for uninsured services - Saskatchewan Medical Association

SECTION L:GENERAL SURGERYFee406L -- by means of sound or bougie -- add $121.00 * D407L -- Stenting with or without dilatation -- add $242.00 * DAnae408L Gastroduodenoscopy -- base $250.00 * D Lincludes oesophagoscopy409L Management of bleeding (varices, ulcers, GAVE $242.00 * DBanding, sclerotherapy, glue, endoloop, hemoclipsor other) - Any combination of above -- add412L Dilatation of pylorus -- add $117.00 * D410L Nasojejunostomy tube placement -- add $121.00 * D411L Extended enteroscopy -- add $242.00 * DEndoscopic Ultrasound490L Upper endoscopic ultrasound - base $500.00 D L492L Lower endoscopic ultrasound - base $300.00 D L495L Fine needle aspiration biopsy - one or more - add $100.00 D L496L Injection of one or more metastases, nodes, masses or celiac plexus-add $306.00 D L497L Drainage of pseudo cyst, one or more-add $400.00 D LPercutaneous gastrostomy under gastroscopiccontrol -- by two physicians-- endoscopic gastrostomy or jejunostomy443L -- 1st physician $362.00 * 0 L444L -- 2nd physician $242.00 * 0 L-- endoscopic gasterostomy and jejunostomy same day445L -- 1st physician $542.00 * 0 L446L -- 2nd physician $362.00 * 0 LPEG tube change447L External approach PEG tube removal -- external $48.20 * D Lvia gastroscope448L Colonoscopy -- base $388.00 * D L451L Dilatation of colonic anastamotic side -- add $117.00 * D449L Sigmoidoscopy (Flexible) - base code $135.00 * D L450L Sigmoidoscopy (Rigid) - base code $68.80 * D Lbiopsy - included in base code except:480L -- For inflammatory bowel disease $118.00 * D10 or more specimens -- add481L -- Barrett's esophagus -- 4 or more $60.20 * Dspecimens -- addPolypectomy (any G.I. Site) -- by loop,electrocautery, submucosal injection etc.482L -- 1st polyp -- add $121.00 * D483L -- 2nd to 5th polyp each (maximum of 5 total) -- add $91.60 * D484L Sclerotherapy by any thermal means (eg. heater or $117.00 * Dbicapprobe) or any injectable method (eg. Adrenalin,sclerosing solution) or by gluing -- add485L Dilatations -- all G.I. dilatations other than $117.00 * Doesophageal -- pylorus or anastomoticstricture etc. -- add486L Tattoo - any G.I. site -- add $60.20 * D487L Botox - any G.I. or bonchial site -- add $120.00 * D488L Foreign body removal - any G.I. site -- add $121.00 * DUsually complicated or difficult endoscopies by report.500L Endoscopic Retrograde Cholangiopancreatography $458.00 * D L-- baseincludes routine sweeps of common duct -- maximumprocedural billing per base code same day $800.00501L -- plus papillotomy/sphincterotomy -- add $175.00 * D-- with removal of common duct stones and sludge502L -- 1 to 4 stones and/or sludge add $117.00 * D503L -- with removal of 5 or more stones - (includes $234.00 * D1 to 4 stones) -- add504L -- with mechanical lithotripsy -- add $117.00 * DSMA FEE GUIDE - L17 - April 1, 2012