Fee Guide Template - British Columbia Medical Association

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GENERAL SERVICES - ContinuedBCMAFee ($)Anes.Lev.MSP &WSBCFee ($)All Trauma Assessment and Support fees include:- Consultation and assessment- subsequent examinations of the patient- family counselling- teleconference with higher level trauma facilities- ongoing and active daily surgical management oftrauma patients including but not limited to: performing tertiary and quaternary surveyphysical exams assessment and management of active andpassive body core warming care of traumatic wounds or burns (includingsuturing) not requiring a general anesthetic obtaining appropriate surgical consultations andtransfer to higher level facilities when neededcoordinating with the transplant organ retrievalteam, family counselling (related to organdonation) and obtaining consent for organprocurement- usual resuscitative procedures such asendotracheal intubation, tracheal toilet and artificialventilation- extraordinary resuscitative procedures such asresuscitative thoracotomy or emergency surgicalairway- all necessary measures for respiratory support- insertion of intravenous lines, peripheral andcentral- bronchoscopy- chest tubes- lumbar puncture- cut-downs- arterial and/or venous catheters and insertion ofSWAN-GANZ catheter- pressure infusion sets and pharmacological agents- insertion of CVP lines- defibrillation- cardio-version and usual resuscitative measures- insertion of urinary catheters and nasal gastrictubes- securing and interpretation of laboratory tests- oximetry- transcutaneous blood gases(notes continued on next page)3-18 BCMA Guide to Fees - effective April 1, 2014
GENERAL SERVICES - ContinuedBCMAFee ($)Anes.Lev.MSP &WSBCFee ($)- intra-cranial pressure (ICP) monitoring,interpretation and assessment when indicated- suturing of wounds not requiring a generalanesthetic- ensuring adequate DVT prophylaxis- reduction of fractures and dislocations (includingcasting) not requiring a general anesthetic- clearance of C-spines or appropriate referralP10087 Trauma Team Leader – Initial Assessment, SecondarySurvey and Support ...................................................... 1222.00 296.07NOTES:i) Indicated for those patients experiencing any of theTrauma Team Activation Criteria.ii) Minimum of 2 hours of bedside care required onDay 1 (excluding stand by time).iii) Start and end times to be recorded on patient’schart.iv)Payable in addition to the adult and pediatric criticalcare fees at 100%.v) Not paid with any consult, visit or emergency carefees, by the same practitioner on the same date ofservice.vi) Paid to only one physician for one patient, perfacility, per day.P10088 Trauma Team Leader – Tertiary Assessment (after 24hrs. and before 72 hrs.) ................................................. 421.00 102.00NOTES:i) Not paid on same date of service as P10087 orP10089.ii) Not paid unless P10087 has been previouslyclaimed (on same PHN).iii) Not paid in addition to the adult and pediatriccritical care fees by the same practitioner.iv)Not paid with any consult, visit or emergency carefees, by the same practitioner on the same date ofservice.v) Payable to only one physician for one patient, perfacility, per day.P10089 Trauma Team Leader Subsequent Hospital Visit (Days3-15 inclusive) ............................................................... 319.00 77.20(see notes on next page)BCMA Guide to Fees - effective April 1, 2014 3-19
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Fee Guide Template - British Columbia Medical Association

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