for uninsured services - Saskatchewan Medical Association

SECTION V:LABORATORY MEDICINELaboratory MedicineLaboratory services in lists 1, 2 and 3, provided outside of a hospital orany other facility in which laboratory costs are funded by the SaskatchewanHealth, Regional Accountability Branch are insured as defined in the lists:PhysicianPayment Approved ForPathologist Lists 1, 2, 3Physician with a registeredLaboratory Technician Lists 1, 2Other Physicians Lists 1"Pathologist" -- means a specialist whose name appears on the list ofspecialists maintained by the College of Physicians and Surgeons ofthe Province of Saskatchewan as being a pathologist.List 1Classification: DiagnosticFee14V HAEMOGLOBIN $8.6015V HAEMATOCRIT or PCV $7.0031V BLOOD SUGAR -- diagnostic stick --whole blood $7.0032V BLOOD SUGAR -- serum -- machine read (when done on an $9.20Ames seralyzer or a similar machine)59V URINALYSIS -- dipstick $7.4060V URINALYSIS -- complete -- dipstick and microscopic $9.2062V TEST FOR PREGNANCY -- any method $17.2070V EXAMINATION OF SLIDE FOR TRICHOMAS, $9.20YEAST, SCALES(Lab Licence not required to perform this service.)80V OCCULT BLOOD $9.2090V MICROALBUMIN TESTING max one per year per $15.00patient (for diabetic patients with negative albumin only)urine dipstickNote:Tests performed on the Ames Glucometer or similar equipmentproviding blood surgar readings on whole blood should be billedas service code 31V Blood sugar -- diagnostic stick, not as 32V.List 2Classification: DiagnosticThe following services are insured when provided by a physician or bya registered laboratory technologist or a certified combined laboratoryand x-ray technician in a medical laboratory which holds a Category IIlicence issued pursuant to The Medical Laboratory Licensing Act .A Category II laboratory must employ a registered laboratory technologistor certified combined laboratory and x-ray technician.Fee12V BLOOD PROFILE (includes Hb, WBC, Smear and Differential) $20.40(not to be used when any portion of the result is obtained bythe use of automated or semi-automated analyzers)14V HAEMOGLOBIN $8.6015V HAEMATOCRIT OR PCV $7.0017V SEDIMENTATION RATE (ESR) $7.0018V SMEAR WITH DIFFERENTIAL COUNT $9.8019V WHITE BLOOD CELL COUNT $6.00904V AUTOMATED OR SEMI-AUTOMATED HAEMATOLOGY $17.80PROFILE, COUNTS and INDICIES(includes haemoglobin, RBC, WBC, haematocrit, MCH,MCHC, and MCV, when performed)27V BLOOD UREA NITROGEN -- SERUM -- machine read $6.20(when done on an Ames seralyzer or a similar machine)SMA FEE GUIDE - V1 - April 1, 2012