for uninsured services - Saskatchewan Medical Association

SECTION N:PLASTIC SURGERY5. Abdominoplasty is insured if an apron persists following weight loss tonormal levels after treatment of morbid obesity by gastroplasty,intestinal bypass surgery, or strict dietary control.Abdominoplasty is also insured when the apron causes back pain,intertrigo, problems with locomotion, or significant posture changes.Abdominoplasty is also insured when the abdominal wall musculaturehas been significantly comprised following surgery, trauma, or obstetricalcomplication.Panniculectomy (removal of fat only) is insured only in the abovecircumstances and when the abdominal musculature is not altered.6. Non-abdominal lipectomy (batwing deformity of arms and thighs) isinsured under the same criteria set down for abdominoplasty.7. Spider vein (telangiectasia) treatment by injection, excision, thermalablation, or laser therapy is not insured. Treatment of symptomaticvaricose veins is insured.8. Sex reassignment surgery is insured only if performed on patients whohave currently completed the Gender Identity Clinic program of theClarke Institute and for whom surgery has been recommended.Procedures Fee AnaeAdditional payments for diagnostic serviceexcluding ECG's, 0, 10 or 42 day operativeprocedures performed on patients under one (1) yearof age are automatically calculated and paidas explained in Section A, pages A34 and A35.32N Removal of interdental and/or intermaxillary $81.30 * 0 Lwiring and/or arch barGRAFTS -- Multiple areas -- service codes 228Nto 244N plus 280N are eligible for payment at100% of the listed payment when performed ondifferent areas.Transplantation of SkinNon-functional Area229N Split graft to cover minimal open area up $125.00 * 10 Lto defect of 6 square cm. (exception face)230N Defects up to 65 square cm. onlay -- $232.00 42 Lmeticulous operative fixation not required231N Defects up to 194 square cm. (trunk, $460.00 42 Larms, legs) onlay type of graft --meticulous fixation not required232N Defects of a sectional nature (thighs, $621.70 42 Llower leg, forearm) onlay type of graft --meticulous fixation not required233N -- multiple defects as in severe burns, onlay $904.20 42 Mtype of graft, donor site (usually completecircumference of one limb or minimum ofthree drums of skin)Defects (trunk, arms, legs) -- resection oftissue, meticulous suture technique,multiple tie overs and other fixation228N -- less than 26 square cm. $524.30 10 L234N -- 26 to 103 square cm. $1,058.20 42 L235N -- more than 103 square cm. $879.50 42 MSMA FEE GUIDE - N3 - April 1, 2012