for uninsured services - Saskatchewan Medical Association

SECTION L:GENERAL SURGERYFeeAnaeEndoscopic Ultrasound490L Upper endoscopic ultrasound - base $418.00 D L492L Lower endoscopic ultrasound - base $251.00 D L495L Fine needle aspiration biopsy - one or more - add $83.50 D L496L Injection of one or more metastases, nodes, masses or celiac plexus-add $251.00 D L497L Drainage of pseudo cyst, one or more-add $334.00 D LPercutaneous gastrostomy under gastroscopiccontrol -- by two physicians-- endoscopic gastrostomy or jejunostomy443L -- 1st physician $297.00 * 0 L444L -- 2nd physician $199.00 * 0 L-- endoscopic gasterostomy and jejunostomy same day445L -- 1st physician $446.00 * 0 L446L -- 2nd physician $297.00 * 0 LPEG tube change447L External approach PEG tube removal -- external $39.60 * D Lvia gastroscope448L Colonoscopy -- base $319.00 * D L451L Dilatation of colonic anastamotic side -- add $96.40 * D449L Sigmoidoscopy (Flexible) - base code $111.00 * D L450L Sigmoidoscopy (Rigid) - base code $56.40 * D Lbiopsy - included in base code except:480L -- For inflammatory bowel disease $97.20 * D10 or more specimens -- add481L -- Barrett's esophagus -- 4 or more $49.40 * Dspecimens -- addPolypectomy (any G.I. Site) -- by loop,electrocautery, submucosal injection etc.482L -- 1st polyp -- add $99.00 * D483L -- 2nd to 5th polyp each (maximum of 5 total) -- add $75.30 * D484L Sclerotherapy by any thermal means (eg. heater or $96.40 * Dbicapprobe) or any injectable method (eg. Adrenalin,sclerosing solution) or by gluing -- add485L Dilatations -- all G.I. dilatations other than $96.40 * Doesophageal -- pylorus or anastomoticstricture etc. -- add486L Tattoo - any G.I. site -- add $49.40 * D487L Botox - any G.I. or bonchial site -- add $99.00 * D488L Foreign body removal - any G.I. site -- add $99.00 * DUsually complicated or difficult endoscopies by report.500L Endoscopic Retrograde Cholangiopancreatography $379.00 * D L-- baseincludes routine sweeps of common duct -- maximumprocedural billing per base code same day $800.00501L -- plus papillotomy/sphincterotomy -- add $145.00 * D-- with removal of common duct stones and sludge502L -- 1 to 4 stones and/or sludge add $96.40 * D503L -- with removal of 5 or more stones - (includes $194.00 * D1 to 4 stones) -- add504L -- with mechanical lithotripsy -- add $96.40 * D505L -- with brush cystology -- add $48.10 * D-- with Biliary or pancreatic duct balloon dilatations506L -- 1st add $96.40 * D507L -- 2nd add $48.10 * D-- with stenting (any type of stent) -- stent insertion508L -- 1st add $96.40 * D509L -- 2nd add $48.10 * D510L -- stent removal -- one or more add $48.10 * D511L -- stent removal and replacement -- add $96.40 * D512L -- with Brachytherapy catheter placement -- add $90.00 * D513L -- with nasobilary tube placement -- add $97.20 * DSMA FEE GUIDE - L17 - October 1, 2011