for uninsured services - Saskatchewan Medical Association

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SECTION L: GENERAL SURGERY Fee Anae 751L Reactive hyperemia with sequential pressure $30.00 * D 752L Vasospastic assessment -- to include digital $30.00 * D pressures and/or plethysmography, cold and hot stress responses and /or multiple extremity wave form analysis 753L Sympathetic tone response --to include resting $30.00 * D arterial assessment plus plethysmography and or impedence monitoring and/or digital wave forms, response to Valsalva monoevers or other stimuli Peripheral Venous 754L Laboratory assessment for interpretation of $30.00 * D peripheral venous system BMI Supplement 580L General surgery supplement for patients with a $94.00 Body Mass Index, (Weight[kg]/Height[m]2) greater than 40 - Maximum of one 580L supplement per patient per day. - Supplement 580L may be billed by general surgeons with all L Section procedures done in the operating room. - Bariatric surgery fee codes (322L, 323L, 324L) are exempt from this supplement. General Surgery - Endoscopy ENDOSCOPY Preamble -- Base fees include full endoscopic exam with or without biopsies. -- Biopsy for Barrett's esophagitis and inflammatory bowel disease are listed in endoscopic interventions. -- Cryotherapy for bleeding from polypectomy site is included in polypectomy code. 402L Oesophagoscopy -- base $138.00 * D L 403L -- Bleeding varices management (banding, $194.00 * D sclerotherapy, glue, endoloops, hemoclips or other) - any combination -- add 404L -- Removal of benign tumor -- add $96.40 * D -- Dilatations via endoscope 405L -- by means of pneumatic bag or balloon, with $194.00 * D or without thread or wire guidance -- add 406L -- by means of sound or bougie -- add $99.00 * D 407L -- Stenting with or without dilatation -- add $199.00 * D 408L Gastroduodenoscopy -- base $205.00 * D L includes oesophagoscopy 409L Management of bleeding (varices, ulcers, GAVE $200.00 * D Banding, sclerotherapy, glue, endoloop, hemoclips or other) - Any combination of above -- add 412L Dilatation of pylorus -- add $96.40 * D 410L Nasojejunostomy tube placement -- add $99.00 * D 411L Extended enteroscopy -- add $199.00 * D Percutaneous gastrostomy under gastroscopic control -- by two physicians -- endoscopic gastrostomy or jejunostomy 443L -- 1st physician $297.00 * 0 L 444L -- 2nd physician $199.00 * 0 L -- endoscopic gasterostomy and jejunostomy same day 445L -- 1st physician $446.00 * 0 L 446L -- 2nd physician $297.00 * 0 L SMA FEE GUIDE - L16 - June 1, 2011
SECTION L: GENERAL SURGERY PEG tube change 447L External approach PEG tube removal -- external $39.60 * D L via gastroscope 448L Colonoscopy -- base $319.00 * D L 451L Dilatation of colonic anastamotic side -- add $96.40 * D 449L Sigmoidoscopy (Flexible) - base code $111.00 * D L 450L Sigmoidoscopy (Rigid) - base code $56.40 * D L biopsy - included in base code except: 480L -- For inflammatory bowel disease $97.20 * D 10 or more specimens -- add 481L -- Barrett's esophagus -- 4 or more $49.40 * D specimens -- add Polypectomy (any G.I. Site) -- by loop, electrocautery, submucosal injection etc. 482L -- 1st polyp -- add $99.00 * D 483L -- 2nd to 5th polyp each (maximum of 5 total) -- add $75.30 * D 484L Sclerotherapy by any thermal means (eg. heater or $96.40 * D bicapprobe) or any injectable method (eg. Adrenalin, sclerosing solution) or by gluing -- add 485L Dilatations -- all G.I. dilatations other than $96.40 * D oesophageal -- pylorus or anastomotic stricture etc. -- add 486L Tattoo - any G.I. site -- add $49.40 * D 487L Botox - any G.I. or bonchial site -- add $99.00 * D 488L Foreign body removal - any G.I. site -- add $99.00 * D Usually complicated or difficult endoscopies by report. 500L Endoscopic Retrograde Cholangiopancreatography $379.00 * D L -- base includes routine sweeps of common duct -- maximum procedural billing per base code same day $800.00 501L -- plus papillotomy/sphincterotomy -- add $145.00 * D -- with removal of common duct stones and sludge 502L -- 1 to 4 stones and/or sludge add $96.40 * D 503L -- with removal of 5 or more stones - (includes $194.00 * D 1 to 4 stones) -- add 504L -- with mechanical lithotripsy -- add $96.40 * D 505L -- with brush cystology -- add $48.10 * D -- with Biliary or pancreatic duct balloon dilatations 506L -- 1st add $96.40 * D 507L -- 2nd add $48.10 * D -- with stenting (any type of stent) -- stent insertion 508L -- 1st add $96.40 * D 509L -- 2nd add $48.10 * D 510L -- stent removal -- one or more add $48.10 * D 511L -- stent removal and replacement -- add $96.40 * D 512L -- with Brachytherapy catheter placement -- add $90.00 * D 513L -- with nasobilary tube placement -- add $97.20 * D 520L Bronchoscopy -- (unilateral or bilateral with or $199.00 * D L without biopsy) -- base 521L -- with fluroscopy -- add $99.00 * D 522L -- with tracheobronchial toilet -- add $99.00 * D 523L -- with removal of benign tumor -- add $90.00 * D 524L -- with endobronchial malignant tumor $426.00 * D debulking -- add 525L -- with tracheo esophageal fistula creation -- add $90.00 * D 526L -- with removal of foreign body (rigid or $297.00 * D flexscope) -- add Endoscopic Ultrasound 940L -- Upper $466.00 * D 941L -- Lower $280.00 * D 943L -- With stenting, each stent add $93.00 * 942L Fine Needle Aspiration $93.00 * D SMA FEE GUIDE - L17 - June 1, 2011
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SMA Fee Guide (for uninsured servic
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TABLE OF CONTENTS Introduction/Prea
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INTRODUCTION / PREAMBLE 4. Third pa
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INTRODUCTION / PREAMBLE Surgical Fe
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INTRODUCTION / PREAMBLE It is expec
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SECTION A1: UNINSURED SERVICES The
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SECTION A1: UNINSURED SERVICES 516A
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SECTION A1: UNINSURED SERVICES Prov
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SECTION A1: UNINSURED SERVICES 572A
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SECTION A2: THIRD PARTY SERVICES AT
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SECTION A.3 THIRD PARTY SERVICES PA
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SECTION A.4: GENERAL SERVICES The p
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SECTION A.4: GENERAL SERVICES Fee 1
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SECTION A.4: GENERAL SERVICES Fee C
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SECTION A.4: GENERAL SERVICES Fee T
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SECTION A.4: GENERAL SERVICES cardi
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SECTION A.4: GENERAL SERVICES On oc
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SECTION A.4: 893A 894A 895A GENERAL
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SECTION A.4: GENERAL SERVICES -- On
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SECTION A.4: Only one physician may
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SECTION B: GENERAL PRACTICE General
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SECTION B: GENERAL PRACTICE Fee 43B
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SECTION B: GENERAL PRACTICE Fee 67B
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SECTION C: PAEDIATRICS Procedures A
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SECTION D: INTERNAL MEDICINE Visits
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SECTION D: INTERNAL MEDICINE Fee 14
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SECTION D: INTERNAL MEDICINE Fee Ev
Page 65 and 66: SECTION D: INTERNAL MEDICINE Fee 28
Page 67 and 68: SECTION E: PSYCHIATRY Fee 62E Exami
Page 69 and 70: SECTION E: PSYCHIATRY Psychotherapy
Page 71 and 72: SECTION F: DERMATOLOGY Visits Fee 5
Page 73 and 74: SECTION F: DERMATOLOGY Fee Intrales
Page 75 and 76: SECTION G: MEDICAL GENETICS^ Fee Co
Page 77 and 78: SECTION H: ANAESTHESIA "Standby" fo
Page 79 and 80: SECTION H: ANAESTHESIA ANAESTHESIA
Page 81 and 82: SECTION H: ANAESTHESIA - Hysterosoc
Page 83 and 84: SECTION H: ANAESTHESIA Fee 132H Lum
Page 85 and 86: SECTION H: ANAESTHESIA 3. Other phy
Page 87 and 88: SECTION H: ANAESTHESIA Payment is i
Page 89 and 90: SECTION J: SURGICAL ASSISTANCE 1. C
Page 91 and 92: SECTION J: SURGICAL ASSISTANCE Surg
Page 93 and 94: SECTION K: NEUROSURGERY Fee 15K Fol
Page 95 and 96: SECTION K: NEUROSURGERY Fee Anae De
Page 97 and 98: SECTION K: NEUROSURGERY Fee Anae Th
Page 99 and 100: SECTION K: NEUROSURGERY Fee 610K Th
Page 101 and 102: SECTION L: GENERAL SURGERY Visits W
Page 103 and 104: SECTION L: GENERAL SURGERY Fee Anae
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Page 119 and 120: SECTION M: ORTHOPAEDIC SURGERY SECT
Page 121 and 122: SECTION M: ORTHOPAEDIC SURGERY Fee
Page 123 and 124: SECTION M: ORTHOPAEDIC SURGERY 2. U
Page 135 and 136: SECTION N: PLASTIC SURGERY Visits F
Page 137 and 138: SECTION N: PLASTIC SURGERY 5. Abdom
Page 139 and 140: SECTION N: PLASTIC SURGERY Fee Anae
Page 145 and 146: SECTION P: OBSTETRICS/GYNAECOLOGY V
Page 147 and 148: SECTION P: OBSTETRICS/GYNAECOLOGY F
Page 153 and 154: SECTION Q: NEUROLOGY Visits Fee 3Q
Page 155 and 156: SECTION R: UROLOGICAL SURGERY Visit
Page 157 and 158: SECTION R: UROLOGICAL SURGERY Fee A
Page 159 and 160: SECTION R: UROLOGICAL SURGERY Prost
Page 161 and 162: SECTION R: UROLOGICAL SURGERY Fee A
Page 163 and 164: SECTION S: OPHTHALMOLOGY Visits Fee
Page 165 and 166: SECTION S: OPHTHALMOLOGY Fee Anae F
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SECTION S: OPHTHALMOLOGY Fee Anae E
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SECTION S: OPHTHALMOLOGY Fee Anae 2
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SECTION S: OPHTHALMOLOGY Fee Anae O
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SECTION S: OPHTHALMOLOGY Fee Anae 2
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SECTION T: OTOLARYNGOLOGY Fee 430T
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SECTION T: OTOLARYNGOLOGY Fee Anae
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SECTION T: OTOLARYNGOLOGY Fee Anae
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SECTION V: LABORATORY MEDICINE Fee
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SECTION V: LABORATORY MEDICINE Spec
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SECTION V: LABORATORY MEDICINE Spec
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SECTION W: DIAGNOSTIC ULTRASOUND Mu
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SECTION X: DIAGNOSTIC RADIOLOGY Fee
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SECTION X: DIAGNOSTIC RADIOLOGY Tec
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SECTION X: DIAGNOSTIC RADIOLOGY Spe
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SECTION X: DIAGNOSTIC RADIOLOGY Spe
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SECTION Y: THERAPEUTIC RADIOLOGY Th
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SECTION Z: NUCLEAR MEDICINE Technic
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SECTION Z: NUCLEAR MEDICINE Technic
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