for uninsured services - Saskatchewan Medical Association

SECTION H:ANAESTHESIAFee193H Daily supervision of any acute pain control $56.00 *modality listed in this Acute Pain Managementsection starting the day after surgery(includes all patient visits and adjustments)Anae194H Insertion or reinsertion of continuous $110.00 *catheter technique local naesthetic blockage(excluding epidural) for acute pain controlincluding initial infusion of analgesicagent195H Injection of local anaesthetic to establish a $110.00 *major plexus block to assist in post-operativepain management (can not be claimed fortopical, local infiltration or peripheralnerve block)Nerve BlocksThe codes in this section are for use with conditions where painis the presenting complaint or symptom, to diagnose (confirm nervesupply, etc.) and/or treat (sclerosis, etc.).These items are not for use with regional anaesthesia prior to surgery,delivery, reduction of fractures, manipulations, etc. Regionalanaesthesia provided by the same physician providing the surgicalservices is an inclusion in that service. Nerve blocks canbe billed at 75 percent with pain clinic services, visit servicesand consultations for pain.Facet Injection94H -- single $172.00 * 095H -- each additional to a maximum of 5 $84.50 * 0Trigger Point96H -- single $84.50 * 097H -- one additional $41.50 * 0Instances where more than two injections arereqired will be reviewed at the request of thephysician, upon receipt of an explanation ofthe circumstances.Peripheral or Paravertebral Nerves98H -- single $175.00 * 099H -- each additional to a maximum of $87.00 * 0three additional units-- with sclerosing agent100H -- single nerve, add $64.00 * 0101H -- each additional nerve to a maximum $41.00 * 0of three units, add102H Sciatic or obturator nerve $230.00 * 0103H -- with sclerosing agent $300.00 * 0111H Trigeminal nerve, posterior root $384.00 * 0112H -- with sclerosing agent $600.00 * 0113H Intracranial nerve $200.00 * 0114H -- with sclerosing agent $346.00 * 0120H Somatic plexus, (e.g. Brachial) $256.00 * 0121H -- with sclerosing agent $300.00 * 0130H Stellate ganglion $256.00 * 0131H Stellage ganglion -- with sclerosing agent $300.00 * 0SMA FEE GUIDE - H7 - April 1, 2012