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for uninsured services - Saskatchewan Medical Association

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SECTION D:INTERNAL MEDICINEFee AnaePulmonary264D Spirometry - FVC, FEV1, FEV1/FVE x 100, MMFR $55.00 * D(FEF25-75), V. maximum 50V. maximum 25. Best ofthree ef<strong>for</strong>ts according to ATS standards with orwithout flow volume curves. Not paid with PeakFlow Meters265D Repeat after bronchodilators $33.00 * DMeasurement of subdivisions of lungvolumes - TLC, FRC, VC, RV, TLV266D -- Professional component $65.20 D267D -- Technical component $51.20 DLung diffusing capacity DLco with or withoutbronchodilators at rest and after exercise each268D -- Professional component $65.20 D269D -- Technical component $48.20 DFull pulmonary function studies(including codes 264D, 265D, 266D and 268D)69D -- Professional component $167.00 D271D -- Technical component (including 267D and 269D) $97.40 D(If instruments owned and staff employed by physician)Maximum billable <strong>for</strong> any combination of abovenon-technical tests (pulmonary) is not toexceed listed fee <strong>for</strong> 69D.)272D Hyperbaric medicine - interpretation of tissue $40.00 * Doxygen concentrations/saturations to assesscandidates <strong>for</strong> hyperbaric oxygen therapy280D Overnight oximetry (not payable with $55.60 * Dpolysomnography)Airways resistance or conductance by body box400D -- Professional component $26.80 D401D -- Technical component $44.90 DMaximum expiratory and inspiratory pressures402D -- Professional component $33.60 DPulmonary compliance70D -- Professional component $66.30 DStatic pressure volume curve withesophageal balloon - pulmonary compliance71D Professional component $93.10 DSingle breath nitrogen curves75D -- Professional component $26.80 DHistamine-Methacholine test77D -- Professional component (Internist of $180.00 DPediatrician ONLY)SMA FEE GUIDE - D4 - April 1, 2012

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