for uninsured services - Saskatchewan Medical Association

SECTION K:NEUROSURGERYFeeAnae211K Transthoracic exposure of lower cervical $698.00 42 Mor thoracic spine for neurosurgicalprocedure212K Transphenoidal exposure of pituitary $1,503.00 42 Mfor hypophysectomyNote: Standby time is billable as 50J for theperiod of time between the completion ofopening and the start of the closure.Example: if procedure is 3.5 hours inentirety and- opening and closure combined takes1 hour- standby is then 2.5 hoursThe total billing would be the appropriateK code (210K, 211K or 214K) and ten 15minute units of 50J.Codes 210K to 212K are exempt from themultiple surgery rules.Deep Brain Electrode for Movement Disorders235K Installation of deep brain electrode $2,505.00 42 H236K - add - Micro-electrode recording and stimulation $835.00 42 H237K - add - Internalization of deep brain electrode using single $418.00 42 Hchannel IPG238K - add - Internalization of deep brain implant using dual $668.00 42 Hchannel IPG or pulse generatorNeuromodulation Clinic ServicesClinic supervision, patient monitoring andadjustment of stimulation paramaters, drugdose and/or drug mix, includes advice tothe patient, either directly or indirectlythrough the neuromodulation nurse.278K Patient -- not seen $47.30279K Patient -- seen $69.80 0(Visit fee payable if patient reviewed for acondition unrelated to neuromodulationdevice function).SPINE SURGERYAnterior DecompressionCervical500K Odontoidectomy $2,505.00 42 H501K -- exposure by separate surgeon $2,088.00 42 H502K -- exposure by preimary surgeon -- add $585.00 42503K Discectomy -- 1 level $1,698.00 42 M504K -- each additiona level -- add $473.00 42505K Vertebrectomy -- includes adjacent discs $2,737.00 42 H506K -- each additiona level -- add $473.00 42SMA FEE GUIDE - K5 - October 1, 2011