for uninsured services - Saskatchewan Medical Association

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SECTION A.4: GENERAL SERVICES Fee Doppler study, including M Mode plus twodimensional studies on same day 322A -- technical (first) -- 17 years of age and older $196.90 522A -- technical (second) -- 17 years of age and older $98.40 532A -- technical (third and fourth, each) -- 17 years of $55.60 age and older 556A -- technical -- under 17 years $149.80 323A -- interpretation (first) -- adult $258.90 523A -- interpretation (second) -- 17 years of age $129.90 and older 533A -- interpretation (third and fourth, each) -- 17 years $64.20 of age and older 557A -- interpretation -- under 17 years of age $218.30 535A -- technical for serial echocardiograms of $126.00 patients receiving cardiotoxic oncology medication (second and subsequent) 536A -- interpretation for serial echocardiograms $180.00 of patients receiving cardiotoxic oncology medication (second and subsequent) Transoesophageal echocardiogram - to include insertion of transducer and interpretation. Within one year at same office or institution. The first and second transoesophageal echoes are paid at 100%, the third is paid at 25% and for remainder no fee can be charged. 324A -- first and second $275.00 534A -- third $68.80 Codes 443A to 447A, 545A, 548A and 648A are not for use by Radiologists - see Section X. Angiography 443A -- angiocardiography -- right and/or $258.90 * left side 444A -- extremities, percutaneous $162.00 * -- unilateral Aortography 445A -- any method when sole procedure $301.70 * 446A -- with selective catheterization of each $44.90 * additional artery to a maximum of 3, add 545A --when done as part of 447A and/or $113.00 * 443A or 145C, add Coronary Angiography to include right 447A and left coronaries $461.20 * 548A -- with selective catheterization of venous $160.50 * and/or arterial bypass grafts each to a maximum of 3, add 648A -- with ergonovine stimulation, add $160.50 * Clinical procedures listed below associated with diagnostic radiology may be charged in addition to those listed in Section X. 331A Intracoronary thrombolytic therapy $1,409.20 SMA FEE GUIDE - A22 - June 1, 2011
SECTION A.4: GENERAL SERVICES Fee Transluminal angioplasty 328A -- coronary $1,132.10 329A -- each additional stenosis (maximum one $572.50 per arterial branch) 335A -- insertion of coronary artery stent(s) $440.80 associated with 328A (any number), add 332A -- pulmonary valve or artery $1,125.60 333A -- pulmonary valve or artery where followed $572.50 by corrective surgery within 24 hours 334A -- Aorta or aortic valve $1,125.60 493A Transcatheter closure of ductus arteriosis $1,243.30 Note: Post-angioplasty care for elective procedures (328A, 329A, 334A and 493A) is included in the payment for these procedures. Procedures under fluoroscopic, C.T. or Ultrasound guidance are found in Section X. Procedures under fluoroscopic, C.T. or Ultrasonic guidance 406A Percutaneous nephrostomy with nephrogram $501.00 407A Manipulation of peritoneal dialysis catheter $90.00 * 460A Non-palpable breast lesion - needle localization $90.00 * provided by surgeon 412A Percutaneous fallopian tube cannulation and $220.00 dilatation -- with selective salpingography, unilateral or bilateral 463A Injection of a sinus tract $87.30 403A Percutaneous intra-abdominal drainage $306.00 462A Sialography $105.00 * 925A Intravenous chemotherapy or remicade $40.70 * treatment treatment Continuous Personal Attendance The benefit payment is all inclusive, for medically required personal attendance given continuously by a physician, where no other item in theSMA Fee Guide applies. Certain procedures can be billed during a period of 918A, 926A-928A, 220A-226A in the same manner as they can be billed during a period of 335H-339H. (For example if closed chest drainage takes 15 minutes, code 95L can be billed but that 15 minutes should not also be billed as a 918A). These codes infer that a physician is continually present at a patient's bedside. Code 918A is not paid for maternity cases. For intensive care in ICU or CCU -- see Section H. For a claim to be processed, the physician must provide details of: I) the clinical condition neccesitating continuous attendance; ii) the treatment or care provided; iii) time when continuous attendance on patient started and was completed. May be billed with applicable surcharge where appropriate. 918A Continuous personal attendance $69.30 -- per 1/4 hour or major portion thereof (see requirements above) SMA FEE GUIDE - A23 - June 1, 2011
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Page 45 and 46: SECTION A.4: 893A 894A 895A GENERAL
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Page 51 and 52: SECTION B: GENERAL PRACTICE General
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Page 57 and 58: SECTION C: PAEDIATRICS Procedures A
Page 59 and 60: SECTION D: INTERNAL MEDICINE Visits
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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
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Page 79 and 80: SECTION H: ANAESTHESIA ANAESTHESIA
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Page 83 and 84: SECTION H: ANAESTHESIA Fee 132H Lum
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SECTION J: SURGICAL ASSISTANCE 1. C
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SECTION J: SURGICAL ASSISTANCE Surg
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SECTION K: NEUROSURGERY Fee 15K Fol
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SECTION K: NEUROSURGERY Fee Anae De
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SECTION K: NEUROSURGERY Fee Anae Th
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SECTION K: NEUROSURGERY Fee 610K Th
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SECTION L: GENERAL SURGERY Visits W
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SECTION L: GENERAL SURGERY Fee Anae
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SECTION L: GENERAL SURGERY PEG tube
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SECTION M: ORTHOPAEDIC SURGERY SECT
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SECTION M: ORTHOPAEDIC SURGERY Fee
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SECTION M: ORTHOPAEDIC SURGERY 2. U
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SECTION N: PLASTIC SURGERY Visits F
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SECTION N: PLASTIC SURGERY 5. Abdom
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SECTION N: PLASTIC SURGERY Fee Anae
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SECTION P: OBSTETRICS/GYNAECOLOGY V
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SECTION P: OBSTETRICS/GYNAECOLOGY F
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SECTION Q: NEUROLOGY Visits Fee 3Q
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SECTION R: UROLOGICAL SURGERY Visit
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SECTION R: UROLOGICAL SURGERY Fee A
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SECTION R: UROLOGICAL SURGERY Prost
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SECTION R: UROLOGICAL SURGERY Fee A
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SECTION S: OPHTHALMOLOGY Visits Fee
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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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