for uninsured services - Saskatchewan Medical Association

SECTION N:PLASTIC SURGERYVisits Fee Anae5N 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 provided7N Follow-up Assessment $63.50 *-- includes: history review, functionalenquiry, examination, reassessment,necessary treatment, advice to the patientand record of service provided9N Consultation $147.00-- includes all visits necessary, historyand examination, review of laboratoryand/or other data and writtensubmission of the consultant'sopinion and recommendations to thereferring doctor11N -- repeat $75.2013N Written advice to referring physician on $75.20the management of a case based uponreview of x-rays by Plastic Surgeon(payable once per case only)Hospital Care(Payable on day of admission)25N -- first 10 days, per day $50.10 *26N -- 11-20 days, per day $41.80 *27N -- 21-30 days, per day $16.70 *28N -- thereafter, per day $16.70 *Note: for hospital discharge by physician,see code 725A, page A28For out of hours surgery premiums - see page A36SURGERY OF APPEARANCEPREAMBLESurgery to restore or improve function altered by disease, trauma or congenitaldeformity is insured.Surgery to alter appearance is insured for certain facial and nonfacialabnormalities due to disease, trauma or congenital defect as listed below.Specific criteria for insurability in the most common conditions are outlined below.Face and Neck1. Revision of scars due to trauma, disease, or surgery is insured. Revisionof scars resulting from cosmetic surgery is insured only in the caseof post-operative complications.SMA FEE GUIDE - N1 - October 1, 2011