for uninsured services - Saskatchewan Medical Association

SECTION A.4:GENERAL SERVICESFee184A -- outpatient TPN supervision not payable with visit $25.70 *(max 2 per week)Botox InjectionsBotox fees below are intended for use in the relief of symptomsresulting from dystonias and other neuromuscular spasticityproblems and hyhidrosis.Entitlement to bill botulinum toxin injection codes is limited toOphthalmologists, Otolaryngologists, Orthopaedic Surgeons, Physiatrists,Internists, Neurologists, Plastic Surgeons, General Surgeons, Urologists,Gynaecologists and Anaesthetists. Others with appropriate trainingexperience may apply to the Saskatchewan Medical Association TariffCommittee for entitlement.Only one code from the Botox schedule is billable per patientcontact. Botox injections include any EMG control and additionalinjections within 42 days.190A Blepharospasm $304.00191A Hemifacial spasm $304.00192A Extraocular muscle(s) for strabismus or spastic $362.00dysphonia -- one or more muscles -- unilateralor bilateral (previously 473S)193A Multiple muscle -- bilateral $404.00194A Multiple muscle -- unilateral $304.00195A Single muscle -- bilateral $152.00196A Single muscle -- unilateral $101.00197A Rectal spasm, anal fissure $101.00Endoscopy for achalasia etc. -- see endoscopic codes - Section L.198A Hyperhidrosis -- per side (left or right armpit) - to $185.00intiate billing, two physicians must have diagnosed thepatient with hyperhidrosis (e.g. referring physician andconsultant, or two family physicians with the secondphysician confirming the diagnosis)199A Botox Injection of Detrusor Muscle via cystoscopy $304.00for neurogenic or non-neurogenic overactive bladderSpecimen collection and referral -- to be sent fora special test, when it is the only charge madeUrine204A Collection and referral of specimen(s) $9.20 *Blood205A Collection and referral of specimen(s) $9.20 *Other206A Collection and referral of specimen(s) $9.20 *Bone Marrow207A -- aspiration $76.70 *208A -- aspiration and needle biopsy $120.00 *209A -- interpretation $64.20 *210A Examination of blood smear and written $40.10clinical report -- by internist or paediatricianwith special training in haematologySMA FEE GUIDE- A26 -October 1, 2011