for uninsured services - Saskatchewan Medical Association

SECTION N:PLASTIC SURGERYFeeAnae261N -- scalp, arms and legs $406.60 42 L262N -- forehead, cheeks, chin, mouth, $500.00 42 Lneck, axilla, genitalia, feet or hands263N -- eyelids, nose, ears and lips $608.80 42 LDefect 7-19 square cm.264N -- trunk $500.00 42 L265N -- scalp, arms and legs $550.00 42 L266N -- forehead, cheeks, chin, mouth, $700.00 42 Lneck, axilla, genitalia, hands or feet267N -- eyelids, ears, nose and lips $750.00 42 L268N More than 19 square cm. -- unusual or $1,000.00 42 Lcomplicated, by reportSyndactly371N -- release with flaps $650.00 42 L372N -- release with flaps and skin grafts $1,000.00 42 LLymphoedema excisionMinor excision -- use codes 260N - 268N659N -- major excision and grafting By Report 42 MEyelids -- full thicknessExcision and RepairBy advancement flaps270N -- up to 1/4 of eyelid margin $528.60 42 L271N -- over 1/4 of eyelid margin $621.70 42 LBy transfer flaps of tarso conjunctiva fromopposing eyelid272N -- up to 2/3 of eyelid $621.70 42 L-- total eyelid 1 or more stages273N -- lower lid $843.20 42 L274N -- upper lid $953.40 42 LBlepharoplasty with repair of orbitalseptal hernia -- unilateral276N -- upper lid $725.50 42 L277N -- lower lid $756.50 42 LTransplantation of Tissues Other than Skin281N Mucous membrane graft $356.00 42 L283N Fascia grafts for facial nerve paralysis $900.00 42 L285N Slings for ptosis $738.30 42 L286N Cartilage -- autogenous transplant $843.20 42 LBone -- autogenous transplant287N -- nose, chin, orbit, forehead $1,261.50 42 MAbrasive SurgeryFacial resurfacing - total face for removalof scars, etc.290N mechanical -- primary $751.10 42 L291N mechanical -- secondary $344.50 42 L492N laser - laser owned by physician $104.00 * 10 L-- first 15 minute session493N laser - each subsequent 15 minutes to a $51.80 * 10 Lmaximum of 10Regional -- cheeks, chin, forehead orelsewhere (any method including laser)292N -- primary $196.90 42 L293N -- secondary $93.10 42 LSMA FEE GUIDE - N5 - April 1, 2012