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for uninsured services - Saskatchewan Medical Association

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SECTION D:<br />

INTERNAL MEDICINE<br />

Fee<br />

251D Tumescence monitoring of penis $59.90 D<br />

270D Impedance plethysmography <strong>for</strong> deep vein $23.50 * D<br />

thrombosis -- professional component only<br />

Anae<br />

Endocrine Testing<br />

200D Cortrosyn stimulation $69.00 D<br />

201D Calcium pentagastrin stimulation $85.60 D<br />

202D T.R.H. stimulation $101.00 D<br />

203D Glucagon test $209.00 D<br />

204D L.H.R.H. stimulation $96.00 D<br />

205D Tolbutamide test $172.30 D<br />

206D Insulin tolerance test $179.00 D<br />

207D Triple bolus test $195.00 D<br />

216D Corticotropin Releasing Hormone $107.00 D<br />

Delineation Test<br />

217D Water Deprivation Test with or without $234.00 D<br />

DDAVP<br />

Botulinum Toxin Therapy<br />

See codes 190A to 198A<br />

Pacemaker Clinic Services<br />

Clinic supervision, review of interrogation<br />

record and adjustment if necessary. Includes<br />

ECG Interpretation (not paid in addition to<br />

120L-122L, 622L)<br />

278D Patient not seen $46.80<br />

279D Patient seen $68.50 0<br />

(Visit fee payable if patient reviewed <strong>for</strong> a<br />

condition unrelated to pacemaker function)<br />

POLYSOMNOGRAPHY<br />

Diagnostic Polysomnography is an insured service when provided<br />

at a provincially designated sleep laboratory and is a supervised<br />

overnight sleep study with continuous monitoring of sleep (EEG,<br />

EOG, EMG), oxygen saturation, ECG, airflow and respiratory<br />

ef<strong>for</strong>t.<br />

Therapeutic Polysomnography is a supervised overnight sleep<br />

study per<strong>for</strong>med in a provincially designated sleep laboratory<br />

with continuous monitoring of sleep (EEG, EOG, EMG), oxygen<br />

saturation, ECG, airflow and respiratory ef<strong>for</strong>t during which<br />

specific therapy <strong>for</strong> sleep disordered breathing is administered<br />

(this may include CPAP/Bi-PAP or mandibular advancement<br />

device) and the effect monitored.<br />

Split night diagnostic and therapeutic polysomnography<br />

provided as a one-night study should be billed as 281D and 282D.<br />

Repeat Diagnostic Therapeutic polysomnography within 42 days<br />

must be accompanied by an explanation.<br />

281D Diagnostic (includes visit) $456.00 D<br />

282D Therapeutic (includes visit) $227.00 D<br />

283D Multiple Sleep Latency Testing $227.00 D<br />

(includes visit)<br />

SMA FEE GUIDE - D6 - June 1, 2011

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