for uninsured services - Saskatchewan Medical Association

SECTION K:NEUROSURGERYFeeAnae238K - add - Internalization of deep brain implant using dual $800.00 42 Hchannel IPG or pulse generatorNeuromodulation Clinic ServicesClinic supervision, patient monitoring andadjustment of stimulation paramaters, drugdose and/or drug mix, includes advice tothe patient, either directly or indirectlythrough the neuromodulation nurse.278K Patient -- not seen $57.60279K Patient -- seen $85.20 0(Visit fee payable if patient reviewed for acondition unrelated to neuromodulationdevice function).SPINE SURGERYAnterior DecompressionCervical500K Odontoidectomy $3,300.00 42 H501K -- exposure by separate surgeon $2,546.00 42 H502K -- exposure by preimary surgeon -- add $770.00 42503K Discectomy -- 1 level $2,136.00 42 M504K -- each additiona level -- add $594.00 42505K Vertebrectomy -- includes adjacent discs $3,338.00 42 H506K -- each additiona level -- add $576.00 42(Maximum of 3 additional levels)507K Artificial discs -- includes discectomy and fusion $4,000.00 42 H508K -- each additiona level -- add $3,000.00 42(Maximum of 1 additional level)Fee codes 507K and 508K are not billable withany other cervical decompression, fusion orinstrumentation code.Thoracic514K Discectomy $2,000.00 42 M714K - each additional level - add $566.00 42 M515K Vertebrectomy -- includes adjacent discs $3,360.00 42 H516K -- each additional level -- add $500.00 42(Maximum of 3 additional levels)517K Exposure by primary surgeon $880.00 42 MLumba523K Discectomy $2,034.00 42 M723K - each additional level - add $566.00 42 M524K Vertebrectomy -- includes adjacent discs $3,258.00 42 H525K -- each additional level -- add $500.00 42(Maximum of 2 additional levels)526K Artificial disc -- includes discectomy and fusion $4,000.00 42 H527K -- each additional level -- add $3,000.00 42(Maximum 1 additional level)528K Exposure by primary surgeon $600.00 42 MPosterior DecompressionCervical and ThoracicLaminectomy, Laminotomy, Foraminotomy534K -- unilateral $1,730.00 42 M535K -- bilateral $2,036.00 42 M536K -- each additional level -- add $450.00 42(Maximum 4 additional levels)537K -- Discectomy -- add $610.00 42538K -- Foramen magnum -- add $1,018.00 42539K Laminoplasty - includes strut and fixation $2,646.00 42 MSMA FEE GUIDE - K5 - April 1, 2012