for uninsured services - Saskatchewan Medical Association
for uninsured services - Saskatchewan Medical Association
for uninsured services - Saskatchewan Medical Association
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SECTION B:GENERAL PRACTICEGeneral Practice VisitsFeeVisit age supplement <strong>for</strong> patients 55 years ofage and older:1. These supplements provide the physician withincreased compensation when providing aneligible visit service <strong>for</strong> a patient over 54 years of age.2. Eligible visit <strong>services</strong> include codes 3B, 5B, 9B,11B and 15B. Any other <strong>services</strong> are not eligible <strong>for</strong>this supplement.100B <strong>for</strong> patients 55 to 64 years of age 15 percent101B <strong>for</strong> patients 65 to 74 years of age 25 percent102B <strong>for</strong> patients 75 years of age and older 35 percentNOTE: General Practice Age Supplements arebased on the value of the visit excluding otherpremiums and surcharges.3B Complete assessment $130.00-- includes: pertinent family history, patienthistory, history of presenting complaint, functionalenquiry, examination of all parts and systems,assessment, diagnosis, necessary treatment,advice to patient and record of service provided5B Partial assessment or subsequent visit $66.40--includes: history review, history of presentingcomplaint, functional enquiry, examination ofaffected part(s) or system(s), assessment, diagnosis,necessary treatment, advice to the patient and recordof service provided4B Well baby care in office $71.40-- refers to the periodic office visits during thefirst year of life of a healthy infant andincludes the necessary weights andmeasurements, examination and instruction tothe parent regarding health care8B Pre-natal visit after the first visit <strong>for</strong> maternity care $71.40or post-natal office visit9B Consultation $143.00-- includes all visits necessary, history andexamination, review of laboratory and/or otherdata and written submission of the consultant'sopinion and recommendations to the referringdoctor11B -- repeat consultation $71.4015B Pre-operative assessment $131.00-- includes: pertinent family and socialhistory, patient history, functional enquiry,examination of all relevant parts and systems,completion of required <strong>for</strong>ms and advice tothe patient as necessary (payable only tophysicians other than the attendingsurgeon)Where this service is provided by the samephysician within 30 days of a completeassessment it should be billed as a partialassessment.SMA FEE GUIDE - B1 - April 1, 2012