for uninsured services - Saskatchewan Medical Association

SECTION X:DIAGNOSTIC RADIOLOGYFee9X Special review of x-rays by Radiologist $140.00with written report to referringphysician(s) by reportClassification: Diagnostic1. A radiologist should only bill for a service where he has performed theprocedure personally or the technical component was performed byqualified staff for whom he assumes responsibility and provides dailysupervision.2. The billing for diagnostic x-rays of any one region includes payment fora sufficient number of films to establish a diagnosis in the average case.Payment includes the customary media and its administration, but notthe specialist clinic procedures listed in Section A of the PaymentSchedule for which an additional payment may be made.3. Multiple Diagnostic Procedures -- may be billed at 100 percent of the listedpayment for each procedure both from Section X and Section A.TechnicalTechnical Interpretation andComponent Component InterpretationHead100X Skull $59.00 $25.00 $84.00101X Nasal sinuses $57.50 $27.00 $84.50102X Mastoids $64.00 $32.00 $96.00103X Facial bones and/or zygoma $57.50 $28.50 $86.00104X Nasal bones $42.50 $14.50 $57.00105X Salivary duct $44.00 $26.00 $70.00106X Internal auditory meati $58.00 $21.50 $79.50107X Mandible $52.00 $20.00 $72.00108X Temporomandibular joints $57.50 $24.00 $81.50109X Eye (without localization) $49.00 $23.00 $72.00110X Sella turcica $43.50 $21.50 $65.00120X Pantomography - not insured for $38.00 $25.50 $63.50routine dental careTeeth121X -- isolated area $11.60 $9.60 $21.20122X -- quarter set $20.00 $11.40 $31.40123X -- half set $24.60 $13.90 $38.50124X -- full set $37.60 $20.80 $58.40125X Eye -- Sweet (or equivalent) $69.50 $42.50 $112.00localization for foreign body ineye or orbitSMA FEE GUIDE - X1 - April 1, 2012