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

Generated: 2021-04-06 11:08 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: PLC 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 PLC Pacemaker Insert Single Chamber HRPMSC / = PLC Pacemaker Insert Single Chamber Groin Approach HRPMSCGA / = PLC Pacemaker Insert Temporary HRPMINTP / = PLC Pacemaker Insert w CRT HRPMCRT / = PLC Pacemaker Insert w CRT Endocardial Transeptal HRPMCRTEND / = PLC Pacemaker Insert w His Bundle Pacing HRPMHISBP / = PLC Pacemaker Insert/Extraction Leadless HRPMLDLS / = PLC Pacemaker Revision Gen & Lead Upgrade to ICD HRPMRVICD / = PLC Pacemaker Revision Gen & Lead Upgrade to ICD w CRT HRPMRVICDC / = PLC Pacemaker Revision Generator Replace w Lead Insert HRPMRVGLEA / = PLC Pacemaker Revision Generator Replacement HRPMRVG / = PLC Pacemaker Revision Lead Extr Laser wReplac for CRT HRPMRVLZC / = PLC Pacemaker Revision Lead Extr+/-Replac+/-Gen Replac HRPMRVLG / = PLC Pacemaker Revision Lead Extrac w Replace for CRT HRPMRVLCRT / = PLC Pacemaker Revision Lead Reposition HRPMRVL / = PLC Pacemaker Revision LV LeadUpgrade forCRT+/-GenChg HRPMRVCRT / = PLC Pacemaker/ICD Ext Laser Gen+/-Lead/Drain Inf+/-Tem HRPMICEXLZ / = PLC Pacemaker/ICD Generator Removal HRPMICDGRE / = PLC Pacemaker/ICD Pocket Rev+/-Hematoma/Capsu/Scar Rev HRPMICDPK / = PLC Thoracotomy Heart Epicardial Lead Insertion THOEPCARLI / = COH PLC Aorta Ascend Arch Repl Endo Thor AA Stent+/-Hybrid HRAOARENDH / = PLC Aorta Coarctation w Graft HRCOAOGF / = PLC Aortic Coarctation Repair w/o Graft HRCOAORP / = PLC Aortic Root Dissection+/-Graft HRAORTGF / = PLC CABG Multiple Primary HRCABGMP / = PLC CABG Multiple Primary w Ablation RF HRCABGMPRF / = PLC CABG Multiple Redo HRCABGMR / = PLC CABG w Aortic Root Repair/Repl HRCABGARR / = PLC CABG w Aortic Root Repair/Repl Redo HRCABGARTR / = PLC CABG w Ascending Hemiarch Replace HRCABASHR / = PLC CABG w Valve Aortic Pulmonary Replace HRVLPUBY / = PLC CABG w Valve Repair/Repl Aortic HRCABGVA / = PLC CABG w Valve Repair/Repl Aortic Ablation RF HRCABGVARF / = PLC CABG w Valve Repair/Repl Aortic Mitral+/-Tric Redo HRCABGVRR / = PLC CABG w Valve Repair/Repl Aortic Mitral+/-Tricusp HRCABGVR / = PLC CABG w Valve Repair/Repl Aortic Redo HRCABGVARR / = PLC CABG w Valve Repair/Repl Mitral Ablation RF HRCABGVMRF / = PLC CABG w Valve Repair/Repl Mitral+/-Tricuspid HRCABGVMTR / = PLC CABG w Valve Repair/Repl Mitral+/-Tricuspid Redo HRCABGVMRR / = PLC Cardiopulmonary Bypass for Hypothermia HRBYHYPO / = PLC ECMO HRBYECMO / = PLC ECMO Line Repositioning HRBYECMOLR 50 10 / 10 = 20 70 PLC Heart Aneurysm Repair Bypass HRANRPBY / = PLC Heart Aortic Valve Implant Transcath Apical TAVI HRTAVIA / = PLC Heart Aortic Valve Implant Transcath Axillary TAVI HRTAVIAX / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Heart Aortic Valve Implant Transcath Direct TAVI HRTAVID / = PLC Heart Aortic Valve Implant Transcath Femoral TAVI HRTAVIF / = PLC Heart Atrial Septal Defect Repair Bypass HRASDRPBY / = PLC Heart Heartmate Insertion HRHMTIN / = PLC Heart Impella Insertion HRIMPELLIN 0 0 / 0 = 0 0 PLC Heart Patent Ductus Arteriosis HRPDAN / = PLC Heart Pericardial Centesis HRPRICNP / = PLC Heart Tumour Excision w Bypass HRTUEX / = PLC Heart Ventral Septal Defect Repair Bypass HRVENSDRP / = PLC Heart Ventricular Assist Device Insertion HRVADIN / = PLC Heart Ventricular Assist Device Insertion MIS HRVADINMIS / = PLC Heart Ventricular Assist Device Removal HRVADRM / = PLC Post Open Heart Reopen Bleed HRPSOHRBL / = PLC Post Open Heart Reopen Low Flow HRPSOHRLF / = PLC Post Open Heart Sternal Closure HRPSOHSCL / = PLC Post Open Heart Sternal Plating HRPSOHSFX / = PLC Pulmonary Embolectomy w Bypass HRPUEMBBY / = PLC Sternal Debridement Post Open Heart STDBPSOH 0 0 / 0 = 0 0 PLC Sternal Rewiring STREWIR 15 30 / 15 = 45 60 PLC Sternal Wire Removal STWIRRM 0 0 / 0 = 0 0 PLC Sternotomy Pericardectomy STPCEC 0 0 / 0 = 0 0 PLC Thoracic Aneurysm Dissection+/-Replace w Bypass HRTXANBY / = PLC Thoracoabdominal Aortic Aneurysm Repair w Bypass HRTAARBY 240 90 / 30 = 120 360 PLC Valve Aortic & Ascending Hemiarch Replacement HRVLASHEMR / = PLC Valve Aortic & Mitral Repair/ Replace+/-Tricuspid HRVLAMRRT / = PLC Valve Aortic & Mitral Repair/Replace+/-Tricus Redo HRVLAMRTR / = PLC Valve Aortic Repl Ross Proc+/-Allograft+/-Homograf HRVLARPAH / = PLC Valve Aortic Replacement Hemisternotomy HRVLAOHST / = PLC Valve Aortic Replacement Primary Ablation RF HRVLAORF / = PLC Valve Aortic Replacement Primary Prosthesis HRVLAOPR / = PLC Valve Aortic Replacement Primary Tissue HRVLAOTS / = PLC Valve Aortic Replacement Redo Prosthesis HRVLAOPRRD / = PLC Valve Aortic Replacement Redo Tissue HRVLAOTSRD / = PLC Valve Aortic Replacement Thoracotomy HRVLAOTHO / = PLC Valve Aortic Replacement w Homograft HRVLAOHG / = PLC Valve Aortic Sparing Aortic Root Replacement HRVLASARR / = PLC Valve Mitral Clip Repair HRVLMICPR / = PLC Valve Mitral Commissurotomy HRVLMICOM / = PLC Valve Mitral Repair HRVLMIRP / = PLC Valve Mitral Repair/Replace+/-Tricuspid HRVLMIRRT / = PLC Valve Mitral Repair/Replace+/-Tricuspid Redo HRVLMIRRTR / = PLC Valve Mitral Replacement Minimally Invasive MIVS HRVLMRMI / = PLC Valve Mitral Replacement Primary Ablation RF HRVLMIRF / = PLC Valve Mitral Replacement Primary Prosthesis HRVLMIPR / = PLC Valve Mitral Replacement Primary Tissue HRVLMITS / = PLC Valve Mitral Replacement Redo Prosthesis HRVLMIPRRD / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Valve Mitral Replacement Redo Tissue HRVLMITSRD / = PLC Valve Pulmonary Replacement Primary Prosthesis HRVLPUPR / = PLC Valve Pulmonary Replacement Primary Tissue HRVLPUTS / = PLC Valve Pulmonary Replacement Redo Prosth HRVLPUPRRD / = PLC Valve Pulmonary Replacement Redo Tissue HRVLPUTSRD / = PLC Valve Replacement Bentall Prosthesis HRVLBENT / = PLC Valve Replacement Bentall Redo HRVLBENTRD / = PLC Valve Tricuspid Repair HRVLTRRP / = PLC Valve Tricuspid Replacement Primary Tissue HRVLTRTS / = PLC Valve Tricuspid Replacement Prosthesis HRVLTRPR / = PLC Valve Tricuspid Replacement Redo Prosthesis HRVLTRPRRD / = PLC Valve Tricuspid Replacement Redo Tissue HRVLTRTSRD / = ENT PLC Adenoidectomy ADNEC 15 20 / 15 = 35 50 PLC Adenoidectomy M&T ADNMT 15 20 / 15 = 35 50 PLC Adenoidectomy SMDT ADNSMDT 25 20 / 15 = 35 60 PLC Auditory Brain Stem Response ABSR / = PLC Cranial Middle Fossa Dehiscence SemiCircular Canal CRMFDSCC / = PLC Cranial Orbital Sinus & Maxilla Explor/Excis/Recon CRORBSINMX 540 60 / 30 = 90 630 PLC Cranial Orbital Sinus Tumour Explor/Excision/Recon CRORBSIN 0 0 / 0 = 0 0 PLC Cystic Hygroma Excision CYHYGEX 180 20 / 15 = 35 215 PLC Ear Baha Implant Revision EARBAHAREV / = PLC Ear Baha Implant Single Stage Attract EARBAHAATT / = PLC Ear Baha Implant Single Stage Attract Bil EARBAHAATB / = PLC Ear Baha Implant Single Stage Dermalock EARBAHADER / = PLC Ear Baha Implant Stage 1+/-Graft EARBAHAIM1 10 15 / 15 = 30 40 PLC Ear Baha Implant Stage 2 EARBAHAIM2 60 30 / 20 = 50 110 PLC Ear Conduction Hearing Aide Ponto Implant MIS EARBCPONTO / = PLC Ear Canal Exostosis Exc+/-Recon Splt Thk Skin Grft EARCANEXOX 120 25 / 15 = 40 160 PLC Ear Canal Tumor Exc w/Recon Splt Thk Skin Grft EARCANTUMX / = PLC Ear Cochlear Implant EARCOCIM 0 0 / 0 = 0 0 PLC Ear Cochlear Implant Bilateral EARCOCIMB 0 0 / 0 = 0 0 PLC Ear Cochlear Implant Rev+/-Rem+/-Replacement EARCIRMRPR 0 0 / 0 = 0 0 PLC Ear Cochlear Implant Revision EARCOCIMRV 0 0 / 0 = 0 0 PLC Ear EUA +/-Debridement EAREUA 10 10 / 10 = 20 30 PLC Ear Foreign Body Removal EARFBRM 15 15 / 10 = 25 40 PLC Ear Mastoidectomy EARMAS 135 25 / 15 = 40 175 PLC Ear Mastoidectomy Tumor Resection w Image Guidance EARMTRIMG 0 0 / 0 = 0 0 PLC Ear Meatal Atresia Correction EARMACORR 15 15 / 15 = 30 45 PLC Ear Myringoplasty EARMYPTY 10 15 / 10 = 25 35 PLC Ear Myringotomy+/-Tube Insertion EARMYTBIN 10 15 / 10 = 25 35 PLC Ear Myringotomy+/-Tube Insertion Bilateral EARMYTBINB 10 15 / 10 = 25 35 PLC Ear Myringotomy+/-Tube Insertion w ABR EARMYTBABR 0 0 / 0 = 0 0 PLC Ear Ossiculoplasty EAROSS 60 15 / 15 = 30 90 PLC Ear Ossiculoplasty Revision EAROSSRV 50 15 / 15 = 30 80 PLC Ear Ossiculoplasty w Tympanomastoidectomy EAROSSTYM 100 20 / 20 = 40 140

Generated: 2021-04-06 11:08 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: PLC 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 PLC Ear Ossiculoplasty w Tympanoplasty EAROSSTYP 100 20 / 20 = 40 140 PLC Ear Ossiculoplasty with Tympanoplasty Revision EAROSSTYRV 90 20 / 20 = 40 130 PLC Ear Preauricular Sinus+/-Cyst Excision EARPSICYEX 60 15 / 15 = 30 90 PLC Ear Stapedectomy EARSTAPD 75 25 / 15 = 40 115 PLC Ear Stapedotomy EARSTAPO / = PLC Ear Stapedotomy Laser CO2 EARSTOLZC 0 0 / 0 = 0 0 PLC Ear Stapedotomy Revision EARSTAPORV / = PLC Ear Stapedotomy Revision Laser CO2 EARSTORLZC 45 25 / 15 = 40 85 PLC Ear Transcanal Glomus Tumour Excision EARTCGTEX / = PLC Ear Tympanomastoidectomy EARTYMSEC 120 25 / 15 = 40 160 PLC Ear Tympanomastoidectomy 2nd Look EARTYM2L / = PLC Ear Tympanomastoidectomy Revision EARTYMSECR 60 20 / 20 = 40 100 PLC Ear Tympanoplasty Endaural EARTYPYE / = PLC Ear Tympanoplasty Post Auricular EARTYPYPA 85 50 / 20 = 70 155 PLC Ear Tympanoplasty Transcanal EARTYPTYTC 30 15 / 15 = 30 60 PLC Ear Tympanoplasty w Synthetic Graft EARTYPDC 30 15 / 15 = 30 60 PLC Ear Tympanoplasty+/-Graft EARTYPTY 75 30 / 20 = 50 125 PLC Ear Tympanoplasty+/-Graft Bilateral EARTYPTYB / = PLC Liposuction w/Vocal Fold Fat Injection LPOVFFINJ 60 25 / 15 = 40 100 PLC Mandibulectomy Hemi MNECHEMI 360 45 / 20 = 65 425 PLC Mandibulectomy Marginal MNECMARG 60 25 / 20 = 45 105 PLC Maxillectomy Infrastructure w Obturator Mold MXIWOM / = PLC Maxillectomy Orbital Excision Reconstruction MXECORBEXE 240 45 / 20 = 65 305 PLC Mouth/Oral Buccal Tissue Excision+/-Skin Graft MOBCCTUEXG 20 15 / 15 = 30 50 PLC Mouth/Oral Lesion Laser CO2 MOLELZC 30 30 / 20 = 50 80 PLC Mouth/Oral Ranula Excision MORANEX 45 15 / 15 = 30 75 PLC Mouth/Oral Tongue Lesion Excision Laser YAG MOTGLELZY 0 0 / 0 = 0 0 PLC Neck Biopsy+/-I&D NKBX 20 15 / 15 = 30 50 PLC Neck Branchial Cleft Cyst+/-Sinus Excision NKBRACCYEX 100 15 / 15 = 30 130 PLC Neck Chondroplasty Thyroid Laser CO2 NKRCTCL 120 25 / 25 = 50 170 PLC Neck Dissect Laryn Pharyngectomy+/-Trach Jej Flap NKDISLPTFJ 720 60 / 30 = 90 810 PLC Neck Dissect Laryngectomy w TEP+/-Thyroidectomy NKDISLTT / = PLC Neck Dissect Laryngectomy w TEP+/-Thyroidectomy Bi NKDISLTTB / = PLC Neck Dissect Mandible Glossectomy+/-Trach Fr Flap NKDISMGTFR 720 60 / 30 = 90 810 PLC Neck Dissect Mandible Tongue & Reconstruction NKDISMNTG 600 45 / 20 = 65 665 PLC Neck Dissect Mandible+/-Tracheostomy NKDISMNTR 720 45 / 20 = 65 785 PLC Neck Dissect Minor NKDISMI 120 45 / 20 = 65 185 PLC Neck Dissect Radical NKDISRAD 180 45 / 20 = 65 245 PLC Neck Dissect w/Transoral Excision Tongue Laser C02 NKDISTGCO2 280 40 / 30 = 70 350 PLC Neck Dissect w/Transoral Excision Tonsil Laser CO2 NKDISTLCO2 / = PLC Neck Hyoid Myotomy w Airway Reconst Stage 1 NKHYMYARS1 180 60 / 25 = 85 265 PLC Neck Laryngectomy w TEP+/-Thyroidectomy NKLGTT 260 45 / 20 = 65 325 PLC Neck Parathyroidectomy Unilateral Image Directed NKPTHUID 0 0 / 0 = 0 0 PLC Neck Parotidectomy Limited NKPARTECL 0 0 / 0 = 0 0 PLC Neck Parotidectomy Partial/Lobectomy NKPARTECS 150 30 / 15 = 45 195 PLC Neck Parotidectomy Total NKPARTEC 150 30 / 15 = 45 195

Generated: 2021-04-06 11:08 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: PLC 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 PLC Neck Parotidectomy w Lymph Node Dissection NKPARLYNDS 250 45 / 20 = 65 315 PLC Neck Submandibular Gland Excision NKSMGLEX 40 15 / 15 = 30 70 PLC Neck Thyroglossal Duct Cyst Excision NKTHGLCYEX 60 10 / 10 = 20 80 PLC Neck Thyroplasty NKTHYPTY 90 15 / 15 = 30 120 PLC Neck Tracheal Reconstruction+/-Bone Graft NKTRRCN 150 45 / 30 = 75 225 PLC Neck Tracheoesophageal Puncture NKTREPUNC 25 20 / 15 = 35 60 PLC Neck Tracheostomy NKTRC 30 25 / 15 = 40 70 PLC Neck Tracheostomy Closure NKTRCCL 40 15 / 15 = 30 70 PLC Neck Tracheostomy Revision+/-Stenosis Repair NKTRCRVSRP 30 15 / 15 = 30 60 PLC Neck Tracheostomy Tube Change NKTRCTC 15 15 / 15 = 30 45 PLC Needle Aspiration Fine SS NLASP 5 15 / 10 = 25 30 PLC Nose Antrostomy Caldwell Luc NSANTCLDLU 60 15 / 15 = 30 90 PLC Nose Choanal Atresia Repair NSCHATRP 65 15 / 15 = 30 95 PLC Nose Control Bleed Endoscopic NSCBENS 30 20 / 15 = 35 65 PLC Nose Foreign Body Removal NSFBRM 5 15 / 15 = 30 35 PLC Nose Lesion+/-Papilloma Excision Laser CO2 NSLEPLLZC 20 20 / 15 = 35 55 PLC Nose Nasopharyngeal Endoscopy Fiberoptic NSNPGENSFO 15 15 / 15 = 30 45 PLC Nose Nasopharyngeal EUA+/-Biopsy NSNPGEUABX 15 15 / 15 = 30 45 PLC Nose Open Reduction NSORIF 30 20 / 15 = 35 65 PLC Nose Packing Insert NSPKIN 15 20 / 15 = 35 50 PLC Nose Reduction Closed NSRDNCL 10 15 / 15 = 30 40 PLC Nose Rhinoplasty w Ear Graft NSRHPTYGF 45 30 / 20 = 50 95 PLC Nose Rhinoplasty+/-Tip NSRHPTY 60 20 / 15 = 35 95 PLC Nose Rhinotomy NSRHOMY 30 20 / 15 = 35 65 PLC Nose Septal Perforation Closure+/-Septal Button NSSEPCL 30 20 / 15 = 35 65 PLC Nose Septoplasty/SMR & Tonsillectomy NSSEPTYTNS 45 20 / 15 = 35 80 PLC Nose Septoplasty/SMR w Pyriformoplasty NSSEPTYPYR 30 20 / 15 = 35 65 PLC Nose Septoplasty/SMR w UPP+/-Tonsillectomy NSSEPTYU3P 30 20 / 15 = 35 65 PLC Nose Septoplasty/SMR+/-SMDT NSSEPTYSMD 40 25 / 20 = 45 85 PLC Nose Septorhinoplasty OpenwNoseSinFuncEndoImagGuid NSSEPOFEIM / = PLC Nose Septorhinoplasty/Sinus Functional Endo NSSPTYAEPT 50 25 / 20 = 45 95 PLC Nose Septorhinoplasty/SMR Open NSSEPRHPTO 60 20 / 15 = 35 95 PLC Nose Septorhinoplasty/SMR w Bone Graft Calvariel NSSEPRBGC 240 20 / 15 = 35 275 PLC Nose Septorhinoplasty/SMR+/-SMDT NSSEPRHPTY 45 20 / 15 = 35 80 PLC Nose Septum Cauterization SMD+/-SMDT NSSEPCUSMD 30 20 / 15 = 35 65 PLC Nose Sinoscopy Eustacian Tuboplasty NSSIEUST 45 25 / 15 = 40 85 PLC Nose Sinoscopy+/- Nasal Debridement NSSISCNDB 30 15 / 15 = 30 60 PLC Nose Sinoscopy+/-Nasal Cautery NSSISC 20 20 / 15 = 35 55 PLC Nose Sinoscopy+/-Tonsillectomy+/-Adenoidectomy NSSITNSADN / = PLC Nose Sinus Ant+/-Ethm+/-Spen+/-Sept w Image Guide NSSIAESIMG / = PLC Nose Sinus Functional Endo w Image Guide+/-SMR NSSINFEIS 90 35 / 20 = 55 145 PLC Nose Sinus Functional Endo w Image Guide+/-SMR Bil NSSINFEISB 85 30 / 15 = 45 130 PLC Nose Sinus Functional Endo+/- SMR Bil NSSINFESSB 60 35 / 20 = 55 115 PLC Nose Sinus Functional Endo+/-SMR NSSINFESS 60 30 / 20 = 50 110 PLC Nose Sinus+/-Ant+/-Ethmoid+/-Polyp+/-Turb+/-Sphen NSSIBINEAP 45 20 / 15 = 35 80 PLC Nose Turbinoplasty Bil NSTURBB 10 20 / 15 = 35 45

Generated: 2021-04-06 11:08 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: PLC 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 PLC Sinus & Orbital Exploration+/-Excision SINORBEXPX 45 20 / 15 = 35 80 PLC Throat Bronchoscopy Rigid Laser CO2 THRBSRLZC 30 20 / 15 = 35 65 PLC Throat Bronchoscopy Rigid Laser YAG THRBSRLZY 0 0 / 0 = 0 0 PLC Throat Bronchoscopy Rigid/Laryngoscopy Suspension THRBSRLGS / = PLC Throat Bronchoscopy Rigid+/-FB Removal THRBSRFBRM 15 20 / 15 = 35 50 PLC Throat Endoscopy Upper Foreign Body Removal THRENFBRM 20 20 / 15 = 35 55 PLC Throat Endoscopy Zenkers Diverticulum THRENSCZDV 30 20 / 15 = 35 65 PLC Throat Endoscopy Zenkers Diverticulum Laser CO2 THRENSCZDC 30 20 / 15 = 35 65 PLC Throat Excision Nasopharyngeal Tumour THRNSPGTU 60 30 / 20 = 50 110 PLC Throat Laryngoscopy Esophgscpy+/-Ballon Dilat+/-Bx THRLGEGBDB 30 25 / 20 = 45 75 PLC Throat Laryngoscopy Laser CO2 THRLGSLZC 25 20 / 20 = 40 65 PLC Throat Laryngoscopy Laser CO2 Arytenoid+/-Stit Lat THRLGSLZAL 35 35 / 25 = 60 95 PLC Throat Laryngoscopy Micro Suspension+/-Biopsy THRLGSMIS 10 20 / 15 = 35 45 PLC Throat Laryngoscopy Subglot Sten Dil THRLGSMSD 25 20 / 20 = 40 65 PLC Throat Laryngoscopy Subglot Sten Dil Laser CO2 THRLGSMSDC 25 20 / 20 = 40 65 PLC Throat Laryngoscopy T-Tube Insert+/-Rev THRLGSTT 20 20 / 20 = 40 60 PLC Throat Pan Quadroscopy THRENSCQUA 60 20 / 15 = 35 95 PLC Throat Pan Quadroscopy w Tonsillectomy THRENSCQUT / = PLC Throat Tracheoesophageal Fistula Repair Endoscopic THRTEFREN / = PLC Throat Transnasal Esophagoscopy +/- Balloon Dilat THRTRNEGBD 30 20 / 20 = 40 70 PLC Throat UPP w Uvular FlapTonsillect Part Glossectom THRU3PFTPG 65 40 / 20 = 60 125 PLC Throat UPP+/-Tonsil+/-Adenoidectomy THRU3P 30 20 / 15 = 35 65 PLC Throat Uvulopharyngoplasty Laser CO2 THRU3PLZC 30 20 / 20 = 40 70 PLC Tongue Biopsy TGBX 30 20 / 10 = 30 60 PLC Tongue Excision Laser CO2 TGRELZC 10 20 / 15 = 35 45 PLC Tongue Glossectomy TGGLEC 120 20 / 15 = 35 155 PLC Tongue Glossectomy Hemi TGGLECH 75 20 / 15 = 35 110 PLC Tongue Wedge Excision TGWDGRS 30 20 / 15 = 35 65 PLC Tonsil Abscess Drainage TNSABSID 15 20 / 15 = 35 50 PLC Tonsil Post Op Hemmorhage Arrest TNSBLDAR 30 20 / 15 = 35 65 PLC Tonsillectomy TNSEC 15 20 / 15 = 35 50 PLC Tonsillectomy & Adenoidectomy TNSADNEC 15 20 / 15 = 35 50 PLC Tonsillectomy & Adenoidectomy & M&T TNSADMMT 20 20 / 15 = 35 55 PLC Tonsillectomy & Adenoidectomy & M&T Bil TNSADMMTB 15 20 / 15 = 35 50 PLC Tonsillectomy & Adenoidectomy Ear EUA Bilateral TNSADEARB 15 20 / 15 = 35 50 PLC Tonsillectomy & Adenoidectomy w Pharyngoplasty TNSADNPHA 15 15 / 10 = 25 40 PLC Tonsillectomy & Adenoidectomy+/-BSMDT TNSADBSMDT 20 20 / 15 = 35 55 PLC Tonsillectomy+/- Pharyngoplasty TNSPHAR 20 20 / 15 = 35 55 PLC Vocal Cord Injection/Augmentation State Type VOCINJ 15 20 / 15 = 35 50 PLC Voice Box Insert Artificial Blom Singer VBOXINBLOM 0 0 / 0 = 0 0 GEN PLC Abdominal Wall Mass Excision ABDWLMSEX 30 20 / 15 = 35 65 PLC Abdominal Wound Closure ABDWDCL 70 35 / 15 = 50 120 PLC Axilla Exploration AXEXP 30 20 / 15 = 35 65 PLC Axilla Node Biopsy AXNDBX 30 25 / 15 = 40 70 PLC Axilla Node Dissection AXNDDIS 45 25 / 15 = 40 85

Generated: 2021-04-06 11:08 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: PLC 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 PLC Axilla Node Dissection Sentinel AXNDDISL 60 20 / 15 = 35 95 PLC Bone Marrow Aspirate+/-Biopsy BNMRASPBX 65 15 / 15 = 30 95 PLC Breast Biopsy+/-Needle Loc BRBXNLOC 20 20 / 15 = 35 55 PLC Breast Biopsy+/-Needle Loc Bilateral BRBXNLOCB 45 20 / 15 = 35 80 PLC Breast Biopsy+/-Needle Loc Seg/Lump BRBXNLSG 30 20 / 15 = 35 65 PLC Breast Biopsy+/-Needle Loc Seg/Lump Ax Nodes BRBXNLSGND 60 20 / 15 = 35 95 PLC Breast I&D BRID 20 20 / 20 = 40 60 PLC Breast Mastectomy Prophylactic BRMP 60 25 / 15 = 40 100 PLC Breast Mastectomy Prophylactic Bilateral BRMPB 100 25 / 15 = 40 140 PLC Breast Mastectomy Seg/Lump BRMSG 30 25 / 15 = 40 70 PLC Breast Mastectomy Seg/Lump Ax Nodes BRMSGND 75 25 / 15 = 40 115 PLC Breast Mastectomy Seg/Lump Ax Nodes Bil BRMSGNDB 75 25 / 15 = 40 115 PLC Breast Mastectomy Seg/Lump Bil BRMSGB 45 25 / 15 = 40 85 PLC Breast Mastectomy Seg/Lump Sent w Ax Nodes BRMSGNDS 60 30 / 15 = 45 105 PLC Breast Mastectomy Seg/Lump Sent/Need Loc/Ax No Bil BRMSGNDSNB 120 35 / 20 = 55 175 PLC Breast Mastectomy Seg/Lump Sent+/-Ax Nodes Bil BRMSGNDSB 90 35 / 15 = 50 140 PLC Breast Mastectomy Seg/Lump Sent+/-Need Loc+/-Ax No BRMSGNDSNL 60 30 / 15 = 45 105 PLC Breast Mastectomy Seg/Lump w Sentinel Nodes BRMSGSND 45 40 / 20 = 60 105 PLC Breast Mastectomy Seg/Lump+/-Needle Loc BRMSGNL 30 25 / 15 = 40 70 PLC Breast Mastectomy Total BRMTL 75 30 / 15 = 45 120 PLC Breast Mastectomy Total Ax Nodes BRMTLND 75 25 / 15 = 40 115 PLC Breast Mastectomy Total Ax Nodes Bilateral BRMTLNDB 90 30 / 15 = 45 135 PLC Breast Mastectomy Total Bilateral BRMTLB 80 25 / 15 = 40 120 PLC Breast Mastectomy Total Sent+/-Ax Nodes BRMTLNDS 75 25 / 15 = 40 115 PLC Breast Mastectomy Total Sent+/-Ax Nodes Bilateral BRMTLNDSB 90 30 / 15 = 45 135 PLC Catheter Broviac Insertion CABROVIN 45 20 / 15 = 35 80 PLC Catheter Broviac Removal CABROVRM 15 20 / 10 = 30 45 PLC Catheter Central Line Removal CACLNRM 30 20 / 15 = 35 65 PLC Catheter Central Line+/-Venous Insert+/-PICC CACVLNIN 60 20 / 15 = 35 95 PLC Catheter Chemoport/IVAD Insertion CACHEIVDIN 45 20 / 15 = 35 80 PLC Catheter Chemoport/IVAD Removal CACHEMRM 15 20 / 15 = 35 50 PLC Catheter Insert State Type CAIN 45 20 / 15 = 35 80 PLC Catheter Removal State Type CARM 5 20 / 15 = 35 40 PLC Cecostomy Tube Change CECTBC 30 15 / 15 = 30 60 PLC Cyst Lipoma+/-Adenoma+/-Fibroma Excision State Typ CYLIPEX 50 20 / 15 = 35 85 PLC Cyst+/-Abscess I&D SS CYIDABC 30 20 / 15 = 35 65 PLC Cyst+/-Mole+/-Nevus Excision SS CYMLNVEX 15 20 / 15 = 35 50 PLC Dressing Change+/-VAC SS DRSCHVAC 60 30 / 20 = 50 110 PLC Endoscopic Adrenalectomy Posterior ENSADREP / = PLC Endoscopic Adrenalectomy Posterior Bilateral ENSADREPB / = PLC Esophageal Cervical Repair Open ESCRPOPN 150 60 / 20 = 80 230 PLC Esophagogastrectomy+/-Thoracotomy ESGSTHO 300 60 / 20 = 80 380 PLC EUA SS EUA 20 30 / 10 = 40 60 PLC Foreign Body Removal SS FBRM 30 20 / 15 = 35 65 PLC Gastric Neurostimulator IPG Insertion GASNSIPGIN 30 30 / 20 = 50 80 PLC Gastric Neurostimulator IPG Replacement GASNSIPGR 30 30 / 20 = 50 80

Generated: 2021-04-06 11:08 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: PLC 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 PLC Gastroscopy GSSCFLX 20 20 / 10 = 30 50 PLC Gastroscopy PEG GSSCPEGIN 30 20 / 15 = 35 65 PLC Gastroscopy Tube Change+/-Removal GSSTBCNG 30 20 / 15 = 35 65 PLC Hemorrhoidectomy HMMRHEC 30 30 / 15 = 45 75 PLC Hernia Abdominal Incisional Repair HERABDINRP 55 30 / 15 = 45 100 PLC Hernia Epigastric and Umbilical Repair HEREPUMRP / = PLC Hernia Epigastric Repair HEREPRP 30 25 / 15 = 40 70 PLC Hernia Inguinal/Femoral Incarcerated Repair HERINFEIRP 60 30 / 15 = 45 105 PLC Hernia Inguinal/Femoral Recurrent Repair HERINFERRP 50 25 / 15 = 40 90 PLC Hernia Inguinal/Femoral Repair HERINFERP 40 25 / 15 = 40 80 PLC Hernia Inguinal/Femoral Repair Bilateral HERINFERPB 70 25 / 15 = 40 110 PLC Hernia Inguinal/Femoral w Hydrocele Repair HERINFEHRP 45 25 / 15 = 40 85 PLC Hernia Inguinal/Femoral w Hydrocele Repair Bil HERINFEHRB 60 20 / 15 = 35 95 PLC Hernia Mesh Removal HERMSRM 40 25 / 15 = 40 80 PLC Hernia Omphalocele Repair HEROMPRP 60 20 / 15 = 35 95 PLC Hernia Parastomal Repair HERPSRP 45 25 / 15 = 40 85 PLC Hernia Spigelian Repair HERSPGRP 30 20 / 15 = 35 65 PLC Hernia Umbilical Repair HERUMRP 25 25 / 15 = 40 65 PLC Hernia Ventral Repair HERVENRP 60 25 / 15 = 40 100 PLC Inguinal Explore+/-Exc+/-Biop Sentinel Node INGEXBXNDS 30 25 / 15 = 40 70 PLC Inguinal Explore+/-Excision+/-Biopsy INGEXBX 30 25 / 15 = 40 70 PLC Laparoscopy Abdominal Irrigation/Washout LSCABDIXO 25 30 / 20 = 50 75 PLC Laparoscopy Adrenalectomy LSCADRE 110 60 / 30 = 90 200 PLC Laparoscopy Adrenalectomy Bilateral LSCADREB 300 60 / 30 = 90 390 PLC Laparoscopy Appendectomy LSCAPPY 35 25 / 15 = 40 75 PLC Laparoscopy Assist Abd Intraperitoneal Chemo Heat LSCAABDIPC / = PLC Laparoscopy Assisted Hernia Incisional Repair LSCHERINRP 55 30 / 15 = 45 100 PLC Laparoscopy Bowel Colon Decompression LSCBWCOLDP / = PLC Laparoscopy Bowel Colostomy Creation LSCBWCOLCR 60 20 / 15 = 35 95 PLC Laparoscopy Bowel Excision Abdominal Perineal LSCBWABP 240 45 / 15 = 60 300 PLC Laparoscopy Bowel Excision Anterior LSCBWA 140 45 / 15 = 60 200 PLC Laparoscopy Bowel Excision Anterior w Ostomy LSCBWAOST 220 60 / 20 = 80 300 PLC Laparoscopy Bowel Excision Cecectomy LSCBWCECE 45 25 / 15 = 40 85 PLC Laparoscopy Bowel Excision Cecostomy LSCBWCEC 180 45 / 15 = 60 240 PLC Laparoscopy Bowel Excision Colectomy Hemi Left LSCBWCOLHL 160 45 / 15 = 60 220 PLC Laparoscopy Bowel Excision Colectomy Hemi Right LSCBWCOLHR 130 45 / 15 = 60 190 PLC Laparoscopy Bowel Excision Colectomy Total LSCBWCOLTL 120 45 / 15 = 60 180 PLC Laparoscopy Bowel Excision Colostomy LSCBWCOL 100 45 / 15 = 60 160 PLC Laparoscopy Bowel Excision Colostomy Closure LSCBWCOLC 120 45 / 15 = 60 180 PLC Laparoscopy Bowel Excision Ileoanal Pouch LSCBWILAP 0 0 / 0 = 0 0 PLC Laparoscopy Bowel Excision Ileoceccal LSCBWILCE 120 45 / 15 = 60 180 PLC Laparoscopy Bowel Excision Ileocolectomy LSCBWILCO 120 45 / 15 = 60 180 PLC Laparoscopy Bowel Excision Ileostomy LSCBWILO 90 45 / 15 = 60 150 PLC Laparoscopy Bowel Excision Ileostomy Closure LSCBWILOC 90 45 / 15 = 60 150 PLC Laparoscopy Bowel Excision Proctectomy LSCBWPRO 100 60 / 30 = 90 190 PLC Laparoscopy Bowel Excision Proctocolectomy LSCBWPCO 150 45 / 15 = 60 210

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparoscopy Bowel Excision Proctocolectomy Restor LSCBWPCOR 240 60 / 15 = 75 315 PLC Laparoscopy Bowel Excision Small LSCBWSM 70 45 / 15 = 60 130 PLC Laparoscopy Bowel Ileostomy Creation LSCBWILOCR 100 45 / 15 = 60 160 PLC Laparoscopy Bowel Perforation Repair LSCBWPRFRP 120 45 / 15 = 60 180 PLC Laparoscopy Bowel Pullthrough LSCBWPLTHR 240 45 / 15 = 60 300 PLC Laparoscopy Bowel Rectopexy LSCPYRPXY 60 20 / 20 = 40 100 PLC Laparoscopy Cardiomyotomy/Heller Myotomy LSCCARDMY 120 45 / 15 = 60 180 PLC Laparoscopy Cholangiopancreatograghy Retrograde LSCCHOPGR 210 20 / 35 = 55 265 PLC Laparoscopy Cholecystectomy LSCCHO 45 20 / 20 = 40 85 PLC Laparoscopy Cholecystectomy & ECBD LSCCHOECB 100 30 / 20 = 50 150 PLC Laparoscopy Cholecystectomy Cholangiogram LSCCHOGM 70 30 / 20 = 50 120 PLC Laparoscopy Cholecystectomy Cholangiogram w ECBD LSCCHOGMEC 60 30 / 20 = 50 110 PLC Laparoscopy Cholecystectomy Liver Biopsy LSCCHOLVBX 75 30 / 20 = 50 125 PLC Laparoscopy Cholecystoenterostomy LSCCHOENT 60 45 / 20 = 65 125 PLC Laparoscopy Esophagogasterectomy TransThoracic LSCESGTT 420 90 / 20 = 110 530 PLC Laparoscopy Esophagogastrectomy Transhiatal LSCESGTH 300 60 / 20 = 80 380 PLC Laparoscopy G Tube Insertion Endoscopic Assisted LSCGSTENA 0 0 / 0 = 0 0 PLC Laparoscopy Gastrectomy LSCGS 360 45 / 20 = 65 425 PLC Laparoscopy Gastric Bariatric Banding LSCGBB 90 45 / 20 = 65 155 PLC Laparoscopy Gastric Bariatric Banding Removal LSCGBBRM 60 45 / 20 = 65 125 PLC Laparoscopy Gastric Bariatric Banding Revision LSCGBBR 90 45 / 20 = 65 155 PLC Laparoscopy Gastric Bariatric Sleeve LSCGBS 180 45 / 20 = 65 245 PLC Laparoscopy Gastric Bypass Roux en Y LSCGBREY 180 40 / 20 = 60 240 PLC Laparoscopy Gastric Ulcer Repair LSCGSULRP 60 30 / 15 = 45 105 PLC Laparoscopy Gastric Wedge Excision GIST LSCGSWGR 150 45 / 20 = 65 215 PLC Laparoscopy Gastroenterostomy LSCGSENT 180 45 / 20 = 65 245 PLC Laparoscopy Gastrojejunostomy LSCGSJJ 260 45 / 20 = 65 325 PLC Laparoscopy Gastroplasty Reversal LSCGSPLR 180 45 / 20 = 65 245 PLC Laparoscopy Gastrostomy LSCGSOST 30 25 / 15 = 40 70 PLC Laparoscopy Hernia Abdominal Incisional Repair LSCHERABDI 60 40 / 20 = 60 120 PLC Laparoscopy Hernia Diaphragmatic Repair LSCHERDPHR / = PLC Laparoscopy Hernia Inguinal Repair TAPP LSCINGTAPP 30 30 / 20 = 50 80 PLC Laparoscopy Hernia Inguinal Repair TAPP Bilateral LSCINTAPPB 45 30 / 20 = 50 95 PLC Laparoscopy Hernia Inguinal Repair TEPP LSCINGTEPP 30 30 / 20 = 50 80 PLC Laparoscopy Hernia Inguinal Repair TEPP Bilateral LSCINTEPPB 45 30 / 20 = 50 95 PLC Laparoscopy Hernia Inguinal/Femoral Repair LSCHERINFE 55 35 / 15 = 50 105 PLC Laparoscopy Hernia Inguinal/Femoral Repair Bil LSCHERINFB 85 35 / 15 = 50 135 PLC Laparoscopy Hernia Parastomal Repair LSCHERPAR 60 20 / 20 = 40 100 PLC Laparoscopy Hernia Spigelian Repair LSCHERSPG 70 35 / 15 = 50 120 PLC Laparoscopy Hernia Umbilical Repair LSCHERUM 60 35 / 15 = 50 110 PLC Laparoscopy Hernia Ventral Repair LSCHERVEN 60 35 / 15 = 50 110 PLC Laparoscopy Jejunostomy LSCJJOST 45 25 / 15 = 40 85 PLC Laparoscopy Liver Biopsy LSCLVBX 120 25 / 15 = 40 160 PLC Laparoscopy Liver Cyst Excision LSCLIVCYEX 90 45 / 20 = 65 155 PLC Laparoscopy Liver Cyst Fenestration LSCLVCFEN 0 0 / 0 = 0 0 PLC Laparoscopy Liver Excision LSCLVRS 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparoscopy Liver Radiofrequency Ablation LSCLVRFAB 0 0 / 0 = 0 0 PLC Laparoscopy Lysis Adhesions LSCLYSAD 60 30 / 20 = 50 110 PLC Laparoscopy Median Arcuate Ligament Division LSCMEDALD 150 40 / 15 = 55 205 PLC Laparoscopy Nissen Fundoplication LSCNIFUN 150 45 / 20 = 65 215 PLC Laparoscopy Nissen Fundoplication Revision LSCNIFUNRV 100 45 / 20 = 65 165 PLC Laparoscopy Pancreatectomy Distal LSCPANECD 0 0 / 0 = 0 0 PLC Laparoscopy Pancreatic Cyst Enucleation LSCPANCENC 210 90 / 30 = 120 330 PLC Laparoscopy Paraesophageal Hiatus Hernia Repair LSCPESHHER 160 50 / 20 = 70 230 PLC Laparoscopy Pyloromyotomy LSCPYMYOT 60 45 / 15 = 60 120 PLC Laparoscopy Pyloroplasty LSCPYPTY 145 45 / 15 = 60 205 PLC Laparoscopy Splenectomy LSCSPLEC 110 50 / 15 = 65 175 PLC Laparoscopy Splenectomy Hand Assisted LSCSPLECM 150 45 / 15 = 60 210 PLC Laparoscopy Vagotomy LSCVGOMY 60 45 / 20 = 65 125 PLC Laparoscopy Vagotomy Pyloroplasty LSCVGPYPTY 90 45 / 20 = 65 155 PLC Laparotomy Abd Intrap Chemo Heat w Ves Res+/-Rep G LPYIPCHVRR 270 90 / 30 = 120 390 PLC Laparotomy Abdominal Diaphragm Rupture Repair LPYABDPHRP 120 45 / 30 = 75 195 PLC Laparotomy Abdominal Intraperitoneal Chemo Heated LPYABDIPCH 270 90 / 30 = 120 390 PLC Laparotomy Abdominal Irrigation/Washout+/-VAC Drsg LPYABDIWO 90 30 / 20 = 50 140 PLC Laparotomy Abdominal Wall Reconstruction LPYABDWLRC 120 30 / 15 = 45 165 PLC Laparotomy Abscess Drainage LPYABCDRN 90 30 / 20 = 50 140 PLC Laparotomy Adrenalectomy Anterior LPYADREA 180 60 / 30 = 90 270 PLC Laparotomy Adrenalectomy Lateral LPYADREL 120 45 / 15 = 60 180 PLC Laparotomy Appendectomy LPYAPPY 45 30 / 15 = 45 90 PLC Laparotomy Arrest Bleeding LPYARRBLD 120 30 / 20 = 50 170 PLC Laparotomy Bowel Colon Decompression LPYBWCOLDP 90 30 / 20 = 50 140 PLC Laparotomy Bowel Colostomy Creation LPYBWCOLCR 90 35 / 20 = 55 145 PLC Laparotomy Bowel Excis Abd-Perineal Abdominal Por LPYBWABPA 120 50 / 15 = 65 185 PLC Laparotomy Bowel Excis Abd-Perineal Perineal Port LPYBWABPP 60 20 / 20 = 40 100 PLC Laparotomy Bowel Excis Proctocolectomy Restorativ LPYBWPCOR 200 60 / 20 = 80 280 PLC Laparotomy Bowel Excision Abdominal Perineal LPYBWABP 180 60 / 20 = 80 260 PLC Laparotomy Bowel Excision Anterior LPYBWA 120 60 / 20 = 80 200 PLC Laparotomy Bowel Excision Anterior w Ostomy LPYBWAOST 220 60 / 20 = 80 300 PLC Laparotomy Bowel Excision Cecostomy LPYBWCEC 120 60 / 20 = 80 200 PLC Laparotomy Bowel Excision Colectomy Hemi Left LPYBWCOLHL 115 35 / 20 = 55 170 PLC Laparotomy Bowel Excision Colectomy Hemi Right LPYBWCOLHR 100 50 / 20 = 70 170 PLC Laparotomy Bowel Excision Colectomy Segmental LPYBWCOLSG 100 50 / 20 = 70 170 PLC Laparotomy Bowel Excision Colectomy Total LPYBWCOLTL 120 60 / 20 = 80 200 PLC Laparotomy Bowel Excision Colostomy LPYBWCOL 120 60 / 20 = 80 200 PLC Laparotomy Bowel Excision Colostomy Closure LPYBWCOLC 180 60 / 20 = 80 260 PLC Laparotomy Bowel Excision Colostomy Revision LPYBWCOLRV 150 60 / 20 = 80 230 PLC Laparotomy Bowel Excision Duhamel Procedure LPYBWDUHAM 120 60 / 20 = 80 200 PLC Laparotomy Bowel Excision Ileoanal Pouch LPYBWILAP 120 60 / 20 = 80 200 PLC Laparotomy Bowel Excision Ileocecal LPYBWILCE 120 45 / 20 = 65 185 PLC Laparotomy Bowel Excision Ileocolectomy LPYBWILCO 120 60 / 20 = 80 200 PLC Laparotomy Bowel Excision Ileostomy LPYBWILO 90 40 / 20 = 60 150 PLC Laparotomy Bowel Excision Ileostomy Closure LPYBWILOC 60 40 / 20 = 60 120

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparotomy Bowel Excision Ileostomy Loop Closure LPYBWILOLC 60 40 / 20 = 60 120 PLC Laparotomy Bowel Excision Ileostomy Revision LPYBWILORV 75 35 / 20 = 55 130 PLC Laparotomy Bowel Excision Proctectomy LPYBWPRO 165 60 / 20 = 80 245 PLC Laparotomy Bowel Excision Proctocolectomy LPYBWPCO 165 60 / 20 = 80 245 PLC Laparotomy Bowel Excision Small LPYBWSM 120 50 / 20 = 70 190 PLC Laparotomy Bowel Ileostomy Creation LPYBWILOCR 120 60 / 20 = 80 200 PLC Laparotomy Bowel Obstruction LPYBWOBSTN 90 45 / 20 = 65 155 PLC Laparotomy Bowel PENA LPYBWPENA 120 60 / 20 = 80 200 PLC Laparotomy Bowel Perforation Repair LPYBWPRFRP 80 60 / 20 = 80 160 PLC Laparotomy Bowel Pullthrough LPYBWPLTHR 275 90 / 20 = 110 385 PLC Laparotomy Bowel Rectopexy+/-Anterior Excision LPYBWRPXA 120 60 / 20 = 80 200 PLC Laparotomy Bowel Serial Tranvs Enteroplasty LPYBWSTREN / = PLC Laparotomy Cholecystectomy LPYCHO 90 30 / 20 = 50 140 PLC Laparotomy Cholecystectomy Cholangiogram LPYCHOGM 120 30 / 20 = 50 170 PLC Laparotomy Cholecystectomy Cholangiogram w ECBD LPYCHOGMEC 120 30 / 20 = 50 170 PLC Laparotomy Cholecystectomy Liver Biopsy LPYCHOLVBX 120 30 / 20 = 50 170 PLC Laparotomy Cholecystectomy Radical LPYCHORAD 150 45 / 20 = 65 215 PLC Laparotomy Cholecystoenterostomy LPYCHOENT 90 30 / 20 = 50 140 PLC Laparotomy Cholecystojejunostomy Roux En Y LPYCHORNY 210 45 / 20 = 65 275 PLC Laparotomy Choledochoduodenostomy LPYCHODUOS 180 60 / 20 = 80 260 PLC Laparotomy Esophagectomy LPYESG 360 60 / 20 = 80 440 PLC Laparotomy Esophagogastrectomy LPYESGSEC 330 60 / 20 = 80 410 PLC Laparotomy Esophagogastrectomy Transhiatal LPYESGTH 270 60 / 30 = 90 360 PLC Laparotomy Esophagostomy LPYESOST 45 45 / 15 = 60 105 PLC Laparotomy Exploratory LPYEXPL 90 30 / 15 = 45 135 PLC Laparotomy Exploratory Oncology LPYEXPLONC 200 90 / 30 = 120 320 PLC Laparotomy Gastrectomy Partial LPYGSPT 200 50 / 20 = 70 270 PLC Laparotomy Gastrectomy Total LPYGSTL 240 45 / 20 = 65 305 PLC Laparotomy Gastric Bariatric Banding Port Revision LPYGSBBPRV 45 15 / 15 = 30 75 PLC Laparotomy Gastric Bariatric Sleeve LPYGBS 240 45 / 20 = 65 305 PLC Laparotomy Gastric Revision LPYGSRV 110 45 / 20 = 65 175 PLC Laparotomy Gastric Ulcer Repair LPYGSULRP 90 45 / 20 = 65 155 PLC Laparotomy Gastric Wedge Excision GIST LPYGWEGIS 90 20 / 20 = 40 130 PLC Laparotomy Gastrochesis Repair LPYGSCHRP 45 45 / 20 = 65 110 PLC Laparotomy Gastrojejunoduodenostomy LPYGSJJDOS 120 60 / 20 = 80 200 PLC Laparotomy Gastrojejunostomy LPYGSJJ 150 60 / 20 = 80 230 PLC Laparotomy Gastroplasty LPYGSPLY 90 45 / 20 = 65 155 PLC Laparotomy Gastroplasty Revision+/-Reversal LPYGSPLYRV 120 45 / 20 = 65 185 PLC Laparotomy Gastrostomy Closure LPYGSOSC 30 45 / 20 = 65 95 PLC Laparotomy Gastrostomy Tube Insertion LPYGSOSTTI 120 45 / 20 = 65 185 PLC Laparotomy Hepaticojejunostomy LPYHEPJJ 0 0 / 0 = 0 0 PLC Laparotomy Hepaticojejunostomy Kasai Procedure LPYHEPJJKP 210 120 / 20 = 140 350 PLC Laparotomy Hernia Diaphragmatic Repair LPYHERDPRP 210 45 / 20 = 65 275 PLC Laparotomy Jejunostomy Tube Insertion LPYJJOSTTI 60 45 / 20 = 65 125 PLC Laparotomy Liver Abscess+/-Cyst Excision LPYLVABCY 150 45 / 20 = 65 215 PLC Laparotomy Liver Bile Duct Expl+/-Excision+/-Recon LPYLVDEXP / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparotomy Liver Biopsy LPYLVBX 30 30 / 20 = 50 80 PLC Laparotomy Liver Excision Lobectomy/Segmental LPYLVLBSG / = PLC Laparotomy Liver Excision w Vessel Dissec+/-Repla LPYLVRSVS 0 0 / 0 = 0 0 PLC Laparotomy Liver Radiofrequency Ablation LPYLVRFAB 300 90 / 30 = 120 420 PLC Laparotomy Liver Repair LPYLVRP 40 60 / 20 = 80 120 PLC Laparotomy Lymph Node Biopsy Pelvic/Abdominal LPYPVLNDBX 60 55 / 10 = 65 125 PLC Laparotomy Lymph Node Dissection Pelv/Ingui+/-Sent LPYPVILYND 0 0 / 0 = 0 0 PLC Laparotomy Lymph Node Dissection+/-Biop Pel/Abd LPYPVLYND 150 30 / 20 = 50 200 PLC Laparotomy Lymphadenectomy LPYLYEC 90 60 / 45 = 105 195 PLC Laparotomy Lysis Adhesions LPYLYSAD 90 30 / 20 = 50 140 PLC Laparotomy Nissen Fundoplicat+/-Hiatal Hernia Rep LPYNIFUN 200 45 / 20 = 65 265 PLC Laparotomy Nissen Fundoplication Revision LPYNIFUNRV 200 45 / 15 = 60 260 PLC Laparotomy Omentectomy LPYOMENEC 75 45 / 20 = 65 140 PLC Laparotomy Packing Change+/-Removal LPYPKCHRM 60 45 / 20 = 65 125 PLC Laparotomy Pancreas Cystogastrostomy LPYPANCYG 0 0 / 0 = 0 0 PLC Laparotomy Pancreas Whipples Procedure LPYPANWIP 300 90 / 45 = 135 435 PLC Laparotomy Pancreatectomy Distal LPYPANECD 210 90 / 30 = 120 330 PLC Laparotomy Pancreatic Cyst Excision+/-Drainage LPYPANCY 120 45 / 30 = 75 195 PLC Laparotomy Pancreatic Debridement LPYPANDB 135 60 / 30 = 90 225 PLC Laparotomy Pancreatic Enucleation LPYPANENUC / = PLC Laparotomy Pancreaticojejunostomy LPYPANJJ 0 0 / 0 = 0 0 PLC Laparotomy Portal Vein Broviac Removal LPYPVBR / = PLC Laparotomy Portal Vein Broviac w Liver Biopsy LPYPVBLB / = PLC Laparotomy Pyloromyotomy LPYPYMYOT 90 60 / 30 = 90 180 PLC Laparotomy Pyloroplasty LPYPYPTY 75 60 / 20 = 80 155 PLC Laparotomy Retroperitoneal Mass Excision LPYRETROM / = PLC Laparotomy Spleen Repair LPYSPLRP 155 70 / 40 = 110 265 PLC Laparotomy Splenectomy LPYSPLEC 90 45 / 30 = 75 165 PLC Laparotomy Trauma LPYTRAUMA 90 30 / 30 = 60 150 PLC Laparotomy w Endovascular IR Lower Limb Bil LPYENDVLLB / = PLC Laparotomy w Endovascular IR Upper Limb Bil LPYENDVULB / = PLC Laparotomy With Endovascular IR Abdomen LPYENDVABD / = PLC Laparotomy With Endovascular IR Lower Limb LPYENDVLL / = PLC Laparotomy With Endovascular IR Pelvis LPYENDVPEL / = PLC Laparotomy With Endovascular IR Upper Limb LPYENDVUL / = PLC Limb Infusion Chemotherapy SS LIMINFCHEM 90 45 / 30 = 75 165 PLC Limb Perfusion w Bypass LIMPERFBP 210 75 / 30 = 105 315 PLC Melanoma Wide Exc Trunk/Extrem w Sentinel Node Bx MELWEXNDS 0 0 / 0 = 0 0 PLC Melanoma Wide Excision Face & Neck w Sent Node Bx MELWEXFNS 45 15 / 15 = 30 75 PLC Melanoma Wide ExcTrunk/Extrem w Ax/Groin Ly Node MELWEXTND 0 0 / 0 = 0 0 PLC Muscle Biopsy SS MUSCBX 30 20 / 20 = 40 70 PLC Neck Cervical Node Biopsy+/-Dissection NKCVNDBX 35 25 / 20 = 45 80 PLC Neck Cervical Node Biopsy+/-Dissection Sentinel NKCVNDBXS 40 20 / 20 = 40 80 PLC Neck Cricopharyngeal Myotomy Endoscopic NKCRCMYES 60 30 / 20 = 50 110 PLC Neck Cricopharyngeal Myotomy Endoscopic Laser CO2 NKCRCMYESC 60 30 / 20 = 50 110 PLC Neck Cricopharyngeal Myotomy Zenkers NKCRCMYDIV 60 30 / 20 = 50 110

Generated: 2021-04-06 11:08 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: PLC 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 PLC Neck Parathyroidectomy & Thymectomy NKPTHECTHY / = PLC Neck Parathyroidectomy Exploration Redo NKPTHECRD 180 30 / 20 = 50 230 PLC Neck Parathyroidectomy Four Gland Exploration NKPTH4EX 180 30 / 20 = 50 230 PLC Neck Parathyroidectomy Sternotomy NKPARTHYST 0 0 / 0 = 0 0 PLC Neck Parathyroidectomy Total Four Gland NKPTHECT4 180 30 / 20 = 50 230 PLC Neck Parathyroidectomy Transplant Auto NKPTHECAU 300 60 / 20 = 80 380 PLC Neck Parathyroidectomy Unilateral NKPTHECUNI 240 30 / 20 = 50 290 PLC Neck Thyroglossal Cystectomy NKTHYCYS 90 30 / 20 = 50 140 PLC Neck Thyroidectomy Lobectomy+/-Biopsy NKTHYLBBX 135 40 / 20 = 60 195 PLC Neck Thyroidectomy Total NKTHYECTL 180 40 / 20 = 60 240 PLC Neck Thyroidectomy Total w Lymph Node Dissection NKTHYTLLND 220 45 / 20 = 65 285 PLC Neck Thyroidectomy Total w Parathyroidectomy NKTHYTLPAR / = PLC Neck Thyroidectomy Total w Stern+/-Lym Node Disect NKTHYTSTLN / = PLC Neck Thyroidectomy Total w Sternotomy NKTHYTLSTE / = PLC Neck Trauma Exploration+/-Repair NKTRAUMA 60 45 / 20 = 65 125 PLC Pectus Bar Removal PCXBARRM 60 30 / 20 = 50 110 PLC Pectus Repair Open PCXRPO 60 30 / 20 = 50 110 PLC Pilonidal Sinus Excision+/-I&D PILSIEX 20 30 / 20 = 50 70 PLC Post Operative Bleed Arrest SS POBLD 30 30 / 15 = 45 75 PLC Rectal Anal Advancement Flap REALADVFLP 60 30 / 20 = 50 110 PLC Rectal Anal Biopsy REALBX 10 35 / 20 = 55 65 PLC Rectal Anal Dilation REALD 10 25 / 20 = 45 55 PLC Rectal Anal Fistulotomy+/-Fistulect+/-Seton Suture REFISSET 20 30 / 20 = 50 70 PLC Rectal Anal Polypectomy REALPOLEC 10 35 / 20 = 55 65 PLC Rectal Anal Soft Tissue Excision REALSTEX 45 30 / 20 = 50 95 PLC Rectal Anal Sphincter Artificial REALASPH 100 60 / 20 = 80 180 PLC Rectal Anal Sphincteroplasty REALSPHPTY 45 30 / 20 = 50 95 PLC Rectal Anal Warts Excision REALWRT 15 20 / 20 = 40 55 PLC Rectal Anoplasty+/-Diamond Flap REALPTYDFP 30 30 / 20 = 50 80 PLC Rectal Anoplasty+/-Imperforated Anus REALPTYIM 100 30 / 20 = 50 150 PLC Rectal Anoplasty+/-Muscle Flap REALPTYMFP 90 30 / 20 = 50 140 PLC Rectal Fistulotomy w Flap REFISOMYFL 15 30 / 20 = 50 65 PLC Rectal Ischial Abscess I&D+/-Excision REISCABC 30 20 / 20 = 40 70 PLC Rectal Mucosal Strip+/-Prolapse Repair+/-Delorme REMSREPRP 35 35 / 20 = 55 90 PLC Rectal Perianal Fistulectomy REPERFIS 15 30 / 20 = 50 65 PLC Rectal Pouchoplasty REPOUC 15 30 / 15 = 45 60 PLC Rectal Proctopexy+/-Plication REPROPXY 80 30 / 20 = 50 130 PLC Rectal Rectocele Repair +/- Perineorrhaphy RECELERP 30 30 / 20 = 50 80 PLC Rectal Sphincterotomy Internal RESPHCINT 10 30 / 20 = 50 60 PLC Rectal Transanal Villous Tumour Excision REVILTU 30 35 / 15 = 50 80 PLC Rectal Vaginal Fistula Repair REVAGFISRP 40 30 / 20 = 50 90 PLC Rectosigmoidectomy Perineal RESIGECPER 50 45 / 20 = 65 115 PLC Sacral Coccygeal Teratoma Excision SACCOCTEX 150 45 / 20 = 65 215 PLC Sacral Mass Excision Pre Kraske Approach SACMEXKRA 0 0 / 0 = 0 0 PLC Sarcoma Excision Trunk/Extremity SAREXCTE / = PLC Sigmoidoscopy Flexible+/-Biopsy SIGSCFLX 30 30 / 20 = 50 80

Generated: 2021-04-06 11:08 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: PLC 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 PLC Sigmoidoscopy Rigid+/-Biopsy SIGSCRG 10 10 / 10 = 20 30 PLC Skin Biopsy+/-Excision SS SKBXEX 15 20 / 10 = 30 45 PLC Soft Tissue Biopsy+/-Excision+/-Repair SS STBXEXRP 20 25 / 10 = 35 55 PLC Suture Removal SS SUTRM 5 15 / 10 = 25 30 PLC Throat Esophageal Dilation THRESD 15 20 / 15 = 35 50 PLC Throat Esophagoscopy Flexible+/-FB Removal THRESCFLFB 20 20 / 10 = 30 50 PLC Throat Esophagoscopy Rigid+/-FB Removal THRESCRGFB 20 20 / 10 = 30 50 PLC Transanal Endoscopic Microsurgery/TEMS TRALTEMS 100 45 / 20 = 65 165 PLC Transanal Minimally Invasive Surgery TAMIS TRALTAMIS 240 30 / 30 = 60 300 PLC Vein Phlebectomy VNP 30 25 / 20 = 45 75 PLC Vein Phlebectomy Bilateral VNPB 60 25 / 20 = 45 105 PLC Vein Saph Femoral Ligation+/-Phlebectomy VNSFELP 60 25 / 20 = 45 105 PLC Vein Saph Femoral Ligation+/-Phlebectomy Bilateral VNSFELPB 120 25 / 20 = 45 165 PLC Vein Saph Long Ligate+/-Strip VNSLLS 60 35 / 20 = 55 115 PLC Vein Saph Long Ligate+/-Strip Bil VNSLLSB 60 25 / 20 = 45 105 PLC Vein Saph Long Ligate+/-Strip+/-Phlebec VNSLLSP 60 25 / 20 = 45 105 PLC Vein Saph Long Ligate+/Strip+/-Phlebec Bil VNSLLSPB 90 35 / 20 = 55 145 PLC Vein Saph Short & Long Ligate+/-Strip VNSSLLS 80 25 / 20 = 45 125 PLC Vein Saph Short & Long Ligate+/-Strip Bil VNSSLLSB 80 25 / 20 = 45 125 PLC Vein Saph Short & Long Ligate+/-Strip+/-Phleb VNSSLLSP 80 25 / 20 = 45 125 PLC Vein Saph Short & Long Ligate+/-Strip+/-Phleb Bil VNSSLLSPB 85 25 / 20 = 45 130 PLC Vein Saph Short Ligate+/-Strip VNSSLS 45 25 / 20 = 45 90 PLC Vein Saph Short Ligate+/-Strip Bil VNSSLSB 85 25 / 20 = 45 130 PLC Vein Saph Short Ligate+/-Strip+/-Phleb VNSSLSP 30 25 / 20 = 45 75 PLC Vein Saph Short Ligate+/-Strip+/-Phleb Bil VNSSLSPB 60 25 / 20 = 45 105 PLC Warts Cauterization SS WTCUSS 30 20 / 15 = 35 65 GI PLC Colonoscopy+/-Biopsy COLSCBX 30 30 / 15 = 45 75 PLC Colonoscopy+/-Biopsy+/-Polypectomy COLSCBXP 0 0 / 0 = 0 0 PLC Colonoscopy+/-Polypectomy COLPOLEC 30 30 / 15 = 45 75 PLC Endoscopic Retrograde Cholangio Pancreatic Duct ENSCRCP 30 35 / 10 = 45 75 PLC Endoscopic Submucosal Dissection Esoph+/-Stom+/Duo ENSDIS 25 20 / 120 = 140 165 PLC Endoscopy+/-Gastroscopy Upper & Biopsy ENSCUBX 20 15 / 15 = 30 50 PLC Esophogeal Sclerotherapy ESOSCL 0 0 / 0 = 0 0 PLC Gastroscopy G Tube Insertion GSSCGIN 0 0 / 0 = 0 0 GYN PLC Caesarean Section Complex CSSECTCOMP / = PLC Caesarean Section Complex w Interv Radiology CSSECTCIR / = PLC Caesarean Section Prim CSSECTP 60 45 / 15 = 60 120 PLC Caesarean Section Prim w Tubal Ligat/Salping CSSECTPBS 60 30 / 20 = 50 110 PLC Caesarean Section Repeat CSSECTR 75 45 / 15 = 60 135 PLC Caesarean Section Repeat w Tubal Ligat/Salping CSSECTRTBS 75 30 / 20 = 50 125 PLC Caesarean Section w EXIT Procedure CSSECEXIT / = PLC Caesarean Section w Hysterectomy CSSECTHYS / = PLC Cervix Ablation Laser CO2 and Cone Biopsy LEEP CXABLEELZC 20 20 / 15 = 35 55 PLC Cervix Ablation Laser CO2+/-Endocervical Biopsy CXABLZC 10 20 / 10 = 30 40

Generated: 2021-04-06 11:08 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: PLC 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 PLC Cervix Biopsy CXBX 20 15 / 10 = 25 45 PLC Cervix Cauterization CXCU 10 20 / 15 = 35 45 PLC Cervix Colposcopy Endocervical Biopsy & Pap Smear CXCCPP 15 20 / 10 = 30 45 PLC Cervix Cone Biopsy CXCNBX 15 20 / 10 = 30 45 PLC Cervix Cone Biopsy Laser CO2 CXCNBXLZC 15 20 / 15 = 35 50 PLC Cervix Cone Biopsy LEEP CXCNBXLEEP 15 20 / 10 = 30 45 PLC Cervix Insert Fletch Full Selectr HDR Interstitial CXINSFFHDI / = PLC Cervix Insertion Fletcher Full Selectron HDR CXINSFFHD 0 0 / 0 = 0 0 PLC Cervix IUD Insertion/Removal/Replacement CXIUD 5 15 / 10 = 25 30 PLC Cervix Laceration Repair CXRP 10 10 / 10 = 20 30 PLC Cervix Pap Smear CXPAPSM 5 15 / 15 = 30 35 PLC Cervix Polypectomy CXPOLEC 10 20 / 15 = 35 45 PLC Cervix Shirodkar Suture Removal CXSHSURM 15 10 / 10 = 20 35 PLC Cervix Shirodkar Suturing CXSHSU 15 30 / 15 = 45 60 PLC Cervix Stenosis Dilation CXSTD 15 10 / 10 = 20 35 PLC Cervix Trachelectomy Vaginal CXTRCVAG 45 30 / 15 = 45 90 PLC Cystoscopy Peri Urethral Injection CYSPURINJ 15 15 / 15 = 30 45 PLC D&C Diagnostic DCD 10 15 / 10 = 25 35 PLC D&C Exc Retained Placenta+/-Post Partum Hemorrhage DCEXRPPPH 5 20 / 10 = 30 35 PLC D&C Incomplete Product Concept+/-Suction+/-Genetic DCINCOM 15 15 / 10 = 25 40 PLC D&C Therapeutic DCT 15 20 / 10 = 30 45 PLC Dilation & Evacuation Uterus+/-Genetic Studies DEVAC 20 15 / 10 = 25 45 PLC Fetal Ext Cephalic Version+/-Caesarean Section FETEXCVCS 30 15 / 15 = 30 60 PLC Genital Warts Excision Cauterization GENWTEXCU 20 15 / 10 = 25 45 PLC Genital Warts Excision Laser CO2 GENWTEXLZC 20 15 / 15 = 30 50 PLC Hysterectomy Abd Subtotal Colposacpxy+/-SO/AP/TVT HYSABDSTC / = PLC Hysterectomy Abdominal HYSABD 60 35 / 15 = 50 110 PLC Hysterectomy Abdominal Burch HYSABDB 70 30 / 20 = 50 120 PLC Hysterectomy Abdominal Rad+/-Node Sampling+/-SO HYSABDRND 90 35 / 20 = 55 145 PLC Hysterectomy Abdominal Subtotal+/-SO HYSABDST 75 35 / 15 = 50 125 PLC Hysterectomy Abdominal+/-SO HYSABDSOB 70 35 / 20 = 55 125 PLC Hysterectomy Abdominal+/-SO w Node Sampling HYSABDSONS 100 35 / 20 = 55 155 PLC Hysterectomy Laparosc Tot+/-SO/Cys/Ly/En Laser CO2 HYSLSCTSZC / = PLC Hysterectomy Laparoscopy Radical HYSLSCRAD 0 0 / 0 = 0 0 PLC Hysterectomy Laparoscopy Subtotal+/-SO HYSLSCSTL 120 40 / 20 = 60 180 PLC Hysterectomy Laparoscopy Tot+/-Burch/ULSus/AP/Cys HYSLSCTLBU / = PLC Hysterectomy Laparoscopy Tot+/-SO/Cysto/Lysis/Endo HYSLSCTLCL 145 30 / 20 = 50 195 PLC Hysterectomy Laparoscopy Total+/-SO HYSLSCTL 120 30 / 20 = 50 170 PLC Hysterectomy Laparoscopy Total+/-SO w Cystoscopy HYSLSCTLCY 125 30 / 20 = 50 175 PLC Hysterectomy Laparoscopy Total+/-SO wNode Sampling HYSLSCSONS / = PLC Hysterectomy Laparoscopy Total+/-SO/Cysto Sgl Port HYSLSCTLSP / = PLC Hysterectomy Vag +/- Perineorrhaphy HYSVAG 60 30 / 15 = 45 105 PLC Hysterectomy Vag Laparosc Assist+/-SO HYSVAGLSC 105 40 / 15 = 55 160 PLC Hysterectomy Vag Laparosc Assist+/-SO w Node Samp HYSVAGLSCN 105 40 / 15 = 55 160 PLC Hysterectomy Vag Laparosc Asst+/-SO/VS/AP/TVT/TOT HYSVAGLSCV / = PLC Hysterectomy Vag Laparosc Asst+/-SO/VS/CYS/LYS/End HYSVAGLSVC / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Hysterectomy Vag w SO HYSVAGSOB 70 30 / 15 = 45 115 PLC Hysterectomy Vag+/-SO A&P Repair Vault Suspension HYSVAGAPVS 75 30 / 15 = 45 120 PLC Hysterectomy Vag+/-SO A&P Vault Susp TVT/TOT HYSVAGAPCT 100 30 / 20 = 50 150 PLC Hysterectomy Vag+/-SO w TVT HYSVAGSOTV 80 25 / 20 = 45 125 PLC Hysterectomy Vag+/-SO w Vault Suspension+/-TVT HYSVAGSVT 80 30 / 20 = 50 130 PLC Hysterectomy Vag+/-SO+/-Ant+/-Pos Repair HYSVAGAP 75 30 / 15 = 45 120 PLC Hysteroscopy Diagnostic+/-D&C+/-Polypectomy HSCDCP 15 15 / 10 = 25 40 PLC Hysteroscopy Oper Myomec Myosure w Ablate Novasure HSCOPMYOAN 20 15 / 10 = 25 45 PLC Hysteroscopy Oper Myomectomy+/-Polypectomy Myosure HSCOPMPMYO 20 15 / 10 = 25 45 PLC Hysteroscopy Oper+/-Myomec+/-Polypectomy+/-D&C HSCOPMPDC 20 15 / 10 = 25 45 PLC Hysteroscopy Operative Endometrial Ablat Novasure HSCOPEAN 15 15 / 15 = 30 45 PLC Hysteroscopy Operative Endometrial Ablation HSCOPEA 30 20 / 10 = 30 60 PLC Hysteroscopy Operative Tubal Sterilization ESSURE HSCOPTBESS / = PLC Hysterotomy+/-Therapeutic Abortion HYSOMTA 25 15 / 15 = 30 55 PLC Labia Bartholin Cyst I&D Marsupialization LABID 25 15 / 10 = 25 50 PLC Labia Fusion Release LABFSRL 10 10 / 10 = 20 30 PLC Labia Lesion Excision Laser CO2 LABLELZC 20 15 / 10 = 25 45 PLC Labia Reduction Laser CO2 LABREDLZC 0 0 / 0 = 0 0 PLC Labial Vaginal Laceration+/-Rupture+/-Tear Repair LABVAGRP 15 10 / 10 = 20 35 PLC Laparoscopy Assisted Marshall Marchetti Burch LSCMMBUR 100 25 / 15 = 40 140 PLC Laparoscopy Burch w/AP/Cysto+/-Suprapubic Catheter LSCBURAPSU / = PLC Laparoscopy Cervix Cerclage LSCCXCER / = PLC Laparoscopy Cervix Cerclage+/-Lysis Laser CO2 LSCCXCERZC / = PLC Laparoscopy Colposacpxy w Hyst Vag+/-SO/AP/TVT/TOT LSCCOLSXHV 0 0 / 0 = 0 0 PLC Laparoscopy Colposacpxy+/-SO w AP Rpr+/- Perineorr LSCCOLSXAP 270 35 / 20 = 55 325 PLC Laparoscopy Colposacropexy+/-SO LSCCOLSX 100 30 / 15 = 45 145 PLC Laparoscopy Colposacropexy+/-SO/AP Repair/TVT/TOT LSCCOLSXAT 280 35 / 20 = 55 335 PLC Laparoscopy Diagnostic LSCDIA 30 25 / 15 = 40 70 PLC Laparoscopy Diagnostic & D&C LSCDIADC 25 25 / 10 = 35 60 PLC Laparoscopy Diagnostic & Hysteroscopy Operative LSCDHSCOP 0 20 / 15 = 35 35 PLC Laparoscopy Diagnostic Hysteroscopy Diagnos+/-D&C LSCHSCDIAD 25 20 / 15 = 35 60 PLC Laparoscopy Diagnostic Hysteroscopy Hydrotub+/-D&C LSCHYSHYT 30 30 / 15 = 45 75 PLC Laparoscopy Diagnostic Possible Open LSCDIALPY 60 25 / 15 = 40 100 PLC Laparoscopy Ectopic Preg C-Sect Incision Corn/Cerv LSCECPRGCC / = PLC Laparoscopy Ectopic Pregnancy Rem+/-Salpingectomy LSCECPRGRM 30 30 / 15 = 45 75 PLC Laparoscopy Endomet Exc+/-Ilio/Hypo Neurectomy LSCEEXIHNE / = PLC Laparoscopy Endomet Exc+/-SO/Lys/Cyst LSCEESLC / = PLC Laparoscopy Endomet Exc+/-SO/Lys/Cyst/Cys/Sig LSCEESLCCS 180 40 / 20 = 60 240 PLC Laparoscopy Endomet Exc+/-SO/Lys/Cyst/Hys+/-Hydro LSCEESLCHH 135 40 / 20 = 60 195 PLC Laparoscopy Endometriosis Excision LSCEEX 30 25 / 15 = 40 70 PLC Laparoscopy Hydrotubation LSCHYDT 30 25 / 15 = 40 70 PLC Laparoscopy Lymphadenectomy LSCLYEC 90 25 / 15 = 40 130 PLC Laparoscopy Myomectomy LSCMYOEC 60 30 / 15 = 45 105 PLC Laparoscopy Oophorectomy LSCOOPEC 60 25 / 15 = 40 100 PLC Laparoscopy Oophorectomy Bilateral LSCOOPECB 70 30 / 15 = 45 115 PLC Laparoscopy Oper+/-Hysteros HT/SO/Ly/End Laser CO2 LSCOPHHSZC / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparoscopy Operative LSCOP 50 30 / 15 = 45 95 PLC Laparoscopy Operative Hysteroscopy Diagnostic LSCOPHSCD 40 30 / 15 = 45 85 PLC Laparoscopy Operative Hysteroscopy Hydrotuba+/-D&C LSCOPHHYDC 55 30 / 15 = 45 100 PLC Laparoscopy Operative Hysteroscopy Oper Tubal Cann LSCHSCTBCN 30 10 / 10 = 20 50 PLC Laparoscopy Operative Hysteroscopy Operative LSCHSCOP 30 25 / 15 = 40 70 PLC Laparoscopy Operative Laser CO2 LSCOPLZC 60 30 / 15 = 45 105 PLC Laparoscopy Operative Staging Oncology LSCSTGONC 240 30 / 30 = 60 300 PLC Laparoscopy Operative+/-SO/Lys/Endo/Cys Laser CO2 LSCOPSLEZC / = PLC Laparoscopy Ovarian Cystectomy LSCOVCYEC 60 30 / 15 = 45 105 PLC Laparoscopy Pelvic Lymphadenectomy & Vaginal Trach LSCLYMECVT 0 0 / 0 = 0 0 PLC Laparoscopy Pelvic Mass LSCPVMS 50 30 / 15 = 45 95 PLC Laparoscopy Salpingectomy LSCSALEC 60 30 / 15 = 45 105 PLC Laparoscopy Salpingectomy Bil w Hyster Diag+/-D&C LSCSBHDC 45 30 / 15 = 45 90 PLC Laparoscopy Salpingectomy Bil w HysterOpEndomAblat LSCSBHOPEA 60 30 / 15 = 45 105 PLC Laparoscopy Salpingectomy Bil w Oophorectomy Uni LSCSALBOU 90 30 / 20 = 50 140 PLC Laparoscopy Salpingectomy Bilateral LSCSALECB 75 30 / 15 = 45 120 PLC Laparoscopy Salpingectomy Contraceptive LSCSALECC 60 30 / 15 = 45 105 PLC Laparoscopy Salpingectomy Contraceptive Bil LSCSALECCB 75 30 / 15 = 45 120 PLC Laparoscopy Salpingoophorectomy LSCSALOO 60 30 / 15 = 45 105 PLC Laparoscopy Salpingoophorectomy Bilateral LSCSALOOB 75 30 / 15 = 45 120 PLC Laparoscopy Trachelectomy LSCTRC / = PLC Laparoscopy Tubal Clip LSCTBCL 15 20 / 15 = 35 50 PLC Laparoscopy Tubal Clip Hyst Op Endomet Abl Novasur LSCTBHSENO / = PLC Laparoscopy Tubal Clip Hyst Op Endomet Ablation LSCTBHSCEA 25 20 / 10 = 30 55 PLC Laparoscopy Tubal Clip Hysteroscopy Diag LSCTBHSCDI 25 25 / 15 = 40 65 PLC Laparoscopy Tubal Clip Removal LSCTBCLR 15 20 / 10 = 30 45 PLC Laparoscopy Tubal Clip w D&C Therapeutic LSCTBDCT 20 20 / 10 = 30 50 PLC Laparoscopy Tuboplasty Reanast+/-Clip Rev LSCTBREAT 45 30 / 10 = 40 85 PLC Laparoscopy TVT Removal LSCTVTRM / = PLC Laparoscopy Urethropexy LSCUTHPXY 90 30 / 15 = 45 135 PLC Laparoscopy URO/GYN Mesh Revision+/-Extraction LSCMESHRV 45 25 / 15 = 40 85 PLC Laparoscopy Uterine Susp+/-SO/AP/Entero/TVT/Cys LSCUTSAETC 120 35 / 20 = 55 175 PLC Laparoscopy Uterine Suspension LSCUTSUS 45 20 / 10 = 30 75 PLC Laparoscopy Vaginal Vault Suspension LSCVAGVSUS 60 30 / 15 = 45 105 PLC Laparotomy Bladder Sling Abdominovaginal LPYBLSLAVG 120 30 / 15 = 45 165 PLC Laparotomy Bladder Sling Suburethral LPYBLSLSUR 120 30 / 15 = 45 165 PLC Laparotomy Colposacropexy+/-SO/AP Repair/Cysto LPYCOLSXSC / = PLC Laparotomy Debulking Oncology LPYDEBUONC / = PLC Laparotomy Ectopic Pregnancy Rem+/-Salpingectomy LPYECPRGRM 45 30 / 15 = 45 90 PLC Laparotomy Oophorectomy LPYOOPEC 75 30 / 20 = 50 125 PLC Laparotomy Oophorectomy Bilateral LPYOOPECB 75 30 / 15 = 45 120 PLC Laparotomy Ovarian Cystectomy LPYOVCYEC 45 30 / 20 = 50 95 PLC Laparotomy Pelvic Exenteration Oncology LPYPVEXNT 420 45 / 20 = 65 485 PLC Laparotomy Pelvic Mass LPYPVMS 90 35 / 15 = 50 140 PLC Laparotomy Salpingectomy LPYSALEC 60 30 / 15 = 45 105 PLC Laparotomy Salpingectomy Bilateral LPYSALECB 60 30 / 15 = 45 105

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparotomy Salpingoophorectomy LPYSALOO 50 30 / 15 = 45 95 PLC Laparotomy Salpingoophorectomy Bilateral LPYSALOOB 60 30 / 15 = 45 105 PLC Laparotomy Second Look LPY2LOOK 120 30 / 15 = 45 165 PLC Laparotomy Staging Oncology LPYSTGONC 120 30 / 15 = 45 165 PLC Laparotomy Tubal Clip LPYTBCL 20 30 / 15 = 45 65 PLC Laparotomy Tuboplasty Reanast+/-Clip Rev LPYTBREAT 75 35 / 15 = 50 125 PLC Laparotomy Urethropexy Anterior+/-Burch LPYUTHAB 60 30 / 15 = 45 105 PLC Laparotomy URO/GYN Mesh Revision+/-Extraction LPYMESHRV 60 30 / 15 = 45 105 PLC Laparotomy Uterus Myomectomy LPYUTMYOEC 60 35 / 15 = 50 110 PLC Laparotomy Uterus Post Operative Bleed Arrest LPYUTPOBLD 60 30 / 15 = 45 105 PLC Laparotomy Vaginal Vault Suspension LPYVAGSUS 75 30 / 15 = 45 120 PLC Laparotomy Vaginal Vault Suspension w Burch w Cyst LPYVAGSBC / = PLC Maternal+/-Fetal Monitoring MATFETMON / = PLC Neovagina Creation VAGNEO / = PLC Nerve Stimulator Explant Sacrum NVSTSAEX 75 30 / 20 = 50 125 PLC Nerve Stimulator Insertion Sacrum NVSTINSA 0 0 / 0 = 0 0 PLC Nerve Stimulator IP Generator Replacement Sacrum NVSTGRSA 0 0 / 0 = 0 0 PLC Nerve Stimulator Revision Sacrum NVSTRVSA 0 0 / 0 = 0 0 PLC Perineal Female Genital Repair+/-Defibulation PEFEGENREP 30 10 / 10 = 20 50 PLC Perineal Interstitial Template Brachytherapy HDR PERITBHDR / = PLC Perineum Tissue Excision Biopsy+/-Repair+/-Zplasty PERTEBRZ 15 20 / 10 = 30 45 PLC Trial Forcep Delivery TRIALDL 15 30 / 10 = 40 55 PLC Uterus Endometrial Biopsy UTENDBX 10 15 / 10 = 25 35 PLC Uterus Insertion Endometrial Rotte Applicator HDR UTIENDRAHD / = PLC Vaginal A&P Cystocele/Rectocele/Enterocele Repair VAGAPRP 45 30 / 15 = 45 90 PLC Vaginal A&P Repair w TVT/TOT VAGAPRPT 45 30 / 15 = 45 90 PLC Vaginal A&P Repair w Vault Susp TVT/TOT VAGAPRPVTV / = PLC Vaginal A&P Repair w Vault Suspension VAGAPRPVS 75 30 / 15 = 45 120 PLC Vaginal Anterior/Cystocele Repair VAGARP 45 30 / 15 = 45 90 PLC Vaginal Bladder Sling Pubovaginal Rectus Fascia VAGBLSLPBV 120 30 / 15 = 45 165 PLC Vaginal Cervical Myomectomy VAGMYOMEC / = PLC Vaginal Colpocleisis+/-D&C VAGCOLPO 60 30 / 15 = 45 105 PLC Vaginal Dilation VAGDIL 10 10 / 10 = 20 30 PLC Vaginal EUA VAGEUA 5 10 / 10 = 20 25 PLC Vaginal EUA Cystoscopy & Sigmoidoscopy VAGSCYSIG 20 10 / 10 = 20 40 PLC Vaginal Hymenectomy VAGHYM 10 10 / 10 = 20 30 PLC Vaginal Insertion Fletcher Selectron Micro HDR VAGFLSLHDR 15 30 / 20 = 50 65 PLC Vaginal Introitoplasty w Graft+/-Buccal or Skin VAGINGBS / = PLC Vaginal Labor & Delivery Generic VAGLBDEL 30 20 / 10 = 30 60 PLC Vaginal Lefort Procedure+/-Hysteroscopy+/-D&C VAGLEFOR 60 45 / 20 = 65 125 PLC Vaginal Posterior/Rectocele Repair VAGPRP 30 30 / 15 = 45 75 PLC Vaginal Septum Excision VAGSEPEX 20 20 / 10 = 30 50 PLC Vaginal TOT Insert VAGTOVT 30 30 / 20 = 50 80 PLC Vaginal TVT Insert VAGTVT 30 30 / 15 = 45 75 PLC Vaginal TVT Rev VAGTVTRV 45 30 / 15 = 45 90 PLC Vaginal URO/GYN Mesh Revision+/-Extraction VAGMESHRV 45 30 / 20 = 50 95

Generated: 2021-04-06 11:08 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: PLC 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 PLC Vaginal Vault Biopsy+/-Mass Excision VAGVLTBX 15 20 / 10 = 30 45 PLC Vaginal Vault Laser CO2 VAGVLTLZC 20 30 / 15 = 45 65 PLC Vaginal Vault Repair VAGVLTRP 60 30 / 15 = 45 105 PLC Vaginal Vault Suspension VAGVLTS 75 20 / 15 = 35 110 PLC Vaginectomy VAGEC 60 30 / 15 = 45 105 PLC Vaginoplasty VAGPTY 60 30 / 15 = 45 105 PLC Vaginoplasty Myocutaneous Flap VAGMYOC 60 45 / 20 = 65 125 PLC Vaginoplasty w Skin Graft VAGSKGF 60 30 / 20 = 50 110 PLC Vulvar Biopsy VULBX 15 15 / 10 = 25 40 PLC Vulvar Laser Treatment CO2 VULLZC 10 20 / 20 = 40 50 PLC Vulvectomy Radical VULVRAD 90 45 / 20 = 65 155 PLC Vulvectomy Radical & Lymphadenectomy VULVRADL 120 45 / 30 = 75 195 PLC Vulvectomy Simple VULSIM 30 30 / 15 = 45 75 MED PLC Blood Autologus Transfusion BLDAUTRF 30 15 / 15 = 30 60 PLC Bone Marrow Retrieval for Transplant BNMRRTRV 0 0 / 0 = 0 0 PLC Breast Brachytherapy TBCC BRBRACYTB / = PLC Prostate Brachytherapy Mick 200 TBCC PRTBRMICTB / = PLC Prostate Transperineal Brachytherapy HDR PRTTPBHDR / = NEU PLC Carotid Artery Pacemaker Insertion CTAPM 0 0 / 0 = 0 0 PLC Carotid Artery Pacemaker Rev/Generator Replacement CTAPMRBR 45 45 / 20 = 65 110 PLC Cranial Burr Hole Depth Elect Implant Epilepsy CRBHIMELC 0 0 / 0 = 0 0 PLC Cranial Burr Hole Evac Hematoma Subdural CRBHEVHEM / = PLC Cranial Burr Hole for CJD Brain Biopsy CRBHCJDB 0 0 / 0 = 0 0 PLC Cranial Burr Hole Stereotax DBS Lead Ins/Depressn CRBHSXDBD / = PLC Cranial Burr Hole Stereotax DBS Lead Ins/Move Dis CRBHSXDBM 0 0 / 0 = 0 0 PLC Cranial Burr Hole Stereotax Radiofrequency Lesion CRBHSXRFL / = PLC Cranial Burr Hole+/-Brain/Tumour Biopsy CRBHBX 0 0 / 0 = 0 0 PLC Cranial Burr Hole+/-Brain/Tumour Biopsy w Nav CRBHBXSN / = PLC Cranial CSF Leak Repair CRCSFLKRP 0 0 / 0 = 0 0 PLC Cranial Cyst Exc+/-Colloid Endoscopic+/-Axiem CRCCRE 0 0 / 0 = 0 0 PLC Cranial DBS Percutaneous Extension Removal CRDBSLRM 0 0 / 0 = 0 0 PLC Cranial DBS Revision+/-Generator CRDBSLRGI 0 0 / 0 = 0 0 PLC Cranial Encephalocele Repair CRENCRP 0 0 / 0 = 0 0 PLC Cranial EVD/ROSA Bolt Removal CREVROBR / = PLC Cranial Externalize Ventricular Peritoneal Shunt CRVPSNT 0 0 / 0 = 0 0 PLC Cranial Generator IPG Initial SS CRDBSGEN 0 0 / 0 = 0 0 PLC Cranial Generator IPG Replacement SS CRDBSGENR 0 0 / 0 = 0 0 PLC Cranial Halo Application CRHALOAP 0 0 / 0 = 0 0 PLC Cranial Hardware Removal CRHWRM 90 75 / 20 = 95 185 PLC Cranial ICP Monitor Insertion CRICPIN 0 0 / 0 = 0 0 PLC Cranial Occipital Nerve Expl w Lead+/-Implant IPG CRONELI / = PLC Cranial Occipital Nerve Generator IPG Replacement CROCNGIPGR 0 0 / 0 = 0 0 PLC Cranial Occipital Nerve Stimulator Insertion CROCNSI 0 0 / 0 = 0 0 PLC Cranial Occipital Nerve Temporary lead CROCNST 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Cranial Pit Tumour Exc Transnasal Endo CROPITTRE / = PLC Cranial Pit Tumour Exc Transnasal Endo MRT CROPITTREM / = PLC Cranial Pit Tumour Exc Transnasal Endo Ped MRT CROPITREMP / = PLC Cranial Pit Tumour Exc Transnasal Endo w Nav CROPITTREN / = PLC Cranial Pit Tumour Exc Transnasal Endo w Nav MRT CROPITRENM / = PLC Cranial Pit Tumour Transsphenoid Hypophysect MRT CROPITHMRI 0 0 / 0 = 0 0 PLC Cranial Pit Tumour Transsphenoid Hypophysect w Nav CROPITTHN / = PLC Cranial Pit Tumour Transsphenoid Hypophysectomy CROPITHYP 0 0 / 0 = 0 0 PLC Cranial SEEG w Laser Thermal Therapy LITT CRSEEGLITT / = PLC Cranial Skull Base Tumour Excision Endoscopic CRSKBTUEN / = PLC Cranial Skull Base Tumour Excision Endoscopic MRT CRSKBTUENM / = PLC Cranial Skull Base Tumour Excision Endoscopic Nav CRSKBTUENN / = PLC Cranial Stereotax Robot ROSA Depth Elec Epi CRSROSA / = PLC Cranial Stereotax Robot ROSA Depth Elec Epi MRT CRSROSAMRT / = PLC Cranial Stereotax Robot ROSA Depth Elec Epi Ped CRSROSAPED / = PLC Cranial Stereotax Robot ROSA Depth Elec Epi Ped MR CRSROSAPM / = PLC Cranial Third Ventriculoscopy/stomy Endoscopic CRTVOSCE / = PLC Cranial Vault Reconstruction Endoscopic CRFCRCNEN 0 0 / 0 = 0 0 PLC Cranial Vault Remodeling Synostosis CRVTRSYN / = PLC Cranial Vault Remodelling w Fronto Orbital Advance CRVTRFOA / = PLC Cranial Vent/Perit Shunt Convert Vent/Atrial Shunt CRVTPCOVAS / = PLC Cranial Ventricul Peritoneal Shunt Insert+/-Axiem CRVPSNTIN 0 0 / 0 = 0 0 PLC Cranial Ventricular Atrial Shunt Insert+/-Revision CRVASNTIN 0 0 / 0 = 0 0 PLC Cranial Ventricular Drain Insertion EVD CRVDIN 0 0 / 0 = 0 0 PLC Cranial Ventricular Peritoneal Shunt Removal CRVPSNTRM 0 0 / 0 = 0 0 PLC Cranial Ventricular Peritoneal Shunt Rev +/-Axiem CRVPSNTRV 0 0 / 0 = 0 0 PLC Cranial Ventricular Pleural Shunt Insertion CRVPLSIN / = PLC Cranial Ventricular Reservoir Insertion CRVRESIN / = PLC Cranial Ventricular Reservoir Neonatal Insert CRVRESNEO 0 0 / 0 = 0 0 PLC Cranial Ventriculoscopy w Choroid Plexus Coag CRTVOSCPC / = PLC Cranial Ventriculoscopy/tomy Flex+/-Bx/Cys Fen End CRTVOSFCE 0 0 / 0 = 0 0 PLC Cranial Ventriculoscopy/tomy Rig+/-Bx/Cys Fen End CRTVOSRCE / = PLC Craniectomy Dermoid Extracranial CRECDMEX 0 0 / 0 = 0 0 PLC Craniectomy Dermoid Intracranial CRCDMIC / = PLC Craniectomy Skull Tumour CRSKTU 0 0 / 0 = 0 0 PLC Craniectomy Skull Tumour w Nav CRSKTUSN / = PLC Craniofacial Reconstruction CRFCRCN 0 0 / 0 = 0 0 PLC Cranioplasty+/-Infected Bone Flap CRPTY 90 75 / 20 = 95 185 PLC Craniotomy Aneurysm Clipping CROANCL 0 0 / 0 = 0 0 PLC Craniotomy Aneurysm Clipping MRT CROANCM / = PLC Craniotomy Aneurysm Clipping w CPB CROANCPB 0 0 / 0 = 0 0 PLC Craniotomy Aneurysm Clipping w Nav CROANCN / = PLC Craniotomy Aneurysm Clipping w Nav MRT CROANCNM / = PLC Craniotomy Arteriovenous Malformation CROAVMAL 0 0 / 0 = 0 0 PLC Craniotomy Arteriovenous Malformation MRT CROAVMALM / = PLC Craniotomy Arteriovenous Malformation w Nav CROAVMALN / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Craniotomy Arteriovenous Malformation w Nav MRT CROAVMALNM / = PLC Craniotomy Corpus Callosotomy Epilepsy Nav Ped MRT CROCOCENPM / = PLC Craniotomy Corpus Callosotomy Epilepsy w Nav CROCOCA 0 0 / 0 = 0 0 PLC Craniotomy Decompression Skull Fracture CRODECFX 0 0 / 0 = 0 0 PLC Craniotomy Depth Elec/Grid Impl Epilepsy CROEDEGI 0 0 / 0 = 0 0 PLC Craniotomy Depth Elec/Grid Impl Epilepsy MRT CROEDEGIM / = PLC Craniotomy Depth Elec/Grid Impl Epilepsy w Nav CROEDEGIN / = PLC Craniotomy Depth Elec/Grid Impl Epilepsy w Nav MRT CROEDEGINM / = PLC Craniotomy Depth Elec/Grid Removal Epilepsy CROEDEGR / = PLC Craniotomy Depth Elect Impl Epilepsy Stereotx w Fr CROEDEISF / = PLC Craniotomy Evac Hematoma Sub/Epidural/Abscess/Cyst CROEVHEM / = PLC Craniotomy Excision Cavernoma CROREMC 0 0 / 0 = 0 0 PLC Craniotomy Excision Cavernoma MRT CROREMCM / = PLC Craniotomy Excision Cavernoma w Nav CROREMCN / = PLC Craniotomy Excision Cavernoma w Nav MRT CROREMCNM / = PLC Craniotomy for Direct Cerebrovascular Bypass CROCTCTBY 0 0 / 0 = 0 0 PLC Craniotomy for Indirect Cerebrovascular Bypass CROENARSY / = PLC Craniotomy Foreign Body Removal CROFBR / = PLC Craniotomy Hemispherectomy for Epilepsy w Nav CROHEM / = PLC Craniotomy Lobect+/- Elec+/-Grid Rem Epilep w Nav CROEPLEXN / = PLC Craniotomy Lobectom+/-Elec+/-Grid Rem Epilepsy MRT CROEPLEM / = PLC Craniotomy Lobectomy CROLOB / = PLC Craniotomy Lobectomy for Epilepsy Awake CROEPLEA 0 0 / 0 = 0 0 PLC Craniotomy Lobectomy for Epilepsy Awake MRT CROEPLEAMR 0 0 / 0 = 0 0 PLC Craniotomy Lobectomy for Epilepsy Awake w Nav CROEPLEAN / = PLC Craniotomy Lobectomy for Epilepsy Awake w Nav MRT CROEPLEANM / = PLC Craniotomy Lobectomy for Epilepsy w ECOG CROEPEEG 0 0 / 0 = 0 0 PLC Craniotomy Lobectomy for Epilepsy w ECOG MRT CROEPEEGM / = PLC Craniotomy Lobectomy for Epilepsy w ECOG Nav MRT CROEPEEGNM / = PLC Craniotomy Lobectomy for Epilepsy w ECOG w Nav CROEPEEGN / = PLC Craniotomy Lobectomy for Epilepsy w Nav CROEPLEN / = PLC Craniotomy Lobectomy for Epilepsy w Nav MRT CROEPLENM / = PLC Craniotomy Lobectomy+/- Elec+/-Grid Rem Epilepsy CROEPLEX 0 0 / 0 = 0 0 PLC Craniotomy Microvasc Cranial Nerve Decomp Nav MRT CROCRNVDNM / = PLC Craniotomy Microvasc Cranial Nerve Decompres W Nav CROCRNVDN / = PLC Craniotomy Microvasc Cranial Nerve Decompress CROCRNVD 0 0 / 0 = 0 0 PLC Craniotomy Microvasc Cranial Nerve Decompress MRT CROCRNVDM / = PLC Craniotomy Post Fossa Foramen Magnum Decomp/Chiari CROPFCHR 0 0 / 0 = 0 0 PLC Craniotomy Post Fossa Tumour Excision CROPFT 180 90 / 30 = 120 300 PLC Craniotomy Post Fossa Tumour Excision MRT CROPFTM / = PLC Craniotomy Post Fossa Tumour Excision Nav MRT CROPFTNM / = PLC Craniotomy Post Fossa Tumour Excision w EVD Nav CROPFTEN / = PLC Craniotomy Post Fossa Tumour Excision w Nav CROPFTN / = PLC Craniotomy Robotic Stereotaxic Tumour Biopsy MRT CRORBSXTBX / = PLC Craniotomy Stereotaxic Brain Biopsy Frameless Nav CROSXBBXFN 0 0 / 0 = 0 0 PLC Craniotomy Stereotaxic Brain Biopsy w Leksell Fram CROSXBBXF 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Craniotomy Suboccipital Acoustic Neuroma CROSOCAC 0 0 / 0 = 0 0 PLC Craniotomy Suboccipital Acoustic Neuroma MRT CROSOTURM / = PLC Craniotomy Suboccipital Acoustic Neuroma w Nav CROSOCACN / = PLC Craniotomy Suboccipital Tumour Excision CROSOTUR / = PLC Craniotomy Suboccipital Tumour Excision MRT CROSOTM / = PLC Craniotomy Suboccipital Tumour Excision w Nav CROSOTSN / = PLC Craniotomy Suboccipital Tumour Excision w Nav MRT CROSOTSNM / = PLC Craniotomy Translabyrinth Acoustic Neuroma Exc MRT CROTACCSM / = PLC Craniotomy Translabyrinth Acoustic Neuroma Excis CROTACCS 0 0 / 0 = 0 0 PLC Craniotomy Tum Exc Awake Mot/Speech Map MRT CROTURMAM / = PLC Craniotomy Tum Exc Awake Mot/Speech Map w Nav CROTURMAN / = PLC Craniotomy Tum Exc Awake Mot/Speech Map w Nav MRT CROTURMANM / = PLC Craniotomy Tum Exc Orbitozygomatic Appr CROTURMO / = PLC Craniotomy Tum Exc Orbitozygomatic Appr w Nav CROTURMON / = PLC Craniotomy Tum Exc Orbitozygomatic Appr w Nav MRT CROTURMONM / = PLC Craniotomy Tumour Biopsy CROTUBX 0 0 / 0 = 0 0 PLC Craniotomy Tumour Biopsy With Nav CROTUBXN / = PLC Craniotomy Tumour Excision CROTURMMI 0 0 / 0 = 0 0 PLC Craniotomy Tumour Excision MRT CROTURMM 0 0 / 0 = 0 0 PLC Craniotomy Tumour Excision Pediatric MRT CROTURMPM 0 0 / 0 = 0 0 PLC Craniotomy Tumour Excision Redo CROTURMR 0 0 / 0 = 0 0 PLC Craniotomy Tumour Excision Redo MRT CROTURMRM / = PLC Craniotomy Tumour Excision Redo w Nav CROTURMRN / = PLC Craniotomy Tumour Excision Redo w Nav MRT CROTURRNM / = PLC Craniotomy Tumour Excision Robotic MRT CRORBTURMI / = PLC Craniotomy Tumour Excision w Nav CROTURMSN 0 0 / 0 = 0 0 PLC Craniotomy Tumour Excision w Nav MRT CROTURMNM / = PLC Craniotomy w Endovascular Interventional Radiology CROENDVIR / = PLC Inguinal Periph Nerve Stimulator Electrode InsTemp INGPNVSETI / = PLC Inguinal Periph Nerve Stimulator Insert INGPNVSIN / = PLC Inguinal Periph Nerve Stimulator Rev+/-Rem INGPNVSRV / = PLC Laparoscopy Assist Lmbr Perit Shunt Insertion LSCALPSI / = PLC Laparoscopy Assist Lmbr Perit Shunt Revision LSCALPSR / = PLC Laparoscopy Assist Ventric/Perit Shunt Rev+/-Axiem LSCAVPSRAX / = PLC LaparoscopyAssist VentricPeritShunt Insert+/-Axiem LSCAVPSIAX / = PLC Laparotomy Peritoneal Shunt Insert LPYPTSNT 90 60 / 30 = 90 180 PLC MRI Anesthesia Standby Leksell Headrest MRIANALKS 0 0 / 0 = 0 0 PLC MRI Anesthesia Standby Radionics Headrest MRIANARDI 0 0 / 0 = 0 0 PLC Nerve Axillary Exploration+/-Repair NVAXEXRP 0 0 / 0 = 0 0 PLC Nerve Biopsy SS NVBX 0 0 / 0 = 0 0 PLC Nerve Femoral Cutaneous Exploration+/-Repair NVFECEXRP 75 45 / 30 = 75 150 PLC Nerve Ilio-inguinal Exploration+/-Repair NVILINEXRP 0 0 / 0 = 0 0 PLC Nerve Lateral Femoral Cutaneous Exploration+/-Rep NVLFECEXRP 0 0 / 0 = 0 0 PLC Nerve Peripheral Entrapment Release NVPFENRL 0 0 / 0 = 0 0 PLC Nerve Peripheral Neuroma Excision NVPFNEX 0 0 / 0 = 0 0 PLC Nerve Peripheral Tumour Excision NVPFTURM 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Nerve Peroneal Exploration+/-Repair Lateral NVPNEXRPL 45 25 / 15 = 40 85 PLC Nerve Peroneal Exploration+/-Repair Posterior NVPNEXRPP 0 0 / 0 = 0 0 PLC Nerve Popliteal Fossa Exploration+/-Repair NVPOPFEXRP 0 0 / 0 = 0 0 PLC Nerve Posterior Interosseous Exploration+/-Repair NVPSIOEXRP 75 45 / 30 = 75 150 PLC Nerve Radial Exploration+/-Repair NVRADEXRP 0 0 / 0 = 0 0 PLC Nerve Sciatic Exploration+/-Repair NVSCEXRP 0 0 / 0 = 0 0 PLC Nerve Stimulator Revision +/-Removal Vagus NVSTVGREV / = PLC Nerve Stimulator Insertion Vagus NVSTVGIN 0 0 / 0 = 0 0 PLC Nerve Stimulator IPG Generator Replacement Vagus NVSTGRVAGU / = PLC Nerve Sural Exploration+/-Repair NVSUEXRP 75 45 / 30 = 75 150 PLC Nerve Thoracic Outlet Decompression NVTHODEC 0 0 / 0 = 0 0 PLC Nerve Tibial Exploration+/-Repair NVTBEXRP 0 0 / 0 = 0 0 PLC Nerve Trans Abdominal Pelvic Tumour Excision NVTAPTEX 0 0 / 0 = 0 0 PLC Nerve Trigeminal Rhizotomy Balloon NVTRRHZ 0 0 / 0 = 0 0 PLC Nerve Trigeminal Rhizotomy RF NVTRRHRF 0 0 / 0 = 0 0 PLC Nerve Ulnar Exploration Neurolysis+/-Repair NVULEXRP 75 45 / 30 = 75 150 PLC Nose Transnasal CSF Leak Repair Endoscopic NTRNCSFLKE / = PLC Scalp Wound I&D/Debridement+/-Repair SCWIDDR 50 45 / 15 = 60 110 PLC Spinal Cord Stimulator Elect w IPG Gen Ins SS SPLPEGIN / = PLC Spinal Cord Stimulator Electrode Insertion SPLPEPIN 0 0 / 0 = 0 0 PLC Spinal Cord Stimulator IPG Generator Insert SPLPSGIN 0 0 / 0 = 0 0 PLC Spinal Cord Stimulator IPG Generator Replace SS SPLPSGRP 0 0 / 0 = 0 0 PLC Spinal Cord Stimulator Removal Total SS SPLPSGRM 0 0 / 0 = 0 0 PLC Spinal Cord Stimulator Revision Total SPLPEPRV 0 0 / 0 = 0 0 PLC Spine Baclofen Pump Insertion SPINTPIN 0 0 / 0 = 0 0 PLC Spine Baclofen Pump Removal SPINTPRM 0 0 / 0 = 0 0 PLC Spine Baclofen Pump Revision SPINTPRV 0 0 / 0 = 0 0 PLC Spine Baclofen Pump Test Dose SPINTPINT 0 0 / 0 = 0 0 PLC Spine Pos DREZ RF Lesion W SPLDREZL / = PLC Spine Pos W Rhizotomy 1-2 level SPPLMR12 150 75 / 30 = 105 255 PLC Spine Pos Laminoplasty W Rhizotomy 3+ levels SPPLMR3 / = PLC Spine Syringo Peritoneal Shunt Insert/Revision SPSHSYPINR 0 0 / 0 = 0 0 PLC Spine Syringo Pleural Shunt Insertion SPSHSPLIN / = OPH PLC Eye Anterior Foreign Body Removal Magnetic EYFBRM 0 0 / 0 = 0 0 PLC Eye Botox Injection EYBOTINJ 10 10 / 10 = 20 30 PLC Eye Cataract Phacoemulsification+/-IOL EYCATIOL 0 0 / 0 = 0 0 PLC Eye Cataract Phacoemulsification+/-IOL Bil EYCATIOLB 0 0 / 0 = 0 0 PLC Eye Chalazion Excision EYLDCHAL 0 0 / 0 = 0 0 PLC Eye Conjunctivial Lesion Biopsy EYCNJLBX 0 0 / 0 = 0 0 PLC Eye Conjunctivoplasty EYCNJPLGFT 0 0 / 0 = 0 0 PLC Eye Cornea Eyelid Reinnerv w Sural Nerve Graft EYCOLDRSNG 180 45 / 30 = 75 255 PLC Eye Cornea Keratotomy EYCORKOMY / = PLC Eye Cornea Pterygium Excision+/-Graft EYCORPTR 0 0 / 0 = 0 0 PLC Eye Cornea Scleroconjunctivectomy AmnioticMembrane EYCORKSCNJ 0 0 / 0 = 0 0 PLC Eye Corneal Repair+/-Lesion Excision EYCORRP 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Eye Corneal Scraping EYCORSCP 0 0 / 0 = 0 0 PLC Eye Corneal Transplant EYCORTP 0 0 / 0 = 0 0 PLC Eye Corneal Transplant Keratoprost w VitrectomyAnt EYCORTPKVA / = PLC Eye Corneal Transplant w Cataract Phaco+/-IOL EYCORTPCAT / = PLC Eye EUA EYEUA 20 15 / 10 = 25 45 PLC Eye EUA Foreign Body Rust Ring Removal EYEUAFBRM / = PLC Eye EUA Laser Diode EYLZD 0 0 / 0 = 0 0 PLC Eye EUA+/-Cryopexy EYEUACRY 0 0 / 0 = 0 0 PLC Eye Globe Enucleation EYORBENUC 0 0 / 0 = 0 0 PLC Eye Globe Evisceration EYORBEVIS 0 0 / 0 = 0 0 PLC Eye Globe Fine Needle Aspiration Biopsy EYORBNLASP 0 0 / 0 = 0 0 PLC Eye Injection State Type EYINJ 0 0 / 0 = 0 0 PLC Eye Iridectomy+/-Iridocyclectomy+/-Cyclectomy EYIRDOC / = PLC Eye Iridectomy+/-Irrigation+/-Phacoemulsification EYIRDIR / = PLC Eye Lacrimal Duct Repair EYLDCTRP 30 10 / 10 = 20 50 PLC Eye Lacrimal Gland Duct Canaliculus Repair EYLGCANNRP 0 0 / 0 = 0 0 PLC Eye Lacrimal Gland Duct DCR EYLGDCR 30 15 / 15 = 30 60 PLC Eye Lacrimal Gland Duct DCR Bilateral EYLGDCRB 0 0 / 0 = 0 0 PLC Eye Lacrimal Gland Duct DCR Endoscopic EYLGDCREND 0 0 / 0 = 0 0 PLC Eye Lacrimal Gland Duct Probe+/-Irrg+/-Intub EYLGPRTUBE 15 20 / 10 = 30 45 PLC Eye Lacrimal Gland Duct Revision Jones Tube EYLGDRVJ 20 15 / 15 = 30 50 PLC Eye Laser Excimer EYLZE / = PLC Eye Laser Excimer Bilateral EYLZEB / = PLC Eye Lid Ectropion Repair EYLDECTRP 30 25 / 15 = 40 70 PLC Eye Lid Entropion Repair EYLDENTRP 30 25 / 15 = 40 70 PLC Eye Lid Epilation Cryotherapy EYLDEPILCY 0 0 / 0 = 0 0 PLC Eye Lid Loading Gold Weight Implant EYLDLGWI 0 0 / 0 = 0 0 PLC Eye Lid Ptosis Moderate 3-4 mm Levator Excision EYLDLVRS 0 0 / 0 = 0 0 PLC Eye Lid Ptosis Repair EYLDPTOS 20 15 / 10 = 25 45 PLC Eye Lid Ptosis Repair Bilateral EYLDPTOSB 20 15 / 10 = 25 45 PLC Eye Lid Ptosis Severe > 4mm Frontalis Muscle EYLDPTS4FM 0 0 / 0 = 0 0 PLC Eye Orbit Decomp Endosc w Guided Image EYORBDEIM 0 0 / 0 = 0 0 PLC Eye Orbit Exenteration EYORBEXT 0 0 / 0 = 0 0 PLC Eye Orbit Implant Peg Insertion EYORBPEG 0 0 / 0 = 0 0 PLC Eye Orbit Reconstruction Rep w Buccal Mucosal Grft EYORBRBMG 0 0 / 0 = 0 0 PLC Eye Orbit Reconstruction Repair w Dermis Fat Graft EYORBRDFG 0 0 / 0 = 0 0 PLC Eye Orbital Brachytherapy Plaque Removal EYORBBPR / = PLC Eye Orbital Decompression Anterior EYORBDECA 0 0 / 0 = 0 0 PLC Eye Orbital Decompression Lateral+/-Graves Disease EYORBDECL 0 0 / 0 = 0 0 PLC Eye Orbital Decompression Medial EYORBDECM 0 0 / 0 = 0 0 PLC Eye Orbital Decompression Posterior/Orbitotomy EYORBDECP 0 0 / 0 = 0 0 PLC Eye Orbital Fracture Repair EYORBFXRP 45 30 / 15 = 45 90 PLC Eye Orbital Lesion+/-Mass Excision Laser CO2 EYORBLELZC 15 20 / 10 = 30 45 PLC Eye Orbital Sphere Implant Secondary EYORBSIMPS 0 0 / 0 = 0 0 PLC Eye Orbitotomy Anterior+/-Lacrimal Gland Biopsy EYORBANLGB 0 0 / 0 = 0 0 PLC Eye Peri Orbital Abscess I&D EYID 15 20 / 10 = 30 45

Generated: 2021-04-06 11:08 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: PLC 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 PLC Eye Scleral Buckle EYSB 0 0 / 0 = 0 0 PLC Eye Secondary IOL Insertion+/-Removal+/-Suturing EYIOLSEC 0 0 / 0 = 0 0 PLC Eye Soft Tissue Lesion Biopsy+/-Excision+/-Repair EYSTEXBX 30 20 / 15 = 35 65 PLC Eye Soft Tissue Mohs Reconstruction EYSTMOHS / = PLC Eye Strabismus Repair EYSTRP 0 0 / 0 = 0 0 PLC Eye Strabismus Repair Bilateral EYSTRPB 0 0 / 0 = 0 0 PLC Eye Suture Adjustment EYSTRADJ 0 0 / 0 = 0 0 PLC Eye Suture Removal EYSUTRM 15 15 / 15 = 30 45 PLC Eye Trabeculectomy Bleb EYTRAB 0 0 / 0 = 0 0 PLC Eye Trabeculectomy w Cataract Phaco+/-IOL EYTRABCAT / = PLC Eye Trabeculectomy w Implant/Reservoir EYTRABIM 0 0 / 0 = 0 0 PLC Eye Trabeculectomy+/-Goniotomy+/-Gonioplasty EYTRABGONI 0 0 / 0 = 0 0 PLC Eye Trauma+/-Globe Rupture Repair EYTRAUMA 30 20 / 10 = 30 60 PLC Eye Vitrectomy Anterior EYVIANT 0 0 / 0 = 0 0 PLC Eye Vitrectomy Anterior w Cataract Phaco+/-IOL EYVIANTCAT / = PLC Eye Vitrectomy Posterior 23G EYVI23 15 20 / 15 = 35 50 PLC Eye Vitrectomy Posterior 23G w Cataract & Scl Buck EYVI23CTSB 0 0 / 0 = 0 0 PLC Eye Vitrectomy Posterior 23G w Cataract Procedure EYVI23CAT 0 0 / 0 = 0 0 PLC Eye Vitrectomy Posterior 23G w Scleral Buckle EYVI23SB 45 30 / 15 = 45 90 PLC Eye Vitrectomy Posterior 23G w Secondary IOL EYVI23IOL 50 20 / 15 = 35 85 PLC Eye Vitrectomy Posterior 25G EYVI25 0 0 / 0 = 0 0 PLC Eye Vitrectomy Posterior 25G w Cataract & Scl Buck EYVI25CTSB 0 0 / 0 = 0 0 PLC Eye Vitrectomy Posterior 25G w Cataract Procedure EYVI25CAT 0 0 / 0 = 0 0 PLC Eye Vitrectomy Posterior 25G w Scleral Buckle EYVI25SB 0 0 / 0 = 0 0 PLC Eye Vitrectomy Posterior 25G w Secondary IOL EYVI25IOL / = ORA PLC Facial Bone+/-I&D+/-Lysis of Adhesions FCBNID 60 25 / 20 = 45 105 PLC Mandible Coronoidectomy MNCORNEC 30 30 / 15 = 45 75 PLC Mandible Excision Tori MNEXTORI 30 40 / 15 = 55 85 PLC Mandible Excision Tumor MNEXTUM 30 40 / 15 = 55 85 PLC Mandible Implant Removal MNIMREM 40 30 / 20 = 50 90 PLC Mandible Inferior Border Osteo Genioplasty MNIBOSTGEN 75 40 / 20 = 60 135 PLC Mandible Maxilla Excision Tori MNMXEXTORI 60 30 / 20 = 50 110 PLC Mandible Maxilla MNMXEXFIX 60 45 / 20 = 65 125 PLC Mandible Maxilla I&D MMID 60 40 / 15 = 55 115 PLC Mandible Maxilla Recon w Bone Graft Iliac Crest MNMXRBGIC 300 40 / 20 = 60 360 PLC Mandible Maxilla Reconstruction MNMXRCN 300 40 / 20 = 60 360 PLC Mandible Maxilla Reconstruction w Bone Graft SS MNMXRBNGF 250 40 / 20 = 60 310 PLC Mandible Maxilla Sagittal Split Lefort Ost+/-Gen MNMXSSLF 190 45 / 25 = 70 260 PLC Mandible MNOST 90 40 / 20 = 60 150 PLC Mandible Reconstruction w Bone Graft Iliac Crest MNRCNBGIC 90 40 / 20 = 60 150 PLC Mandible Reconstruction w Bone Graft SS MNRCNBNGF 75 40 / 20 = 60 135 PLC Mandible Reconstruction+/-Augmentation MNRCNAUG 75 40 / 20 = 60 135 PLC Mandible Sagittal Split Osteotomy MNSSOS 85 40 / 25 = 65 150 PLC Mandible Sagittal Split Osteotomy & Genioplasty MNSSOSG 90 40 / 25 = 65 155 PLC Maxilla Excision Tori MXEXCTORI 60 40 / 15 = 55 115

Generated: 2021-04-06 11:08 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: PLC 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 PLC Maxilla Excision Tumour MXEXCTUMOR 45 40 / 15 = 55 100 PLC Maxilla External Fixation MXEXFIX 120 45 / 20 = 65 185 PLC Maxilla Lefort I Osteotomy MXLFOST 130 45 / 20 = 65 195 PLC Maxilla Lefort II Osteotomy MXLFIIOST 120 40 / 20 = 60 180 PLC Maxilla Lefort III Midface Advancement MXLFIIIMAD 420 40 / 20 = 60 480 PLC Maxilla Mini Plate Distractor Application MXMPDAP / = PLC Maxilla Osteotomy MXOST 120 40 / 20 = 60 180 PLC Maxilla Reconstruction MXRCN 75 40 / 20 = 60 135 PLC Maxilla Reconstruction with Bone Graft Iliac Crest MXRECBGRIC 90 40 / 20 = 60 150 PLC Maxilla Reconstruction with Bone Graft SS MXRECBGRFT 75 40 / 20 = 60 135 PLC Maxilla Reduction Closed MXRDNCL 60 20 / 20 = 40 100 PLC Maxilla Surgically Assisted Rapid PalatalExpansion MXSARPE 60 30 / 20 = 50 110 PLC Mouth/Oral Alveolar+/-Nerve Avulsion MOALNVAV 65 30 / 15 = 45 110 PLC Mouth/Oral Alveoplasty MOALVPTY 120 20 / 15 = 35 155 PLC Mouth/Oral Antral Fistula Repair MOFISRP 30 20 / 15 = 35 65 PLC Mouth/Oral Bone Excision MOBNRM 15 20 / 15 = 35 50 PLC Mouth/Oral Control Bleed SS MOCB 20 15 / 15 = 30 50 PLC Mouth/Oral Genioplasty Augment Graft MOGNAUGGF 100 30 / 20 = 50 150 PLC Mouth/Oral Genioplasty Reduction MOGNRDN 105 40 / 20 = 60 165 PLC Mouth/Oral Gingivectomy+/-Gingivoplasty MOGINGEC 100 30 / 20 = 50 150 PLC Mouth/Oral Gland Biopsy+/-Excision+/-Lithotripsy MOCGBXEX 20 15 / 10 = 25 45 PLC Mouth/Oral Hyperplastic Tissue Excision MOHYTSEX 30 30 / 15 = 45 75 PLC Mouth/Oral I&D/Debridement MOID 20 20 / 15 = 35 55 PLC Mouth/Oral Osseointegration Implant Abutment+/-Rem MOIMPRM 60 30 / 20 = 50 110 PLC Mouth/Oral Osseointegration Implant Insert MOIMPIN 120 30 / 20 = 50 170 PLC Mouth/Oral Tissue Biopsy+/-Excision+/-Repair MOBXEXRP 20 15 / 10 = 25 45 PLC Mouth/Oral Vestibuloplasty MOVSTPTY 100 40 / 20 = 60 160 PLC Nasoalveolar Molding NAM NASALVMOLD / = PLC Sinus Lift w Bone Graft Bilateral SINLFTBGB 30 30 / 20 = 50 80 PLC Teeth Dental Restorations TEEDENREST 45 30 / 15 = 45 90 PLC Teeth Extraction+/-Odontectomy 1-4 TEEXTR1 30 35 / 20 = 55 85 PLC Teeth Extraction+/-Odontectomy 5+ TEEXTR5 60 35 / 20 = 55 115 PLC TMJ TMJAT 25 25 / 20 = 45 70 PLC TMJ TMJARPTY 60 40 / 20 = 60 120 PLC TMJ Arthroplasty w TMJ Prosthetic Recon Bil TMJARPRCNB 220 30 / 30 = 60 280 PLC TMJ Arthroplasty w TMJ Prosthetic Recon Uni TMJARPRCN 240 30 / 30 = 60 300 PLC TMJ w Fat Grafting TMJDISCFG 90 30 / 20 = 50 140 ORT PLC Amputation Revision SS AMPSRV 50 30 / 15 = 45 95 PLC Ankle Revision w HDWR+/-Graft ANKADRHDWR 105 40 / 15 = 55 160 PLC Ankle Arthrodesis/Fusion+/-Osteotomy+/-Graft ANKADFOG 75 40 / 15 = 55 130 PLC Ankle Arthroplasty Prim ANKAP 130 40 / 20 = 60 190 PLC Ankle Arthroplasty Prim Integra Cad ANKAPIC 130 40 / 20 = 60 190 PLC Ankle Arthroplasty Prim Wright Inf ANKAPWI 130 40 / 20 = 60 190 PLC Ankle Arthroplasty Rev Integra Cad ANKARIC / = PLC Ankle Arthroplasty Rev Liner Ex Wright Inf ANKARLEWI 60 30 / 20 = 50 110

Generated: 2021-04-06 11:08 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: PLC 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 PLC Ankle Arthroplasty Rev w Arthrodes/Fus Wright Inf ANKARAFWI 120 30 / 30 = 60 180 PLC Ankle Arthroplasty Rev Wright Inf ANKARWI 120 30 / 30 = 60 180 PLC Ankle Fusion ANKSCFS 150 30 / 20 = 50 200 PLC Ankle Arthroscopy Ligament Repair ANKSCLGRP 60 30 / 15 = 45 105 PLC Ankle Arthroscopy w Debridement Osteochond+/-Graft ANKSCDOSTG 60 20 / 15 = 35 95 PLC Ankle Arthroscopy w Retrograde Drilling ANKSCRETDR 30 30 / 15 = 45 75 PLC Ankle Arthroscopy+/-Debridement ANKSC 30 30 / 15 = 45 75 PLC Ankle Arthroscopy+/-Debridement Mini Open ANKSCDMO 30 20 / 15 = 35 65 PLC Ankle Arthroscopy+/-Debridement w Open HDWR ANKSCDOHR 30 20 / 15 = 35 65 PLC Ankle Arthroscopy+/-Debridement with ORIF ANKSCDORF 75 30 / 15 = 45 120 PLC Ankle Arthroscopy+/-Retrograde Drilling w O-Arm ANKSCRTD 90 30 / 20 = 50 140 PLC Ankle ANKAT 45 25 / 15 = 40 85 PLC Ankle Debridement Talus w OATS Procedure ANKDTOATS 120 25 / 15 = 40 160 PLC Ankle Evans Tendon Repair ANKEVARP 45 20 / 15 = 35 80 PLC Ankle Hardware Removal State Type ANKHWRM 20 25 / 15 = 40 60 PLC Ankle Ligament Reconstruction +/- Graft ANKLIGRECA / = PLC Ankle Ligament w Augment Internal Brace ANKLGAIB 0 0 / 0 = 0 0 PLC Ankle Modified Brostrom Ligament Rep+/-Arthroscopy ANKMBLRP / = PLC Ankle ORIF ANKORIF 60 30 / 15 = 45 105 PLC Ankle ORIF Pilon/Plafond ANKORIFPN 60 30 / 15 = 45 105 PLC Ankle Reduction Closed ANKRDNCL 20 10 / 15 = 25 45 PLC Ankle Reduction Closed Perc Pin+/-Screw Fixation ANKRDCLPPS 60 35 / 15 = 50 110 PLC Ankle Syndesmosis Repair+/-Fixation ANKSYNRF 45 35 / 15 = 50 95 PLC Arm Tendon Lengthening Green Procedure TDALGNG 0 0 / 0 = 0 0 PLC Arm Upper Ex Fix Synthes Application/Adj AUEXHWAP / = PLC Bone Aspiration Iliac Crest BNASPIC / = PLC Bone Biopsy BNBX 30 30 / 15 = 45 75 PLC Bone Biopsy w Graft State Type BNBXGR 45 30 / 15 = 45 90 PLC Bone Biopsy w O-Arm BNBXOARM / = PLC Bone Graft from Iliac Crest BNGFIC 20 30 / 20 = 50 70 PLC Bone Graft SS BNGF 0 0 / 0 = 0 0 PLC Bone Graft SS w Syn RIA BNGFRIA / = PLC Bone Graft Vascularized BNGFVAS 480 80 / 25 = 105 585 PLC Bone Heterotopic Ossification Excision SS BNHTOEXSS / = PLC Bone Osteochondroma Excision SS BNOSTEX 70 20 / 15 = 35 105 PLC Cast Application+/-Replacement for Spine Scoliosis CSTAPPRSS / = PLC Cast+/-Dressing Change+/-Pin Removal SS CSTCHG 30 20 / 10 = 30 60 PLC Clavicle ORIF+/-Osteotomy CLVORIF 90 35 / 15 = 50 140 PLC COCCEC 60 45 / 20 = 65 125 PLC Elbow Arthrodesis/Fusion ELBADF 60 20 / 15 = 35 95 PLC Elbow Arthroplasty Primary ELBAP 200 70 / 20 = 90 290 PLC Elbow Arthroplasty Revision ELBAR 120 55 / 20 = 75 195 PLC Elbow Arthroscopy ELBSC 75 35 / 15 = 50 125 PLC Elbow Arthrotomy ELBAT 65 35 / 15 = 50 115 PLC Elbow Bursa Excision ELBBEX 45 35 / 15 = 50 95 PLC Elbow Epicondyle/Nirschl Debride+/-Tendon Release ELBEDEBTR 35 30 / 20 = 50 85

Generated: 2021-04-06 11:08 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: PLC 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 PLC Elbow Ex Fix Synthes Application/Adj ELEXHWAP / = PLC Elbow Hardware Removal ELBHWRM 30 20 / 15 = 35 65 PLC Elbow Ligament UCL Repair+/-Allograft ELBLIGUCRP / = PLC Elbow Ligament+/-Tendon Repair ELBLIGRP 80 40 / 15 = 55 135 PLC Elbow Reduction Closed ELBRDNCL 45 20 / 15 = 35 80 PLC Elbow Supracondylar Reduction Perc Pin ELBSCRDPP 45 20 / 15 = 35 80 PLC Elbow/Olecranon ORIF ELBORIF 90 45 / 15 = 60 150 PLC Epiphyseodesis Femur/Tibia EPIPHYSFT 60 45 / 15 = 60 120 PLC Epiphyseodesis Femur/Tibia Bil EPIPHYSFTB / = PLC Epiphyseodesis Radius/Ulna EPIPHYSRU / = PLC Exostosis Excision SS EXOSEX 30 25 / 15 = 40 70 PLC Fasciotomy SS FASCOMY 45 45 / 25 = 70 115 PLC Femoral Condyle Drilling w O-Arm FECNDDR / = PLC Femur Distal Periprosthetic Fracture FMDISPPFX 70 50 / 20 = 70 140 PLC Femur Ex Fix Synthes Hardware Application/Adjust FMEXHWAP / = PLC Femur Excision Boney Bar w Fat Graft FMEXBNFGF 90 60 / 30 = 90 180 PLC Femur Hardware Removal State Type FMHWRM 45 20 / 15 = 35 80 PLC Femur Nail ESIM Nancy FMNIMN 120 25 / 20 = 45 165 PLC Femur Nail ESIM Nancy Hardware Removal FMNIMNHWR 30 30 / 15 = 45 75 PLC Femur Nail IM Hardware Removal State Type FMNIMHWRM 30 25 / 20 = 45 75 PLC Femur Nail IM Lengthening Precice FMNIMLGNP 120 40 / 20 = 60 180 PLC Femur Nail IM S&N Trigen Antegrade FMNIMTRA 150 25 / 20 = 45 195 PLC Femur Nail IM S&N Trigen Retrograde FMNIMTRR 150 25 / 20 = 45 195 PLC Femur Nail IM S&N Trigen Rev/Exchange FMNIMTRRE 180 25 / 20 = 45 225 PLC Femur Nail IM Stryker Gamma FMNIMGAM 90 40 / 20 = 60 150 PLC Femur Nail IM Stryker Gamma Rev/Exchange FMNIMGAMRE 120 40 / 20 = 60 180 PLC Femur Nail IM Stryker T2 FMNIMST2 120 40 / 20 = 60 180 PLC Femur Nail IM Stryker T2 Recon FMNIMST2RC 90 40 / 20 = 60 150 PLC Femur Nail IM Stryker T2 Rev/Exchange FMNIMST2RE 150 40 / 20 = 60 210 PLC Femur Nail IM Stryker T2 Supracondylar FMNIMST2SC 90 40 / 20 = 60 150 PLC Femur Nail IM Synthes Ante/Retro Rev/Exchange FMNIMSYREV 150 40 / 20 = 60 210 PLC Femur Nail IM Synthes Antegrade FMNIMSA 120 40 / 20 = 60 180 PLC Femur Nail IM Synthes Retrograde FMNIMSR 120 40 / 20 = 60 180 PLC Femur Nail IM Synthes TFN FMNIMSYTFN 90 40 / 20 = 60 150 PLC Femur Nail IM Synthes TFN Rev/Exchange FMNIMSYTFR / = PLC Femur ORIF FMORIF 150 45 / 20 = 65 215 PLC Femur ORIF Greater Trochanter FMORIFGRTR 60 20 / 20 = 40 100 PLC Femur ORIF Supracondylar FMORIFSUP 120 25 / 20 = 45 165 PLC Femur Osteotomy FMOS 150 25 / 20 = 45 195 PLC Femur Osteotomy Derotational Nail IM Stryker T2 FMOSDNIMT2 90 40 / 20 = 60 150 PLC Femur Rectus Femoris Transfer FMRETRF 90 60 / 30 = 90 180 PLC Femur Reduction Closed w Hip Spica Cast FMRDNCL 30 20 / 15 = 35 65 PLC Femur Skeletal Traction Application FMSKTRAP 0 0 / 0 = 0 0 PLC Fibula Nail IM Acumed Fibula Rod FIBNIMAFR / = PLC Fibula ORIF+/-Osteotomy FIBORIF 45 25 / 15 = 40 85 PLC Foot Accessory Navicular Excision FTACNVEX 60 25 / 15 = 40 100

Generated: 2021-04-06 11:08 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: PLC 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 PLC Foot Accessory Navicular Excision BIlateral FTACNVEXB 0 0 / 0 = 0 0 PLC Foot Amputation Symes FTAMPS 60 25 / 20 = 45 105 PLC Foot Amputation Transmetatarsal FTAMPTM 50 30 / 20 = 50 100 PLC Foot Anterior Tarsal Tunnel Decompression FTANTTTDEC / = PLC Foot Arthrotomy Ost Fu Jones+/-Tend Trans+/-Botox FTATOSFJTB 0 0 / 0 = 0 0 PLC Foot Arthrotomy Osteotomy Fusion Jones FTATOSFSJN 180 20 / 15 = 35 215 PLC Foot Arthrotomy+/- Debridement FTATHROJD 30 20 / 15 = 35 65 PLC Foot Bone Fragment Excision FTBNFGEX 30 20 / 15 = 35 65 PLC Foot Bone Repair+/-Bone Graft FTBNRPGF / = PLC Foot Bunionectomy Hallux Valgus+/-Keller's Repair FTBUNEC 60 30 / 15 = 45 105 PLC Foot Bunionectomy+/-Osteotomy Chevron FTBUNOSTCV 90 25 / 15 = 40 130 PLC Foot Bunionectomy+/-Osteotomy Chevron Bilateral FTBUNOSTCB 50 25 / 15 = 40 90 PLC Foot Calcaneal Lengthening FTCALLGN 150 20 / 20 = 40 190 PLC Foot Calcaneal Osteotomy FTCALOST 60 20 / 20 = 40 100 PLC Foot Calcanealcuboid Arthrodesis/Fusion+/-Graft FTCALCAFG 45 25 / 20 = 45 90 PLC Foot Calcaneonavicular Bar Excision FTCALEX 60 45 / 20 = 65 125 PLC Foot Flatfoot Reconstruction FTFLATFRCN 120 25 / 20 = 45 165 PLC Foot Forefoot Reconstruction FTFFRCN 90 30 / 20 = 50 140 PLC Foot Forefoot Reconstruction Rev+/-HDWR FTFFRCNRHR 60 25 / 20 = 45 105 PLC Foot Gastrocsoleus Slider FTGSSL 30 20 / 15 = 35 65 PLC Foot Hardware Removal State Type FTHWRM 30 15 / 15 = 30 60 PLC Foot Hindfoot Arthroscopy+/-Debridement FTHARTD 60 25 / 15 = 40 100 PLC Foot Hindfoot Dbl//Fusion+/-Graf FTHADF 90 40 / 15 = 55 145 PLC Foot Hindfoot Dbl/Trpl Arthrodes Rev w HDWR+/-Graf FTHADRHWRM 120 40 / 15 = 55 175 PLC Foot Hindfoot Nail IM Hardware Removal State Type FTHNIMHWR 60 20 / 20 = 40 100 PLC Foot Lapidus Procedure FTLAPID 90 25 / 15 = 40 130 PLC Foot Medial Cuboid Wedge Medial Column Lengthen FTMCLGN 120 20 / 15 = 35 155 PLC Foot Metatarsal Shortening Osteotomy FTMETSO 45 15 / 15 = 30 75 PLC Foot Midfoot Arthrodesis Revision w HDWR+/-Graft FTMADRHWRM 135 30 / 20 = 50 185 PLC Foot Midfoot Arthrodesis/Fusion+/-Graft FTMADF 120 30 / 20 = 50 170 PLC Foot Naviculocuneiform Arthrodesis/Fusion+/-Graft FTNCADF 60 30 / 20 = 50 110 PLC Foot Neuroma Excision SS FTNEUEX 45 25 / 15 = 40 85 PLC Foot ORIF FTORIF 90 25 / 15 = 40 130 PLC Foot ORIF Calcaneus FTORIFCA 60 25 / 15 = 40 100 PLC Foot ORIF Lisfranc FTORIFLF 60 35 / 20 = 55 115 PLC Foot ORIF Talus FTORIFTA 60 25 / 20 = 45 105 PLC Foot Osteotomy FTOST 45 30 / 15 = 45 90 PLC Foot Osteotomy Chevron FTOSTCHV 45 20 / 15 = 35 80 PLC Foot Pantalar Arthrodesis/Fusion+/-Graft FTPTADF 120 40 / 20 = 60 180 PLC Foot Plantar Med Rel+/-Osteotomy+/-Tendon+/-Botox FTPLMROTB 150 50 / 15 = 65 215 PLC Foot Plantar Medial Release FTPLMDRL 90 20 / 15 = 35 125 PLC Foot Plantar Medial Release+/-Tend Trans+/-Botox FTPLMRTTB 90 20 / 15 = 35 125 PLC Foot Plantar MedialRelease+/-TendTrans+/-Botox Bil FTPLMRTTBB / = PLC Foot Posteromed Rel+/-Osteotomy+/-Tend+/-Botox FTSMDRLOTB 130 50 / 15 = 65 195 PLC Foot Posteromedial Release+/-Tend Trans+/-Botox FTSMDRTTB 120 20 / 15 = 35 155 PLC Foot Posteromedial Release+/-TendTrans+/-Botox Bil FTSMDRTTBB / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Foot Posteromedial Releases FTSMDRL 120 20 / 15 = 35 155 PLC Foot Reconstruction Cavovarus FTRCNCV 140 30 / 20 = 50 190 PLC Foot Subtalar Arthrodesis/Fusion+/-Grice+/-Gr Bil FTSTADFB 225 50 / 30 = 80 305 PLC Foot Subtalar Arthrodesis/Fusion+/-Grice+/-Graft FTSTADF 80 35 / 15 = 50 130 PLC Foot Subtalar Fusion Revision+/-HDWR FTSTFRHR 80 35 / 15 = 50 130 PLC Foot Talonavicular Arthrodesis/Fusion+/-Graft FTTADF 60 20 / 20 = 40 100 PLC Foot Talonavicular Pin Fixation FTTPNFX 30 10 / 10 = 20 50 PLC Foot Tendon Achilles Lengthening FTACHLGN 90 25 / 15 = 40 130 PLC Foot Tendon Achilles Reconstruction w Tendon Trans FTTNARCNTT 90 30 / 20 = 50 140 PLC Foot Tendon Achilles Release/Lengthen Perc FTTNACHRL 45 15 / 10 = 25 70 PLC Foot Tendon Achilles Repair FTTNACHRP 75 25 / 15 = 40 115 PLC Foot Tendon+/-Ligament Repair+/-Transfer FTLIGRP 45 25 / 15 = 40 85 PLC Foot Tibiotalocalcaneal Arthrodesis/Fusion+/-Graft FTTTCADF 120 40 / 15 = 55 175 PLC Foot/Ankle Ex Fix Synthes Hardware Application/Adj FTAEXHWAP 60 30 / 20 = 50 110 PLC Foot+/-Toe Reduction Closed FTRDNCL 15 20 / 10 = 30 45 PLC Forearm Tendon Transfer FORETNTRF 90 20 / 15 = 35 125 PLC Ganglion Aspiration+/-Excision SS GANGASP 20 20 / 10 = 30 50 PLC Hamstring Lengthening Open+/-Repair HAMSTRL 90 30 / 15 = 45 135 PLC Hip Acetabular ORIF+/-Reconstruction HPACORIFRC 180 30 / 20 = 50 230 PLC Hip Acetabular ORIF+/-Reconstruction w Nav HPACORIFRN / = PLC Hip Acetabular Recon Oncology HPACRONC / = PLC Hip Acetabular Recon Oncology w Nav HPACRONCN / = PLC Hip Adductor Tenotomy Open HPADTOPN 120 45 / 30 = 75 195 PLC Hip Adductor Tenotomy Perc+/-Bil+/-Botox+/-Gram HPADTNBBG 0 0 / 0 = 0 0 PLC Hip HPAGM 75 30 / 20 = 50 125 PLC Hip Arthroplasty Acetabular Revision Depuy HPARACED 150 40 / 20 = 60 210 PLC Hip Arthroplasty Acetabular Revision SN HPARACESN 180 30 / 20 = 50 230 PLC Hip Arthroplasty Acetabular Revision Stryker HPARACES 150 40 / 20 = 60 210 PLC Hip Arthroplasty Acetabular Revision Zimmer HPARACEZ 180 40 / 20 = 60 240 PLC Hip Arthroplasty Prim Zimmer CRC HPAPZCRC 110 50 / 20 = 70 180 PLC Hip Arthroplasty Prim Depuy Actis HPAPDACTIS 20 20 / 65 = 85 105 PLC Hip Arthroplasty Prim Depuy Actis Ant Bil+/-Nav HPAPDACTB 130 40 / 20 = 60 190 PLC Hip Arthroplasty Prim Depuy Actis Ant+/-Nav HPAPDACT 85 40 / 20 = 60 145 PLC Hip Arthroplasty Prim Depuy Corail HPAPDC 85 50 / 20 = 70 155 PLC Hip Arthroplasty Prim Depuy Corail Bilateral HPAPDCB 180 60 / 30 = 90 270 PLC Hip Arthroplasty Prim Depuy Corail DAA HPAPDCA 85 50 / 20 = 70 155 PLC Hip Arthroplasty Prim Depuy Corail DAA Bil HPAPDCAB 130 40 / 20 = 60 190 PLC Hip Arthroplasty Prim Depuy Corail Direct DS HPAPDCDSB / = PLC Hip Arthroplasty Prim Depuy Corail DS HPAPDCDS / = PLC Hip Arthroplasty Prim Depuy Corail Rev HPAPDCR 140 40 / 20 = 60 200 PLC Hip Arthroplasty Prim Depuy Corail Zim Tril DS HPAPDCTRS / = PLC Hip Arthroplasty Prim Depuy Corail Zim Tril DS Bi HPAPDCTRSB / = PLC Hip Arthroplasty Prim Depuy C-Stem AMT HPAPDCSAMT / = PLC Hip Arthroplasty Prim Depuy SROM HPAPDSR 120 40 / 20 = 60 180 PLC Hip Arthroplasty Prim Depuy SROM Bilateral HPAPDSRB 0 70 / 30 = 100 100 PLC Hip Arthroplasty Prim Depuy Summit HPAPDS 100 40 / 20 = 60 160

Generated: 2021-04-06 11:08 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: PLC 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 PLC Hip Arthroplasty Prim Depuy Summit Bilateral HPAPDSB 200 60 / 40 = 100 300 PLC Hip Arthroplasty Prim Depuy Summit w Cement HPAPDSC 90 40 / 20 = 60 150 PLC Hip Arthroplasty Prim Depuy Trilock HPAPDTRI 80 50 / 20 = 70 150 PLC Hip Arthroplasty Prim Depuy Trilock Bil HPAPDTRIB 0 0 / 0 = 0 0 PLC Hip Arthroplasty Prim Depuy Trilock DAA HPAPDTRIA 100 50 / 20 = 70 170 PLC Hip Arthroplasty Prim Depuy Trilock DAA Bil HPAPDTRIAB 130 40 / 20 = 60 190 PLC Hip Arthroplasty Prim Microport Conserve Plus HPAPMICPC / = PLC Hip Arthroplasty Prim Microport Conserve Plus Bil HPAPMICPCB / = PLC Hip Arthroplasty Prim Microport Superpath HPAPMICSP / = PLC Hip Arthroplasty Prim Microport Superpath Bil HPAPMICSPB / = PLC Hip Arthroplasty Prim SN Birmingham HPAPSNBIR 120 40 / 20 = 60 180 PLC Hip Arthroplasty Prim SN Birmingham Bil HPAPSNBIB 180 40 / 20 = 60 240 PLC Hip Arthroplasty Prim SN Birmingham+/-Polar HPAPSNBIRP 120 40 / 20 = 60 180 PLC Hip Arthroplasty Prim SN CPCS/Dep Pinn HPAPSNDEP 90 40 / 20 = 60 150 PLC Hip Arthroplasty Prim SN Emperion HPAPSNEMP 120 40 / 20 = 60 180 PLC Hip Arthroplasty Prim SN Polar HPAPSNPOL / = PLC Hip Arthroplasty Prim SN Polar Bil HPAPSNPOLB / = PLC Hip Arthroplasty Prim SN Polar DAA HPAPSNPA / = PLC Hip Arthroplasty Prim SN Polar DAA Bil HPAPSNPAB / = PLC Hip Arthroplasty Prim SN Redapt HPAPSNR / = PLC Hip Arthroplasty Prim SN Synergy HPAPSNSYN 120 40 / 20 = 60 180 PLC Hip Arthroplasty Prim SN Synergy Bilateral HPAPSNSYNB 160 55 / 20 = 75 235 PLC Hip Arthroplasty Prim SN Synergy Cemented HPAPSNSYNC 90 40 / 20 = 60 150 PLC Hip Arthroplasty Prim Stryker Accolade HPAPSA 100 40 / 20 = 60 160 PLC Hip Arthroplasty Prim Stryker Accolade DAA HPAPSADAA / = PLC Hip Arthroplasty Prim Stryker Accolade DS Bil HPAPSADSB / = PLC Hip Arthroplasty Prim Stryker Accolade DS Approach HPAPSADS 80 40 / 20 = 60 140 PLC Hip Arthroplasty Prim Stryker Exe/Depuy Pinn HPAPSEDP 110 50 / 20 = 70 180 PLC Hip Arthroplasty Prim Stryker Exeter HPAPSE 100 40 / 20 = 60 160 PLC Hip Arthroplasty Prim Stryker Exeter DAA HPAPSEDAA 100 45 / 20 = 65 165 PLC Hip Arthroplasty Prim Zim Heritage/Dep Pinn HPAPZHDP 110 50 / 20 = 70 180 PLC Hip Arthroplasty Prim Zim ML Taper/Dep Pinn HPAPZMLT 150 40 / 20 = 60 210 PLC Hip Arthroplasty Prim Zim Wagner/Dep Pinn HPAPZWDP 150 40 / 20 = 60 210 PLC Hip Arthroplasty Prim Zim/STK HPAPZS 150 40 / 20 = 60 210 PLC Hip Arthroplasty Prim Zimmer Bio Taperloc/Dep Pin HPAPZTLDP 80 50 / 20 = 70 150 PLC Hip Arthroplasty Prim Zimmer Biomet Echo Bi-Metric HPAPZEBM 85 50 / 20 = 70 155 PLC Hip Arthroplasty Prim Zimmer Biomet Taperloc HPAPZT 70 50 / 25 = 75 145 PLC Hip Arthroplasty Prim Zimmer Biomet Taperloc Ant HPAPBTLSA 85 40 / 20 = 60 145 PLC Hip Arthroplasty Prim Zimmer Biomet Taperloc AntBi HPAPBTLSAB 135 50 / 20 = 70 205 PLC Hip Arthroplasty Prim Zimmer Biomet Taperloc Bil HPAPZTB / = PLC Hip Arthroplasty Prim Zimmer Fitmore HPAPZF 0 0 / 0 = 0 0 PLC Hip Arthroplasty Prim Zimmer Heritage HPAPZH 90 40 / 20 = 60 150 PLC Hip Arthroplasty Prim Zimmer ML Taper Ant HPAPZMLTA 85 50 / 20 = 70 155 PLC Hip Arthroplasty Prim Zimmer ML Taper Ant Bil HPAPZMLTAB 100 50 / 20 = 70 170 PLC Hip Arthroplasty Prim Zimmer Versys ML Taper HPAPZVMLT 110 40 / 20 = 60 170 PLC Hip Arthroplasty Prim Zimmer Versys ML Taper Bil HPAPZVMLTB 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Hip Arthroplasty Prim Zimmer Wagner Cone HPAPZWC 150 40 / 20 = 60 210 PLC Hip Arthroplasty Prim Zimmer Wagner Cone Bil HPAPZWCB / = PLC Hip Arthroplasty Prim Zimmer Wagner Cone DAA HPAPZWANT / = PLC Hip Arthroplasty Prim Zimmer Wagner SL HPAPZWSL 130 50 / 20 = 70 200 PLC Hip Arthroplasty Rev Con Depuy Hemi to Tot Arthro HPARDHTA 135 55 / 25 = 80 215 PLC Hip Arthroplasty Rev Con Stryker Hemi to Tot Arthr HPARSHTA 135 55 / 25 = 80 215 PLC Hip Arthroplasty Rev Con Zim Bio Hemi to Tot Arthr HPARZBHTA 135 55 / 25 = 80 215 PLC Hip Arthroplasty Rev Depuy Corail Rev HPARDCR 140 40 / 20 = 60 200 PLC Hip Arthroplasty Rev Depuy Prostalac Spacer HPARDP 220 40 / 20 = 60 280 PLC Hip Arthroplasty Rev Depuy SROM HPARDSROM 220 40 / 20 = 60 280 PLC Hip Arthroplasty Rev Depuy Summit HPARSUMIT / = PLC Hip Arthroplasty Rev Exactech Spacer HPARES 240 50 / 30 = 80 320 PLC Hip Arthroplasty Rev I&D First Stage HPARIDFS / = PLC Hip Arthroplasty Rev I&D Liner/Head Exchange HPARIDPRO 50 50 / 20 = 70 120 PLC Hip Arthroplasty Rev Microport LINK MP HPARMLINK 180 50 / 20 = 70 250 PLC Hip Arthroplasty Rev SN Birmingham to Dep Trilock HPARSNBDT / = PLC Hip Arthroplasty Rev SN Birmingham to Depuy Corail HPARSNBDC / = PLC Hip Arthroplasty Rev SN Birmingham to Polar HPARSNBPOL / = PLC Hip Arthroplasty Rev SN Birmingham to Redapt HPARSNBRED / = PLC Hip Arthroplasty Rev SN Birmingham to Synergy HPARSNBSY 110 50 / 20 = 70 180 PLC Hip Arthroplasty Rev SN Birmingham to Synergy Bi HPARSNBSYB / = PLC Hip Arthroplasty Rev SN Birmingham to Zimmer MLT HPARSNBZML 110 50 / 20 = 70 180 PLC Hip Arthroplasty Rev SN Echelon+/-Cement HPARSNE 0 0 / 0 = 0 0 PLC Hip Arthroplasty Rev SN Emperion HPARSNEM / = PLC Hip Arthroplasty Rev SN Polar HPARSNPOLR / = PLC Hip Arthroplasty Rev SN Redapt HPARSNR / = PLC Hip Arthroplasty Rev Stryker Accolade HPARSA / = PLC Hip Arthroplasty Rev Stryker Exeter HPARSE 150 40 / 20 = 60 210 PLC Hip Arthroplasty Rev Stryker Restoration Modular HPARSRM 150 40 / 20 = 60 210 PLC Hip Arthroplasty Rev Zimmer Biomet Arcos HPARZAR 180 40 / 20 = 60 240 PLC Hip Arthroplasty Rev Zimmer CRC HPARZCRC / = PLC Hip Arthroplasty Rev Zimmer Wagner Cone HPARZWC / = PLC Hip Arthroplasty Rev Zimmer Wagner SL HPARZWSL 180 40 / 20 = 60 240 PLC Hip Arthroscopy CAM/Impingement Takedown+/-Repair HPSCAMTD 120 25 / 20 = 45 165 PLC Hip Arthroscopy Diagnostic HPSCD 60 45 / 20 = 65 125 PLC Hip Arthroscopy+/-Repair HPSC 60 30 / 20 = 50 110 PLC Hip Arthrotomy Osteotomy HPATOS 45 30 / 15 = 45 90 PLC Hip Decompression HPDECOM 45 45 / 30 = 75 120 PLC Hip Decompression Bilateral HPDECOMB 45 45 / 20 = 65 110 PLC Hip Decompression WM X-Ream HPDECOMXR 45 50 / 20 = 70 115 PLC Hip Disarticulation HPDISA 90 45 / 30 = 75 165 PLC Hip Dislocation Reduction Closed HPDRDNCL 30 10 / 10 = 20 50 PLC Hip Dislocation Reduction Open HPDRDNO 45 30 / 15 = 45 90 PLC Hip EUA/Arthrogram/Application of Hip Spica Cast HPEUAGMHSC 60 15 / 10 = 25 85 PLC Hip Excision Arthroplasty Girdlestone HPRAGIR 90 30 / 20 = 50 140 PLC Hip Hemi Arthoplasty Prim Zimmer CRC HPHAPZCRC / =

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Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case PLC Hip Hemi Arthroplasty Prim Depuy Actis HPHADACT 90 40 / 20 = 60 150 PLC Hip Hemi Arthroplasty Prim Depuy Actis DAA HPHADACTA 60 20 / 20 = 40 100 PLC Hip Hemi Arthroplasty Prim Depuy C Stem HPHADCS / = PLC Hip Hemi Arthroplasty Prim Depuy Corail HPHADC 90 40 / 20 = 60 150 PLC Hip Hemi Arthroplasty Prim Depuy Corail DAA HPHADCANT 90 40 / 20 = 60 150 PLC Hip Hemi Arthroplasty Prim Depuy Summit HPHADSUM 90 40 / 20 = 60 150 PLC Hip Hemi Arthroplasty Prim Depuy Summit Cement HPHADSUMC 90 40 / 20 = 60 150 PLC Hip Hemi Arthroplasty Prim SN CPCS HPHASNCPCS 120 40 / 20 = 60 180 PLC Hip Hemi Arthroplasty Prim SN Synergy HPHASNSYN 90 50 / 20 = 70 160 PLC Hip Hemi Arthroplasty Prim SN Synergy Cement HPHASNSYNC / = PLC Hip Hemi Arthroplasty Prim Stryker Exeter HPHASEXE 120 40 / 20 = 60 180 PLC Hip Hemi Arthroplasty Prim Zim Biomet Taperloc HPHAPZBT / = PLC Hip Hemi Arthroplasty Prim Zim Biomet Taperloc Ant HPHAPZBTA 80 40 / 20 = 60 140 PLC Hip Hemi Arthroplasty Prim Zim Versys Heritage HPHAPZVH 90 50 / 20 = 70 160 PLC Hip Hemi Arthroplasty Prim Zim Versys LDFX HPHAPZVL 0 0 / 0 = 0 0 PLC Hip Hemi Arthroplasty Prim Zim Versys ML Taper HPHAZVMLT 90 50 / 20 = 70 160 PLC Hip Hemi Arthroplasty Rev Zimmer Wagner SL HPHARZWSL / = PLC Hip I&D HPIRDB 60 30 / 20 = 50 110 PLC Hip ORIF HPORIF 120 50 / 15 = 65 185 PLC Hip ORIF w Pelvic Osteotomy HPORIFPV 180 45 / 30 = 75 255 PLC Hip Osteochondroplasty Mini Open HPOSCHPMO 90 50 / 20 = 70 160 PLC Hip Reduction Closed HPRDNCL 30 10 / 10 = 20 50 PLC Hip Release Iliopsoas HPRLIL 0 0 / 0 = 0 0 PLC Hip Slipped Epiphysis Screw Fixation HPSESCFX 60 45 / 30 = 75 135 PLC Hip Trocanteric Advancement HPTRAD 60 45 / 30 = 75 135 PLC Hip/Femur Bursa Excision HPFMBEX 50 20 / 20 = 40 90 PLC Hip/Femur Hardware Removal HPFMHWRM 40 25 / 20 = 45 85 PLC Hip/Femur ORIF DHS HPFMORIDHS 60 45 / 15 = 60 120 PLC Hip/Femur ORIF Synthes Cannulated Screws HPFMORIFCN 90 45 / 15 = 60 150 PLC Hip/Femur Osteot+/-Acetab Recon w Tiss/Tend+/-Boto HPFMOSARTT 0 0 / 0 = 0 0 PLC Hip/Femur Osteot+/-Acetab Recon wTiss/Tend+/-Bo Bi HPFMOSARTB 0 0 / 0 = 0 0 PLC Hip/Femur Osteotomy Periacetabular HPFMOSAC 90 45 / 15 = 60 150 PLC Hip/Femur Osteotomy Synthes Blade Plate HPFMOSS 240 60 / 30 = 90 330 PLC Hip/Femur Osteotomy Synthes Blade Plate Bil HPFMOSSB 240 60 / 30 = 90 330 PLC Hip/Femur Prox Arthroplasty Prim Salv Onc Depuy HPFMAPSOD 0 0 / 0 = 0 0 PLC Hip/Femur Prox Arthroplasty Prim Salv Onc Stryker HPFMAPSOS 0 0 / 0 = 0 0 PLC Hip/Femur Prox Arthroplasty Prim Salv Onc Zimmer HPFMAPSOZ 0 0 / 0 = 0 0 PLC Hip/Femur Prox Arthroplasty Rev Salv Onc Depuy HPFMARSOD 0 0 / 0 = 0 0 PLC Hip/Femur Prox Arthroplasty Rev Salv Onc Stryker HPFMARSOS 0 0 / 0 = 0 0 PLC Hip/Femur Prox/Dist Arthroplasty Prim Salv Onc Dep HPFMAPSODD 0 0 / 0 = 0 0 PLC Hip/Femur Richards Screw Hardware Removal HPFRSHWRM 0 0 / 0 = 0 0 PLC Hip/Femur Synthes Cannulated Screw HardwareRemoval HPFSYCHWRM 50 20 / 20 = 40 90 PLC Hip/Femur Synthes DHS Hardware Removal HPFSYHWRM 30 20 / 15 = 35 65 PLC Hip/Femur Valgus Osteotomy HPFMVOS 120 30 / 20 = 50 170 PLC Humerus Distal ORIF HUMDISORIF 120 20 / 15 = 35 155 PLC Humerus Hardware Removal State Type HUMHWRM 30 20 / 15 = 35 65

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Duration

Procedure Cat / Standard Standard Site Proc Cd Fixed Standard Procedure Description Std BK Skin To Skin/ Total Setup/Teardown Proc Case PLC Humerus Hemi Arthroplasty Prim Stryker MRS HUMAPSMRS 120 45 / 30 = 75 195 PLC Humerus Nail IM Stryker T2 HUMNIMST2 120 20 / 15 = 35 155 PLC Humerus Nail IM Synthes HUMNIMS 90 45 / 15 = 60 150 PLC Humerus Proximal ORIF HUMPRXORIF 120 20 / 15 = 35 155 PLC Humerus Reduction Closed HUMRDCL 30 20 / 15 = 35 65 PLC Humerus Salvage Arthroplasty Revision Oncology HUMSARO 0 0 / 0 = 0 0 PLC Humerus Shaft ORIF HUMSHAFT 75 30 / 20 = 50 125 PLC Injection Cyst w Steroid SS INJSTERO 5 15 / 10 = 25 30 PLC Injection Radio Isotope INJRI / = PLC Injection Trigger Point SS INJTRIG 5 30 / 10 = 40 45 PLC Joint Manipulation Under Anesthesia SS JTMAN 5 15 / 10 = 25 30 PLC Knee Amputation Above+/-Below KNAMPAB 70 50 / 15 = 65 135 PLC Knee Arthrodesis/Fusion+/-Osteotomy KNADFO 120 30 / 25 = 55 175 PLC Knee Arthroplasty Prim Biomet Oxford Fx Lat Uni KNAPBOFLU / = PLC Knee Arthroplasty Prim Biomet Oxford Uni KNAPBOU 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Biomet Oxford Uni Bil KNAPBOB 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Biomet Oxford w ACL Recon KNAPBOACL / = PLC Knee Arthroplasty Prim Biomet Oxford W/M PFWave KNAPBOPFJ / = PLC Knee Arthroplasty Prim Biomet Oxford W/M PFWave Bi KNAPBOPFJB / = PLC Knee Arthroplasty Prim Biomet Signature KNAPBSIG / = PLC Knee Arthroplasty Prim Biomet Vanguard KNAPBMV 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim Biomet Vanguard PFJ KNAPBVPF 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim Depuy Attune CR KNAPDATTC 80 50 / 20 = 70 150 PLC Knee Arthroplasty Prim Depuy Attune CR Bilateral KNAPDATTCB / = PLC Knee Arthroplasty Prim Depuy Attune PS KNAPDATTUN 80 50 / 20 = 70 150 PLC Knee Arthroplasty Prim Depuy Attune PS Bilateral KNAPDATTUB / = PLC Knee Arthroplasty Prim Depuy LCS KNAPDL 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Depuy LCS Bilateral KNAPDLB 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim Depuy LPS KNAPDLPS 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim Depuy SROM Noiles KNAPPDSROM 150 40 / 25 = 65 215 PLC Knee Arthroplasty Prim Depuy SROM Noiles Bilateral KNAPDSROMB 160 50 / 20 = 70 230 PLC Knee Arthroplasty Prim Depuy VVC KNAPDVVC 70 50 / 20 = 70 140 PLC Knee Arthroplasty Prim J&J Sigma RP/MBT KNAPJJSRP 120 40 / 25 = 65 185 PLC Knee Arthroplasty Prim J&J Sigma RP/MBT Bilateral KNAPJJSRPB 160 50 / 20 = 70 230 PLC Knee Arthroplasty Prim J&J Sigma TC3 KNAPJJSTC 150 40 / 25 = 65 215 PLC Knee Arthroplasty Prim Salvage Oncology Depuy LPS KNAPSOD 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim Salvage Oncology Zimmer KNAPSOZ 360 50 / 20 = 70 430 PLC Knee Arthroplasty Prim SN Journey II KNAPSNJ2 75 45 / 20 = 65 140 PLC Knee Arthroplasty Prim SN Journey PFJ KNAPSNJPFJ 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim SN Journey Uni KNAPSNJ / = PLC Knee Arthroplasty Prim SN Journey Uni Bil KNAPSNJB 140 45 / 20 = 65 205 PLC Knee Arthroplasty Prim SN Journey Uni w ACL Recon KNAPSNJACL / = PLC Knee Arthroplasty Prim SN Legion Oxinium CR KNAPSNLOC 90 50 / 20 = 70 160 PLC Knee Arthroplasty Prim SN Legion Oxinium CR Bil KNAPSNLOCB / = PLC Knee Arthroplasty Prim SN Legion Oxinium PS KNAPSNLOP 90 50 / 20 = 70 160 PLC Knee Arthroplasty Prim SN Legion Oxinium PS Bil KNAPSNLOPB / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Knee Arthroplasty Prim STK Triath w Image Guide CR KNAPTIMGCR 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim STK Triath w Image Guide PS KNAPTIMGPS 110 40 / 20 = 60 170 PLC Knee Arthroplasty Prim Stryker Avon PFJ KNAPSPFJ 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Stryker Avon PFJ Bil KNAPSPFJB 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim Stryker Triathlon CR Bil KNAPSCRB 125 45 / 15 = 60 185 PLC Knee Arthroplasty Prim Stryker Triathlon CR/CS KNAPSTRCRS 65 45 / 20 = 65 130 PLC Knee Arthroplasty Prim Stryker Triathlon PS KNAPSTPS 75 45 / 20 = 65 140 PLC Knee Arthroplasty Prim Stryker Triathlon PS Bil KNAPSPSB 160 45 / 15 = 60 220 PLC Knee Arthroplasty Prim Stryker Triathlon TS KNAPSTTS 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Stryker Triathlon TS Bil KNAPSTTSBI / = PLC Knee Arthroplasty Prim W/M PF Wave PFJ KNAPPPFJ 60 40 / 20 = 60 120 PLC Knee Arthroplasty Prim W/M PF Wave PFJ Bil KNAPPPFJB / = PLC Knee Arthroplasty Prim Zim Persona CR Bil KNAPZPERCB / = PLC Knee Arthroplasty Prim Zim Persona w iAssist Guide KNAPZPERIA 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Zimmer LCCK KNAPZLCCK 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Zimmer LPS KNAPZLPS 100 40 / 15 = 55 155 PLC Knee Arthroplasty Prim Zimmer LPS Bil KNAPZLPSB 120 40 / 20 = 60 180 PLC Knee Arthroplasty Prim Zimmer LPS MB KNAPZLPMB 0 0 / 0 = 0 0 PLC Knee Arthroplasty Prim Zimmer LPS MB Bil KNAPZLPMBB / = PLC Knee Arthroplasty Prim Zimmer Persona CR KNAPZPERCR 105 50 / 15 = 65 170 PLC Knee Arthroplasty Prim Zimmer Persona PS/CPS KNAPZPERPS 100 40 / 20 = 60 160 PLC Knee Arthroplasty Prim Zimmer Persona PS/CPS Bil KNAPZPERPB 130 45 / 15 = 60 190 PLC Knee Arthroplasty Prim Zimmer PFJ KNAPZPF 60 50 / 20 = 70 130 PLC Knee Arthroplasty Prim Zimmer PFJ Bil KNAPZPFB 75 40 / 15 = 55 130 PLC Knee Arthroplasty Prim Zimmer RHK KNAPZRHK / = PLC Knee Arthroplasty Prim Zimmer Uni KNAPZUNI 120 40 / 30 = 70 190 PLC Knee Arthroplasty Rev Biomet Hinge Finn KNARBMHNG 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Biomet Maxim KNARBM 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Biomet Spacer Mold KNARBSM 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Biomet Vanguard KNARBMV 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Depuy Attune FB KNARDATTF / = PLC Knee Arthroplasty Rev Depuy Attune RP KNARDATTR 200 75 / 20 = 95 295 PLC Knee Arthroplasty Rev Depuy LCS KNARDLCS 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Depuy LPS KNARDLPS 150 50 / 20 = 70 220 PLC Knee Arthroplasty Rev Depuy SROM Noiles KNARDSROM 90 50 / 20 = 70 160 PLC Knee Arthroplasty Rev I&D First Stage KNARIDFS 165 50 / 20 = 70 235 PLC Knee Arthroplasty Rev I&D Liner Exchange KNARIDLE 50 30 / 15 = 45 95 PLC Knee Arthroplasty Rev J&J Sigma TC3 KNARJJST 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Microport Medial Pivot KNARMICMP 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Patella Resurf +/Liner Ex KNARPTRLE 40 40 / 20 = 60 100 PLC Knee Arthroplasty Rev Salvage Oncology Depuy LPS KNARSOD 360 50 / 20 = 70 430 PLC Knee Arthroplasty Rev Salvage Oncology Stryker KNARSOS 360 50 / 20 = 70 430 PLC Knee Arthroplasty Rev SN Legion Oxinium KNARSNLO 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev SN Legion Oxinium Bil KNARSNLOB / = PLC Knee Arthroplasty Rev Stryker Triathlon MRH KNARSTMRH 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Stryker Triathlon TS KNARSTTS 150 40 / 20 = 60 210

Generated: 2021-04-06 11:08 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: PLC 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 PLC Knee Arthroplasty Rev Zimmer LCCK KNARZLCCK 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Zimmer Persona KNARZPER 150 45 / 20 = 65 215 PLC Knee Arthroplasty Rev Zimmer RHK KNARZRHK 150 40 / 20 = 60 210 PLC Knee Arthroplasty Rev Zimmer Segmental Sys KNARZRSEGS / = PLC Knee Arthroplasty Rev/Con Uni-Total State Type KNARCUT 0 0 / 0 = 0 0 PLC Knee Arthroplasty Rev/Con Uni-Total STK TriathTS KNARCUKTTS / = PLC Knee Arthroscopy Bilateral+/-Debridement KNSCB 45 25 / 10 = 35 80 PLC Knee Arthroscopy Cartilage Transplant KNSCCTP 0 0 / 0 = 0 0 PLC Knee Arthroscopy Loose Body Excision KNSCLBR 40 20 / 10 = 30 70 PLC Knee Arthroscopy Meniscal Discoid Sauceriz & Rep KNSCMDSR / = PLC Knee Arthroscopy Meniscal Root Repair KNSCMRRP 45 30 / 20 = 50 95 PLC Knee Arthroscopy Meniscal Suture Repair KNSCMRP 30 25 / 15 = 40 70 PLC Knee Arthroscopy Meniscal Transplant KNSCMTP / = PLC Knee Arthroscopy Patella Femoral Realign KNSCPFR 45 20 / 15 = 35 80 PLC Knee Arthroscopy Patella Tendon+/-Debridement KNSCPTN 60 25 / 20 = 45 105 PLC Knee Arthroscopy Reattachment Ligament KNSCREALIG / = PLC Knee Arthroscopy Recon ACL Physeal Sparing KNSCACLPS / = PLC Knee Arthroscopy Recon ACL w Quadric Tendon Graft KNSCACLQTG 90 30 / 20 = 50 140 PLC Knee Arthroscopy Reconstruction ACL KNSCACL 90 30 / 20 = 50 140 PLC Knee Arthroscopy Reconstruction ACL Bilateral KNSCACLBIL / = PLC Knee Arthroscopy Reconstruction ACL Hybrid KNSCACLH 90 30 / 20 = 50 140 PLC Knee Arthroscopy Reconstruction ACL Rev KNSCACLRV 90 30 / 20 = 50 140 PLC Knee Arthroscopy Reconstruction ACL w BTB Repair KNSCACLBTB 90 30 / 20 = 50 140 PLC Knee Arthroscopy Reconstruction ACL w IT Band KNSCACLITB / = PLC Knee Arthroscopy Reconstruction ACL/ALL KNSCACLALL / = PLC Knee Arthroscopy Reconstruction ACL/ALL Epiphyseal KNSCACLALE / = PLC Knee Arthroscopy Reconstruction ACL/LCL KNSCACLLCL 180 30 / 20 = 50 230 PLC Knee Arthroscopy Reconstruction ACL/MCL KNSCACLMCL 180 30 / 20 = 50 230 PLC Knee Arthroscopy Reconstruction MPFL KNSCMPFL 90 30 / 20 = 50 140 PLC Knee Arthroscopy Reconstruction Multi Ligament KNSCMULL 180 45 / 30 = 75 255 PLC Knee Arthroscopy Reconstruction Multi Ligament Bil KNSCMULLB 0 0 / 0 = 0 0 PLC Knee Arthroscopy Reconstruction PCL KNSCPCL 180 45 / 30 = 75 255 PLC Knee Arthroscopy Reconstruction Post Lat Corner KNSCPLC / = PLC Knee Arthroscopy Subchondroplasty KNSCSUB 60 20 / 15 = 35 95 PLC Knee Arthroscopy KNSCSN / = PLC Knee Arthroscopy w Bone Graft+/-HDWR KNSCHWBGRM 50 20 / 10 = 30 80 PLC Knee Arthroscopy w Debridement w HDWR KNSCDEHDWR 50 30 / 15 = 45 95 PLC Knee Arthroscopy w Debridement+/-Meniscal Repair KNSCDBMRP 30 20 / 10 = 30 60 PLC Knee Arthroscopy/Arthrotomy/Trochleoplasty+MPLF+Gt KNSCATTS 0 0 / 0 = 0 0 PLC Knee Arthroscopy/Open Osteochondritis Lesion OCD KNSCOOCD 120 30 / 20 = 50 170 PLC Knee Arthroscopy+/-Debridement KNSC 30 20 / 10 = 30 60 PLC Knee Arthroscopy+/-Repair/ Reattachment ACL KNSCREAACL / = PLC Knee Arthroscopy+/-Retrograde Drilling w O-Arm KNSCRTD 0 0 / 0 = 0 0 PLC Knee Arthrotomy Epiphysis KNATEP 45 15 / 15 = 30 75 PLC Knee Arthrotomy Loose Body Excision KNATLBR 40 15 / 15 = 30 70 PLC Knee Arthrotomy+/-Meniscectomy KNATMENEC 20 25 / 15 = 40 60

Generated: 2021-04-06 11:08 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: PLC 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 PLC Knee Arthrotomy+/-Synovectomy KNATSN 30 25 / 15 = 40 70 PLC Knee Baker's Cyst+/-Bursa Excision KNBKCYEX 90 20 / 15 = 35 125 PLC Knee Extra Articular Lateral Tenodesis KNEALT 30 15 / 10 = 25 55 PLC Knee Ligament+/-Tendon Repair+/-Transfer KNLIGRP 75 20 / 15 = 35 110 PLC Knee MPFL Recon w Allograft KNMPFLALGF 75 20 / 20 = 40 115 PLC Knee Osteochondral Allograft KNOSALGF 0 0 / 0 = 0 0 PLC Knee Patella Hardware Removal State Type KNPTHWRM 30 20 / 15 = 35 65 PLC Knee Patella Tendon/Ligament Repair KNTLRP 60 20 / 15 = 35 95 PLC Knee Patellar ORIF KNPTORIF 90 25 / 20 = 45 135 PLC Knee Patellar Stabilization Tendon Repair KNPTSTRP 60 25 / 15 = 40 100 PLC Knee Patellectomy KNPTEC 30 15 / 15 = 30 60 PLC Knee Patellofemoral Realignment KNPTFER 60 15 / 15 = 30 90 PLC Limb Ace Screw Hardware Removal SS LIMACEHWRM 60 40 / 20 = 60 120 PLC Limb Amputation SS LIMAMP 90 30 / 15 = 45 135 PLC Limb Ex Fix Hardware Removal State Type LIMEFHWRM 30 20 / 15 = 35 65 PLC Limb Ex Fix Large Hoffmann II Hardware Applic SS LIMEFLHFWA 0 0 / 0 = 0 0 PLC Limb Ex Fix Modular Rail Hardware Applic SS LIMEFMRHWA / = PLC Limb Ex Fix Small Hoffmann II Hardware Applic SS LIMEFSHFWA 0 0 / 0 = 0 0 PLC Limb Ex Fix Taylor Spatial Frame Hardware Appli SS LIMTSFHWAP / = PLC Limb Ex Fix Taylor Spatial Frame Hardware Rem SS LIMTSFHWRM 0 0 / 0 = 0 0 PLC Limb Hardware Removal SS LIMHWRM 30 25 / 15 = 40 70 PLC Limb Hardware Removal Unthreaded Pins SS LIMHWRUPSS 0 0 / 0 = 0 0 PLC Limb I&D SS LIMIDSS 30 25 / 15 = 40 70 PLC Limb I&D w VAC Application/Change SS LIMIDVAC 50 30 / 20 = 50 100 PLC Limb Lower Fasciotomy LIMLFASC 30 25 / 15 = 40 70 PLC Limb Lower Fasciotomy Bil LIMLFASCB 45 25 / 15 = 40 85 PLC Limb Lower Length w TSF w +/-Fasciotomy LIMLLTSFOF / = PLC Limb NonUnion Fracture ORIF w Vascular Bone Gft SS LIMNUFVBG / = PLC Limb Sparing Procedure LIMSPPR 240 75 / 30 = 105 345 PLC Limb Tumour Bone Large ExcisionSS LIMTMLG 150 75 / 30 = 105 255 PLC Limb Tumour Bone Small Excision SS LIMTMSM 60 30 / 15 = 45 105 PLC Limb Tumour Excision Vascular Fibular Bone Graft LIMTRFIBBG 60 30 / 15 = 45 105 PLC Limb Tumour Soft Tissue Excision SS LIMTMST 45 30 / 15 = 45 90 PLC Limb Van Nes Rotationplasty LIMVNRPTY 390 45 / 30 = 75 465 PLC Muscle Biceps+/-Tendon Repair MUSBCTDRP 75 30 / 15 = 45 120 PLC Muscle Hamstring Lengthening Percutaneous MUSHSTRLP 30 25 / 15 = 40 70 PLC Muscle Pectoralis Major Tend Tran w Allograft MUSPMTDTA / = PLC Muscle Pectoralis Major+/-Tend Exp+/-Rep MUSPMTER 70 40 / 20 = 60 130 PLC Muscle Quadriceps+/-Tendon Repair MUSQUTDRP 90 40 / 15 = 55 145 PLC Muscle Triceps+/-Tendon Repair MUSTCTDRP 75 30 / 15 = 45 120 PLC Neck Torticollis Release NKTORTRL 60 40 / 10 = 50 110 PLC Pelvis Anterior Subcutaneous PELANTSUIF / = PLC Pelvis Ex Fix Application PELEXFXAPP 0 0 / 0 = 0 0 PLC Pelvis Hardware Removal State Type PELHWRM 30 30 / 15 = 45 75 PLC Pelvis I&D PELID 45 30 / 20 = 50 95 PLC Pelvis ORIF +/- Reconstruction w Nav PELORIFN / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Pelvis ORIF Salter Pemberton Daga Congenital PELORIFSP 0 0 / 0 = 0 0 PLC Pelvis ORIF Symphysis Pubis PELORIFS 0 0 / 0 = 0 0 PLC Pelvis ORIF+/-Reconstruction PELORIF 335 70 / 30 = 100 435 PLC Pelvis Osteotomy PELOST 0 0 / 0 = 0 0 PLC Pelvis Osteotomy Exstrophy of Bladder PELOSTX 0 0 / 0 = 0 0 PLC Pelvis Pelvectomy Hemi PELECHEM 0 0 / 0 = 0 0 PLC Pelvis Percutaneous SacroIliac Screw Fixation PELPERSIFX 120 45 / 30 = 75 195 PLC Pelvis Percutaneous SacroIliac Screw Fixation wNav PELPERSIFN / = PLC Radius Distal/Wrist ORIF+/-Osteotomy RADDORIF 60 30 / 15 = 45 105 PLC Radius Ex Fix Synthes Application/Adj RADEXHWAP / = PLC Radius Head Excision+/-Arthroplasty RADHDEX 45 30 / 20 = 50 95 PLC Radius Nail ESIM Nancy Hardware Removal RADNIMNHWR / = PLC Radius Ulna Nail ESIM Nancy RADNIM 60 45 / 30 = 75 135 PLC Radius/Ulna Distal Joint Debridement+/-Repair RADUJDREP / = PLC Radius/Ulna Distal Joint Recon+/-Allograft RADUJREALL / = PLC Radius/Ulna Ex Fix Synthes Application/Adjust RAUEXHWAP / = PLC Radius/Ulna Hardware Removal State Type RADHWRM 30 20 / 20 = 40 70 PLC Radius/Ulna ORIF+/-Osteotomy RADUORIF 60 30 / 15 = 45 105 PLC Radius/Ulna Reduction Closed RADRDCL 30 20 / 15 = 35 65 PLC Radius/Ulna Reduction Perc Pin RADRDPP 20 20 / 20 = 40 60 PLC Radius/Ulna Styloid Excision RAULNSTYEX 45 20 / 15 = 35 80 PLC Rib ORIF RIBORIF / = PLC Scapula ORIF SCAPORIF 90 45 / 25 = 70 160 PLC Scapula Scapulothoracic Arthroscopy+/-Bursectomy SCASCTHA 90 15 / 25 = 40 130 PLC Scapula Scapulothoracic Fusion SCASCTHF / = PLC Shoulder Acromioclavicular Recon w Allograft SHDACRG 90 35 / 15 = 50 140 PLC Shoulder Acromioclavicular Separation Repair SHDACSRP 90 20 / 20 = 40 130 PLC Shoulder SHDACRO / = PLC Shoulder Acromioplasty w Rotator Cuff Repair SHDARCRP 90 40 / 20 = 60 150 PLC Shoulder Arthroplasty Prim Depuy Delta Xtend SHDAPPDD 90 70 / 20 = 90 180 PLC Shoulder Arthroplasty Prim Depuy Global Advantage SHDAPDGA 120 45 / 25 = 70 190 PLC Shoulder Arthroplasty Prim Depuy Global AP SHDAPTYPDG 120 70 / 20 = 90 210 PLC Shoulder Arthroplasty Prim Depuy Global Unite SHDAPDGUN 180 50 / 20 = 70 250 PLC Shoulder Arthroplasty Prim Depuy ICON SHDAPDIC 120 45 / 25 = 70 190 PLC Shoulder Arthroplasty Prim Lima SMR SHDAPLSMR / = PLC Shoulder Arthroplasty Prim Torn Aeq Asc Flex Revrs SHDAPTAAFR 225 75 / 25 = 100 325 PLC Shoulder Arthroplasty Prim Tornier Aeq Asc Flex SHDAPTAAFL 225 75 / 25 = 100 325 PLC Shoulder Arthroplasty Prim Tornier Simpliciti SHDAPTSIMP / = PLC Shoulder Arthroplasty Prim Zimmer Bigliani SHDAPTYZB 150 30 / 25 = 55 205 PLC Shoulder Arthroplasty Prim Zimmer Bio Comprehensiv SHDAPZBC / = PLC Shoulder Arthroplasty Rev Depuy Delta Xtend SHDARRDD 120 45 / 25 = 70 190 PLC Shoulder Arthroplasty Rev Depuy Global AP SHDARRVDG 150 50 / 20 = 70 220 PLC Shoulder Arthroplasty Rev I&D First Stage SHDARIDFS 120 45 / 25 = 70 190 PLC Shoulder Arthroplasty Rev I&D Head Exchange SHDARIDHDE 120 45 / 25 = 70 190 PLC Shoulder Arthroplasty Rev Lima SMR SHDARLSMR / = PLC Shoulder Arthroplasty Rev Tornier Aeq Asc Flex SHDARTAAFL 285 75 / 25 = 100 385

Generated: 2021-04-06 11:08 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: PLC 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 PLC Shoulder Arthroscopy SHDSC 45 35 / 15 = 50 95 PLC Shoulder Arthroscopy Acromio+/-RCR Bicep Teno Bil SHDSCACPTB 90 35 / 15 = 50 140 PLC Shoulder Arthroscopy Acromio+/-RCR+/-Bicep Teno SHDSCACPTY 45 35 / 15 = 50 95 PLC Shoulder Arthroscopy Acromioclav Recon w Graft SHDSCACRG 120 35 / 15 = 50 170 PLC Shoulder Arthroscopy Ant Glenoid Recon w Graft SHDSCAGRG 150 35 / 15 = 50 200 PLC Shoulder Arthroscopy Instability Rep+/-Bicep Ten SHDSCRBT / = PLC Shoulder Arthroscopy Instability Repair SHDSCR 90 25 / 15 = 40 130 PLC Shoulder Arthroscopy Instability Repair w Allogrft SHDSCRAL 180 30 / 15 = 45 225 PLC Shoulder Arthroscopy InstabilRep+/-MiniOpenTendRep SHDSCIRMO 90 35 / 15 = 50 140 PLC Shoulder Arthroscopy Mini Open SHDSCMOPN 90 35 / 15 = 50 140 PLC Shoulder Arthroscopy Repair+/-Latarjet SHDSCRL 180 30 / 15 = 45 225 PLC Shoulder Arthroscopy Rev RCR w/Fascia Lat Auto Gft SHDSCRRFLG 150 35 / 15 = 50 200 PLC Shoulder Arthroscopy Rev RCR+/-HDWR+/-Graft SHDSCRRCHG 45 35 / 15 = 50 95 PLC Shoulder Arthroscopy w Hardware Removal SHDSCHWRM 45 35 / 15 = 50 95 PLC Shoulder Arthroscopy w Latissimus Dorsi Transfer SHDSCLDT 45 35 / 15 = 50 95 PLC Shoulder Arthroscopy w/Lower Trapezius Transfer SHDSCLTT 120 35 / 15 = 50 170 PLC Shoulder Arthrotomy SHDAT 120 20 / 20 = 40 160 PLC Shoulder Disarticulation SHDDISA 90 45 / 30 = 75 165 PLC Shoulder Glenoid ORIF SHDGORIF 120 40 / 20 = 60 180 PLC Shoulder Glenoid Reconstruction SHDGRCN / = PLC Shoulder Hardware Removal State Type SHDHWRM 30 20 / 15 = 35 65 PLC Shoulder Hemi Arthroplasty Prim Arthrosurf HemiCap SHDHAPAHC 175 50 / 20 = 70 245 PLC Shoulder Hemi Arthroplasty Prim Dep Glob CAP+/-CTA SHDHAPDGCA 70 50 / 20 = 70 140 PLC Shoulder Hemi Arthroplasty Prim Depuy Global FX SHDHAPDGF 120 55 / 15 = 70 190 PLC Shoulder Hemi Arthroplasty Prim Tornier Aeq HdResf SHDHAPTAR / = PLC Shoulder Hemi Arthroplasty Prim Tornier AeqAsc Flx SHDHAPTAAF / = PLC Shoulder Hemi Arthroplasty Prim Zim Nano Stemless SHDHAPZNAN / = PLC Shoulder Hemi Arthroplasty Prim Zimmer Bigliani SHDHAPZB 120 50 / 15 = 65 185 PLC Shoulder Hemi Arthroplasty Prim Zimmer Sidus SHDHAPZS 120 45 / 25 = 70 190 PLC Shoulder Hemi Arthroplasty Rev Tornier Aeq AscFlex SHDHARTAFL / = PLC Shoulder Latissimus Dorsi Repair SHDLDRP 120 60 / 30 = 90 210 PLC Shoulder Latissimus Dorsi Transfer SHDLDT / = PLC Shoulder ORIF+/-Arthrodesis SHDORIFADS 210 35 / 15 = 50 260 PLC Shoulder Reduction Closed SHDCLRD 30 15 / 10 = 25 55 PLC Shoulder Repair Ant+/-Bankart w Latarjet Transfer SHDRPABLT / = PLC Shoulder Repair Anterior+/-Bankart SHDRPAB 90 35 / 15 = 50 140 PLC Shoulder Repair Posterior SHDRPPP 90 25 / 15 = 40 130 PLC Shoulder Rotator Cuff Repair SHDROTRP 60 40 / 15 = 55 115 PLC Spine Growing Rod Insert w/MIS Spine Vision SPGRIMSV / = PLC Sternoclavicular Joint Recon w Hamstring Allograft STJRHAMA 0 0 / 0 = 0 0 PLC Sternoclavicular Joint Reconstruction STJRECON / = PLC Tendon Lengthening Percutaneous SS TDLGNP 30 20 / 15 = 35 65 PLC Tendon Release+/-Repair+/-Transfer+/-Length SS TDRLTRFSS 90 30 / 15 = 45 135 PLC Tendon Transfer Split Tibial Anterior TDTRSTBA 120 20 / 15 = 35 155 PLC Tendon Transfer Tibialis+/-Length w Knee Casts Bil TDTRTIBLKB / = PLC Tibia Ex Fix Synthes Hardware Application/Adjust TIBEXHWAP / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Tibia Nail ESIM Nancy TIBNIMN 0 0 / 0 = 0 0 PLC Tibia Nail ESIM Nancy Hardware Removal TIBNIMNHWR / = PLC Tibia Nail IM Fassier Duval TIBNIMFADU 0 0 / 0 = 0 0 PLC Tibia Nail IM Hardware Removal State Type TIBNIMHWR 30 20 / 15 = 35 65 PLC Tibia Nail IM SN Trigen TIBNIMSNT 90 30 / 15 = 45 135 PLC Tibia Nail IM SN Trigen Rev/Exchange TIBNIMSNTR 120 30 / 15 = 45 165 PLC Tibia Nail IM Stryker T2 TIBNIMST2 60 30 / 15 = 45 105 PLC Tibia Nail IM Stryker T2 Rev/Exchange TIBNIMST2R 90 30 / 15 = 45 135 PLC Tibia Nail IM Synthes Expert TIBNIMSYEX 60 30 / 15 = 45 105 PLC Tibia Nail IM Synthes Expert Rev/Exchange TIBNIMSERE 90 30 / 15 = 45 135 PLC Tibia ORIF TIBORIF 90 30 / 15 = 45 135 PLC Tibia Osteotomy Distal TIBOSTD 90 25 / 15 = 40 130 PLC Tibia Osteotomy High TIBOSTH 90 30 / 15 = 45 135 PLC Tibia Osteotomy High w Arthroscopy TIBOSTHSC 170 40 / 20 = 60 230 PLC Tibia Osteotomy Tuberos Rep/MPFL/Quadricepsplasty TIBOSTUBMQ 0 0 / 0 = 0 0 PLC Tibia Osteotomy Tuberosity Repair w Arthroscopy TIBOSTUBSC 120 30 / 20 = 50 170 PLC Tibia Osteotomy Tuberosity Repair+/-Lig Recon TIBOSTUBRP 90 20 / 15 = 35 125 PLC Tibia Osteotomy w Taylor Spatial Frame TIBOSTTSF 150 50 / 20 = 70 220 PLC Tibia Plateau ORIF TIBPORIF 90 30 / 15 = 45 135 PLC Tibia Plateau ORIF w Arthroscopy TIBPIFSC 100 30 / 15 = 45 145 PLC Tibia Reduction Closed TIBRNDCL 30 30 / 20 = 50 80 PLC Tibia Sequestrectomy TIBSEQ 60 20 / 15 = 35 95 PLC Tibia+/-Fibula Hardware Removal State Type TIBHWRM 45 25 / 15 = 40 85 PLC Toe Amputation TOEAMP 30 25 / 15 = 40 70 PLC Toe Arthrodesis/Fusion+/-Osteotomy TOEADF 45 20 / 15 = 35 80 PLC Toe Arthroplasty Primary TOEARTP 30 20 / 20 = 40 70 PLC Toe Arthroplasty Primary Bilateral TOEARTPB 75 20 / 15 = 35 110 PLC Toe Exploration+/-Arthrotomy+/-Capsulotomy TOEEXPAT 30 20 / 15 = 35 65 PLC Toe Hammer/Claw Repair TOEHCRP 25 20 / 15 = 35 60 PLC Toe Nail Excision+/-Radical TOENLEX 20 20 / 15 = 35 55 PLC Toe ORIF TOEORIF 20 25 / 15 = 40 60 PLC Toe Reduction Perc Pinning TOERPP 20 30 / 10 = 40 60 PLC Ulna Shortening/Recessional Osteotomy ULNSHTOS 90 20 / 15 = 35 125 PLC Wrist Arthroscopy WRASC 50 35 / 15 = 50 100 PLC Wrist Arthroscopy w TFCC Repair WRSCPYTFC 30 20 / 15 = 35 65 PLC Wrist Arthrotomy WRAT 70 25 / 15 = 40 110 PLC Wrist Carpal Tunnel Release WRCPR 30 20 / 15 = 35 65 PLC Wrist Debridement & Stabilization ECU Tendon WRDSECUTEN / = PLC Wrist Ex Fix Synthes Application/Adj WREXHWAP / = PLC Wrist Perilunate Dislocation ORIF WRPERDORIF / = PLC Wrist Reduction Closed WRRDNCL 10 10 / 15 = 25 35 PLC Wrist Reduction Perc Pin WRRDNPP 30 20 / 15 = 35 65 PLC Wrist Scaphoid ORIF WRSCFORIF 60 35 / 15 = 50 110 PLC Wrist Scaphoid ORIF w Bone Graft WRSCBNGF 90 35 / 15 = 50 140 PLC Wrist Scaphoid Percutaneous Fixation WRSCPF 45 30 / 15 = 45 90 PLS

Generated: 2021-04-06 11:08 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: PLC 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 PLC Abdominoplasty/Panniculectomy+/-Hernia Repair ABDPTY 115 45 / 20 = 65 180 PLC Arm Lymphatic Sparing Liposuction SPY Assisted ARLYSPLISP / = PLC Artery Microvascular Explore+/-Repair SS ARTMVEXPRP 30 30 / 15 = 45 75 PLC Axilla+/-Groin Sudenectomy AXSUDECT 60 20 / 15 = 35 95 PLC Body Lift Circumferential Abdomen+/-Lipo BDYLFTABD 0 0 / 0 = 0 0 PLC Body Lift: Cir,Butt,Thigh,Groin,+/-Arm,Chest+/-Lip BDYLFTC 230 35 / 25 = 60 290 PLC Bone Graft to Alveolar Cleft BNGFALV 60 30 / 15 = 45 105 PLC Botox Injection SS BOTXINJSS 5 15 / 10 = 25 30 PLC Brachioplasty/ Arm Lift Bilateral BRALFTB 150 45 / 20 = 65 215 PLC Breast Augmentation BRAUG 75 30 / 15 = 45 120 PLC Breast Augmentation Bilateral BRAUGB 120 30 / 15 = 45 165 PLC Breast Augmentation Circumfrential Mastopexy BRAUGCM 120 30 / 15 = 45 165 PLC Breast Capsulotomy w Implant Exchange BRCAPIE 75 30 / 15 = 45 120 PLC Breast Capsulotomy w Implant Exchange Bilateral BRCAPIEB 100 30 / 15 = 45 145 PLC Breast Capsulotomy+/-Implant Rem BRCAP 45 30 / 15 = 45 90 PLC Breast Capsulotomy+/-Implant Rem Bilateral BRCAPB 85 30 / 15 = 45 130 PLC Breast Gynecomastia Excision BRGYMRS 45 30 / 15 = 45 90 PLC Breast Gynecomastia Excision Bilateral BRGYMRSB 70 30 / 15 = 45 115 PLC Breast Gynecomastia Excision w Free Nipple Graft BRGYMWFNG 150 35 / 15 = 50 200 PLC Breast Implant Exchange BRIMEX 50 35 / 20 = 55 105 PLC Breast Implant Exchange Bil BRIMEXB 75 35 / 20 = 55 130 PLC Breast Implant Removal BRIMRM 80 25 / 25 = 50 130 PLC Breast Implant Removal Bilateral BRIMRMB 95 35 / 15 = 50 145 PLC Breast Mastectomy GRS+/-Free Nipple Gft+/-Lipo Bil BRMGRS 150 25 / 20 = 45 195 PLC Breast Mastopexy+/-Augment+/-Liposuction BRMSTPXY 120 30 / 15 = 45 165 PLC Breast Nipple Reconstruction BRNIPRCN 75 30 / 15 = 45 120 PLC Breast Reconstruction Immediate Lat Dorsi FlapwImp BRECIMLDFI / = PLC Breast Reconstruction Immediate w Imp+/-Alloderm BRECIMMIMP 75 0 / 0 = 0 75 PLC Breast Reconstruction Immediate w Imp+/-Aloder Bil BRECIMIMPB 100 0 / 0 = 0 100 PLC Breast Reconstruction Immediate w Microvs Flap BREIMMICFL 475 0 / 0 = 0 475 PLC Breast Reconstruction Immediate w Microvs Flap Bil BREIMMIFBI 640 0 / 0 = 0 640 PLC Breast Reconstruction Immediate w TissEx+/-AlloBil BRECIMTEXB 90 0 / 0 = 0 90 PLC Breast Reconstruction Immediate w TissEx+/-Allod BRECIMTEX 60 0 / 0 = 0 60 PLC Breast Reconstruction Lat Dorsi Flap w Implant BRRCNLDFI / = PLC Breast Reconstruction Microvascular Free Flap BRRCNMVFLP 480 60 / 30 = 90 570 PLC Breast Reconstruction Microvascular Free Flap Bil BRRCNMVFLB 650 70 / 30 = 100 750 PLC Breast Reconstruction Revision BRRCNRV 90 20 / 15 = 35 125 PLC Breast Reconstruction Revision w Fat Graft+/-Lipo BRRCNRVFG 90 30 / 15 = 45 135 PLC Breast Reconstruction w Fat Graft +/- Implant BRRFGIM / = PLC Breast Reconstruction w Fat Graft +/- Implant Bil BRRFGIMB / = PLC Breast Reconstruction w Implant BRRCNIM 75 30 / 15 = 45 120 PLC Breast Reconstruction w Implant Bilateral BRRCNIMB 150 30 / 15 = 45 195 PLC Breast Reconstruction w Pedicle Flap Bil State Mus BRRCNPFLPB 300 45 / 20 = 65 365 PLC Breast Reconstruction w Pedicle Flap State Muscle BRRCNPFLP 180 45 / 20 = 65 245 PLC Breast Reduction BRRDN 80 35 / 20 = 55 135 PLC Breast Reduction Bil w Abdominoplas+/-Panniculect BRRDNBA / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Breast Reduction Bilateral BRRDNB 130 40 / 20 = 60 190 PLC Breast Reduction w Liposuction BRRDNLIPO 100 35 / 20 = 55 155 PLC Breast Reduction w Liposuction Bil BRRDNLIPOB 150 40 / 20 = 60 210 PLC Breast Tissue Expander Insertion BTSEXPIN 45 30 / 15 = 45 90 PLC Breast Tissue Expander Insertion Bil BTSEXPINB 60 30 / 15 = 45 105 PLC Burn Major Debridement+/-Graft BURMJDBG 150 30 / 15 = 45 195 PLC Burn Minor Debridement+/-Graft BURMIDBG 75 30 / 15 = 45 120 PLC Cranial Bone Graft CRBNGF 60 30 / 20 = 50 110 PLC Dermis Fat Graft SS DRMFTGF 60 35 / 15 = 50 110 PLC Digit Arthroscopy DIGASC 30 35 / 15 = 50 80 PLC Ear Lobe Repair EARLBRP 30 15 / 15 = 30 60 PLC Ear Otoplasty EAROPTY 60 20 / 20 = 40 100 PLC Ear Otoplasty Bilateral EAROPTYB 90 20 / 20 = 40 130 PLC Ear Reconstruction 1st Stage Microtia EARRCN1 120 30 / 20 = 50 170 PLC Ear Reconstruction 2nd Stage Microtia EARRCN2 90 30 / 20 = 50 140 PLC Ear Reconstruction 3rd Stage Microtia EARRCN3 0 0 / 0 = 0 0 PLC Eye Lid Blepharoplasty Lower EYLDBLL 20 15 / 10 = 25 45 PLC Eye Lid Blepharoplasty Lower Bilateral EYLDBLLB 45 20 / 15 = 35 80 PLC Eye Lid Blepharoplasty Upper EYLDBLU 60 20 / 15 = 35 95 PLC Eye Lid Blepharoplasty Upper & Lower EYLDBLUL 50 20 / 10 = 30 80 PLC Eye Lid Blepharoplasty Upper Bilateral EYLDBLUB 75 20 / 15 = 35 110 PLC Eye Lid Blepharoplasty Upper Lower Bilat Ptosis EYLDBLULBP 30 20 / 15 = 35 65 PLC Eye Lid Blepharoplasty Upper Lower Bilateral EYLDBLULB 150 20 / 25 = 45 195 PLC Face & Head Hardware Removal SS FCHDHWRM 15 25 / 15 = 40 55 PLC Face Brow Lift FCBRLFT 90 30 / 30 = 60 150 PLC Face Brow Lift Endoscopic FCBRLFTEND / = PLC Face Brow Lift w Fascia Lata Sling FCBRLFTFLS 0 0 / 0 = 0 0 PLC Face Lift Rhytidectomy FCRHYTEC 265 65 / 25 = 90 355 PLC Facial Bone Reconstruction FCBNRCN 210 60 / 30 = 90 300 PLC Finger Amputation FNGAMP 45 20 / 15 = 35 80 PLC Finger Arthroplasty 1-2+/-Arthrodesis w Implant FNGAPTYV12 90 45 / 15 = 60 150 PLC Finger Arthroplasty 3-4+/-Arthrodesis w Implant FNGAPTYV34 180 30 / 15 = 45 225 PLC Finger Exploration+/-Arthrotomy+/-Capsulotomy FNGEXPAT 90 25 / 20 = 45 135 PLC Finger Hardware Removal State Type FNGHWRM 45 45 / 15 = 60 105 PLC Finger ORIF FNGORIF 45 20 / 15 = 35 80 PLC Finger Reattachment Microvascular FNGRATMV 300 45 / 30 = 75 375 PLC Finger Reduction Closed FNGRDNCL 10 15 / 10 = 25 35 PLC Finger Reduction Perc Pin FNGRDNPP 15 30 / 10 = 40 55 PLC Finger Revision+/-Reconstruction FNGRVRCN 45 30 / 15 = 45 90 PLC Flap Debridement & Myocutaneous Closure FLPDBCL 90 45 / 30 = 75 165 PLC Flap Microvascular Redo SS FLPMVRDO 0 0 / 0 = 0 0 PLC Flap Neck Reconstruction FLPNKRCN 420 60 / 30 = 90 510 PLC Flap Skin+/-Muscle Closure Head+/-Neck FLPCHDNK 75 30 / 30 = 60 135 PLC Flap Skin+/-Muscle Free Flap SS FLPFF 360 90 / 20 = 110 470 PLC Flap Skin+/-Muscle Rotation/Pedicle SS FLPRP 240 70 / 30 = 100 340 PLC Foot Reattachment Microvascular FTRATMV 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Hand Digit Fusion State Site HNDDF 60 25 / 15 = 40 100 PLC Hand Digit Reconstruction Carpal Phalanges HNDRECONCP 0 0 / 0 = 0 0 PLC Hand Dupuytren Contract Release+/-Graft+/-Fasciect HNDDUPY 45 35 / 20 = 55 100 PLC Hand Exploration+/-Artery+/-Nerve+/-Tendon Repair HNDEXPANTR 80 40 / 20 = 60 140 PLC Hand Ligament/Tendon Repair+/-Transfer HNDLIGTDRP 45 25 / 15 = 40 85 PLC Hand Neurolysis HNDNEUR 30 25 / 15 = 40 70 PLC Hand ORIF HNDORIF 0 0 / 0 = 0 0 PLC Hand Osteotomy HNDOS 90 25 / 15 = 40 130 PLC Hand Pollicization Index Finger+/-Thumb Recn HNDPORCN 0 0 / 0 = 0 0 PLC Hand Reattachment Microvascular HNDRATMV 0 0 / 0 = 0 0 PLC Hand Tendon Release+/-Transfer HNDTNTRF 90 45 / 15 = 60 150 PLC Hand+/-Digit Reduction Closed HNDRDNCL 15 30 / 15 = 45 60 PLC Head & Neck Excision Biopsy+/-Repair+/-Zplasty SS HDNKTEBRZ 15 25 / 15 = 40 55 PLC Hemangioma Excision Major >3cm HEMAEXMJ 60 20 / 15 = 35 95 PLC Hemangioma Excision Minor <3cm HEMAEXMI 15 20 / 15 = 35 50 PLC Hematoma Evacuation SS HEMEVSS 15 20 / 15 = 35 50 PLC Injection SS INJSS 5 10 / 15 = 25 30 PLC Jaw Arch Bar Wire Removal JAWABWRM 15 20 / 15 = 35 50 PLC Closed+/-Arch Bar JAWRDNCL 60 20 / 15 = 35 95 PLC Laceration Repair SS LACRP 15 20 / 15 = 35 50 PLC Limb Reattachment Microvascular SS LIMBRATMV 180 75 / 30 = 105 285 PLC Limb Tissue Excision Bx+/-Repair+/-Zplasty/Flap SS LIMTEBRZ 20 30 / 10 = 40 60 PLC Lip Cleft Repair 1st Stage LPCLFRP1 90 20 / 15 = 35 125 PLC Lip Cleft Repair+/-Revision w Nasal Repair LPCLFNSRP 90 60 / 20 = 80 170 PLC Lip Cleft Revision LPCLFRV 75 45 / 25 = 70 145 PLC Liposuction Chin & Neck LPOSCNK 60 20 / 15 = 35 95 PLC Liposuction Trunk & Legs LPOSTL 90 30 / 30 = 60 150 PLC Mandible Hardware Removal MNHWRM 60 20 / 15 = 35 95 PLC Mandible ORIF MNORIF 60 35 / 15 = 50 110 PLC Maxilla ORIF MXORIF 90 20 / 15 = 35 125 PLC Melanoma Excision Limb w Keystone Flap MELEXLMFLP 60 30 / 20 = 50 110 PLC Melanoma Wide Excision Face & Neck MELWEXFCN 45 15 / 15 = 30 75 PLC Melanoma Wide Excision Trunk/Extremities MELWEXT 75 20 / 15 = 35 110 PLC Microvascular Lymphaticovenous Anastamosis SS MVLYMVENA / = PLC Microvascular Repair Major SS MVRPMJ 120 30 / 15 = 45 165 PLC Microvascular Repair Minor SS MVRPMI 60 30 / 15 = 45 105 PLC Mouth/Oral Repair Cleft Palate MOPALRP 90 20 / 15 = 35 125 PLC Muscle Repair SS MUSCRP 45 20 / 15 = 35 80 PLC Nerve Brachial Plexus Exploration+/-Repair NVBRPLEX 300 25 / 15 = 40 340 PLC Nerve Expl+/-Transpos+/-Repair Minor SS NVEXTPRP 60 25 / 15 = 40 100 PLC Nerve Exploration+/-Repair+/-Graft w Microscope SS NVEXRPMJ 75 30 / 15 = 45 120 PLC Nerve Graft Sural Harvest NVGFSU 20 30 / 15 = 45 65 PLC Nerve Suprascapular Exploration+/-Repair NVRPSSC 480 45 / 30 = 75 555 PLC Nerve Ulnar Decompression Cubital+/-Transposition NVULTCRN 50 20 / 15 = 35 85 PLC Nerve Ulnar Decompression/Transposition NVULTRN 45 35 / 15 = 50 95 PLC Nevus Excision Major >3cm SS NEVEXMJ 30 20 / 15 = 35 65

Generated: 2021-04-06 11:08 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: PLC 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 PLC Nevus Excision Minor <3cm SS NEVEXMI 15 20 / 15 = 35 50 PLC Nose Reconstruction NSRCN 160 40 / 20 = 60 220 PLC Nose Reconstruction/Closure w Forehead Flap NSRCNCLFLP 120 30 / 25 = 55 175 PLC Nose Rhinophyma Excision NSRHIEXC 90 40 / 25 = 65 155 PLC Nose Rhinoplasty Open NSRHIPLO 60 40 / 20 = 60 120 PLC Perineal Labioplasty PERLAB 20 30 / 15 = 45 65 PLC Perineum Reconstruction w Abdominal Muscle Flap FLPPRAM 240 45 / 30 = 75 315 PLC Scalp Reattachment Microvascular SCLRATMV 0 0 / 0 = 0 0 PLC Skin Debridement+/-Graft SS SKDBGF 45 30 / 20 = 50 95 PLC Skin Dermoid Excision SKDERMEXC 20 20 / 15 = 35 55 PLC Skin Graft Major SKGFMJ 60 30 / 20 = 50 110 PLC Skin Graft Minor SKGFMI 30 30 / 20 = 50 80 PLC Skin Lesion Excision Laser CO2 SS SKLSEXLZC 0 0 / 0 = 0 0 PLC Skin Lesion Vascular Laser Argon Vbeam Pulse SKLSVALZA 0 0 / 0 = 0 0 PLC Skin Mohs Excision Face and Neck SKMEXFCN 90 20 / 20 = 40 130 PLC Skin Mohs Excision Perineum SKMEXPER / = PLC Skin Tag Excision SS SKTGEX 15 20 / 15 = 35 50 PLC Skin Wound I&D/Debride w VAC Application/Change SS SKWDVACDRS 30 35 / 20 = 55 85 PLC Skin Wound I&D/Debridement SS SKWDBISS 60 40 / 20 = 60 120 PLC Syndactyly Repair+/-Release SS SYNDRP 90 25 / 20 = 45 135 PLC Syndactyly Repair+/-Release SS Bilateral SYNDRPB 80 20 / 15 = 35 115 PLC Temporal Artery Biopsy TMARTBX 10 20 / 15 = 35 45 PLC Tendon Exploration+/-Repair+/-Graft SS TDEXRPGF 60 25 / 15 = 40 100 PLC Tendon Extension+/-Transfer Extensor+/-Flexor SS TDEXTEF 60 25 / 15 = 40 100 PLC Tendon Lysis Tenotomy TDLYSIS 60 25 / 15 = 40 100 PLC Tendon Release Trigger Digit TDRLTRG 20 25 / 15 = 40 60 PLC Thigh Lift Bilateral+/-Lipo THILFTB 180 20 / 15 = 35 215 PLC Throat Pharyngoplasty THRPHPTY 60 20 / 15 = 35 95 PLC Thumb Arthroplasty Carpal Metacarpal+/-Trapez THBARTPTY 70 40 / 20 = 60 130 PLC Thumb Lig Recon Inter w MPJ Fus THBLRIMPJF / = PLC Thumb Ligament Ulnar Collateral Rep+/-Recon THBLIGUCRP 50 25 / 15 = 40 90 PLC Thumb Reattachment Microvascular THBRATMV 360 45 / 20 = 65 425 PLC Thumb Trapeziectomy THBTRAPEZ / = PLC Tissue Expander Insert SS TSEXPIN 60 20 / 15 = 35 95 PLC Tissue Expander Removal SS TSEXPRM 60 20 / 15 = 35 95 PLC Tissue Minor Exc Bx+/-Repair+/-Zplasty/Flap SS TSMEBRZ 25 35 / 10 = 45 70 PLC Tissue Reconstruction Post Melanoma Exc+/-SknGftSS TSREPMEGRT / = PLC Tongue Tie Frenulum Release+/-Zplasty TGTIZPTY 10 15 / 15 = 30 40 PLC Trunk Tissue Excision Biopsy+/-Repair+/-Zplasty SS TRUTEBRZ 60 30 / 20 = 50 110 PLC Ulcer Decubitus Debridement+/-Mycutaneous Flap ULCDEEX 90 30 / 30 = 60 150 PLC Wrist Arthrodesis Fusion WRADSFS 90 25 / 15 = 40 130 PLC Wrist Arthroplasty WRAPTY 90 25 / 15 = 40 130 PLC Wrist Arthroscopy Carpal Tunnel Release WRASCCPR / = PLC Wrist Ganglion Excision WRGNGEX 30 25 / 15 = 40 70 PLC Wrist Intercarpal Fusion Four Corner WRICF4C 90 30 / 10 = 40 130 PLC Wrist Ligament Reconstruction Scapholunate WRLIGRCN 90 55 / 20 = 75 165

Generated: 2021-04-06 11:08 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: PLC 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 PLC Wrist Proximal Row Carpectomy WRPRCARP 70 30 / 20 = 50 120 PLC Wrist Scaphoid ORIF w Local Vascular Bone Graft WRSCLVBG 90 30 / 15 = 45 135 PLC Wrist Synovectomy WRSYNEC 30 25 / 15 = 40 70 PLC Zygoma Elevation Reduction Closed ZYRDNCL 15 20 / 15 = 35 50 PLC Zygoma Orbital Floor ORIF ZYORORIF 60 45 / 15 = 60 120 PLC Zygoma ORIF ZYORIF 30 20 / 15 = 35 65 POD PLC Foot Arthrodesis/Fusion 1st MTP Joint FTADF1MTPJ 45 30 / 15 = 45 90 PSY PLC ECT ECT 5 5 / 5 = 10 15 RAD PLC Abdominal Paracentesis+/-Drain Insertion ABDPARA / = PLC Angiogram Diagnostic Cerebral ANGIOGMDC / = PLC Artery Embolization ARTEMB 60 30 / 30 = 60 120 PLC Breast Mammogram BRMAMGM 0 0 / 0 = 0 0 PLC Breast Mammogram Bilateral BRMAMGMB 0 0 / 0 = 0 0 PLC Breast Needle Localization BRNL 15 15 / 10 = 25 40 PLC Cryotherapy SS CRYOTHERSS / = PLC Drain Insertion SS CT Guided DRAININSCT / = PLC Endovascular Inferior Vena Cava Filter Insertion ENDVIVCFI 15 20 / 10 = 30 45 PLC Endovascular Interventional Radiology Abdomen ENDVIRABD / = PLC Endovascular Interventional Radiology Cerebral ENDVIRC / = PLC Endovascular Interventional Radiology Lower Limb ENDVIRLL / = PLC Endovascular Interventional Radiology LowerLimbBil ENDVIRLLB / = PLC Endovascular Interventional Radiology Pelvis ENDVIRPELV / = PLC Endovascular Interventional Radiology Thoracic ENDVIRTHO / = PLC Endovascular Interventional Radiology Upper Limb ENDVIRUL / = PLC Endovascular Interventional Radiology UpperLimbBil ENDVIRULB / = PLC Gastrojejunal Tube Exchange GSJJTE 30 15 / 15 = 30 60 PLC Joint Injection SS < 4 Joints JTINJL4 / = PLC Joint Injection SS > 4 JTINJG4 / = PLC Joint Injection SS CT Guided JTINGCT / = PLC Kidney Biopsy Percutaneous KIDBXPRC 30 20 / 10 = 30 60 PLC Kidney Nephrosotomy Insert Percutaneous KIDNINPRC 0 0 / 0 = 0 0 PLC Kidney Nephrostomy Removal+/-Exchange KIDNREMEX 30 15 / 15 = 30 60 PLC Liver Biopsy Percutaneous LVBXPERC 70 30 / 20 = 50 120 PLC Liver Biopsy Transjugular LVBXTJ / = PLC Lung Coil Percutaneous CT Guided LUCOILCT / = PLC Mass Biopsy Percutaneous SS MASSBX / = PLC Mass Biopsy Percutaneous SS CT Guided MASSBXCT / = PLC MRI w Anesthesia MRIANA 0 0 / 0 = 0 0 PLC MRT SS MRT 0 0 / 0 = 0 0 PLC Nasojejunal Tube Exchange NASJJTE 0 0 / 0 = 0 0 PLC Percutaneous G-Tube Insertion PERGTUBEIN / = PLC PET Scan PETSCAN / = PLC Radiation Therapy RDTHER / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Radiofrequency Ablation SS CT Guided RFABLCT / = PLC Rectal Catheter Manometer Insertion RECATHMINS / = PLC Scan Computed Tomography SCANCT 0 0 / 0 = 0 0 PLC Scan Computed Tomography Anesthesia Standby SCANCTA 0 0 / 0 = 0 0 PLC Transjugular Interhepatic Portalcaval Shunt Insert TIPS 0 0 / 0 = 0 0 PLC Ultrasound Intra Operative ULSNINOP 15 10 / 10 = 20 35 PLC Vein Sclerotherapy 30 VNSCLER30 15 20 / 20 = 40 55 PLC Vein Sclerotherapy 60 VNSCLER60 0 0 / 0 = 0 0 PLC Vein Sclerotherapy 75 VNSCLER75 0 0 / 0 = 0 0 RES PLC Thoracentesis Lung TXLUG 0 0 / 0 = 0 0 SPI PLC Injection Intrathecal INJINTRATH / = PLC Spinal Cord Stimulator Electrode Insert Temporary SPLPETIN 0 0 / 0 = 0 0 PLC Spine Ant DLIF W OLIF 2-3 Lev SPDLOL23 / = PLC Spine Ant DLIF W OLIF 4-5 Lev SPDLOL45 / = PLC Spine Ant DLIF W OLIF 6+ Lev SPDLOL6 / = PLC Spine Ant DLIF w OLIF Pos Fusion MISwNav SPDLOLPFMN / = PLC Spine Ant DLIF W OLIF W Pos Fusion MIS SPDLOLPFM / = PLC Spine Ant DLIF W OLIF W Pos Fusion Open SPDLOLPFO / = PLC Spine Ant DLIF W OLIF W Pos Fusion Open w Nav SPDLOLPFON / = PLC Spine Ant DLIF w Pos Fusion MIS 1 Lev SPDLPFM1 / = PLC Spine Ant DLIF w Pos Fusion MIS 1 Lev w Nav SPDLPFM1N / = PLC Spine Ant DLIF w Pos Fusion MIS 2-3 Lev SPDLPFM23 / = PLC Spine Ant DLIF w Pos Fusion MIS 2-3 Lev w Nav SPDLPFM23N / = PLC Spine Ant DLIF w Pos Fusion MIS 4+ Lev SPDLPFM4 / = PLC Spine Ant DLIF w Pos Fusion MIS 4+ Lev w Nav SPDLPFM4N / = PLC Spine Ant DLIF w Pos Fusion Open 1 Lev SPDLPFO1 / = PLC Spine Ant DLIF w Pos Fusion Open 1 Lev w Nav SPDLPFO1N / = PLC Spine Ant DLIF w Pos Fusion Open 2-3 Lev SPDLPFO23 / = PLC Spine Ant DLIF w Pos Fusion Open 2-3 Lev w Nav SPDLPFO23N / = PLC Spine Ant DLIF w Pos Fusion Open 4+ Lev SPDLPFO4 / = PLC Spine Ant DLIF w Pos Fusion Open 4+ Lev w Nav SPDLPFO4N / = PLC Spine Ant DLIF w Pos Fusion Open/MIS Multi Lev SPDLPFHM / = PLC Spine Ant DLIF w Pos Fusion Open/MISMulti w Nav SPDLPFHNM / = PLC Spine Ant OLIF 1 Lev SPOL1L / = PLC Spine Ant OLIF Multi Lev SPOLML / = PLC Spine Ant OLIF w Pos Fusion SPOLPF / = PLC Spine Ant OLIF w Pos Fusion MIS SPOLPFM / = PLC Spine Ant OLIF w Pos Fusion MIS w Nav SPOLPFMN / = PLC Spine Ant OLIF w Pos Fusion Open/MIS SPOLPFOM / = PLC Spine Ant OLIF w Pos Fusion w Nav SPOLPFN / = PLC Spine Cer Ant Dec w Fus Odontoid Cervical SPCADSOC 0 0 / 0 = 0 0 PLC Spine Cer Ant Dec w Fusion 1 Lev SPCADF1 0 0 / 0 = 0 0 PLC Spine Cer Ant Dec w Fusion 2-3 Lev SPCADF23 / = PLC Spine Cer Ant Dec w Fusion 4-7 Lev SPCADF47 / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Spine Cer Ant Dec+/-Lam+/-Disc SPCAD 0 0 / 0 = 0 0 PLC Spine Cer Ant Disc Arthroplasty 1 Lev SPCADA1 0 0 / 0 = 0 0 PLC Spine Cer Ant Disc Arthroplasty Multi Lev SPCADAM / = PLC Spine Cer Ant Disc Arthroplasty w Fusion SPCADHAAFH 0 0 / 0 = 0 0 PLC Spine Cer Ant Odontoid Transoral Excision w MRT SPCAOTRMRT 0 0 / 0 = 0 0 PLC Spine Cer Ant Pos Dec w Fusion SPCAPDF 0 0 / 0 = 0 0 PLC Spine Cer Ant Pos Tumour Excision w Fusion w Nav SPCAPTEFN / = PLC Spine Cer Ant Tumour Excision w Fusion SPCATMRMF / = PLC Spine Cer Pos Dec Laminoplasty 1 Lev SPCPDL1 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec Laminoplasty 2-3 Lev SPCPDL23 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec Laminoplasty 4+ Lev SPCPDL4 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec w Fusion 1 Lev SPCPDF1 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec w Fusion 1 Lev w Nav SPCPDF1N 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec w Fusion 2-4 Lev SPCPDF24 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec w Fusion 2-4 Lev w Nav SPCPDF24N 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec w Fusion 5-7 Lev SPCPDF57 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec w Fusion 5-7 Lev w Nav SPCPDF57N 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec w Fusion Occipital Cervical SPCPDSOC 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec+/-Lam+/-Disc MIS SPCPDMIS 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec+/-Lam+/-Disc+/-Cyst 1 Lev SPCPD1 0 0 / 0 = 0 0 PLC Spine Cer Pos Dec+/-Lam+/-Disc+/-Cyst Multi Lev SPCPDM 0 0 / 0 = 0 0 PLC Spine Cer Pos Tumour Excision w Fusion SPCPTMRMF / = PLC Spine Cer/Tho/Lum Pos Fusion w Iliac Redn SPCTLPFIR / = PLC Spine Cord Tumour/Lipoma Excision SPCDTRDEX 0 0 / 0 = 0 0 PLC Spine CSF Leak Repair SPCSFLRP / = PLC Spine Hardware Removal SS SPHDWRM 0 0 / 0 = 0 0 PLC Spine Hardware Removal SS Emergency E0 SPHDWRME0 / = PLC Spine I&D SS SPIDSS 0 0 / 0 = 0 0 PLC Spine Lum Ant Pos Dec w Fusion SPLAPDF 0 0 / 0 = 0 0 PLC Spine Lum Drain Insertion SPLDIN 0 0 / 0 = 0 0 PLC Spine Lum Pos Detether Fatty Filum Terminale SPLPLDFT 0 0 / 0 = 0 0 PLC Spine Lum Pos Fusion No Instrumentation SPLPFNI 0 0 / 0 = 0 0 PLC Spine Lum Pos Pseudo Meningo/Cystocele Repair SPMYMRP 0 0 / 0 = 0 0 PLC Spine Lum/Sac Pos Bolman w Fusion 1 Lev SPLSPBF1 / = PLC Spine Lumbo Peritoneal Shunt Insertion SPSHLPIN 0 0 / 0 = 0 0 PLC Spine Lumbo Peritoneal Shunt Revision SPSHLPRV 0 0 / 0 = 0 0 PLC Spine Myelomeningocele Repair SPMYERP / = PLC Spine Rib Expander Magec Rod Insertion SPRIBEXPMR / = PLC Spine Rib Expander PLUS Rev+/-Magec Rod SPRIBEXPLR / = PLC Spine Rib Expander PLUS Stage 1 SPRIBEXPL1 / = PLC Spine Rib Expander Solera 4.75 Rev+/-Magec Rod SPRIBEXPSR / = PLC Spine Rib Expander Solera 4.75 Stage 1 SPRIBEXPS1 / = PLC Spine Rib Expander VEPTR Insertion SPRIBEXPIN 0 0 / 0 = 0 0 PLC Spine Rib Expander VEPTR Jackup/Expansion SPRIBEXPJU 0 0 / 0 = 0 0 PLC Spine Rib Expander VEPTR Revision SPRIBEXPRV 0 0 / 0 = 0 0 PLC Spine Rib Expander Xia 4.5 Insertion SPRIBEXPIX / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Spine Rib Expander Xia 4.5 Revision SPRIBEXPRX / = PLC Spine Tho Ant Pos Dec w Fusion SPTAPDF 0 0 / 0 = 0 0 PLC Spine Tho Pos Fusion Medtronic Solera SPTPFMS 0 0 / 0 = 0 0 PLC Spine Tho Pos Fusion Medtronic Solera 4.75 SPTPFMS4 / = PLC Spine Tho Pos Fusion Pivot Link Universal/PLUS SPTPPLUS / = PLC Spine Tho Pos Fusion Synthes Instrument SPTPFSI 0 0 / 0 = 0 0 PLC Spine Tho Pos Fusion w Iliac Redn Medt Solera SPTPFIRMS / = PLC Spine Tho Pos Fusion w Iliac Redn Universal PLUS SPTPFIRUP / = PLC Spine Tho/Lum Ant Disc Arthroplasty 1 Lev SPLADA1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Disc Arthroplasty Multi Lev SPLADAM 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Disc Arthroplasty w Fusion SPLAHDAF / = PLC Spine Tho/Lum Ant DLIF 1 Lev SPLLIF1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant DLIF 2-3 Lev SPLLIF23 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant DLIF 4+ Lev SPLLIF4 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Retro-Per Dec w Fusion 1 Lev SPLADF1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Retro-Per Dec w Fusion 2-3 Lev SPLADF23 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Thor Dec w Fusion 1 Lev SPTADF1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Thor Dec w Fusion Multi Lev SPTADFM 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Thor Fusion+/-Medtronic Legacy SPTAFML 0 0 / 0 = 0 0 PLC Spine Tho/Lum Ant Thor Tumour Excision w Fusion SPTLATMRMF / = PLC Spine Tho/Lum En Bloc Tumour Exc SPTLEBTUEX / = PLC Spine Tho/Lum Pos Dec w Fusion 1 Lev SPLPDF1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion 1 Lev w Nav SPLPDF1N 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion 2-3 Lev SPLPDF23 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion 2-3 Lev w Nav SPLPDF23N 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion 4+ Lev SPLPDF4 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion 4+ Lev w Nav SPLPDF4N 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion MIS 1 Lev SPLPDFMIS1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion MIS 1 Lev w Nav SPLPDFMI1N 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion MIS 2 Lev SPLPDFMIS2 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion MIS 2 Lev w Nav SPLPDFMI2N 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion MIS 3+ Lev SPLPDFMIS3 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Fusion MIS 3+ Lev w Nav SPLPDFMI3N 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Intradural Stem Cell Impl SPTLPDSCIM 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec w Kyphoplasty SPTLPDK / = PLC Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 1 Lev SPLPDMIS1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 2-3 Lev SPLPDMIS23 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec+/-Lam+/-Disc MIS 4+ Lev SPLPDMIS4 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 1 Lev SPLPD1 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 2-3 Lev SPLPD23 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Dec+/-Lam+/-Disc+/-Cyst 4+ Lev SPLPD4 / = PLC Spine Tho/Lum Pos Fusion Open/MIS Multi Lev SPTLPHOMM / = PLC Spine Tho/Lum Pos Fusion Open/MIS Multi Lev w Nav SPTLPHOMN / = PLC Spine Tho/Lum Pos Fusion w Kyphoplasty SPTLPFK / = PLC Spine Tho/Lum Pos Kyphoplasty SPLPVP 0 0 / 0 = 0 0 PLC Spine Tho/Lum Pos Rev State Type Ped SPTLPRVP / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Spine Tho/Lum Pos Tumour Excision w Fusion SPTPTMRMF / = PLC Spine Tho/Lum Pos Tumour Excision w Fusion MIS SPTPTMRMFM / = PLC Spine Tho/Lum Pos Tumour Excision w Fusion W Nav SPTPTMRMFN / = PLC Spine Tumour Excision Bone SPTMRMB 0 0 / 0 = 0 0 STP PLC Bone Skin Tendon Vein Retrieval Cadaver BNSKTNVRTV 480 30 / 30 = 60 540 PLC Heart Retrieval for Valves Cadaver HRRTRV / = PLC Skin Tissue Retrieval Cadaver SKTISRTRV 240 30 / 30 = 60 300 PLC Skin+/-Veins Retrieval Cadaver SKNVRETV 180 30 / 20 = 50 230 THO PLC Chest Tube Insertion CHTBIN 0 0 / 0 = 0 0 PLC Esophageal Perforation Repair ESPRFRP 240 90 / 45 = 135 375 PLC Esophagectomy Ivor Lewis ESECTIL 300 90 / 30 = 120 420 PLC Esophagectomy Laparoscopy/Thoracoscopic Ivor Lewis ESECTLCTIL / = PLC Esophagectomy Laparotomy/Thoracoscopic Ivor Lewis ESECTLTIL 420 60 / 20 = 80 500 PLC Esophagectomy Thoracoabdominal ESECTHAB 300 90 / 30 = 120 420 PLC Esophagectomy Transhiatal ESECTH 300 60 / 45 = 105 405 PLC Esophagectomy Transthoracic 3 Hole ESECTT 300 90 / 30 = 120 420 PLC Laparoscopy Diaphragm Pacing Device Insertion LSCDPD 150 55 / 30 = 85 235 PLC Laparoscopy Esophagectomy LSCESG 420 60 / 30 = 90 510 PLC Laparotomy Cardiomyotomy/Heller Myotomy LPYCARDMY 180 45 / 30 = 75 255 PLC Mediastinal Mass Excision MEDMSREM 120 75 / 20 = 95 215 PLC Mediastinal Sternotomy MEDSTOMY 150 75 / 30 = 105 255 PLC Mediastinoscopy Thoracic Anterior MEDSCTXA 0 0 / 0 = 0 0 PLC Mediastinoscopy Thoracic Cerv+/-Flexible Bronch MEDSCTXCFB / = PLC Neck Tracheal Excision NKTRCRS 0 0 / 0 = 0 0 PLC Neck Tracheal Excision w Tracheostomy NKTRCRSTRC 0 0 / 0 = 0 0 PLC Rib Excision RIBRS 90 60 / 30 = 90 180 PLC Rib Excision First Transaxillary Approach RIBRFTA 120 40 / 30 = 70 190 PLC Rib Excision Supraclavicular Cervical RIBRSCC / = PLC Subxiphoid Pericardial Window SUBXIPERWI / = PLC Thoracic Duct Ligation THODCTLIG 180 90 / 30 = 120 300 PLC Thoracoscopy TSC 0 0 / 0 = 0 0 PLC Thoracoscopy/VATS Lung Biopsy TSCLUGBX 0 0 / 0 = 0 0 PLC Thoracoscopy/VATS Lung Bullectomy Apical Pleurect TSCLUGBULP 0 0 / 0 = 0 0 PLC Thoracoscopy/VATS Lung Decortication Empyema TSCLUGDEEM / = PLC Thoracoscopy/VATS Lung Lobect w Cerv Medstinoscpy TSCLUGLBCM / = PLC Thoracoscopy/VATS Lung Lobectomy TSCLUGLB 0 0 / 0 = 0 0 PLC Thoracoscopy/VATS Lung Wedge Excision TSCLUGRS 0 0 / 0 = 0 0 PLC Thoracoscopy/VATS Mediastinal Cyst Excision TSCMEDCYEX / = PLC Thoracoscopy/VATS Operative TSCOP 80 60 / 30 = 90 170 PLC Thoracoscopy/VATS Pectus Excavatum/Nuss Repair TSCPCXRP 0 0 / 0 = 0 0 PLC Thoracoscopy/VATS Sympathectomy TSCSYM 0 0 / 0 = 0 0 PLC Thoracoscopy/VATS Thymectomy +/-Mediastinal Mass TSCTHYM / = PLC Thoracoscopy/VATS Tracheal Esophageal Fistula Rep TSCTRCESFR / = PLC Thoracotomy THO 180 75 / 30 = 105 285

Generated: 2021-04-06 11:08 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: PLC 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 PLC Thoracotomy Diaphragm Rupture Repair THODPHRURP 0 0 / 0 = 0 0 PLC Thoracotomy Hernia Diaphragmatic Repair THODPHHERP 175 75 / 20 = 95 270 PLC Thoracotomy Lung Biopsy THOLUGBX 100 60 / 30 = 90 190 PLC Thoracotomy Lung Bullectomy/Pleurectomy THOLUGBUL 60 90 / 35 = 125 185 PLC Thoracotomy Lung Decortication Empyema THOLUGDC 150 75 / 35 = 110 260 PLC Thoracotomy Lung Lobectomy THOLUGLB 150 75 / 30 = 105 255 PLC Thoracotomy Lung Lobectomy w Cerv Mediastinoscopy THOLUGLBCM / = PLC Thoracotomy Lung Pneumonectomy THOLUGPNEC 150 75 / 30 = 105 255 PLC Thoracotomy Lung Wedge Excision THOLUGRS 150 90 / 45 = 135 285 PLC Thoracotomy Pectus Excavatum Repair THOPCXRP 0 0 / 0 = 0 0 PLC Thoracotomy Pericardial Window THOPCWI 75 90 / 45 = 135 210 PLC Thoracotomy Sympathectomy THOSYM 0 0 / 0 = 0 0 PLC Thoracotomy Tracheal Esophageal Fistula Repair THOTRCESFR 180 75 / 30 = 105 285 PLC Thoracotomy Trauma THOTRAUMA 210 90 / 45 = 135 345 PLC Thoracotomy With Interventional Radiology THOENDVIR / = PLC Throat Bronchoscopy Bronchoalveolar Lavage/BAL THRBSCBL 15 30 / 30 = 60 75 PLC Throat Bronchoscopy Flexible Foreign Body Removal THRBSCFFB 20 30 / 10 = 40 60 PLC Throat Bronchoscopy Flexible+/-Biopsy THRBSCFBX 15 20 / 10 = 30 45 PLC Throat Bronchoscopy Intervention/Stent/Caut/Debulk THRBSCISCD 0 0 / 0 = 0 0 PLC Throat Bronchoscopy Rigid+/-Biopsy THRBSRBX 30 30 / 15 = 45 75 PLC Thymectomy THYMEC 150 90 / 35 = 125 275 TRN PLC AV Fistula Basilic Transposition AVFBT 145 20 / 20 = 40 185 PLC AV Fistula Creation AVFISCR 75 30 / 20 = 50 125 PLC AV Fistula Embolectomy+/-Declot AVFISEMB 0 0 / 0 = 0 0 PLC AV Fistula Ligation AVFISLIG 40 20 / 10 = 30 70 PLC AV Fistula Revision/Repair AVFISRV 85 40 / 30 = 70 155 PLC AV Graft Embolectomy+/-Declot AVGFEMB 0 0 / 0 = 0 0 PLC AV Graft Insertion AVGFIN 0 0 / 0 = 0 0 PLC AV Graft Removal AVGFRM 0 0 / 0 = 0 0 PLC AV Graft Revision AVGFRV 0 0 / 0 = 0 0 PLC Catheter PD/Tenckhoff Insertion/Revision CATNCINRV 0 0 / 0 = 0 0 PLC Catheter PD/Tenckhoff Removal CATNCHRM 10 10 / 10 = 20 30 PLC Human Organ Procurement Retrieval HOPE 180 60 / 45 = 105 285 PLC Human Organ Procurement Retrieval DCD HOPEDCD / = PLC Kidney Pancreas Transplant Recipient KIDPATRP / = PLC Kidney Transplant Excision KIDTRPREM / = PLC Kidney Transplant Recipient KIDTRPR / = PLC Kidney+/-Pancreas Organ Prep Cadaver KIDPAOPC / = PLC Laparoscopy Catheter Tenchoff Insert/Revision LSCCATNCIN 60 30 / 15 = 45 105 PLC Laparoscopy Nephrectomy Living Donor LSCNPHLD 0 0 / 0 = 0 0 PLC Laparotomy Nephrectomy Living Donor LPYNPHLD 0 0 / 0 = 0 0 PLC Laparotomy Transplant Exploration/Revision LPYTRNEXPL 0 0 / 0 = 0 0 PLC Pancreas Transplant Recipient PANTRPRC 0 0 / 0 = 0 0 URO PLC Bladder Artificial Sphincter Female Insert BLARFSPHCF 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Bladder Artificial Sphincter Male Insert BLARFSPHCM 0 0 / 0 = 0 0 PLC Bladder Artificial Sphincter Male Removal BLARFSPREM / = PLC Catheter Suprapubic Insertion+/-Revision/Change CASPIN 15 10 / 10 = 20 35 PLC Cystolitholapaxy w Laser Holmium CYSLTLZH 0 0 / 0 = 0 0 PLC Cystolitholapaxy w Laser Holmium & TURP CYSLTLZHTU 0 0 / 0 = 0 0 PLC Cystoscopy CYSC 10 10 / 10 = 20 30 PLC Cystoscopy +/-Stent Insert+/-Chg+/- Pyelogram CYSCSTIN 15 10 / 10 = 20 35 PLC Cystoscopy Bladder Biopsy CYBLBX 20 10 / 10 = 20 40 PLC Cystoscopy Bladder Distention CYSBLDIS 10 10 / 10 = 20 30 PLC Cystoscopy Bladder Neck TUR CYSBLNTUR 0 0 / 0 = 0 0 PLC Cystoscopy Bladder Neck TUR w Green Light Laser CYSBLNLZG / = PLC Cystoscopy Bladder Neck TUR w Laser Holmium CYSBLNLZH 0 0 / 0 = 0 0 PLC Cystoscopy Bladder Tumour TUR CYSBLTTUR 0 0 / 0 = 0 0 PLC Cystoscopy Bladder Tumour TUR Chemo Instillation CYSBLTTURC 0 0 / 0 = 0 0 PLC Cystoscopy Bladder Tumour TUR Laser Holmium CYSBLTULZH 0 0 / 0 = 0 0 PLC Cystoscopy Flexible CYSCFLX 20 10 / 10 = 20 40 PLC Cystoscopy Foreign Body Removal CYSCFBRM 30 10 / 10 = 20 50 PLC Cystoscopy Intravesical Botox Injection CYSVBOTINJ 15 15 / 15 = 30 45 PLC Cystoscopy Radiofrequency Ablation Bladder Trigone CYSCRABT / = PLC Cystoscopy Sting Procedure CYSCSTING 0 0 / 0 = 0 0 PLC Cystoscopy Supra Pubic CYSCSP 15 10 / 10 = 20 35 PLC Cystoscopy Transurethral Bulking Agent Injection CYSTURDFIJ 0 0 / 0 = 0 0 PLC Cystoscopy Tumour+/-Fulguration CYSCTMFLG 0 0 / 0 = 0 0 PLC Cystoscopy TUR Ureteral Valves CYSCTURUV 0 0 / 0 = 0 0 PLC Cystoscopy Urethral Dilation CYSCURDIL 10 10 / 10 = 20 30 PLC Cystoscopy w Stent Removal+/-Ureteroscopy CYSCSTRM 20 20 / 10 = 30 50 PLC Endoscopic Ante Ileal Ureterotomy Perc ENSANIURP / = PLC Endoscopic Ante Ileal Ureterotomy Perc Bil ENSANIURPB / = PLC Inguinal Lymph Node Dissection INGNDDS 60 45 / 20 = 65 125 PLC Laparoscopy Adrenalectomy Robotic LSCADRER 120 60 / 30 = 90 210 PLC Laparoscopy Cystectomy Partial Robotic LSCCYPRD / = PLC Laparoscopy Kidney Cyst Decortication LSCKIDCD / = PLC Laparoscopy Lymph Node Biopsy Pelvic/Abdominal LSCLYNDEX 90 30 / 15 = 45 135 PLC Laparoscopy Nephrectomy LSCNPH 0 0 / 0 = 0 0 PLC Laparoscopy Nephrectomy Bilateral LSCNPHB 0 0 / 0 = 0 0 PLC Laparoscopy Nephrectomy Partial LSCNPHPT 0 0 / 0 = 0 0 PLC Laparoscopy Nephrectomy Partial Retroperitoneal LSCNPHPRET / = PLC Laparoscopy Nephrectomy Partial Robotic LSCNPHPRDV 0 0 / 0 = 0 0 PLC Laparoscopy Nephrectomy Retroperitoneal LSCNPHRET 150 60 / 20 = 80 230 PLC Laparoscopy Nephroureterectomy LSCNPHURE 0 0 / 0 = 0 0 PLC Laparoscopy Nephroureterectomy Robotic LSCNPHURER 0 0 / 0 = 0 0 PLC Laparoscopy Prostate Rad Robot Pel Lymph Nod DisBi LSCPRRARDV / = PLC Laparoscopy Pyeloplasty LSCPLYPTY 0 0 / 0 = 0 0 PLC Laparoscopy Pyeloplasty Robotic LSCPLYRDV 0 0 / 0 = 0 0 PLC Laparoscopy Pyeloplasty Robotic Bilateral LSCPLYRDVB / = PLC Laparoscopy Pyeloplasty w Buccal Muc Graft Robotic LSCPLYPGR / =

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparoscopy Pyeloplasty w Buccal Mucosal Graft LSCPLYPBG 0 0 / 0 = 0 0 PLC Laparoscopy Pyeloplasty w Buccal Mucosal Graft Bil LSCPLYPBGB 0 0 / 0 = 0 0 PLC Laparoscopy Pyeloplasty w Bucl Muc Graft Robot Bil LSCPLYPGRB / = PLC Laparoscopy Testicle Undescended Diagnostic +/-Exc LSCTSTDIEX 0 0 / 0 = 0 0 PLC Laparoscopy Urachal Cyst Excision Robotic LSCURCRDV / = PLC Laparoscopy Urachal Cyst/Sinus Repair LSCURAC 65 30 / 30 = 60 125 PLC Laparoscopy Ureter Reimplantation Robotic LSCURRER / = PLC Laparoscopy Ureter Reimplantation Robotic Bil LSCURRERB / = PLC Laparoscopy Varicocelectomy LSCVAREC 0 0 / 0 = 0 0 PLC Laparotomy Abd Retrop Node Dissect w Vasc Repair LPYABDRNVR 380 60 / 25 = 85 465 PLC Laparotomy Abdominal Retroperitoneal Node Dissecti LPYABDRPND 180 45 / 15 = 60 240 PLC Laparotomy Bladder Augmentation LPYBLAUG 0 0 / 0 = 0 0 PLC Laparotomy Bladder Cystectomy Ileal Conduit LPYBLCYILC 240 60 / 30 = 90 330 PLC Laparotomy Bladder Cystectomy Indiana Pouch LPYBLCYINP 0 0 / 0 = 0 0 PLC Laparotomy Bladder Cystectomy Partial LPYBLCYPT 0 0 / 0 = 0 0 PLC Laparotomy Bladder Cystectomy Studer Cont Divers LPYBLCYSCD 0 0 / 0 = 0 0 PLC Laparotomy Bladder Cystolithotomy Suprapubic LPYBLCYLIT 0 0 / 0 = 0 0 PLC Laparotomy Bladder Diverticulectomy LPYBLDIVEC 0 0 / 0 = 0 0 PLC Laparotomy Bladder Extrophy Repair LPYBLEXRP 0 0 / 0 = 0 0 PLC Laparotomy Bladder Fistula Vesicoenteric Repair LPYBLFVERP 0 0 / 0 = 0 0 PLC Laparotomy Bladder Fistula Vesicovaginal Repair LPYBLFVVRP 0 0 / 0 = 0 0 PLC Laparotomy Bladder Foreign Body Removal LPYBLFBRM 30 30 / 10 = 40 70 PLC Laparotomy Bladder Neck YV Plasty LPYBLNYVPL / = PLC Laparotomy Bladder Rupture Repair LPYBLRURP 150 30 / 15 = 45 195 PLC Laparotomy Bladder Vesicostomy LPYBLVOST 0 0 / 0 = 0 0 PLC Laparotomy Colposacropexy LPYCOLSX 90 30 / 15 = 45 135 PLC Laparotomy Cystostomy Suprapubic LPYCYSOSTS 45 30 / 15 = 45 90 PLC Laparotomy Ileal Conduit/Urostomy Stoma Revision LPYILURREV / = PLC Laparotomy Kidney Biopsy+/-Exploration LPYKIDBXEX 150 60 / 30 = 90 240 PLC Laparotomy Mitrofanoff Procedure LPYMITOF 0 0 / 0 = 0 0 PLC Laparotomy Mitrofanoff Procedure w Cecostomy tube LPYMITOCEC / = PLC Laparotomy Mitrofanoff Revision LPYMITOFRV / = PLC Laparotomy Nephrectomy Bilateral LPYNPHB 90 60 / 30 = 90 180 PLC Laparotomy Nephrectomy Partial LPYNPHPT 0 0 / 0 = 0 0 PLC Laparotomy Nephrectomy Radical LPYNPHRAD 120 45 / 20 = 65 185 PLC Laparotomy Nephrectomy Radical W Tumour Thrombus LPYNPHRTT / = PLC Laparotomy Nephrectomy Wilms Tumour LPYNPHWTU 240 60 / 30 = 90 330 PLC Laparotomy Nephropyelo+/-Ureterop+/-Stent+/Cysto LPYNPHPYUT 0 0 / 0 = 0 0 PLC Laparotomy Nephroureterectomy LPYNPHURE 0 0 / 0 = 0 0 PLC Laparotomy Prostatectomy Partial LPYPRTPAR 0 0 / 0 = 0 0 PLC Laparotomy Prostatectomy Rad/Pelvic Node Dissect LPYPRTRPND 0 0 / 0 = 0 0 PLC Laparotomy Renal Cryoablation LPYRNCRY 0 0 / 0 = 0 0 PLC Laparotomy Urachal Cyst Excision LPYUCEX 35 30 / 10 = 40 75 PLC Laparotomy Ureter Reimplantation LPYURREIM 0 0 / 0 = 0 0 PLC Laparotomy Ureter Reimplantation Bilateral LPYURREIMB 0 0 / 0 = 0 0 PLC Laparotomy Ureter Repair LPYURRP 0 0 / 0 = 0 0

Generated: 2021-04-06 11:08 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: PLC 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 PLC Laparotomy Ureterectomy+/-Ureteroureterostomy LPYUROST 0 0 / 0 = 0 0 PLC Laparotomy Uretheral Repair+/-Uretheroplasty LPYUTHRP 0 0 / 0 = 0 0 PLC Nephrolitho Perc & Calyceal Diverti Exc+/-Stent Rm NPHLTHPCAL 0 0 / 0 = 0 0 PLC Nephrolithotripsy Perc Operativ w Laser+/-Stnt Ins NPHLTHPRLZ 0 0 / 0 = 0 0 PLC Nephrolithotripsy Percutaneous Bil+/-Stent Rm NPHLTHPRCB 0 0 / 0 = 0 0 PLC Nephrolithotripsy Percutaneous+/-Stent Rm NPHLTHPRC 0 0 / 0 = 0 0 PLC Nephropyeloplasy Percutaneous NPHPPTYPRC 0 0 / 0 = 0 0 PLC Penile Prosthesis Insertion/Revision PENPROSIN 0 0 / 0 = 0 0 PLC Penile Prosthesis Removal PENPROSRM 0 0 / 0 = 0 0 PLC Penile Urethral Reconstruction PENURRECON 0 0 / 0 = 0 0 PLC Penis Chordee Repair PENCORDRP 0 0 / 0 = 0 0 PLC Penis Circumcision PENCIRC / = PLC Penis Circumcision w Cystoscopy PENCIRCCYS 30 15 / 15 = 30 60 PLC Penis Circumcision w Meatoplasty PENCIRCMP / = PLC Penis Dorsal Ventral Slit PENDVSL 0 0 / 0 = 0 0 PLC Penis Hypospadias Repair Distal+/-Cystoscopy PENHYDSPRD 0 0 / 0 = 0 0 PLC Penis Hypospadias Repair Proximal+/-Cystoscopy PENHYDSPRP 0 0 / 0 = 0 0 PLC Penis Hypospadias w Chordee Repair PENHYPOCOR 0 0 / 0 = 0 0 PLC Penis Nesbit Repair PENNSBRP 0 0 / 0 = 0 0 PLC Penis Penectomy PENEC 0 0 / 0 = 0 0 PLC Penis Penectomy Sentinel Node Dissection PENECNDS / = PLC Penis Phalloplasty/Penoplasty PENPHPTY 15 25 / 10 = 35 50 PLC Penis Priapism Drainage PENPRIAD / = PLC Penis Repair PENRP 60 30 / 15 = 45 105 PLC Perineal Cyst Excision PERNCYSEX 30 20 / 10 = 30 60 PLC Prostate Cryosurgery PRTCRYO 0 0 / 0 = 0 0 PLC Prostate Cryosurgery Salvage PRTCRYOS / = PLC Prostate Needle Biopsy PRNLBX 25 15 / 10 = 25 50 PLC Prostate TURP PRTTUR 0 0 / 0 = 0 0 PLC Prostate TURP w Bladder Tumour TUR PRTTURBT 0 0 / 0 = 0 0 PLC Prostate TURP w Green Light Laser PRTTURLZG / = PLC Testicle Biopsy+/-Vasogram TSTBX 0 0 / 0 = 0 0 PLC Testicle Epididymal Cyst Excision TSTEPCYEX 30 10 / 10 = 20 50 PLC Testicle Hydrocele Excision/Repair TSTHYDEX 15 20 / 10 = 30 45 PLC Testicle Hydrocele Excision/Repair Bilateral TSTHYDEXB / = PLC Testicle Implant Insertion TSTIMIN 0 0 / 0 = 0 0 PLC Testicle Implant Removal TSTIMRM 0 0 / 0 = 0 0 PLC Testicle Orchidectomy Bilateral TSTORCB 30 15 / 15 = 30 60 PLC Testicle Orchidectomy Radical TSTORCRAD 40 15 / 15 = 30 70 PLC Testicle Orchidectomy Scrotal TSTORCSCL 30 15 / 15 = 30 60 PLC Testicle Orchidopexy TSTORCPXY / = PLC Testicle Orchidopexy Bilateral TSTORCPXYB 30 30 / 15 = 45 75 PLC Testicle Orchidopexy Bilateral w Circumcision TSTORPXPNB / = PLC Testicle Orchidopexy Unilateral w Circumcision TSTORPXPN / = PLC Testicle Spermatocelectomy TSTSMTEC 0 0 / 0 = 0 0 PLC Testicle Torsion Repair+/-Fixation+/-Orchidectomy TSTTORRPFX 30 20 / 10 = 30 60

Generated: 2021-04-06 11:08 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: PLC 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 PLC Testicle Varicocelectomy+/-Dorsal Vein Ligation TSTVRDVLIG 0 0 / 0 = 0 0 PLC Testicle+/-Scrotal Exploration TSTSCTEXP 30 30 / 15 = 45 75 PLC Ureteroscopy URSC 0 0 / 0 = 0 0 PLC Ureteroscopy +/-Stent +/-Pyelo +/-Bx +/-Stone Ext URSCSTIN 30 10 / 10 = 20 50 PLC Ureteroscopy Antegrade w Holmium Laser+/-Stent Ins URSCALZH 0 0 / 0 = 0 0 PLC Ureteroscopy Bilateral URSCB / = PLC Ureteroscopy wLsr Ho+/-St+/-Pyel+/-Bx+/-StoneEx URSCLZH 0 0 / 0 = 0 0 PLC Ureteroscopy wLsr Ho+/-St+/-Pyel+/-Bx+/-StoneEx Bi URSCLZHB / = PLC Ureteroscopy+/-Stent+/-Pyelo+/-Bx +/-Stone Ext Bi URSCSTINB / = PLC Urethra Caruncle Excision URCUEX 20 30 / 15 = 45 65 PLC Urethra Meatoplasty/Meatotomy URMEATPTY 0 0 / 0 = 0 0 PLC Urethra Skenes Cyst Excision URSKCYEX / = PLC Urethral Diverticulum Excision URDIVEX 0 0 / 0 = 0 0 PLC Urethral Genital Warts Ablation w Laser Holmium URGWTABLZH / = PLC Urethral Meatoplasty w Cystoscopy URMEATCY 0 0 / 0 = 0 0 PLC Urethral Reconstruction Posterior URRCNP 0 0 / 0 = 0 0 PLC Urethral Reconstruction w Mucosal Graft URRCNMG 0 0 / 0 = 0 0 PLC Urethral Sling Male URSLINGM 75 30 / 20 = 50 125 PLC Urethral Vaginal Fistula Repair URVFSRP 150 60 / 15 = 75 225 PLC Urethrectomy, Perineal Approach URETH 0 0 / 0 = 0 0 PLC Urethroplasty URPTY 0 0 / 0 = 0 0 PLC Urethrostomy Perineal UROSTPER 75 45 / 30 = 75 150 PLC Urethrotomy Endoscopic+/-Retrograde Urethrogram UROTEND 0 0 / 0 = 0 0 PLC Urethrotomy w Laser UROTLZ / = PLC Vaginal Bladder Sling Pubovaginal Lata Fascia VAGBLSLPVL / = PLC Vaginal Fistula Vesicovaginal Repair VAGFISVVRP 0 0 / 0 = 0 0 PLC Vaginoscopy VAGSC 5 15 / 10 = 25 30 PLC Vasectomy VASEC 15 20 / 10 = 30 45 PLC Vasectomy Bilateral VASECB 15 20 / 10 = 30 45 PLC Vasogram VASGRM 0 0 / 0 = 0 0 PLC Vasovasostomy VASVOST 150 45 / 20 = 65 215 VAS PLC Angiogram Diagnostic ANGIOGMD 30 15 / 15 = 30 60 PLC Angiogram Therapeutic ANGIOGMT 180 30 / 10 = 40 220 PLC Angiogram/Venogram Intraoperative ANGIOGMOP 30 10 / 10 = 20 50 PLC Angioplasty SS ANGIOPTY 120 30 / 20 = 50 170 PLC Aorta Cerclage Endo Leak Repair HRAOCELRP 120 75 / 30 = 105 225 PLC Aortic Artery Thrombectomy HRAOTHEC 90 45 / 30 = 75 165 PLC Artery Brachial Embolectomy ARTBREMB 30 60 / 15 = 75 105 PLC Artery Peripheral Thrombectomy Bilateral SS ARTPFTHB 120 30 / 20 = 50 170 PLC Artery Peripheral Thrombectomy SS ARTPFTH 120 40 / 20 = 60 180 PLC Axillo Brachio Artery Bypass AXBRBY 120 90 / 30 = 120 240 PLC Axillo Femoral Artery Bypass Redo AXFEBYR 180 90 / 30 = 120 300 PLC Axillo Femoral Artery Bypass Uni/Bi AXBFEBY 270 90 / 30 = 120 390 PLC Carotid Artery Aneurysm Repair CTANRP 150 40 / 30 = 70 220 PLC Carotid Artery Body Tumour Excision CTABDTEX 150 70 / 20 = 90 240

Generated: 2021-04-06 11:08 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: PLC 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 PLC Carotid Artery Endarterectomy+/-Embolectomy CTAENDEMB 120 50 / 25 = 75 195 PLC Carotid Subclavian Artery Bypass CTSUBABY 150 60 / 30 = 90 240 PLC Endovascular AAA Repair ENDVAAA 150 75 / 40 = 115 265 PLC Endovascular AAA Repair Percutaneous ENDVAAAPRC 120 75 / 40 = 115 235 PLC Endovascular Fenestrated Stenting ENDVFST 300 75 / 40 = 115 415 PLC Endovascular Internal Iliac Arty Coil Embolization ENDVIIACE 30 90 / 30 = 120 150 PLC Endovascular Post AAA Artery Repair SS ENDVAAALR 60 25 / 15 = 40 100 PLC Endovascular Thoracic Aorta Aneurysm Stent ENDVTXAAST 120 110 / 30 = 140 260 PLC Endovascular Thoracoabdominal Stent Insertion ENDVTHABST 150 75 / 40 = 115 265 PLC Femoral Artery Endarterectomy+/-Embolectomy FEAENDEMB 120 50 / 30 = 80 200 PLC Femoral Artery False Aneurysm Repair FEAFANRP 120 30 / 20 = 50 170 PLC Femoral Artery Profundoplasty FEPFPTY 60 40 / 20 = 60 120 PLC Femoral Popliteal Artery Bypass FEPOPABY 180 60 / 20 = 80 260 PLC Femoral Popliteal Artery Bypass Redo FEPOPABYRD 180 60 / 20 = 80 260 PLC Femoral Popliteal Artery Bypass Vein Graft FEPOPABYVG 240 60 / 30 = 90 330 PLC Femoral Tibial Artery Bypass FETBABY 210 65 / 30 = 95 305 PLC Femoral Tibial Artery Bypass Redo FETBABYRD 240 65 / 30 = 95 335 PLC Femoral to Femoral Artery Bypass FEFEABY 150 65 / 30 = 95 245 PLC Femoral to Femoral Artery Bypass Redo FEFEABYRD 180 65 / 30 = 95 275 PLC Iliac Artery Aneurysm Repair ILARANRP 180 75 / 30 = 105 285 PLC Iliac Artery Endarterectomy+/-Embolectomy ILARENDEMB 180 15 / 15 = 30 210 PLC Iliac Femoral Artery Bypass ILFEABY 90 45 / 30 = 75 165 PLC Iliac Femoral Artery Bypass Redo ILFEABYRD 240 45 / 30 = 75 315 PLC Laparotomy AA Debranching & Extra Anatomic Bypass LPYAADEABY 180 80 / 35 = 115 295 PLC Laparotomy AAA Booked LPYAAABK 180 80 / 35 = 115 295 PLC Laparotomy AAA Redo LPYAAARD 240 80 / 35 = 115 355 PLC Laparotomy AAA Ruptured LPYAAARU 180 75 / 30 = 105 285 PLC Laparotomy Aortic Artery Endarterectomy LPYAOAREND 135 40 / 20 = 60 195 PLC Laparotomy Aorto Bifemoral Artery Bypass LPYAOBFEBY 250 90 / 30 = 120 370 PLC Laparotomy Aorto Bifemoral Artery Bypass Redo LPYAOBFERD 240 90 / 30 = 120 360 PLC Laparotomy Aorto Mesenteric Artery Bypass LPYAMESABY 210 75 / 30 = 105 315 PLC Laparotomy Aorto Renal Artery Bypass LPYAORNBY 280 75 / 40 = 115 395 PLC Laparotomy Aorto Renal Artery Repair LPYAORNRP 280 75 / 30 = 105 385 PLC Laparotomy Artery Stent GraftRemovalwGraftInsertSS LPYSTRMGSS 150 80 / 35 = 115 265 PLC Laparotomy Renal Artery Aneurysm Repair LPYRNANRP 330 75 / 30 = 105 435 PLC Laparotomy Renal Artery Reimplantation LPYRNREIM 300 75 / 30 = 105 405 PLC Laparotomy Vena Cava Repair LPYVCRS 180 75 / 30 = 105 285 PLC Peripheral Artery Stent Insertion SS PFARTSTIN 180 75 / 30 = 105 285 PLC Popliteal Artery Aneurysm Repair POPARANBY 210 60 / 30 = 90 300 PLC Popliteal Artery Endarterectomy+/-Embolectomy POPARENDEM 60 60 / 30 = 90 150 PLC Thoracotomy Aorta Aneurysm Repair THOAARP 210 120 / 45 = 165 375 PLC Thoracotomy Aortic Arch Debranching THOARADEB 150 60 / 30 = 90 240 PLC Vein Retrieval Segment SS VNRTRVSG 150 75 / 20 = 95 245 PLC Vessel Ligation SS VSLLIG 90 60 / 30 = 90 180

Generated: 2021-04-06 11:08 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: PLC 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 PLC

Generated: 2021-04-06 11:08 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]