for uninsured services - Saskatchewan Medical Association

SECTION L:GENERAL SURGERYVisitsWhen 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 must be accompaniedby a detailed explanation of the circumstances and theservices provided. Payment will be assessed on the basisof the explanation. These claims must be submitted onclaim forms.(c) Out of Hours Premiums see -- A36.Fee5L Initial Assessment $113.00-- of a specific condition includes: pertinentfamily history, patient history, history ofpresenting complaint, functional enquiry,examination of affected part(s) or system(s),diagnosis assessment, necessary treatment,advice to the patient and record of service providedAnae7L Follow-up Assessment $68.80 *-- includes: history review, functional enquiry,examination, reassessment, necessarytreatment, advice to the patient and record of service providedGeneral, Thoracic and Vascular9L Surgery Consultation $216.00-- includes all visits necessary, history andexamination, review of laboratory and/or other dataand written submission of the consultant's opinionand recommendations to the referring doctor10L Cardiac Surgery Consultation $294.00(only payable to physicians with approvedtraining in cardiace surgery) -- includes allvisits necessary, history and examination,review of laboratory and/or other data andwritten submission of the consultant's opinionand recommendations to the referring doctor11L -- repeat $107.0013L Written advice to referring physician on the $56.00management of a case based upon review ofdiagnostic imaging (payable once per case only)Hospital Care(Payable on day of admission)25L -- first 10 days, per day $50.40 *26L -- 11-20 days, per day $50.40 *27L -- 21-30 days, per day $22.80 *28L -- thereafter, per day $22.80 *Note: for hospital discharge by physician,see code 725A, page A28ProceduresAdditional payments for diagnostic serviceexcluding ECG's, 0, 10 or 42 day operativeprocedures performed on patients under one (1) yearof age are automatically calculated and paid asexplained in Section A, pages A34 and A35.SMA FEE GUIDE - L1 - April 1, 2012