 165 RGH Urethral Sling Male URSLINGM 75 30 / 20 = 50 125 RGH Urethral Vaginal Fistula Repair URVFSRP 150 60 / 15 = 75 225 RGH Urethrectomy, Perineal Approach URETH 90 30 / 15 = 45 135 RGH Urethroplasty URPTY 60 30 / 20 = 50 110 RGH Urethrostomy Perineal UROSTPER 75 45 / 30 = 75 150 RGH Urethrotomy Endoscopic+/-Retrograde Urethrogram UROTEND 30 20 / 15 = 35 65 RGH Urethrotomy w Laser UROTLZ 30 15 / 15 = 30 60 RGH Vaginal Bladder Sling Pubovaginal Lata Fascia VAGBLSLPVL 120 45 / 20 = 65 185 RGH Vaginal Fistula Vesicovaginal Repair VAGFISVVRP 90 25 / 25 = 50 140 RGH Vaginoscopy VAGSC 5 15 / 10 = 25 30 RGH Vasectomy VASEC 15 20 / 10 = 30 45 RGH Vasectomy Bilateral VASECB 15 20 / 10 = 30 45 RGH Vasogram VASGRM 30 15 / 10 = 25 55 RGH Vasovasostomy VASVOST 150 45 / 20 = 65 215 VAS RGH Angiogram Diagnostic ANGIOGMD / = RGH Angiogram Therapeutic ANGIOGMT 180 30 / 10 = 40 220 RGH Angiogram/Venogram Intraoperative ANGIOGMOP 30 10 / 10 = 20 50 RGH Angioplasty SS ANGIOPTY / = RGH Aorta Cerclage Endo Leak Repair HRAOCELRP / = RGH Aortic Artery Thrombectomy HRAOTHEC / = RGH Artery Brachial Embolectomy ARTBREMB / = RGH Artery Peripheral Thrombectomy Bilateral SS ARTPFTHB 120 30 / 20 = 50 170 RGH Artery Peripheral Thrombectomy SS ARTPFTH 0 0 / 0 = 0 0 RGH Axillo Brachio Artery Bypass AXBRBY 0 0 / 0 = 0 0 RGH Axillo Femoral Artery Bypass Redo AXFEBYR 0 0 / 0 = 0 0 RGH Axillo Femoral Artery Bypass Uni/Bi AXBFEBY 0 0 / 0 = 0 0 RGH Carotid Artery Aneurysm Repair CTANRP 150 40 / 30 = 70 220 RGH Carotid Artery Body Tumour Excision CTABDTEX 150 45 / 20 = 65 215

Generated: 2021-04-06 11:09 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: RGH 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 RGH Carotid Artery Endarterectomy+/-Embolectomy CTAENDEMB 0 0 / 0 = 0 0 RGH Carotid Subclavian Artery Bypass CTSUBABY 150 60 / 30 = 90 240 RGH Endovascular AAA Repair ENDVAAA 0 0 / 0 = 0 0 RGH Endovascular AAA Repair Percutaneous ENDVAAAPRC / = RGH Endovascular Fenestrated Stenting ENDVFST 0 0 / 0 = 0 0 RGH Endovascular Internal Iliac Arty Coil Embolization ENDVIIACE / = RGH Endovascular Post AAA Artery Repair SS ENDVAAALR / = RGH Endovascular Thoracic Aorta Aneurysm Stent ENDVTXAAST 0 0 / 0 = 0 0 RGH Endovascular Thoracoabdominal Stent Insertion ENDVTHABST 0 0 / 0 = 0 0 RGH Femoral Artery Endarterectomy+/-Embolectomy FEAENDEMB 120 40 / 30 = 70 190 RGH Femoral Artery False Aneurysm Repair FEAFANRP 120 30 / 20 = 50 170 RGH Femoral Artery Profundoplasty FEPFPTY 0 0 / 0 = 0 0 RGH Femoral Popliteal Artery Bypass FEPOPABY 180 60 / 20 = 80 260 RGH Femoral Popliteal Artery Bypass Redo FEPOPABYRD 0 0 / 0 = 0 0 RGH Femoral Popliteal Artery Bypass Vein Graft FEPOPABYVG 0 0 / 0 = 0 0 RGH Femoral Tibial Artery Bypass FETBABY 0 0 / 0 = 0 0 RGH Femoral Tibial Artery Bypass Redo FETBABYRD 0 0 / 0 = 0 0 RGH Femoral to Femoral Artery Bypass FEFEABY 210 60 / 30 = 90 300 RGH Femoral to Femoral Artery Bypass Redo FEFEABYRD 0 0 / 0 = 0 0 RGH Iliac Artery Aneurysm Repair ILARANRP 0 0 / 0 = 0 0 RGH Iliac Artery Endarterectomy+/-Embolectomy ILARENDEMB 180 15 / 15 = 30 210 RGH Iliac Femoral Artery Bypass ILFEABY 0 0 / 0 = 0 0 RGH Iliac Femoral Artery Bypass Redo ILFEABYRD 0 0 / 0 = 0 0 RGH Laparotomy AA Debranching & Extra Anatomic Bypass LPYAADEABY 225 75 / 30 = 105 330 RGH Laparotomy AAA Booked LPYAAABK 225 75 / 30 = 105 330 RGH Laparotomy AAA Redo LPYAAARD 0 0 / 0 = 0 0 RGH Laparotomy AAA Ruptured LPYAAARU 180 75 / 30 = 105 285 RGH Laparotomy Aortic Artery Endarterectomy LPYAOAREND 0 0 / 0 = 0 0 RGH Laparotomy Aorto Bifemoral Artery Bypass LPYAOBFEBY 0 0 / 0 = 0 0 RGH Laparotomy Aorto Bifemoral Artery Bypass Redo LPYAOBFERD 0 0 / 0 = 0 0 RGH Laparotomy Aorto Mesenteric Artery Bypass LPYAMESABY 0 0 / 0 = 0 0 RGH Laparotomy Aorto Renal Artery Bypass LPYAORNBY 0 0 / 0 = 0 0 RGH Laparotomy Aorto Renal Artery Repair LPYAORNRP 280 75 / 30 = 105 385 RGH Laparotomy Artery Stent GraftRemovalwGraftInsertSS LPYSTRMGSS / = RGH Laparotomy Renal Artery Aneurysm Repair LPYRNANRP 0 0 / 0 = 0 0 RGH Laparotomy Renal Artery Reimplantation LPYRNREIM 0 0 / 0 = 0 0 RGH Laparotomy Vena Cava Repair LPYVCRS 0 0 / 0 = 0 0 RGH Peripheral Artery Stent Insertion SS PFARTSTIN 0 0 / 0 = 0 0 RGH Popliteal Artery Aneurysm Repair POPARANBY 0 0 / 0 = 0 0 RGH Popliteal Artery Endarterectomy+/-Embolectomy POPARENDEM 0 0 / 0 = 0 0 RGH Thoracotomy Aorta Aneurysm Repair THOAARP 0 0 / 0 = 0 0 RGH Thoracotomy Aortic Arch Debranching THOARADEB / = RGH Vein Retrieval Segment SS VNRTRVSG 150 75 / 20 = 95 245 RGH Vessel Ligation SS VSLLIG 90 60 / 30 = 90 180

Generated: 2021-04-06 11:09 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: RGH 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 RGH

Generated: 2021-04-06 11:09 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]