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for uninsured services - Saskatchewan Medical Association

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SECTION D:INTERNAL MEDICINEcondition unrelated to pacemaker function)POLYSOMNOGRAPHYDiagnostic Polysomnography is an insured service when providedat a provincially designated sleep laboratory and is a supervisedovernight sleep study with continuous monitoring of sleep (EEG,EOG, EMG), oxygen saturation, ECG, airflow and respiratoryef<strong>for</strong>t.Therapeutic Polysomnography is a supervised overnight sleepstudy per<strong>for</strong>med in a provincially designated sleep laboratorywith continuous monitoring of sleep (EEG, EOG, EMG), oxygensaturation, ECG, airflow and respiratory ef<strong>for</strong>t during whichspecific therapy <strong>for</strong> sleep disordered breathing is administered(this may include CPAP/Bi-PAP or mandibular advancementdevice) and the effect monitored.Split night diagnostic and therapeutic polysomnographyprovided as a one-night study should be billed as 281D and 282D.Repeat Diagnostic Therapeutic polysomnography within 42 daysmust be accompanied by an explanation.FeeAnae281D Diagnostic (includes visit) $552.00 D282D Therapeutic (includes visit) $274.00 D283D Multiple Sleep Latency Testing $274.00 D(includes visit)284D Portable sleep study $103.00 D285D Actigraphy $110.00 DAuto-CPAP Titration290D -- professional $173.00 D291D -- technical $31.40 DCodes 281D to 291D limited to physicianswith Regional Health Authority sleep labprivileges.SMA FEE GUIDE - D7 - April 1, 2012

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