Aendicus - Users Manual

CONTENTS
PART 1
A.
B.
C.
PART 2
A.
B.
C.
INRODUCTION
Purpose
Background
Future plans
GETTING STARTED
Device
Internet connection
Website
PART 3 REGISTRATION
A.
B.
C.
Residents User Account

Training Officers User Account
Registration and Service Fees
PART 4
LOGGING ON TO AENDICUS
PART 5
INSTRUCTIONAL GUIDE FOR RESIDENTS
A.
B.
C.
D.
E.
F.
Logging Cases
Submitting Cases
Editing and Revising Cases
Logging the Same Patient
Generating Summary Reports
Changing User Profile and Password
PHILIPPINE BOARD OF ANESTHESIOLOGY
Page 1
PART 6
A.
B.
C.
D.
PART 7
A.
B.
INSTRUCTIONAL GUIDE FOR TRAINING OFFICERS

Checking Logged Cases
Getting to the Users List and Summaries
Updating the Residents Profile
Changing User Profile and Password
GENERATING REPORTS
Individual Reports
Institutional Reports
PART 8
TROUBLESHOOTING AND FAQs (FREQUENTLY ASKEDQUESTIONS)
PART 9
INDIVIDUAL REQUIREMENTS FOR PBA EXAMINATIONS
A.
B.
C.
D.
For In-Training Examinations

For PBA In-house Practical Specialty Board Examination
For PBA Written Specialty Board Examination
For PBA Oral Specalty Board Examination
GLOSSARY
APPENDICES
A.
B.
C.
D.
E.
F.
PBA requirement for services

PBA requirement for anesthetic techniques
Table of surgical procedures
Violations
Aendicus Committee
Members of the Aendicus Committee
Page 2
PART 1 - INTRODUCTION
The Philippine Board of Anesthesiology realizing the need to benchmark anesthesia
training in the country conceptualized a digital online census to capture the case mix as
well as the variations in the practice and training of anesthesiology across all training
institutions in the Philippines. This online program was created in 2011 and was named
the Anesthesia Digital Census or AENDICUS as it is more commonly known.
The Narra Tree serves as the logo of the AENDICUS which symbolizes knowledge
and wisdom in relation to our PBA logo of the Creation. The Narra Tree also puts in the
Filipino essence into the logo as the Narra is our national tree and part of its scientific
name (Pterocarus indicus) sounds exactly as the AENDICUS. On the side, the Tree was
decided as the AENDICUS symbol to lay emphasis on the support of the PBA for the global
advocacy to reduce paper consumption and save our trees.
Essentially, the AENDICUS is a digital system wherein all training residents are
required log in their cases as well as their other training activities online using the
AENDICUS program. As the term implies, the data is digital and is eventually synchronized
and saved on a secure cloud server.
The first version of the AENDICUS program was piloted in 2011 and for it to run it
required the use of an external drive (USB) where the program was stored. While this
allowed the residents to log in their cases both online and offline (no internet access),
many problems were encountered which led to its permanent termination 2014. In place
of this a new AENDICUS was developed now known as AENDICUS 2.
Page 3
The AENDICUS is unique in the sense that it necessitates online access and input by
both the resident and trainor (Department Chair, Training officer or Consultant mentor)
for the data of each institution to be valid. The trainees log into the AENDICUS website
input their cases and the data associated with each case. These data are then uploaded
into the system and then checked by the training officer for approval. All of these steps
are done online. Only after this step are the cases counted as valid data in the AENDCUSL
DATA.
Aside from the case of residents, today, the AENDICUS provides the Board of
Anesthesiology the profile of each training resident. This includes not only the case census
of the individual but the performance and evaluation of his/her trainors. This includes
logging in by the Department Chair or Training officer the results of their trainees
individual performances in terms of written and oral examinations, direct observation of
procedural skills (DOPS) as well as their research outputs and other learning activities
(didactic lectures and conferences attended). Thus, the training progress of each resident
is better documented and assessed by the trainors of
his/ her institution and better
monitored by the PBA using this system.

Eventually, the goal of the AENDICUS is to provide data that will lead the
improvement of the quality of perioperative anesthesia care by formulating policies and
guidelines which we hope will translate into improved patient outcomes.
This goal can only be achieved if each individual resident judiciously and correctly
logs in his/her cases, including critical events which serve as the basis for learning and as
a tool for quality assessment and improvement of care. It provides the institution focus
points for improving their training curriculum, centering on the prevention of the most
common critical events based on their census. It will provide PBA data in formulating
guidelines to improve the anesthesia training. Finally, its output may be of use to the
Page 4
hospital administration in providing the department with adequate resources for

monitoring and patient care.
The PBA realizes that patient safety advocacy ultimately has to be shared by PBA
and the training institutions which includes the resident, the mentors and the
administration. This advocacy paved the way for what AENDICUS is today and what it will
be in the future.
Objectives of the Aendicus:

1. To provide the PBA with a national database profile of the training residents
in the Philippines
2. To provide a national online database of cases done by each training
residents
a. To provide epidemiological and patient data from which researches can
be made in order to improve the quality o training and perioperative
anesthesia care in the Philippines
b. To provide demographic data to improve allocation of both human and
technological resources
3. To track cases done by all resident trainees and monitor compliance to the
training requirements of the PBA
4. To provide a standardized system of evaluation of residents by the training
institution which includes training activities such as DOPS (direct
observation of procedural skills), lectures and didactics, etc.
Page 5
PART 2 GETTING STARTED

A. Device
The Aendicus 2 is web-based, and therefore can be run using any device
that has an internet browser. Devices include personal computers (desktop or
laptop), tablets (iOS or android-based), and smartphones (iOS or androidbased).
Aendicus 2 may be accessed using any internet browser (Safari, Firefox,
Chrome, etc.).
B. Internet Connection
An internet connection is required to access Aendicus 2. One must be
connected continuously in order to utilize its functions. Speeds of 1Mbps or
higher are recommended (but not necessary) for the proper functioning of
Aendicus 2.
C. Website
Aendicus 2 is accessible through the following website:
http://www.aendicus.pba-ph.com
Page 6
PART 3 - REGISTRATION
A. Residents User Account
1.
To create an Aendicus 2 user account for a resident, the Training Officer

of the Residency Training Program must submit the complete name of the
resident trainee to the PBA through email, including the residents year
level and PRC registration numbers. In case the resident trainee is a
foreign citizen, an equivalent registration number from the residents
country of origin must be submitted.
2.
Upon receipt of this email from the Training Officer, the PBA will create a
user account for the resident in the Aendicus 2 system with a unique set
of username and password generated for every resident trainee.
3.
The PBA will then send details of the residents user accounts to the
Training Officer via email for dissemination to their respective trainees,
once proof of payment of Registration Fee has been forwarded to the PBA.
4.
The residents upon receipt of their user account details may now access
http://www.aendicus.pba-ph.com to start logging their cases.
5.
Residents are encouraged to update their profiles and regularly change

their passwords in the Aendicus Profile Page.
Page 7
B. Training Officers User Account

1.
To create an Aendicus 2 user account for a Training Officer, the chair of

the Residency Training Program must submit the complete name and PRC
registration number of the Training Officer to the PBA through email.
2.
Upon receipt of this email from the Residency Training Program, the PBA
will create a user account for the Training Officer in the Aendicus 2
system with a unique set of username and password generated.
3.
The PBA will then send details of the Training Officers user account via
email.
4.
The Training Officer upon receipt of the user account details may now
access http://www.aendicus.pba-ph.com to check entries logged by
his/her respective residents.
5.
Training Officers are encouraged to update their profiles and change their
passwords in the Aendicus Profile Page.
C. Registration and Service Fees

1.
Registration Fee
A one-time registration fee in the amount of Php 1,000.00 shall be
paid by the resident trainee to facilitate the creation of an Aendicus 2
account.
2.
Service Fees
A regular service fee shall be collected from each resident trainee to
ensure continuous subscription to the Aendicus 2. A resident may avail of
any of the two (2) payment schemes detailed below:
Page 8
a.
A monthly service fee (MSF) of Php 100.00 per trainee paid ON

OR BEFORE THE TENTH (10TH) DAY OF EVERY MONTH; or
b.
An annual service fee (ASF) of Php 1,000.00 per trainee paid ON

OR BEFORE THE 31ST OF MARCH OF EVERY YEAR. The ASF will
cover the 12 months of the entire year and would translate to an
annual discount of Php 200.00.
Service fees are waived for Graduate Residents, Fellows in Training,

Board Eligible Graduates, and Fellows of the PBA, to encourage them to
contribute to the growth of the Aendicus 2 database.
3. To facilitate collection of fees, each resident should settle their fees with
their respective institution, which in turn shall remit these payments to the
PBA through any of the options below:
a.
Bank payments made to the following account with a copy of the

transaction forwarded to the PBA Office:
Bank: BPI Family Bank
Account Number: 6891-0019-73
Account Name: Phil. Board of Anesthesiology
b.
Managers Check/Cashiers Check paid to the order of the

Philippine Board of Anesthesiology and forwarded to the PBA
Office
c.
Direct payments made at the PBA Office
Page 9
PART 4 LOGGING ON AENDICUS

Residents, Training Officers, and members of the PBA (PBA Admin) may access
their respective accounts by performing the following steps:
A. Open your browser to www.aendicus.pba-ph.com.
B. You will be directed to login to proceed to the Aendicus 2 database.
1.
Enter your USERNAME.
2.
Enter your PASSWORD.
Residents will be redirected to the PATIENTS REGISTRATION page.
Training Officers will be redirected to the CASELOG SEARCH page.
PBA Admin will be redirected to the INSTITUTION LIST page.
Page 10
PART 5 INSTRUCTIONAL GUIDE FOR

RESIDENT
A. Logging Cases
1.
Point your browser to www.aendicus.pba-ph.com > Home>
2.
Enter the following:
CASE NUMBER
LASTNAME INITIAL
FIRSTNAME INITIAL
MIDDLE INITIAL
GENDER
BIRTHDATE
WEIGHT
3.
Press SAVE INFORMATION.
4.
Enter Case Details.
5.
Press Save Case as Open.
Page 11
Page 12
Page 13
Page 14
Page 15
Page 16
Page 17
Page 18
B. Submitting Cases
A case saved as open will not actually be counted in your case mix;
therefore you should proceed to the following steps to submit these cases:
1.
Point your browser to REPORTS>ENCODED SUMMARY>.
2.
Click on CASE NUMBER of the case to be submitted.
Open cases highlighted in green means they are ready to be

submitted.
Open cases not highlighted means cases are less than 48 hours
old and thus not available for submission.
3.
Click on SAVE CASE AS SUBMITTED to submit.
Page 19
Page 20
C. Editing and Revising Cases

A case can be edited or revised according to recommendations of the
Training Officer by performing the following steps.
1.
2.
Click on CASE NUMBER of the case to be edited.
3.
Open and For Revision cases can be edited.
Click on Update to edit sections to be revised.
Make revisions on the sections and click Save Information to

update.
4.
A note highlighted in green will appear to announce section of the case

that has been revised.
5.
After revision the case will now be added to the Revised list.
Page 21
Page 22
Page 23
D. Logging the Same Patient

Provided that the entry is for a different date AND/OR different procedure, the same
patient can be logged by doing the following steps:
1.
Go to HOME>PATIENTS REGISTRATION.
2.
Enter the following
CASE NUMBER
LASTNAME INITIAL
FIRSTNAME INITIAL
MIDDLE INITIAL
GENDER
BIRTHDATE
WEIGHT
3.
Press SAVE INFORMATION.
4.
A warning will be given shown as RESULT.
5.
Click on the CASE NUMBER.
6.
Enter Case Details
7.
Press Save Case as Open.
Page 24
Page 25
Page 26
E. Generating Summary Reports

Service reports can be generated by Aendicus 2 to sort cases according to
their service classification or anesthetic technique used.
With these, the
resident trainee can regularly monitor his/her case mix.

1.
Service Summary Report

a.
Go to REPORTS>SERVICE REPORT>.
b.
You will be redirected to the RESIDENT TRAINEE'S SERVICE

SUMMARY REPORT page.
c.
Click on inclusive date tick box and enter include date to to date for
inclusive dates. Otherwise all data will be included.
d.
Click on STATUS to select case type. Only approved cases are

included in your case mix.
e.
Click SEARCH to generate a service summary report.
Page 27
Page 28
2. Anesthetic Summary Report

a.
Go to REPORTS>ANESTHETIC REPORT>.
b.
You will be redirected to the RESIDENT TRAINEE'S TECHNIQUE

c.
d.

e.
Click SEARCH to generate a anesthetic summary report.
Page 29
F. Changing User Profile and Password

Updating details on your profile and regularly changing your login
password are highly encouraged to maintain security.
1.
Editing your USER profiles

a.
Go to USER>UPDATE PROFILE>.
b.
You will be redirected to the UPDATE PROFILE page.
c.
Click on FIRST NAMELAST NAME and MIDDLE INITIAL to change

your personal details.
d.
Click on PRC NUMBER to enter your PRC number.
e.
Press SAVE INFORMATION to confirm.
Page 30
2. Changing your password

a.
Go to USER>CHANGE PASSWORD>.
b.
You will be redirected to the CHANGE PASSWORD page.
c.
Click on OLD PASSWORD to enter old password.
d.
Click on NEW PASSWORD and CONFIRM PASSWORD and press

SAVE to confirm.
Page 31
Page 32
PART 6 - INSTRUCTIONAL GUIDE FOR

TRAINING OFFICER
A. Checking Logged Cases
1. Point your browser to www.aendicus.pba-ph.com > Home>.
2.
You will be redirected to the CASELOG SEARCH page.

a.
b.
Enter either of the following

a.
CASE NUMBER
b.
SERVICE
c.
ANESTHETIC TECHNIQUE
d.
RESIDENT NAME
e.
OPERATION DATE
f.
STATUS
Press SEARCH
3.
A table of logged cases will then be generated.
4.
Click on the CASE NUMBER to go to specific cases.

a.
Update the case STATUS.
b.
Input comments in the NOTES box.
c.
Click on UPDATE to confirm selection.
5.
You will be redirected back to the CASELOG SEARCH page
6.
A message SUCCESSFULLY UPDATED DATA will be displayed
Page 33
Page 34
Page 35
Page 36
Page 37
B. Getting to the Users List and Summaries

This will show the institutions active users with the following information:
Year level classification
Caselog summary
Quick access to logged cases table
All cases are broken down as to its STATUS
Login summary
o
Summary of login history of the residents
Profile summary
o
This is used to update the users profile such as updating

passwords and year level classification for the residents
1.
Click on HOME>SUBMITTED FORM.
2.
You will be redirected to the USERS LIST page.

a.
Click on CASELOG the residents logged cases summary.
b.
Click on LOGIN SUMMARY to view the residents login history.
c.
Click PROFILE to go to the Training Officer/Resident user profile.
Page 38
How to get to the ENCODED SUMMARY

This will show the individual residents logged cases
1.
Click on HOME>SUBMITTED FORM>CASELOG.
2.
You will be redirected to the ENCODED SUMMARY page.
3.
Click on the STATUS to go to the residents case status such as

OPEN
SUBMITTED
FOR REVISION
REVISED
APPROVED
DISAPPROVED
4.
Click on CASE NUMBER to go to the specific case.
Page 39
Page 40
How to get to the RESIDENTS LOGIN HISTORY

This will show the individual residents detailed login history
1.
Click on HOME>SUBMITTED FORM>LOGIN SUMMARY.
2.
You will be redirected to the ENCODED SUMMARY page.
C. Updating the Residents Profile

This will let the training officer to change the residents profile
Change the residents password
Change the Residents name
Change the USER ROLE either RESIDENT or TRAINING OFFICER
Change the YEAR LEVEL
Page 41
CHANGE THE STATUS

1.
Click on HOME>SUBMITTED FORM>PROFILE.
2.
You will be redirected to the USERS LIST page.

a.
Click on CASELOG the residents logged cases summary.
b.
Click on LOGIN SUMMARY to view the residents login history.
c.
Click PROFILE to go to the Training officer/Resident user profile.
Page 42
D. Changing User Profile and Password

Updating details on your profile and regularly changing your login
password are highly encouraged to maintain security.
1.
Editing your USER profiles

f.
Go to USER>UPDATE PROFILE>.
g.
You will be redirected to the UPDATE PROFILE page.
h.
Click on FIRST NAMELAST NAME and MIDDLE INITIAL to change

your personal details.
i.
Click on PRC NUMBER to enter your PRC number.
j.
Press SAVE INFORMATION to confirm.
Page 43
2. Changing your password

e.
Go to USER>CHANGE PASSWORD>.
f.
You will be redirected to the CHANGE PASSWORD page.
g.
Click on OLD PASSWORD to enter old password.
h.
Click on NEW PASSWORD and CONFIRM PASSWORD and press

SAVE to confirm.
Page 44
PART 7 GENERATING REPORTS

A. Individual Reports
1. Resident Trainees Service Summary Report
This will show the residents case mix classified under the different
services.
a.
Click on REPORTS>SERVICE REPORT>.
b.

c.
Click on RESIDENTS NAME to select resident from the drop down

menu.
d.
e.

f.
Click SEARCH to generate a service summary report.
Page 45
Page 46
2.
Resident Trainees Service Annual Summary Report

services during the entire year.
a.
Click on REPORTS>SERVICE REPORT>RESIDENT TRAINEE'S SERVICE

ANNUAL SUMMARY REPORT.
b.

ANNUAL SUMMARY REPORT page.
c.

menu.
d.
Click on YEAR to select the year from the dropdown menu .
e.
Click SEARCH to generate a service summary report for the year.
Page 47
Page 48
3. Resident Trainees Technique Summary Report

anesthetic techniques.
a.
Click on REPORTS>ANESTHETIC REPORT>RESIDENT TRAINEE'S

TECHNIQUE SUMMARY REPORT.
b.

c.

menu.
d.
e.

f.
Click SEARCH to generate a anesthetic technique summary report.
Page 49
Page 50
4. Resident Trainees Technique Annual Summary Report

services during the entire year.
a. Click
on
REPORTS>ANESTHETIC
REPORT>RESIDENT
TRAINEE'S
TECHNIQUE ANNUAL SUMMARY REPORT.

b. You will be redirected to the RESIDENT TRAINEE'S TECHNIQUE ANNUAL
c. Click on RESIDENTS NAME to select resident from the drop down menu.
d. Click on YEAR to select the year from the dropdown menu.
e. Click SEARCH to generate a anesthetic technique summary report for the
year.
Page 51
5. Anesthesiologists Monthly Report

This will show the residents case classified according to either:
a.
Pay or service, primary or assist and elective or emergency
b.
Service classification of cases
c.
Service and technique combination result
d.
Critical events summary
a.
Click on REPORTS> ANESTHESIOLOGISTS MONTHLY REPORT.
b.
You will be redirected to the ANESTHESIOLOGISTS MONTHLY

REPORT page.
c.

menu.
Page 52
d.
Click on DATE to select the month and year from the dropdown
menu.
e.
Click on the STATUS to select from the dropdown menu. Remember

only APPROVED cases will be included in the case.
f.
Click SEARCH to generate an ANESTHESIOLOGISTS MONTHLY

REPORT.
Page 53
Page 54
B. Institutional Reports
1.
Annual Patient Classification and Distribution Summary

This will show the institutions census for the year according to ASA
classification broken down to:
a.
e.
Total number of cases
f.
Total emergency cases
g.
Residents year level
Click on REPORTS> ANNUAL PATIENT CLASSIFICATION AND

DISTRIBUTION SUMMARY.
b.
You will be redirected to the ANNUAL PATIENT CLASSIFICATION

AND DISTRIBUTION SUMMARY page.
Page 55
c.
Click on YEAR to select the year from the dropdown menu .Click on
the STATUS to select from the dropdown menu. Remember only
APPROVED cases will be included in the case mix.
d.
Click SEARCH to generate an ANNUAL PATIENT CLASSIFICATION

AND DISTRIBUTION SUMMARY.
Page 56
2. Total Anesthesia Hours

This will show the institutions annual residents cases enumerated
according to:
a.
Total anesthesia hours
b.
Breakdown of cases as to its STATUS
a.
Click on REPORTS> TOTAL ANESTHESIA HOURS.
b.
You will be redirected to the TOTAL ANESTHESIA HOURS page.
c.
Click on YEAR LEVEL to select the year level from the dropdown
menu .
d.
Click on the YEAR to select from the dropdown menu.
e.
Click SEARCH to generate an TOTAL ANESTHESIA HOURS summary.
Page 57
Page 58
PART 8 TROUBLESHOOTING AND

PREQUENTLY ASKED QUESTION (FAQS)
A. Troubleshooting
1. The program is not running.
a.
Make sure you have an active internet connection.
b.
Check the spelling of the URL that was entered.
c.
Try to close the web browser application and open again.
d.
Try to switch off and then on the device.
2. I can not submit my cases.

a.
Make sure all fields are filled out.
b.
Make sure 48 hours has lapsed from the end of the procedure.
B. Frequently Asked Questions (FAQs)

1. Can I log my patients who underwent 2 procedures in two different
services?
No.
2. What will happen to a resident if he transfers from one institution to
another?
When a resident resigns from the institution, the Training Officer

should inform the PBA to deactivate his/her account.
Page 59
When a resident transfers to another institution, the Training Officer

should inform the PBA to reactivate his/her account.
All cases done by the resident from the previous institution will have
to be approved by the Training Officer of that institution in order to be
credited by the PBA. These cases will not be seen by the Training
Officer of his/her new institution. However, all cases will still be seen
by the resident trainee.
3.
What will happen to the residents of institutions whose accreditation is

revoked?
For first (1st) year residents, they MUST transfer to an accredited

residency training program but the cases done when the original
institution was still accredited will be credited.
For second (2nd) and third (3rd) year residents,

o
if they have completed more than 50% of the required cases and
techniques by the PBA they may opt to stay and complete the
remainder of requirements which will be considered valid; or
they may choose to transfer to an accredited residency training

program
4.
Can our residents rotate in a hospital without accreditation?

Strictly speaking, a resident may only rotate in a hospital with an
accredited residency training program.
5.
How many cases as secondary anesthesiologist are acceptable?
Page 60
A maximum of 30% in each service is deemed acceptable (e.g., 30% of

the 250 cases required for major general surgery except open heart
surgery).
6.
How do I request the use of data from Aendicus 2 for research?

A letter of request must be submitted to the PBA with an attached
copy of the research protocol that has been approved by the technical and
ethics review boards of their respective institutions.
7.
Who will be able to see reported critical events?

Only the PBA and the involved institution may be able to view any
reported critical event.
Page 61
PART 9 INDIVIDUAL REQUIREMENTS FOR

PBA EXAMINATION
A. For In-Training Examinations
To be eligible to take the In-Training Examinations (ITE) for their
respective year levels, the following conditions should be met:
A first (1st) year resident trainee must have completed and logged AT
LEAST 20% (200) of the PBA requirements (minimum of 1,000) for both
cases and techniques. The trainee must NOT have accumulated three (3)
red flags for that year. In addition, the first year resident must have
completed at least 6 months of anesthesia residency training at the time of
examination.
A second (2nd) year resident must have completed and logged AT LEAST
40% (400) of the PBA requirements for both cases and techniques; and
must not have accumulated three (3) red flags for that year.
A third (3rd) year resident must have completed and logged AT LEAST 60%
(600) of the PBA requirements for both cases and techniques; and must not
have accumulated three (3) red flags for that year.
B. For PBA In-house Practical Specialty Board Examination (Phase1

Practical Exam for 3rd year residents)
To qualify for the in-house practical specialty board examination, the
resident trainee must have completed and logged AT LEAST 70% (700) of the
PBA requirements for both cases & techniques.
Page 62
C. For PBA Written Specialty Board Examination

To qualify for the written specialty board examination, the candidate must
be a graduate of a three-year residency program and must have completed and
logged ALL THE REQUIREMENTS (MINIMUM of 1,000) of the PBA
requirements for both cases & techniques.
D. For PBA Oral Specialty Board Examination

To qualify for the oral specialty board examination, the candidate must
have passed the PBA written specialty board examination. The candidate must
have completed ALL the PBA requirements for cases & techniques (minimum
of 1,000).
Page 63
GLOSSARY
Approved cases that have been validated by the Training Officer
Board Eligible Graduates a graduate of a three (3) year residency training
program who has completed the case requirement of the PBA but is not yet a fellow
of the PBA
Disapproved cases deemed invalid by the Training Officer
Fellow of the PBA an anesthesiologist certified by the PBA
Fellow in Training a graduate of a three (3) year residency program and is
currently taking training in a subspecialty of anesthesiology
For revision cases that contains data that need correction. These cases are sent
back to the resident for revision and update.
Graduate Resident a resident who has completed three (3) years of residency
training but has not completed the case requirement prescribed by the PBA. In
order to complete the case requirement, he/she must register with the PBA and log
his/her cases until all requirements are fulfilled.
Monitored Anesthesia Care/Sedation also MAC/Sedation, any sedation and
analgesia that induces a continuum of states of consciousness (based on ASA definition).
Page 64
Open logged within 48 hours after the procedure
Primary Anesthesiologist (each case will be credited as 1 case in the

PBA case requirement, 1:1)
1) Main anesthesia provider (e.g. consultant doing a private case)
2) A resident trainee, fellow in training with level 3 or 4 supervision
Level 3 supervision: the consultant is within the hospital premises for
consultation
Level 4 supervision: the consultant is outside the hospital premises but
can be reached by phone
3) Handover case
In cases of handovers, the primary may either be the anesthesiologist
who started the case or the one who managed the patient for a longer
period of time
Resident a recognized trainee accepted into their three year accredited

residency training program
Secondary Anesthesiologist (Two secondary cases will be credited as
ONE case as per requirement of the PBA; 1:2. The total number of
secondary cases should NOT exceed 30 percent of the total case
requirement of the PBA; 300 out of the 1,000 required cases)
1) A resident trainee, resident rotator/observer, fellow in training with Level 1
or 2 supervision; NOT THE MAIN ANESTHESIOLOGIST.
Page 65
Level 1 supervision: there is a ONE:ONE ratio of consultant to resident

trainee, this
means ONE consultant is present with ONE resident
trainee (this takes place of the term ASSIST)

Level 2 supervision: there is more than one resident being supervised
by ONE consultant , meaning ONE consultant is supervising TWO
residents doing different cases
Submitted cases logged cases submitted to the TO for checking to be

approved, revised or disapproved
Total Intravenous Anesthesia - also TIVA, a technique of general
anesthesia using a combination of anesthetic agents given solely via
intravenous route.
Page 66
APPENDIX A
PBA REQUIREMENTS FOR SERVICES
Major General Surgery
General surgery that poses a higher risk for morbidity and mortality
than minor surgery. Includes:
Head and neck surgeries such as thyroidectomies,
parotidecotomies, excluding otorhinolaryngology cases
Mastectomies and soft tissue surgeries
Upper abdominal surgeries involving the esophagus, stomach,
small bowel, liver, gallbladder, bile duct, pancreas, and spleen
Lower abnominal surgeries involving structures distal from
the ligament of Trietz to the rectrum, excluding gynecologic
and urologic surgeries
Transplant surgeries such as kidney, liver, and bowel; although
this may also be included in Major Vascular Surgery or under
their specific system (e.g., kidney transplant under Urology)
Surgeries involving multiple services in one operation (e.g.,
multiple organ injuries, neurosurgical procedures with
Otorhinolaryngology)
Surgeries where an initial diagnostic procedure is immediately
followed by a surgical procedure
Minor Surgery surgery that does not involve major disruption of
the peritoneal cavity or involvement of superficial tissues (e.g., hernia,
uncomplicated appendectomy, hemorrhoidectomy, fistulectomy,
breast mass excision, bilateral tubal ligation, dilatation and curettage,
fractional curettage, diagnostic hysteroscopy, closed tube
thoracotomy, pleurodesis, vein stripping
Orthopedic Surgery major musculoskeletal surgeries including
hand surgeries, microsurgery
Urology surgery involving the kidney, ureters or the male
reproductive tract . including kidney transplant
Aesthetic and Reconstructive Surgery aesthetic and
reconstructive surgery procedures such as liposuction, breast
augmentation or mammoplasty, abdominoplasty, maxillofacial
surgery, dental surgeries (may be logged under NORA or Pediatric
Surgery, when applicable)
Cardiac Surgery (closed heart) pericardiectomy, surgery for
patent ductus arteriosus, Blalock-Tausig shunt
Cardiac Surgery (open heart) procedures involving
cardiopulmonary bypass
Vascular Surgery surgeries on the vascular tree, aneurysms,
embolectomy, bypass procedures, carotid surgeries (except vein
stripping)
250
200
50
25
25
5
5
5
Page 67
Thoracic Surgery lobectomies, video assisted thoracoscopic

surgery (VATS), thymectomy
Major Neurosurgery surgeries involving major break in the dura
such as excision of tumors, clipping of aneurysms, trauma surgeries
requiring craniotomies or craniectomies
Minor Neurosurgery minimal break in the dura such as
ventriculoperitoneal shunts, burr hole, tube ventriculostomy
Pediatric Surgery I (neonates, newborns, and infants) surgeries
excluding diagnostic procedures done on neonates, newborns and
infants up to 2 years old
Pediatric Surgery II (>2 yrs 7 yrs) surgeries done on children
from 2 to 7 years old
Pediatric Surgery III (>7 yrs 18 yrs) surgeries done on patients
7 to 18 years old
Gynecologic Surgery surgeries involving the major female
reproductive organs
Obstetric Procedures abdominal deliveries including labor
analgesia for planned vaginal delivery converted to abdominal
delivery; although this may also be included in Vaginal Deliveries and
Labor Analgesia
Vaginal Deliveries and Labor Analgesia may also include labor
analgesia for planned vaginal delivery converted to abdominal
delivery
Minimally Invasive Surgery laparoscopic or robotic surgeries
Ophthalmology surgeries involving the orbit, eye and other related
structures
Otorhinolaryngology surgeries involving the ear (e.g.
mastoidectomies, tympanoplasties), nose, oropharngolaryngeal
structures
NORA (Non-Operating Room Anesthesia) anesthetic procedures
done for diagnostic and therapeutic procedures performed outside
the operating room (e.g., esophagogastroduodenoscopy, colonoscopy,
bronchospcopy, computed tomography, magnetic resonance imaging,
electroconvulsive therapy, electroshockwave lithotripsy, endoscopic
retrograde cholangiopancreatography, spine procedures such as
kyphoplasty, neuroradiologic procedures such as embolization,
coiling, angiography, hemodynamic study. Neuroradiologic NORA
cases may be logged in the corresponding subspecialty
Ambulatory Surgery also known as day surgery are surgeries
performed on an out-patient basis and the patient is expected to
return home on the same day
Critical Care anesthesia for patients with major burns, sepsis,
major hemorrhage, major trauma/multiply injured, ICU patients ,
ASA-PS 4 or 5 patients
15
10
15
20
30
10
50
75
30
30
25
25
50
20
30
Page 68
APPENDIX B
PBA REQUIREMENTS FOR ANESTHETIC TECHNIQUES
Inhalational Anesthesia: Endotracheal Anesthesia
250
Inhalational Anesthesia:
120
Mask
20
Supraglottic airway devices
100
Total Intravenous Anesthesia
100
Neuraxial Anesthesia: Epidural
100
Neuraxial Anesthesia: Spinal
150
Combined Spinal-Epidural
Combined GA-Regional (neuraxial or peripheral)
Peripheral Nerve Blocks and Pain Techniques
MAC / Sedation
50
115
15
100
Page 69
APPENDIX C
TABLE OF SURGICAL PROCEDURES
MAJOR General Surgery (e.g. trauma, burns, peripheral vascular, major
abdominal surgeries excluding gynecologic and laparoscopic surgery)
Dressing and/or debridement, burns
Escharotomy
Excision, burn wound, without skin grafting
Mastectomy
Mastectomy, radical/modified radical
Excision of chest wall tumor
Insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction
Closed/open treatment of rib fracture
Closed/open treatment of sternal fracture
Excision, abdominal wall tumor
Embolectomy or thrombectomy, peripheral artery or vein
Repair, arteriovenous fistula
Repair, peripheral blood vessel direct or with graft
Thromboendarterectomy patch graft, peripheral vessel
Open transluminal balloon angioplasty
Open transluminal peripheral atherectomy
Bypass graft, with vein
Exploration repair, peripheral vessel
Splenectomy
Thoracic, abdominal, inguinofemoral, pelvic, retroperitoneal radical lymphadenectomy
Esophagotomy, cervical approach
Esophagotomy, thoracic approach
Cricopharyngeal myotomy
Excision of lesion, esophagus
Page 70
Total or near total esophagectomy thoracotomy cervical esophagogastrostomy

Total or near total esophagectomy thoracotomy colon interposition or small bowel
reconstruction
Partial esophagectomy proximal gastrectomy
Partial esophagectomy colon interposition or small bowel reconstruction
Total or partial esophagectomy without reconstruction with cervical esophagostomy
Dierticulectomy of hypopharynx or esophagus myotomy
Esophagoplasty
Esophagogastrostomy
Esophagogastric fundoplasty
Esophagomyotomy
Esophagojejunostomy
Repair of esophageal perforation, wound or injury
Ligation or transection, esophageal varices
Closure of esophagastomy or fistula
Gastrotomy, with exploration
Pyloromyotomy, cutting of pyloric muscle
Gastrectomy, total
Gastrectomy, partial, distal with gastroduodenostomy
Gastrectomy, partial, proximal esophagogastrostomy with vagotomy
Vagotomy, including pyloroplasty
Pyloroplasty
Gastroduodenosomy
Gastrojejunosomy vagotomy
Gastrostomy, temporary/permanent
Gastrorrhaphy
Gastric restrictive procedure gastric bypass, for morbid obesity
Closure of gastrostomy
Duodenotomy
Enterotomy
Colotomy
Page 71
Enterectomy enterostomy
Enterectomy, resection of small intestine enterostomy
Enteroenterostomy, anastomosis of instetine cutaneous enterostomy
Colectomy, total ileostomy
Colectomy with removal of terminal ileum and ileocolostomy
Enterostomy or cecostomy
Ileostomy or jejunostomy
Colostomy
Enterorrhaphy
Colorrhaphy
Intestinal stricturoplasty (enterotomy and enterorrhaphy)
Closure of enterostomy
Closure of intestinal cutaneous fistula
Closure of enterovesical fistula
Excision of Meckels diverticulum
Excision of lesion of mesentery
Appendectomy for ruptured appendix with abscess or generalized peritonitis
Proctectomy, complete, combined abdominoperineal with colostomy partial resection of
rectum
Proctectomy, combined abdominoperineal, pull-through procedure
Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis loop ileostomy
Proctectomy, partial, with anastomosis; abdominal and transsacral approach
Excision of rectal tumor by proctotomy, transsacral, transcoccygeal or transanal approach
Biopsy of liver
Hepatotomy
Laparotomy, with aspiration of hepatic cyst(s) or abscess(es)
Hepatectomy
Donor hepatectomy
Liver allotransplatation
Marsupialization of cyst or abscess of liver
Management of liver hemorrhage from wound or injury
Page 72
Hepaticotomy or hepaticostomy with exploration, drainage or removal of calculus

Choledochotomy or choledochostomy with exploration cholecystotomy
Cholecystectomy cholangiography
Cholecystectomy exploration of common bile duct choledochoenterostomy
Cholecystoenterotomy gastroenterostomy
Roux-en-Y gastroenterostomy
Anastomosis of extrahepatic biliary ducts and gastrointentinal tract
Anatomosis, Roux-en-Y, of intra/extrahepatic biliary ducts and gastrointestinal traction
Placement of choledochal cyst
Placement of drains, peripancretic cholecystostomy for acute pancreatitis
Resection or debridement of pancreas for acute necrotizing pancreatitis
Pancreatectomy, distal subtotal splenectomy pancreaticojejunostomy
Pancreatectomy, Child-type procedure
Pancreatectomy, Whipple-type procedure pancreatojejunostomy
Pancreatectomy, total
Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic
islets
Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)
Pancreatorrhaphy for trauma
External drainage or marsupialization of cyst of pancreas
Donor pancreatectomy
Transplantation of pancreatic allograft
Exploratory laparotomy, exploratory celiotomy biopsy
Drainage of peritoneal abscess or localized peritonitis
Drainage of retroperitoneal/subdiaphragmatic/subphrenic abscess
Excision of presacral or sacrococcygeal tumor
Staging celiotomy for Hodgkins disease or lymphoma
Umbilectomy, omphalectomy, excision of umbilicus
Omentectomy, epiploectomy, resection of omentum
Repair, inguinal hernia, incarcerated or strangulated
Repair, lumbar hernia
Page 73
Repair, femoral hernia, incarcerated or strangulated

Repair, incisonal hernia, incarcerated or strangulated
Repair, epigastric hernia, incarcerated or strangulated
Repair, umbilical hernia, incarcerated or strangulated
MINOR General Surgery (e.g. hemorrhoidectomy, uncomplicated

appendectomy, herniorrhaphy, minor excision)
Incision and drainage
Incision and removal of foreign body
Debridement
Paring or curettement of benign hyperkeratotic skin lesion chemical cauterization
Biopsy of skin, subcutaneous tissue and/or mucuous membrane
Shaving of epidermal or dermal lesion
Excision, benign lesion
Excision of skin and subcutaneous tissue for hidradenitis
Excision, malignant lesion
Excision of nail and nail matrix amputation of tuft of distal phalanx
Repair/reconstruction of nail bed graft
Simple repair of superficial wounds
Later closure of wounds
Destruction, benign or premalignant skin lesions
Destruction, malignant lesions
Chemosurgery (Mohs micrographic technique)
Biopsy of breast
Excision of cyst, fibroadenoma, breast
Creation of arteriovenous fistula
Revision of arteriovenous fstula
Plastic repair of arteriovenous aneurysm
Ligation/stripping of peripheral vessels
Biopsy or excision of lymph node
Page 74
Drainage of lymph node abscess or lymphadenitis

Appendectomy
Transrectal drainage of abscess
Incision and drainage of rectal submucosal abscesss
Biopsy of anorectal wall
Anorectal myomectomy
Proctoplasty for stenosis or prolapse of mucous membrane
Proctopexy for prolapse
Repair of rectocele
Closure of rectovesical fistula
Closure of rectourethral fistula
Dilation of anal sphincter
Dilation of rectal stricture
Removal of fecal impaction or foreign body
Incision and drainage of ischiorectal and/or perirectal abscess
Incision and drainage of perianal abscess
Sphincterotomy
Incision of thrombosed hemorrhoids
Fissurectomy sphincterotomy
Cryptectomy
Papillectomy or excision of tag
Hemorrhoidectomy fissurectomy fistulectomy
Surgical treatment of anal fistula
Anoplasty
Sphincteroplasty, anal for incontinence or prolapse
Destruction of lesion(s) anus
Destruction of hemorrhoids
Cryosurgery of rectal tumor
Curettage or cauterization of anal fissure
Ligation of internal hemorrhoids
Percutaneous cholecystotosomy with drainage
Page 75
Percutaneous transhepatic catheter for biliary drainage

Repair, inguinal hernia
Repair, femoral hernia
Head and Neck Surgery (General Surgery and Otorhinolaryngology)

Arthrotomy, temporomandibular joint
Radical resection of tumor, soft tissue of face or scalp
Excision benign cyst or tumor, facial bone or mandible
Excision of malignant tumor, facial bone ormandible
Condylectomy/meniscestomy/coronoidectomy, temporomandibular joint
Osteotomy, mandible/maxilla
Arthroplasty, temporomandibular joint
Closed/open treatment of temporomandibular dislocation
Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax
Biopsy soft tissue of neck or thorax
Excision tumor, soft tissue of neck or thorax
Radical resection of tumor, soft tissue of neck or thorac
Excision of rib
Ostectomy of sternum
Sternal debridement
Radical resection of sternum
Arthroscopy, temporomandibular joint, diagnostic or surgical
Drainage abscess or hematoma, nasal
Excision, nasal polyp
Excision, turbinate
Removal, foreign body, intranasal
Sinusotomy
Pterygomaxillary fossa surgery
Ethomidectomy
Maxillectomy orbital exenteration
Page 76
Nasal/sinus endoscopy, diagnostic or surgical

Laryngotomy
Laryngectomy, total radical neck dissection
Laryngectomy, subtotal radical neck dissection
Laryngectomy
Pharyngolaryngectomy with radical neck dissection reconstruction
Arytenoidectomy or arytenoidopexy
Epiglottidectomy
Laryngoscopy, direct, diagnostic or interventional
Laryngoscopy, flexible fiberoptic, diagnostic or interventional
Tracheostomy
Tracheostoma revision
Tracheobronchoscopy
Bronchoscopy
Tracheoplasty
Carinal reconstruction
Bronchoplasty
Excision tracheal stenosis and anastomosis
Excision of tracheal tumor or carcinoma
Suture of tracheal wound or injury
Dissection, deep cervical nodes
Excision of cystic hygroma deep neurovascular dissection
Radical resection of lymph nodes
Excision/resection of lip
Cheiloplasty
Excision of lesion of tongue
Glossectomy, partial or complete tracheostomy radical neck dissection
Glossectomy, Commando type radical neck dissection (Commando type)
Repair of laceration of tongue
Drainage of abscess, cyst, hematoma from dentoalveolar structures
Gingivectomy/operculectomy/alveoletomy
Page 77
Gingivoplasty/alveoplasty
Repair of laceration of palate
Palatoplasty
Excision of sublingual salivary gland
Excision of parotid tumor or parotid gland, superficial or total neck dissection
Excision of submandibular glad
Excision of sublingual gland
Excision of sublingual salivary cyst (ranula)
Marsupialization of sublingual salivary cyst (ranula)
Incision and drainage abscess, peritonsillar/retropharyngeal or parapharyngeal
Excision, branchial cleft or cyst
Tonsillectomy adenoidectomy
Radical resection of tonsil, tonsillar pillars and/or retromolar trigone
Limited pharyngectomy
Resection of lateral pharyngeal wall or pyriform sinus
Pharyngoplasty
Pharyngoesophageal repair
Pharyngostomy
Orthopedic Surgery
Biopsy, muscle/bone
Arthotomy
Removal of foreign body in muscle or tendon sheath
Arthrocentesis, aspiration and/or injection, joints
Insertion of wire or pin with application of skeletal traction, including removal
Application of cranial tongs, caliper, or stereotactic frame, including removal
Application of halo, including removal
Removal of implants
Application of a uniplane/multiplane, unilateral, external fixation system
Replantation, arm/forearm/hand/digit/thumb
Page 78
Replantation, foot
Bone/cartilage/fascia lata/tendon/tissue graft
Autograft for spine surgery
Bone graft with microvascular anastomosis
Free osteoctaneousflap with microvascular anastomosis
Ablation, bone tumor(s) radiofrequency, percutaneous
Excision, tumor, soft tissue of back or flank
Radical resection of tumor, soft tissue of back or flank
Partial excision of posterior vertebral component/vertebral body
Osteotomy of spine, posterior or posterolateral approach
Osteotomy of spine, including discectomy, anterior approach
Closed/open treatment of vertebral fracture
Arthrodesis, spine
Posterior non-segmental/segmental instrumentation, spine
Anterior instrumentation, spine
Pelvic fixation
Removal of spinal fixation device
Excision, tumor, shoulder area
Radical resection of tumor, soft tissue of shou
Claviculectomy
Acromioplasty or acrominionectomy
Excision or curettage of bone cyst or benign tumor of clavicle/scapula/proximal humerus
Sequestrectomy, clavicle, scapular, humeral head to surgical neck
Resection humeral head
Radical resection for tumor, clavicle/scapula/proximal humerus
Removal of foreign body, shoulder
Muscle transfer, any type, shoulder or upper arm
Scapuloplexy
Repair of ruptured musculotendinous cuff
Capsulorrhaphy, shoulder
Arthroplasty with proximal humeral implant/glenoid and proximal humeral replacement
Page 79
Closed/open treatment of clavicular fracture

Closed/open treatment of sternoclavicular dislocation
Closed/open treatment of acromioclavicular dislocation
Closed/open treatment of scapular fracture
Closed/open treatment of proximal humeral fracture
Closed/open treatment of shoulder dislocation
Arthrodesis, shoulder joint
Interthoracoscapular amputataion (forequarter)
Disarticulation of shoulder
Excision, tumor, upper extremity
Radical resection of tumor, soft tissue of upper extremity
Sequestrectomy, upper extemity
Fasciotomy, lateral or medial, elbow
Arthroplasty, upper extremity
Arthrodesis, upper extremity
Repair of non-union or malunion, upper extremity
Decompressive fasciotomy, forearm with brachial artery exploration
Decompression fasciotomy, forearm and/or wrist; flexor or extensor compartment
Closed/open treatment of upper extremity fracture
Closed/open treatment of carpal bone fracture
Closed/open treatment of radiocarpal or intercarpal dislocation
Closed/open treatment of distal radioulnar dislocation
Closed/open treatment of trans-scaphoperilunar type of fracture dislocation
Closed/open treatment of lunate dislocation
Closed/open treatment of metacarpal fracture
Closed/open treatment of carpometacarpal fracture
Closed/open/percutaneous treatment of metacaropophalangeal dislocation
Closed/open/percutaneous treatment of phalangeal fracture
Amputation, arm through humerus
Amputation, forearm, through, radius and ulna
Amputation, metacarpal, wit finger or thumb
Page 80
Krukenberg procedure
Disarticulation through wrist
Transmetacarpal amputation
Stump elongation, upper extremity
Tendon sheath incision, at radial styloid
Carpectomy
Radial styloidectomy
Drainage of finger abscess/tendon sheath/palmar bursa
Fasciotomy, palmar
Tendon sheath incision (e.g., for trigger finger)
Synovectomy, upper extremity
Flexor tendon repair or advancement or excision
Extensor tendon repair or excision
Tenotomy/tenolysis, upper extremity
Decompressive fasciotomy, lower extremity
Tenotomy, lower extremity
Arthrotomy, lower extremity
Arthrodesis, lower extremity
Capsulectomy or capsulotomy of hip
Excision, tumor, lower extremity
Radical resection of tumor, lower extremity
Partial hip replacement
Total hip replacement
Revision of hip arthroplasty
Osteotomy, lower extremity
Decompressive fasciotomy, lower extremity
Closed treatment of pelvic fracture
Closed/open treatment of coccygeal fracture
Open treatment of iliac spine
Closed/open treatment of acetabular fracture
Closed/open/percutaneous treatment of femoral fracture
Page 81
Closed/open treatment of hip dislocation

Closed/open treatment of patellar fracture
Closed/open treatment of tibial fracture
Closed/open treatment of knee dislocation
Closed/open treatment of patellar dislocation
Closed/open/percutaneous treatment of tibial fracture
Closed/open treatment of medial malleolus fracture
Closed/open treatment of fibular fracture
Closed/open treatment of bimalleolar ankle fracture
Closed/open treatment of trimalleolar ankle fracture
Closed/open treatment of distal tibiofibular joint disruption/dislocation
Closed/open treatment of ankle dislocation
Closed/open/percutaneous treatment of calcaneal fracture
Closed/open/percutaneous treatment of talus fracture
Closed/open/percutaneous treatment of metatarsal fracture
Closed/open treatment of fracture, phalanx or phalanges
Closed/open treatment of sesamoid fracture
Closed/open/percutaneous treatment of talotarsal joint dislocation
Closed/open/percutaneous treatment of metatarsophalangeal joint dislocation
Closed/open/percutaneous treatment of interphalangeal joint dislocation
Patellectomy or hemipatellectomy
Lengthening of hamstring tendon
Lengthening or shortening of tendon, leg or ankle
Repair, primary, torn ligament and/or capsule, knee
Reconstruction for recurrent dislocating patella
Total knee arthroplasty
Fusion of knee
Amputation, thigh through femur
Disarticulation of knee
Amputation, leg, through tibia and fibula
Amputation, ankle, through malleoli of tibia and fibula
Page 82
Ankle disarticulation
Resection, partial or complete, phalangeal base
Talectomy
Metatarsectomy
Phalangectomy of toe
Amputation, foot, midtarsal
Amputation, metatarsal, with toe
Amputation, toe
Resection, head of phalanx
Hallux valgus (bunion) correction sesamoidectomy
Sesamoidectomy
Reconstruction, angular deformity of toe
Reconstruction, toe, macrodactyly
Reconstruction, toe(s); polydactyly
Application of halo type body cast
Application of body cast
Application of hip spica cast
Application of long/short leg cast
Application of patellar tendon bearing
Arthroscopy, shoulder, diagnostic or surgical
Arthroscopy, elbow, diagnostic or surgical
Arthroscopy, wrist, diagnostic or surgical
Arthroscopy, knee, diagnostic or surgical
Arthroscopy, ankle, diagnostic or surgical
Arthroscopically aided anterior cruciate ligament reconstruction
Arthroscopically aided posterior cruciate ligament reconstruction
Page 83
Urology
Renal exploration, not necessitating other specific procedures
Drainage of perirenal or renal abscess
Nephrostomy, nephrotomy w/ drainage
Nephrotomy, w/ exploration
Nephrolithotomy; removal of calculus
Percutaneous nephrostolithotomy or pyelostolithotomy
Transection or repositioning of aberrant renal vessels
Pyelotomy; w/ exploration / drainage, pyelostomy / removal of calculus
Renal biopsy
Nephrectomy, partial ureterectomy w/ regional lymphadenectomy and/or vena caval
thrombectomy
Nephrectomy w/ total ureterectomy and bladder cuff
Nephrectomy, partial
Excision or unroofing of cyst(s) of kidney / perinephric cyst
Donor nephrectomy; from living donor
Recipient nephrectomy
Renal allotransplantation, implantation of graft
Renal autotransplantation, reimplantation of kidney
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis
Nephrorrhaphy, suture of kidney wound or injury
Closure of nephrocutaneous or pyelocutaneous fistula or nephrovisceral fistula
Ureterotomy w/ exploration or drainage or insertion of indwelling stent
Ureterolithotomy
Ureterectomy / Ureterolysis
Ureteropyelostomy, anastomosis of ureter and renal pelvis
Ureterocalycostomy, anastomosis of ureter to renal calyx
Ureteroureterostomy / Transureteroureterostomy, anastomosis of ureter to contralateral ureter
Ureteroneocystostomy
Ureteroenterostomy, direct anastomosis of ureter to intestine
Page 84
Ureterosigmoidostomy,
Ureterocolon conduit, including bowel anastomosis
Ureteroileal conduit (ileal bladder), including bowel anastomosis (Bricker operation)
Ureterostomy, transplantation of ureter to skin
Ureterorrhaphy, suture of ureter
Closure of ureterocutaneous fistula / ureterovisceral fistula (including visceral repair)
Cystotomy or cystostomy
Cystolithotomy, cystotomy w/ removal of calculus
Transvesical ureterolithotomy
Cystotomy, w/ stone basket extraction
Drainage of perivesical or prevesical space abscess
Excision of urachal cyst or sinus, w/ or w/o umbilical hernia repair
Cystotomy; for excision of vesical neck / bladder diverticulum / bladder tumor / ureterocele
Cystectomy, partial / complete
Pelvic exenteration, complete, w/ removal of bladder and ureteral transplantations
Cystoplasty or cystourethroplasty
Cystourethroplasty w/ unilateral or bilateral ureteroneocystostomy
Cystorrhaphy, suture of bladder wound, injury or rupture
Closure of cystostomy
Enterocystoplasty, including bowel anastomosis
Cutaneous vesicostomy
Cystourethroscopy, w/ fulguration
Litholapaxy: crushing or fragmentation of calculus
Cystourethroscopy; diagnostic or interventional
Transurethral incision of prostate
Transurethral resection of bladder neck
Transurethral balloon dilation of the prostatic urethra, any method
Transurethral electrosurgical resection of prostate
Transurethral drainage of prostatic abscess
Urethrotomy or urethrostomy, external
Meatotomy, cutting of meatus; except infant
Page 85
Drainage of deep periurethral abscess / Skene's gland abscess or cyst / perineal urinary
extravasation
Urethrectomy, total, including cystostomy
Excision of fulguration of carcinoma of urethra
Excision / Marsupialization of urethral diverticulum, male or female
Excision of bulbourethral gland (Cowper's gland) / urethral polyp(s)
Urethroplasty
Operation for correction of male urinary incontinence
Urethromeatoplasty
Urethrorrhaphy, suture of urethral wound or injury
Closure of urethrostomy or urethrocutaneous fistula, male
Transurethral destruction of prostate tissue; by microwave thermotherapy
Destruction of lesion(s), penis
Excision of penile plaque (Peyronie disease) graft
Removal of foreign body from deep penile tissue (e.g., plastic implant)
Amputation of penis; partial / complete / radical
Plastic operation on penis for epispadias
Corpora cavernosa-saphenous vein shunt for priapism
Plastic operation of penis for injury
Excision of local lesion of testis
Orchiectomy, simple / radical
Reduction of torsion of testis, surgical, w/ or w/o fixation of contralateral testis
Fixation of contralateral testis
Orchiopexy, inguinal / abdominal approach
Suture or repair of testicular injury
Transplantation of testis(es) to thigh (because of scrotal destruction)
Excision of local lesion of epidydimis / spermatocele, w/ or w/o epididymectomy
Epididymectomy
Excision of hydrocele
Drainage of scrotal wall abscess
Drainage and debridement of Fournier's gangrene of the scrotum
Page 86
Scrotal exploration
Removal of foreign body in scrotum
Resection of scrotum
Scrotoplasty
Vasotomy / Vasectomy
Excision of hydrocele of spermatic cord / lvaricocele
Vesiculectomy
Excision of Mullerian duct cyst
Biopsy, prostate
Prostatotomy, external drainage of prostatic abscess
Prostatectomy, subtotal / radical
Adrenalectomy, partial or complete
Plastic Surgery (Aesthetic and Reconstructive)

Adjacent tissue transfer or rearrangement
Pinch graft
Split graft
Full thickness graft, free, including direct closure of donor site
Application of allograft, skin
Application of xenograft, skin
Formation of direct or tubed pedicle transfer
Cross finger flap, including free graft to donor site
Transfer, intermediate of any pedicle flap
Muslce, myocutaneous, or fasciocutaneous flap
Flap; island pedicle
Free muscle flap skin graft with microovascular anastomosis
Free skin flap with microvascular anastomosis
Free fascial flap with microvascular anastomosis
Graft; composite
Blepharoplasty
Page 87
Graft for facial paralysis

Excision, pressure (decubitus ulcers) with closure ostectomy
Breast reconstruction
Genioplasty; augmentation
Augmentation, mandibular body or angle
Reconstruction midface, LeFort I
Reconstruction midface, LeFort II
Reconstruction midface, LeFort III LeFort I
Reconstruction, forehead and/or supraorbital rims
Reconstruction, cranial bones
Reconstruction, mandibular rami
Graft, bone; nasal, maxillary, malar, mandibular areas
Graft to face, chin, nose or ear
Reconstruction, mandible
Reconstruction, zygomatic arch and gleoid fossa
Reconstruction, orbit
Closed/open treatment of nasal bone/septal fracture
Open treatment of depressed malar fracture
Open treatment of orbital floor blowout fracture
Closed/open treatment of fracture of orbit
Open treatment of complicated mandibular fracture by multiple surgical approaches
Closed/open treatment of hyoid fracture
Interdental wiring
Reconstructive repair of pectus excavatum or carinatum
Closure of sternotomy separation debridement
Rhinoplasty
Septoplasty
Page 88
Cardiac Surgery (need not be main anesthesia provider)

Pericardiocentesis
Tube pericardiostomy
Pericardiotomy for removal of clot or foreign body
Creation of pericardial window or partial resection for drainage
Pericardiectomy, subtotal or complete, cardiopulmonary bypass
Excision of pericardial cyst or tumor
Excision of intracardiac tumor, resection with cardiopulmonary bypass
Resection of external cardiac tumor
Operative ablation of supraventricular arrhythmogenic focus cardiopulmonary bypass
Operative incisions and reconstruction of atria for treatment of atrial fibrillation or atrial flutter
Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass
Repair of cardiac wound bypass
Cardiotomy, exploratory bypass
Suture repair of aorta or great vessels bypass
Insertion of graft, aorta or great vessels bypass
Valvuloplasty, cardiac valves with cardiopulmonary bypass
Replacement of cardiac valve with cardiopulmonary bypass
Repair of left ventricular outflow tract obstruction by patch enlargement
Resection or incision of subvalvular tissue for discrete subaortic stenosis
Venriculomyotomy for idiopathic hypertrophic subaortic stenosis
Aortoplasty for supravalvular stenosis
Valvotomy
Valvectomy, tricuspid valve with cardiopulmonary bypass
Coronary artery bypass
Myocardial resection
Repair of postinfarction ventricular septal defect myocardial resection
Coronary endarterectomy
Closure of atrioventricular valve by suture or patch
Closure of semilunar valve by suture or patch
Page 89
Anastomosis of pulmonary artery to aorta

Repair of complex cardiac anomaly
Repair of double outlet right ventricle
Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia
Repair atrial septal defect, secundum, with cardiopulmonary bypass patch
Repair of atrial septal defect and ventricular septal defect, with direct or patch closure
Repair of atrioventricular canal
Closure of ventricular septal defect patch
Banding of pulmonary artery
Complete repair of tetralogy of Fallot
Repair of sinus of Valsalva fistula/aneurysm
Closure of aortico-left ventricular tunnel
Complete repair of anomalous venous return
Repair of cor triatum or supravalvular mitral ring resection of left atrial membrane
Atrial septectomy or septostomy
Shunt, subclavian to pulmonary artert (Blalock-Taussig type operation)
Repair of transposition of great arteries with ventricular septal defect and subpulmonary
stenosis
Total repair, truncus arteriosus (Rastelli type operation)
Reimplantation of an anomalous pulmonary artery
Aortic suspension (aortopexy) for tracheal decompression
Repair of patent ductus arteriousus
Excision of coarctation of aorta associated patent ductus arteriosus
Repair of hypoplastic or interrupted aortic arch
Ascending aorta graft with cardiopulmonary bypass for thoracic aortic aneurysm
Transverse arch graft with cardiopulmonary bypass for thoracic aortic aneurysm
Descending thoracic aorta graft bypass
Repair of thoracoabdominal aortic aneurysm with graft cardiopulmonary bypass
Pulmonary artery embolectomy cardiopulmonary bypass
Pulmonary endarterectomy with cardiopulmonary bypass
Repair of pulmonary atresia with ventricular septal defet
Page 90
Repair of pulmonary stenosis by reconstruction with patch or graft

Transection of pulmonary artery with cardiopulmonary bypass
Donor cardiectomy-pneumonectomy
Heart-lung transplant
Heart transplant
Reconstruction of vena cava
Direct repair of aneurysm, false aneurysm, or excision
Thoracic Surgery (e.g. thoracotomy, lobectomy, etc.)

Chemical pleurodesis
Tube thoracostomy
Thoracostomy
Thoracotomy, limited, for biopsy of lung or pleura
Thoracotomy, major, with exploration and biopsy
Pneumonostomy, with open drainage of abscess or cyst
Pleural scarification for repeat pneumothorax
Decortication, pulmonary
Pleurectomy
Decortication and parietal pleurectomy
Biopsy, pleura, lung or mediastinum
Pneumocentesis
Removal of lung, total pneumonectomy
Resection of lung, with resection of chest wall reconstruction of chest wall
Extrapleural enucleation of empyema (empyemectomy)
Thoracoscopy, diagnostic or surgical
Repair lung hernia
Closure of chest wall following open flap drainage for empyema
Open closure of major bronchial fistula
Major reconstruction, chest wall
Donor pneumonectomy
Page 91
Lung transplant, single/double cardiopulmonary bypass

Resection of ribs
Thoracoplasty
Pneumonolysis, extraperiosteal
Pneumothorax, therapeutic, intrapleural injection of air
Mediastinostomy with exploration
Excision of mediastinal cyst/tumor
Mediastinoscopy biopsy
Repair, laceration of diaphragm
Repair, paraesophageal hiatus hernia
Repair, diaphragmatic hernia
MAJOR Neurosurgery (e.g. clipping of aneurysm, craniotomy for tumor, etc.)

Craniectomy or craniotomy, exploratory; evacuation of hematoma / drainage of intracranial
abscess
Craniectomy, suboccipital w/ cervical laminectomy
Craniotomy for lobotomy, including cingulotomy
Craniectomy; w/ excision of brain tumor, supratentorial, infratentorial or posterior fossa
Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine
angle tumor
Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach
Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach,
nonstereotactic
Craniectomy / craniotomy for craniosynostosis
Excision, intra and extracranial, benign tumor of cranial bone
Craniectomy or craniotomy; w/ excision of foreign body from brain / treatment of penetrating
wound of brain
Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or
excision of lesion
Resection or excision of intracranial neoplastic, vascular or infectious lesion
Page 92
Transection or ligation, carotid artery in cavernous sinus / petrous canal

Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by
dissection w/in cavernous sinus
Resection of lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or CI-C3
vertebral bodies
Secondary repair of dura for CSF leak, following surgery of the skull base
Surgery of intracranial arteriovenous malformation
Surgery of intracranial aneurysm, intracranial approach; carotid circulation / vertebral-basilar
circulation
Surgery of intracranial aneurysm, by application of occluding clamp to cervical carotid artery
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula
Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator)
Elevation of depressed skull fracture
Craniotomy for repair of dural /CSF leak, including surgery for rhinorrhea/otorrhea
Reduction of craniomegalic skull (e.g., treated hydrocephalus)
Repair of encephalocele, skull vault, including cranioplasty
Craniotomy for repair of encephalocele, skull base
Cranioplasty for skull defect
Removal / Replacement of bone flap or prosthetic plate of skull
Laminectomy w/ exploration and/or decompression of spinal cord
Laminotomy (hemilaminectomy), w/ decompression of nerve root (s)
Laminectomy, facetectomy and foraminotomy
Discectomy, anterior, w/ decompression of spinal cord and/ or nerve root(s)
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord
Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal
lesion
Stereotactic biopsy, aspiration, or excision of lesion, spinal cord
Repair of meningocele / myelomeningocele / dural / CSF leak pseudomeningocele
Dural graft, spinal
MINOR Neurosurgery (e.g. VP shunt, ventriculostomy)
Page 93
Subdural tap through fontanelle, or suture, infant, unilateral or bilateral

Ventricular puncture through previous burr hole, fontanelle, suture
Cisternal or lateral cervical (C1-C2) puncture
Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter
Neuroendoscopy, intrancranial, with excision of pituitary tumor, transnasal or transphenoidal
approach
Ventriculocisternostomy
Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular, subarachnoid/subduralperitonial, -pleural, other terminus
Creation of shunt; ventriculo-atrial, -jugular,-auricular, ventriculo-peritonial,-pleural, other
terminus
Replacement or revision of CSF (VP) shunt, obstructed valve, or distal catheter in shunt system
Percutaneous aspiration, spinal cord cyst or syrinx
Biopsy of spinal cord, percutaneous needle
Spinal puncture, lumbar, diagnostic / therapeutic
Aspiration procedure, percutaneous, of nucleus pulposus of intervertebral disk
Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other
Neuroplasty; digital / major peripheral nerve / cranial nerve
Excision of neuroma or neurofibroma or neurolemmoma
Biopsy of nerve
Sympathectomy
Nerve graft
Nerve pedicle transfer
Page 94
Pediatric Surgery (neonates and infants)

Splenectomy
Repair, neonatal diaphragmatic hernia
Cheiloplasty
Palatoplasty
Pyloromyotomy, cutting of pyloric muscle
Reduction of volvulus, intussusception, internal hernia
Correction of malrotation
Colostomy multiple biopsies (Hirschsprung disease)
Proctectomy, complete (for congenital megacolon); with pull-through procedure
Appendectomy
Repair of low imperforate anus
Repair of high imperforate anus
Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty
Exploration for congenital atresia of bile ducts
Portooenterostomy (e.g., Kasai procedure)
Repair of small omphalocele with primary closure
Repair of large omphalocele or gastroschesis, staged
Closure of vesicovaginal fistula / vesicouterine fistula / bladder extrophy
Meatotomy
Plastic operation of penis for straightening / correction of chordee (e.g., hypospadias)
Page 95
Urethroplasty for second stage hypospadias repair (including urinary diversion)

One stage distal hypospadias repair (w/ or w/o chordee or circumcision)
One stage proximal penile or penoscrotal hypospadias
One stage perineal hypospadias repair requiring extensive dissection to correct chordee
Exploration for undescended testis (inguinal or scrotal area or abdominal exploration)
Circumcision
Pediatric Surgery (child older than 1 year of age)

Splenectomy
Cheiloplasty
Palatoplasty
Tonsillectomy adenoidectomy
Reduction of volvulus, intussusception, internal hernia
Correction of malrotation
Colostomy multiple biopsies (Hirschsprung disease)
Proctectomy, complete (for congenital megacolon), with pull-through procedure
Appendectomy
Dilation of anal sphincter
Dilation of rectal stricture
Repair of low imperforate anus
Repair of high imperforate anus
Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty
Page 96

Closure of vesicovaginal fistula / vesicouterine fistula / bladder extrophy
Meatotomy
Plastic operation of penis for straightening / correction of chordee (e.g., hypospadias)
Urethroplasty for second stage hypospadias repair (including urinary diversion)
One stage distal hypospadias repair (w/ or w/o chordee or circumcision)
One stage proximal penile or penoscrotal hypospadias repair or island flap
One stage perineal hypospadias repair requiring extensive dissection to correct chordee
Exploration for undescended testis (inguinal or scrotal area or abdominal exploration)
Circumcision
Minor Gynecologic Surgery

Incision and drainage of vulva or perineal abscess
Incision and drainage / Marsupialization of Bartholin's gland abscess
Lysis of labial adhesions
Destruction of lesion(s), vulva; any method
Biopsy of vulva or perineum
Partial hymenectomy or revision of hymenal ring
Hymenotomy, simple incision
Excision of Bartholin's gland or cyst
Colpocentesis
Destruction of vaginal lesion(s)
Biopsy of vaginal mucosa
Insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy
Removal of impacted vaginal foreign body under anesthesia
Biopsy, single or multiple, or local excision of lesion, w/ or w/o fulguration, cervic
Cauterization of cervix; any method
Conization of cervix, w/ or w/o fulguration, w/ or w/o dilation and curettage, w/ or w/o repair
Page 97
Cerclage of uterine cervix, nonobstetrical

Endometrial sampling (biopsy) w/ or w/o endocervical sampling (biopsy), w/o cervical dilation,
Dilation and curettage
Major Gynecologic Surgery (e.g. hysterectomy, myomectomy, EXCLUDING laparoscopic
surgery)
Vulvectomy simple / radical; partial / complete inguinofemoral, iliac, and pelvic
lymphadenectomy
Colpotomy; w/ exploration
Colpectomy, obliteration of vagina
Colpocleisis (Le Fort type)
Excision of vaginal septum / vaginal cyst or tumor
Colporrhaphy, suture of injury of vagina (nonobsterical)
Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)
Plastic operation on urethral sphincter, / urethrocele
Anterior colporrhaphy, repair of cystocele w/ or w/o repair of urethrocele
Posterior colporrhaphy, repair of rectocele w/ or w/o perineorrhaphy
Combined anteroposterior colporrhaphy enterocele repair
Repair of enterocele,
Colpopexy
Sacrospinous ligament fixation for prolapse of vagina
Paravaginal defect repair
Sling operation for stress incontinence (e.g., fascia or synthetic)
Pereyra procedure, including anterior colporrhaphy
Closure of rectovaginal fistula / urethrovaginal fistula / vesicovaginal fistula
Trachelectomy (cervicectomy), amputation of cervix
Excision of cervical stump repair
Trachelorrhaphy, plastic repair of uterine cervix
Myomectomy, excision of fibroid tumor of uterus
Total / subtotal / radical abdominal hysterectomy (corpus and cervix)
Total / subtotal / radical abdominal hysterectomy (corpus and cervix) w/ bilateral
Page 98
salphingooophorectomy
Pelvic exenteration for gynecologic malignancy, w/ total abdominal hysterectomy or
cervicectomy, w/ bilateral salphingooophorectomy
Vaginal hysterectomy colpo-urethrocystopexy, bilateral salphingoophorectomy, repair of
enterocele
Insertion of intrauterine device (IUD)
Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency
Hysterorrhaphy, repair of ruptured uterus
Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral
Salpingectomy / salpingo-oophorectomy, complete or partial, unilateral or bilateral
Lysis of adhesions (salpingolysis, ovariolysis)
Tubotubal anastomosis
Fimbrioplasty / Salpingostomy (salpingoneostomy)
Drainage of ovarian cyst(s) / abscess
Biopsy of ovary, unilateral or bilateral
Ovarian cystectomy, unilateral or bilateral
Oophorectomy, partial or total, unilateral or bilateral para-aortic and pelvic lymph node
biopsies
Laparotomy, for staging or restaging of ovarian malignancy ("second look"), w/ or w/o
omentectomy,
Page 99
Obstetric Surgery and Non-Obstetric Surgery during pregnancy

Hysterotomy, abdominal (e.g., for hydatidiform mole, abortion)
Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or
oophorectomy
Cerclage of cervix, during pregnancy
Hysterorrhaphy of ruptured uterus
Cesarean delivery
Subtotal or total hysterectomy after cesarean delivery
Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery
Treatment of incomplete abortion, any trimester, completed surgically
Manual vacuum aspiration (MVA) for spontaneous abortion
Uterine evacuation and curettage for hydatidiform mole
Vaginal Deliveries
Vaginal delivery only episiotomy
Breech extraction
Vaginal delivery only, after previous cesarean delivery episiotomy
Laparoscopic Surgery (General Surgery and Gynecologic)
Laparoscopy, surgical; splenectomy
Laparoscopy, surgical; with retroperitoneal lymph node sampling bilateral total pelvic
lymphadenopathy and peri-aortic lymph node sampling
Laparoscopy, surgical, esophagogastric fundoplasty
Laparoscopy, surgical; gastrostomy/transection of vagus nerves
Laparoscopy, surgical, enterolysis
Laparoscopy, surgical; jejunostomy/ileostomy
Laparoscopy, surgical; colostomy
Laparoscopy, surgical; enterectomy, resection of small intenstine
Laparoscopy, surgical, colectomy partial or total
Page 100
Laparoscopy, surgical; closure of enterostomy, large or small intestine

Laparoscopy, surgical; appendectomy
Laparoscopy, surgical; proctectomy, complete combined abdominoperineal pull-through
procedure
Laparoscopy, surgical; proctopexy sigmoid resection
Laparoscopy, surgical; ablation of one or more liver tumors
Laparoscopy, surgical; cholecystectomy exploration of common duct cholangiography
Laparoscopy, abdomen, peritoneum, and omentum; diagnostic or surgical
Laparoscopy, surgical; repair of inguinal hernia
Laparoscopy, surgical; with ligation of spermatic veins for varicocele
Laparoscopy, surgical; radical / partial / donor nephrectomy
Laparoscopy, surgical; ureterolithotomy / ureteroneocystostomy
Laparoscopy, surgical; urethral suspension / sling operation for stress incontinence
Laparoscopy, surgical; orchiectomy / orchiopexy for intra-abdominal testis
Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing
Laparoscopy, surgical, colpopexy (suspension of vaginal apex)
Laparoscopy, surgical, myomectomy, excision; intramural myomas
Laparoscopy, surgical, vaginal hysterectomy/ removal of tube(s) and/or ovary(s)
Hysteroscopy, diagnostic / surgical
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or
salpingectomy)
Laparoscopic treatment of ectopic pregnancy; salpingectomy and/or oophorectomy
Laparoscopy, surgical, with adrenalectomy, partial or complete
Ophthalmology
Evisceration of ocular contents; implant
Enucleation of eye; implant
Exenteration of orbit
Removal of foreign body, external eye / intraocular
Repair of laceration; conjunctiva, cornea and/or sclera
Repair of wound, extraocular muscle, tendon and/ or Tenon's capsule
Page 101
Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium

Biopsy of cornea
Excision or transposition of pterygium
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization
Keratoplasty (corneal transplant); lamellar / penetrating
Goniotomy / Trabeculotomy ab externo
Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)
Severing adhesions of anterior segment, laser technique
Excision of lesion, sclera
Fistulization of scalera for glaucoma
Revision or repair of operative wound of anterior segment, any type, early or late
Iridectomy, w/ corneoscleral or corneal section
Repair of iris, ciliary body (as for iridodialysis)
Suture of iris, ciliary body w/ retrieval of suture through small incision (e.g., McCannel suture)
Ciliary body destruction
Iridotomy/iridectomy by laser surgery (e.g., for glaucoma) ( one or more sessions)
Iridoplasty by photocoagulation (one or more sessions)
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)
Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior
hyaloid)
Repositioning of intraocular lens prosthesis, requiring an incision
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior
hyaloid)
Removal of lens material
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage
procedure)
Intracapsular cataract extraction w/ insertion of intraocular lens prosthesis (one stage
procedure)
Extracapsular cataract removal w/ insertion of intraocular lens prosthesis (one stage procedure)
Insertion of intraocular lens prosthesis, not associated with cataract removal
Extracapsular cataract removal w/ insertion of intraocular lens prosthesis (one stage procedure)
Page 102
Removal of vitreous, anterior approach (open sky technique or limbal incision)

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior
sclerotomy)
Injection of vitreous substitute, pars plana or limbal approach, (fluid-gas exchange), w/ or w/o
aspiration
Discission of vitreous strands (w/o removal), pars plana approach
Vitrectomy, with other surgery
Repair of retinal detachment, one or more sessions; cryotherapy or diathermy
Repair of retinal detachment; scleral buckling
Destruction of localized lesion of retina / choroid
Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy)
Scleral reinforcement
Strabismus surgery, recession or resection procedure (patient not previously operated on)
Transposition procedure (e.g., for paretic extraocular muscle), any extraocular muscle
Biopsy of extraocular muscle
Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein)
Orbital implant (implant outside muscle cone); insertion or removal or revision
Optic nerve decompression (e.g., incision or fenestration of optic nerve sheath)
Repair of anophthalmic socket
Blepharotomy, drainage of abscess, eyelid
Severing of tarsorrhaphy
Canthotomy
Excision of chalazion
Biopsy of eyelid
Repair of trichiasis
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure
Temporary closure of eyelids suture (e.g., frost suture)
Construction of intermargin adhesions, median tarsorrhaphy, or canthorrhaphy
Repair of brow ptosis (supraciliary, midforehead or coronal approach)
Repair of blepharoptosis
Repair of lid retraction (eyelid recession)
Page 103
Correction of lagophthalmos, with implantation of upper eyelid load

Repair of ectropion / entropion
Suture of recent wound, eyelid, involving lid margin, tarsus, and/ or palpebral conjunctiva direct
closure
Canthoplasty (reconstruction of canthus)
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid
Biopsy of conjunctiva
Excision of lesion, conjunctiva
Conjunctivoplasty
Conjunctival flap
Harvesting conjunctival allograft, living donor
Incision, drainage of lacrimal gland / lacrimal sac (dacryocystostomy)
Snip incision of lacrimal punctum
Excision / Biopsy of lacrimal gland / lacrimal sac
Removal of foreign body or dacryolith, lacrimal passages
Excision of lacrimal gland tumor; frontal approach
Plastic repair of canaliculi
Correction of everted punctum, cautery
Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) conjunctivorhinostomy
Closure of the lacrimal punctum / lacrimal fistula
Probing of nasolacrimal duct; requiring general anesthesia
Anesthesia for Remote Areas (Out of OR, CT scan, MRI, colonoscopy, etc)
Intubation, endotracheal, emergency procedure
Thoracentesis
Insertion or replacement of implantable cardioverter-defibrillator pulse generator
Removal of implantable cardioverter-defibrillator pulse generator
Insertion of intra-aortic balloon assist device
Removal of intra-aortic balloon assist device
Percutaneous transluminal balloon angioplasty
Page 104
Introduction of catheter, central or peripheral vessel

Insertion of implantable intra-arterial infusion pump
Removal/revision of implanted intra-arterial infusion pump
Percutaneous portal vein catheterization
Insertion of peripherally inserted central venous catheter (PICC)
Arterial catheterization
Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS)
Primary percutaneous transluminal mechanical thrombectomy
Transcatheter biopsy
Bone marrow aspiration or biopsy
Esophagoscopy, rigid or flexible; diagnostic or interventional
Upper gastrointestinal endoscopy; diagnostic or interventional
Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic or interventional
Dilatation of esophagus with balloon for achalasia
Percutaneous placement of gastrostomy tube
Change of gastrostomy tube
Small intestinal endoscopy; diagnostic or interventional
Colonoscopy through stoma; diagnostic or interventional
Proctosigmoidoscopy; diagnostic or interventional
Sigmoidoscopy; diagnostic or interventional
Colonoscopy, flexible; diagnostic or interventional
Anoscopy; diagnostic or interventional
Bliary endoscopy, percutaneous via T-tube or other tract; diagnostic or interventional
Perioteneocentesis, abdominal paracentesis, or peritoneal lavage
Insertion of intraperitoneal cannula or catheter
Renal endoscopy
Lithotripsy, extracorporeal shock wave
Ureteral endoscopy
Cystourethroscopy, diagnostic / therapeutic
Colposcopy (Vaginoscopy), diagnostic / therapeutic
Transcatheter oclussion or embolization, percutaneous, any method
Page 105
Insertion pacemaker, fluoroscopy and radiography, radiological supervision and interpretation

Computed tomographic angiography
Angiography
Radiation treatment delivery (Cobalt or Linear Accelerator)
Intracavitary / interstitial radiation source application
Surface application of radiation source (Brachytherapy)
Radiopharmaceutical (radioactive iodine) therapy
Percutaneous transluminal coronary thrombectomy
Thrombolysis, coronary; by intracoronary infusion, including coronary angiography
Transcatheter placement of an intracoronary stent(s), percutaneous
Right / left heart catheterization interventional therapeutic procedures
Chemotherapy administration
Computed tomography
Magnetic Resonance Imaging
Chronic Pain Management
Page 106
APPENDIX D
VIOLATIONS
A. Failure to remit payments of monthly and/or annual service fees
1.
First offense a written notice will be sent to the resident trainee informing him/her of
non-payment
2.
Second offense a written warning will be sent to the resident trainee informing
him/her of non-payment for two straight months
3.
Third offense Aendicus 2 services will be suspended resulting from the residents
non-payment for three straight months. This means that resident trainees will no
longer be able to log their cases.
4.
Services shall be promptly resumed once payment has been received by the PBA.
B. Non-compliance
Flags will appear in the homepage of the resident trainees & Training Officers informing
them of their level of compliance.
1.
Resident Trainees
a.
Green flag the resident trainee is compliant and has been logging in his/her
cases at least once a week.
2.
b.
Yellow flag last log in was between 8 days to 30 days
c.
Red flag last log in was more than 30 days
Training Officers
a.
Green flag the Training Officer is compliant and has been checking cases logged
by his/her resident trainees at least once a week.
b.
Yellow flag last log in was between 8 days to 30 days
c.
Red flag last log in was more than 30 days
Page 107
C. Fictitious or False Entries

A case is determined to be fictitious or false if the case logged could not be verified by
the PBA during spot checks or surprise visits.
APPENDIX E
AENDICUS COMMITEE
The AENDICUS Management Team
The AENDICUS Management Team is composed of members appointed by the
Board of Trustees (BOT) to maintain and ensure the functionality of the AENDICUS
system. The members of the team include the programmer, a member of the PBA
secretariat and anesthesiologists who are familiar with system since its inception n
2011.
Any updates deemed necessary by the BOT in terms of user profile, case
statistics, report generation and trainee evaluation and assessment is integrated
into the system by the management team. The team safeguards and makes sure
that users get maximum benefits from the program.
Any problems encountered by users are referred to the AENDICUS team and
together with the programmer the team troubleshoots any difficulties encountered.
The team meets quarterly with the representative from the PBA Board of
Examiners and Commission on Accreditation to evaluate the performance of the
AENDICUS system. Likewise the meeting serves as a venue to discuss and solve any
issues arising from the use of the AENDICIUS. Any updates or revisions needed are
discussed and implemented upon approval by the BOT.
Page 108
APPENDIX F
MEMBERS OF THE AENDICUS COMITTEE
Arnold O. Bautista, MD, FPBA
Grace G. Catalan, MD, FPBA
Ma. Concepcion L. Cruz, MD, FPBA
Glenn D. Marias, MD, FPBA
Catherine Renee B. Reyes, MD, FPBA
Macgyver M. Yoingco
Roxanne M. Lopez
Page 109

Aendicus - Users Manual

Загружено:

Сведения о документе

Исходное описание:

Авторское право

Доступные форматы

Поделиться этим документом

Поделиться или встроить документ

Параметры публикации

Этот документ был вам полезен?

Это неприемлемый материал?

Авторское право:

Доступные форматы

Aendicus - Users Manual

Загружено:

Авторское право:

Доступные форматы

CONTENTS

Residents User Account

INSTRUCTIONAL GUIDE FOR RESIDENTS

PHILIPPINE BOARD OF ANESTHESIOLOGY

INSTRUCTIONAL GUIDE FOR TRAINING OFFICERS

TROUBLESHOOTING AND FAQs (FREQUENTLY ASKEDQUESTIONS)

INDIVIDUAL REQUIREMENTS FOR PBA EXAMINATIONS

For In-Training Examinations

PBA requirement for services

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

his/ her institution and better

monitored by the PBA using this system.

PHILIPPINE BOARD OF ANESTHESIOLOGY

hospital administration in providing the department with adequate resources for

Objectives of the Aendicus:

PHILIPPINE BOARD OF ANESTHESIOLOGY

PART 2 GETTING STARTED

PHILIPPINE BOARD OF ANESTHESIOLOGY

To create an Aendicus 2 user account for a resident, the Training Officer

Residents are encouraged to update their profiles and regularly change

PHILIPPINE BOARD OF ANESTHESIOLOGY

B. Training Officers User Account

To create an Aendicus 2 user account for a Training Officer, the chair of

C. Registration and Service Fees

PHILIPPINE BOARD OF ANESTHESIOLOGY

A monthly service fee (MSF) of Php 100.00 per trainee paid ON

An annual service fee (ASF) of Php 1,000.00 per trainee paid ON

Service fees are waived for Graduate Residents, Fellows in Training,

Bank payments made to the following account with a copy of the

Managers Check/Cashiers Check paid to the order of the

Direct payments made at the PBA Office

PHILIPPINE BOARD OF ANESTHESIOLOGY

PART 4 LOGGING ON AENDICUS

Enter your USERNAME.

Enter your PASSWORD.

Residents will be redirected to the PATIENTS REGISTRATION page.

Training Officers will be redirected to the CASELOG SEARCH page.

PBA Admin will be redirected to the INSTITUTION LIST page.

PHILIPPINE BOARD OF ANESTHESIOLOGY

PART 5 INSTRUCTIONAL GUIDE FOR

Point your browser to www.aendicus.pba-ph.com > Home>

Enter the following:

Press SAVE INFORMATION.

Enter Case Details.

Press Save Case as Open.

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

Point your browser to REPORTS>ENCODED SUMMARY>.

Click on CASE NUMBER of the case to be submitted.

Open cases highlighted in green means they are ready to be

Click on SAVE CASE AS SUBMITTED to submit.

PHILIPPINE BOARD OF ANESTHESIOLOGY

PHILIPPINE BOARD OF ANESTHESIOLOGY

C. Editing and Revising Cases

Point your browser to REPORTS>ENCODED SUMMARY>.

Click on CASE NUMBER of the case to be edited.