for uninsured services - Saskatchewan Medical Association

SECTION H:ANAESTHESIAFee Anae132H Lumbar sympathetic chain $256.00 * 0133H -- with sclerosing agent $300.00 * 0134H Other ganglion/plexus (e.g. Caelic) $520.00 * 0135H -- with sclerosing agent $600.00 * 0Epidural140H -- lumbar or caudal $384.00 * 0141H -- with sclerosing agent $450.00 * 0142H -- cervical or thoracic $384.00 * 0143H -- with sclerosing agent $450.00 * 0144H Epidural blood patch $384.00 * 0145H Differential diagnostic subarachnoid block $450.00 * 0Subarachnoid150H -- lumbar $384.00 * 0151H -- with sclerosing agent $600.00 * 0152H -- thoracic $300.00 * 0153H -- with sclerosing agent $600.00 * 0158H Injection of piriformis muscle $164.00 * 0160H Diagnostic sympathetic thermal response $50.00 * 0monitoring (via thermo-couple -- paid inaddition to 130H, 132H 133H161H X-ray control in connection with service, codes 94H to 153H, add $116.00 * 0Note: x-ray charges extra220H Therapeutic intravenous regional $300.00 * 0-- anaesthesiaAnaesthesiaPain ClinicThe following codes apply to services to patients with severe or chronicpain, which have been unresponsive to previous therapy; and who havebeen referred by a physician to a designated pain clinic centre recognizedby Saskatchewan Health. The Initial Complete Assessment can bebilled on an in-patient if the patient is admitted to the hospital as analternative to the out-patient pain clinic in order to facilitate the work-up.9H should be used for consultation on hospitalized patients with acute orchronic pain not specifically admitted for pain clinic work-up. Entitlementto these benefits is limited to a recognized specialist in anaesthesia orother physician with approved training. For other physicians involved inthe pain control process the appropriate assessment within their ownspecialty section applies.201H Initial Complete Assessment $400.00 *-- includes pertinent family and patient history,pain history including review of previoustherapies, functional enquiry, examinationof all parts and systems necessary todiagnose and initiate treatment--completerecord with written report to referringphysician, and advice to patient203H Subsequent assessment -- in-patient or $200.00 *out-patient-- includes review of problems, reassessmentof pain control, review of history and physicalexamination as necessary to maintainongoing treatment, and advice to patientSMA FEE GUIDE - H8 - April 1, 2012