for uninsured services - Saskatchewan Medical Association

SECTION K:NEUROSURGERYFeeAnaeNerve grafting procedures168K -- single cable $978.00 42 L268K -- multiple cables $1,421.00 42 L169K Transposition of ulnar nerve $904.00 42 L170K Extracranial anastomosis for facial nerve $1,020.80 42 Llesion -- hypoglossal accessory, etc.171K Radiofrequency spinal rhizotomy $406.60 0 LFacial nerve - microsurgical graft172K -- neurosurgeon $1,020.80 42 L173K -- general surgeon $602.00 42 L174K Selective dorsal rhizotomy for spasticity $2,369.00 42 M175K DREZ procedure for intractable pain $1,691.70 42 MVegetative Nervous SystemCervical sympathectomy180K -- unilateral $1,002.60 42 M181K -- bilateral $1,174.90 42 MCervico-thoracic sympathectomy182K -- unilateral $886.00 42 H183K -- bilateral $1,065.70 42 HLumbar sympathectomy184K -- unilateral $1,020.80 42 M185K -- bilateral $1,463.80 42 M188K Presacral neurectomy $603.50 42 M189K Phrenicotomy $362.70 42 MExposures for Neurosurgery210K Transabdominal exposure of lumbar and $902.00 42 Mlower thoracic spine for neurosurgicalprocedure211K Transthoracic exposure of lower cervical $850.00 42 Mor thoracic spine for neurosurgicalprocedure212K Transphenoidal exposure of pituitary $1,800.00 42 Mfor hypophysectomyNote: Standby time is billable as 50J for theperiod of time between the completion ofopening and the start of the closure.Example: if procedure is 3.5 hours inentirety and- opening and closure combined takes1 hour- standby is then 2.5 hoursThe total billing would be the appropriateK code (210K, 211K or 214K) and ten 15minute units of 50J.Codes 210K to 212K are exempt from themultiple surgery rules.Deep Brain Electrode for Movement Disorders235K Installation of deep brain electrode $3,000.00 42 H236K - add - Micro-electrode recording and stimulation $1,000.00 42 H237K - add - Internalization of deep brain electrode using single $500.00 42 Hchannel IPGSMA FEE GUIDE - K4 - April 1, 2012