for uninsured services - Saskatchewan Medical Association

SECTION L:GENERAL SURGERYFeeAnaeVEINSPortacath, infusaport, hemocath,Hickman-Broviac for chemotherapyor long-term T.P.N.657L -- insertion $462.00 10957L -- if second incision, add $157.00658L -- remove and replace $666.00 10659L -- remove or revise, same site $276.00 * 0730L Intravascular thrombolysis attendance $922.00 10 Land standby158L Transvenous insertion of intra atrial $154.00 0 Lpediatric feeding catheter458L Insertion of vena-cava filter $576.00 42 L160L I.V. cutdown $70.20 * 0 L231L Insertion of Leveen/Denver shunt $1,744.00 42 H182L Ligation or plication of iliac, $1,046.00 42 Hor inferior vena cava183L Ligation of femoral vein $524.00 42 M162L Venous shunt - portocaval, splenorenal, $2,590.50 42 Hmesocava186L Transthoracic ligation of oesophageal $1,390.00 42veinsVenous Thrombectomy166L -- trunk $1,056.00 42 H459L -- vena cava - tumor thrombus $1,730.00 42 H167L -- extremity - deep vein $814.00 42 MRepair of Wounds^Major Artery or VeinTrunk175L -- suture $1,244.00 42 H176L -- graft $2,066.00 42 HMajor Artery -- Extremity or Neck177L -- suture $836.00 42 M178L -- graft $1,324.00 42 MMajor Vein -- Extremity or Neck179L -- suture $508.00 42 L180L -- graft $954.00 42 L^ If saphenous vein graft add 769L. Unlisted or unusually complicated -- by reportDigital Vessel RevascularizationMicrovascular or loupe magnification revascularizationof a digital vessel as part of a wound repair281L Revascularization -- arterial $1,300.00 42 H282L Revascularization -- arterial -- with vein graft $1,500.00 42 H283L Revascularization -- venous $1,300.00 42 H284L Revascularization -- venous -- with vein graft $1,500.00 42 HCodes 281L to 284L only apply when provided by a recognizedmicrovascular unit. Each individual code is billable once peranatomical site. The 75% rule will apply where all attempts torevascularize fail.Renal660L Haemodialysis - cutdown artery $83.60 0and vein661L Schribner or similar shunt, $362.00 42initial or repeat662L A/V fistula for dialysis $696.00 42663L Arterial venous fistula with $1,064.00 42graft -- prosthetic or venous(includes harvesting of vein)666L Ligation of fistula $400.00 0SMA FEE GUIDE - L5 - April 1, 2012