for uninsured services - Saskatchewan Medical Association

SECTION L:GENERAL SURGERYFeePeritoneal Dialysis667L Chronic dialysis catheter -- insertion $444.00 * 0669L -- removal $292.00 * 0670L Acute dialysis catheter insertion $154.00 0includes first 24 hours of dialysis671L Externalization of buried chronic peritoneal $291.00 0dialysis catheterAnaeArteries159L Biopsy of artery $280.00 * 10 L181L Ligation of carotid artery $520.00 42 H184L Exploration of peripheral artery $364.00 42 M187L Coarctation of aorta repair $1,846.00 42 HBypass Graft (Occlusive Disease or Aneurysm)769L is billable in addition for harvesting oflong saphenous - 770L is billable if in situsaphenous vein preparation769L Harvesting long saphenous vein $276.00 42for use in peripheral vascularsurgery, add770L In situ saphenous vein preparation, add $546.00 42Bifurcation Grafts^568L Aorto-iliac - unilateral or bilateral $2,808.00 42 H668L Aorto-unifemoral $2,719.90 42 H768L Aorto-bifemoral $2,935.00 42 H460L Juxta-renal aortobifemoral $3,850.00 42 H461L Ilio-femoral obturator $1,960.00 42 H^ Includes thromboendarterectomyand/or embolectomy191L Ruptured aortic aneurysm $640.00 42 H(add to surgical procedure)Peripheral Artery169L Femoro-popliteal $1,500.00 42 H462L Femoro-tibial or peroneal $1,966.00 42 H463L Femoro-pedal $2,246.00 42 H464L Axillo - axillary, axillo-femoral; $1,696.00 42 Hcarotid-subclavian; cross femoral;ilio-femoral; subclavian-subclavian;other arteries of neck or extremitiesThoracic or abdominal aorta188L Aorto-carotid; aorto-axillary; aorto-coeliac; $2,670.00 42 Haorto-superior mesenteric; aorto-innominate;renal; thoracic or abdominal aorta189L Reimplantation of each major branch, add $374.00 42 H174L -- intra-operative arteriogram, add $159.00 * DComplication of GraftsRepeat graft - within 42 days - 75%- after 42 days - 150%Bypass graft with thromboendarterectomy.A thromboendarterectomy at site of a regulararterial bypass is included in the compositefee. However, where thromboendarterectomyof extensive atherosclerosis of profundafemoris artery is carried out in additionto aorto uni or bifemoral graft the followingshould be claimed by report.790L Aorto femoral - unilateral with $3,788.00 42 Hthromboendarterectomy ofprofunda femorisSMA FEE GUIDE - L6 - April 1, 2012