for uninsured services - Saskatchewan Medical Association

SECTION J:SURGICAL ASSISTANCESurgical AssistanceThe following procedures because of their complexity may require the services oftwo specialist surgeons (includes FCS physicians). Where the second surgeon'sinvolvement is more than routine assistance in the procedure, he/she may bill 1/3of the surgeon's payment or the standard assist codes, whichever is greater. Theservices considered for this billing option includes the list below:Codes for Optional Billing of 332J and 333J57KCraniotomy58KCerebellar or cerebral arteriovenous malformation or aneurysm excisionor obliteration65KExtra-axial brain tumor excision92K, 93K Lateral canthal advancements150KRemoval of spinal tumor or bone fragments175KDREZ procedures for intractable pain251KRemoval of intradural or intramedullary tumor253KMicrosurgical decompression of cranial nerves100L, 101L Thoracoscopic lung resection197T (30L, 31L, 33L)Composite resection of mandible and floor or mouth, partial or total maxillectomy149L, 150L, 153L, etc. Cardiac surgery (procedures requiring bypass 161L or 138L)169LFemoro-popliteal281L to 284LMicrovascular digital vessel revascularization188LAorto-carotid; aorto-axillary; aorto-coeliac; aorto-superiormesenteric; aorto-innominate; renal; thoracic or abdominal aorta298L, 299L, 320L Oesophagogastrectomy305LTotal gastrectomy324LBiliopancreatic bypass342L, 343L, 344L or 442L Laparoscopic colectomy352LAbdominoperineal resection358LLow anterior resection417LMajor liver resections420LPancreatectomy426LLaparoscopic Adrenalectomy428LLaparoscopic Extra-adrenal phaeochromocytoma or otherretroperitoneal tumor435LComplete block dissection of the neck439LRetroperitoneal lymphadenectomy462LFemoro-tibial or peroneal463LFemoro-pedal464LAxillo-axillary, axillo-femoral; carotid-subclavian; cross femoral;illo-femoral; subclavian-subclavian; other arteries of next orextremities469L, 470L, 471L, 472L, 473L, 474L Thromboendarterectomy (Independent Procedure) Femoral568L, 668L, 768L, 460L Bifurcation Grafts652LBental procedure790LAorto femoral -- unilateral with thromboendarterectomy of profundafemoris791LAorto femoral - bilateral with thromboendarterectomy of profunda femoris440NTransverse rectus abdominis myocutaneous flap for breast reconstruction500N to 506NMicrovascular Surgery71P, 72P Radical vulvectomy104PAbdominoscacrocolpopexy124PTotal vaginal hysterectomy125PRadical hysterectomy102RIleocystoplasty106RIleal conduit107R, 108R Ureterosigmoid anastamosis124RRadical prostatectomy136RLaparoscopic nephrectomy138RRadical nephrectomy142RIleal substitution of ureter95R, 96R, 97R Cystectomy304RRenal homotransplant - vascular surgeon193TTotal Laryngectomy197T, 30L, 31L Composite resection of mandible and floor of mouth, Partial ortotal maxillectomySMA FEE GUIDE - J3 - October 1, 2011