S120 – Gastric bypass with Roux-en-Y anastomosis

The fee for the surgeon (suffix A) is a flat fee of $1350.00.

Surgical Assistant (suffix B) fee calculation includes 7 base units.

Anaesthesiologist (suffix C) fee calculation includes 10 base units.

S114 Sleeve gastrectomy is only eligible for payment when: a. a Roux-en-Y gastric bypass is not possible due to small bowel disease/adhesions or previous surgery; or b. performed as a planned staged surgery in patients with a BMI > 60 to enable the patient to lose weight.

S120 is an insured service only when all of the conditions set out in the Surgical Preamble are satisfied.

S189 is not eligible for payment in conjunction with S120.

S160 is not eligible for payment in conjunction with S120.