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for uninsured services - Saskatchewan Medical Association

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SECTION S:OPHTHALMOLOGYFee680S Infrared pupillography -- bilateral $41.60 D681S Eye movement videography/ $41.60 Dphotography -- bilateral682S Quantification of relative afferent $41.60 Dpupillary defect with neural densityfilters -- bilateral683S Diagnostic pupillary drop $52.00 Dtesting -- bilateralCodes 680S to 683S are only billable by physicianswith approved neuro-ophthalmology training.AnaeEyelids60S Abscess -- incision $44.60 * 0 L62S Blepharoplasty -- Excision of skin $246.10 10 Land/or muscleInsured if interference with visual axis by preauthorization(see Cosmetic Surgery Protocol - Section N).If accompanied by orbital septal herniationuse 276N. Blepharoplasty of lower lid 277Nbilled only when orbital fat/orbital septalpathology due to endocrine or other diseaseor ophthalmological confirmation of interferencewith bifocal lens.Ptosis repair includes associated blepharoplasty.63S Chalazion -- removal $120.00 * 10 L64S -- under general anaesthetic or IV sedation $240.00 * 10 L(includes post-op recovery)65S Cauterization -- lid $40.00 * 0 LTrichiasis66S Epilation -- unilateral $44.00 * 0 L431S Electrolysis -- unilateral $62.10 * 10 L432S Cryotherapy -- unilateral $119.00 10 LDistrichiasis436S Permanent repair -- per lid $492.20 42 L67S Ziegler puncture $58.90 * 10 LTarsorrhaphy68S -- temporary or reversal $130.00 10 L69S -- permanent -- double adhesion $320.00 42 LEctropion80S -- surgical repair $640.00 42 LEntropion81S -- surgical repair $640.00 42 LPtosis75S -- simple repair $800.00 42 L439S -- complicated repair with graded $196.90 42 Ltarsomeuller resection, add440S -- with fascia lata sling, add $196.90 42 LSASKATCHEWAN MEDICAL ASSOCIATIONGUIDE TO FEES - S4 - April 1, 2012

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