for uninsured services - Saskatchewan Medical Association

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SECTION M:ORTHOPAEDIC SURGERYWhen the words 'Fee for Service' or 'By Report' are shownrather than a specific rate of payment, the followingapplies:(a) Fee For Service-- means services are to be biled onthe basis of individual appropriate visit or procedureitems included in the Payment Schedule, at the listedamount, and are subject to the Assesment Rules.(b) By Report -- Means that the claim form must beaccompanied by a detailed explanation of the circumstancesand the services provided. Payment will be assessed on thebasis of the explanation. These claims must be submittedon claim forms.(c) For out of hours premiums see Section A.VisitsFee5M Initial assessment $79.20-- of a specific condition includes:pertinent family history, patienthistory, history of presentingcomplaint, functional enquiry,examination of affected part(s) orsystem(s), diagnosis, assessment,necessary treatment, advice to the patientand record of service provided7M Follow-up assessment $63.50 *-- includes: history review, functionalenquiry, examination, reassessment,necessary treatment, advice to the patient andrecord of service provided9M Consultation $145.00-- includes all visits necessary, historyand examination, review of laboratoryand/or other data and writtensubmission of the consultant'sopinion and recommendations tothe referring doctor10M -- consultation for patients referred for $130.00back pain only11M -- repeat $73.8013M Written advice to referring physician on the $83.50management of a case based upon review ofx-rays by Orthopaedic Surgeon (billableonce per case only)Hospital Care(Payable on day of admission)25M -- first 10 days, per day $40.70 *26M -- 11-20 days, per day $36.70 *27M -- 21-30 days, per day $16.70 *28M -- thereafter, per day $16.70 *Note: for hospital discharge by physician,see code 725A, Section A.SMA FEE GUIDE -M1 - October 1, 2011
SECTION MORTHOPAEDIC SURGERYClassification of Bones for Payment Purposes:Long Short Major Minor Large SmallClavicle x x xHumerus x x xRadius x x xUlna x x xFemur x x xTibia x x xFibula x x xPatella x xMandible x xFacial Bones x xScapula x xPelvis x xVertebra x xOs Calcis x xTalus x xOther TarsalBones x xCarpal Bones x xMetacarpals x x xMetatarsals x x xPhalanges x x xSMA FEE GUIDE - M 2 - October 1, 2011
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SMA Fee Guide (for uninsured servic
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INTRODUCTION / PREAMBLEAn understan
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INTRODUCTION / PREAMBLE8. Classific
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INTRODUCTION / PREAMBLERequests fro
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INTRODUCTION / PREAMBLEa) Keep Pati
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SECTION A1:UNINSURED SERVICESIICHAR
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SECTION A1:UNINSURED SERVICESIIIRES
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SECTION A1:UNINSURED SERVICESIVMEDI
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SECTION A2:THIRD PARTY SERVICES AT
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SECTION A.4:GENERAL SERVICESProcedu
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SECTION A.4:GENERAL SERVICESFeeSpec
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SECTION A.4:GENERAL SERVICESFee184A
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SECTION A.4:GENERAL SERVICESFeeDopp
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SECTION A.4:GENERAL SERVICESIndirec
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SECTION A.4:GENERAL SERVICESthe sur
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SECTION A.4:GENERAL SERVICESFee626A
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SECTION A.4:GENERAL SERVICES(g) oth
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SECTION A.4:GENERAL SERVICESFeeRemo
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SECTION A.4:should keep appropriate
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SECTION B:GENERAL PRACTICEFeeHospit
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SECTION B:GENERAL PRACTICEEmergency
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SECTION C:PAEDIATRICSProceduresAddi
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SECTION D:INTERNAL MEDICINEVisits F
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SECTION D:INTERNAL MEDICINEFee141D
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SECTION D:INTERNAL MEDICINEFeeEvoke
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SECTION D:INTERNAL MEDICINEFee284D
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SECTION E:PSYCHIATRYFee62E Examinat
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SECTION E:PSYCHIATRYPsychotherapyPs
Page 70 and 71: SECTION F:DERMATOLOGYVisitsFee5F In
Page 72 and 73: SECTION F:DERMATOLOGYFeeIntralesion
Page 74 and 75: SECTION G:MEDICAL GENETICS^FeeCouns
Page 76 and 77: SECTION H:ANAESTHESIA"Standby" foll
Page 78 and 79: SECTION H:ANAESTHESIAANAESTHESIA CA
Page 80 and 81: SECTION H:ANAESTHESIA- Hysterosocpi
Page 82 and 83: SECTION H:ANAESTHESIAFee132H Lumbar
Page 84 and 85: SECTION H:ANAESTHESIA4. If Ventilat
Page 86 and 87: SECTION H:ANAESTHESIALess Intensive
Page 88 and 89: SECTION I:CARDIOLOGYFee105I Full el
Page 90 and 91: SECTION J:SURGICAL ASSISTANCEof ope
Page 92 and 93: SECTION K:NEUROSURGERYVisits Fee An
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Page 96 and 97: SECTION K:NEUROSURGERYFeeAnae211K T
Page 98 and 99: SECTION K:NEUROSURGERYFeeAnaeFusion
Page 100 and 101: SECTION K:NEUROSURGERYFeeAnae645K P
Page 103 and 104: SECTION L:GENERAL SURGERYFeeAnaeHea
Page 105 and 106: SECTION L:GENERAL SURGERYFeeAnae120
Page 107 and 108: SECTION L:GENERAL SURGERYFeePeriton
Page 111 and 112: SECTION L:GENERAL SURGERYFeeAnaeRup
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Page 123 and 124: SECTION M:ORTHOPAEDIC SURGERYFeeAna
Page 125 and 126: SECTION M:ORTHOPAEDIC SURGERY2. Unl
Page 135 and 136: SECTION M:ORTHOPAEDIC SURGERYmuscul
Page 137 and 138: SECTION N:PLASTIC SURGERYVisits Fee
Page 139 and 140: SECTION N:PLASTIC SURGERY5. Abdomin
Page 141 and 142: SECTION N:PLASTIC SURGERYFeeAnae261
Page 143 and 144: SECTION N:PLASTIC SURGERYFeeAnae344
Page 145 and 146: SECTION N:PLASTIC SURGERYFeeAnaeEsc
Page 147 and 148: SECTION P:OBSTETRICS/GYNAECOLOGYVis
Page 149 and 150: SECTION P:OBSTETRICS/GYNAECOLOGYFee
Page 155 and 156: SECTION Q:NEUROLOGYVisitsFee3Q Comp
Page 157 and 158: SECTION Q:NEUROLOGYFee150Q Certific
Page 159 and 160: SECTION R:UROLOGICAL SURGERYProcedu
Page 161 and 162: SECTION R:UROLOGICAL SURGERYFeeAnae
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Page 165 and 166: SECTION R:UROLOGICAL SURGERYFee308R
Page 167 and 168: SECTION S:OPHTHALMOLOGYmuscles; con
Page 169 and 170: SECTION S:OPHTHALMOLOGYFee680S Infr
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SECTION S:OPHTHALMOLOGYFeeAnae52S D
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SECTION S:OPHTHALMOLOGYFeeAnaeSynec
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SECTION S:OPHTHALMOLOGYFeeAnae491S
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SECTION S:OPHTHALMOLOGYFeesAnae755S
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SECTION T:OTOLARYNGOLOGYFee430T Scr
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SECTION T:OTOLARYNGOLOGYFeeAnae292T
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SECTION T:OTOLARYNGOLOGYFeeAnae275T
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SECTION V:LABORATORY MEDICINEFee29V
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SECTION V:LABORATORY MEDICINESpecia
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SECTION V:LABORATORY MEDICINESpecia
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SECTION W:DIAGNOSTIC ULTRASOUNDMult
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SECTION X:DIAGNOSTIC RADIOLOGYFee9X
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SECTION X:DIAGNOSTIC RADIOLOGYTechn
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SECTION X:DIAGNOSTIC RADIOLOGYTechn
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SECTION X:DIAGNOSTIC RADIOLOGYSpeci
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SECTION X:DIAGNOSTIC RADIOLOGYFeeTh
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SECTION Z:NUCLEAR MEDICINEThis sect
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SECTION Z:NUCLEAR MEDICINETechnical
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Hand Surgery AppendixFeeAnaeCodeNer
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