for uninsured services - Saskatchewan Medical Association

SECTION P:OBSTETRICS/GYNAECOLOGYAlso if during the course of labour the attending physician has tocall another physician who may be a general practitioner in the sameclinic to deliver his patient by caesarian section because the referringphysician does not have surgical privileges, then he may bill undercode 42P. He will also be paid for surgical assistant services atcaesarian section if provided.3. When the patient is referred for a caesarian section the surgeon isresponsible for post-operative care.4. Payment for "vaginal delivery" includes the following services by thesame physician, a general practitioner in the same clinic, or aspecialist in the same speciality and clinic:(a) medical and surgical induction except for code 47P;(b) the treatment of false labour and primary uterine inertia duringthe two days prior to delivery;(c) the management of labour; no visit service or hospital care ispayable for a patient in normal labour. This is included in the compositevaginal delivery fee.(d) hypnotherapy;(e) vaginal delivery (including version--internal or external, use of forcepsrepair of lacerated cervix, repair of vaginal and first and second degreeperineal lacerations and /or pudendal block or other infiltration orregional anaeasthesia, repair of episiotomy);(f) services for the control of haemorrage within 24 hours of delivery;(g) visit (including hospital care) or consultation services during thepatient's stay in hospital following delivery.5. Out of hours service premiums in Section A.6. To support and encourage family physicians to remain or becomeinvolved in obstetrics, a bonus of 25% will be paid in each fiscal(beginning April 1 of each year) on the first 25 Vaginal Delivery (41P)or Continuing Care at Delivery (42P) services provided by a familyphysician. The bonus will be paid automatically in a claim runfollowing the end of each quarter as an adjustment to 41P or 42P.Physicians are encouraged to submit claims for 41P and 42P in atimely manner to ensure that they receive the bonus payment towhich they are entitled.Fee42P Continuing care provided by the attending $1,160.00 *physician during the course of labour priorto calling a consultant to deliver the patientand including post-natal care in hospital whenprovided.This service code is applicable onlyif during the course of labour and after asubstantial amount of time has lapsed becauseof complications, e.g., foetal distress,failure to progress, the attending physicianfinds it necessary to call a consultant todeliver the patient; please indicate on theclaim the name of the consultant to whom thecase was referredVaginal delivery and post-natal care inhospital40P -- specialist $1,160.0041P -- general practitioner $1,160.00241P Delivery of stillborn (claim only where a $1,158.00 *foetus was a minimum of 500 gramsand/or had reached 20 weeks gestation)Multiple pregnancy44P -- each additional child $280.00 *SMA FEE GUIDE - P2 - April 1, 2012