C.     Physician Fee Codes Which Are Now Excluded From Threshold
         Fee Reductions

This Section replaces "Appendix E" of the preamble to the Schedule of Benefits
(October 1, 1992, as amended June 1, 1996) effective April 1, 1998.

1.    Professional Fees Excluded From Threshold Calculations:
     
Emergency department sessional fees - H400 to H408
     
     
2.    Technical Fees Excluded From Threshold Calculations:
 
The following technical fees are excluded from the threshold calculations. When a physician reaches his or her threshold level (beginning at $300,000 for GPs, $380,000 for all specialists), technical fee payments will be discounted at the same rate as the professional fees.
 

Diagnostic Radiology
     
X001 - X230   The hospital components of the applicable "X codes" are excluded from
threshold calculations.

Diagnostic Ultrasound Nuclear Medicine/Pulmonary Function Studies
     
J101-J888   the hospital components of the applicable "J" codes
J301   the technical components of the applicable "J" codes
J304   the technical components of the applicable "J" codes
J324   the technical components of the applicable "J" codes
J327   the technical components of the applicable "J" codes
Y601-Y888   the technical components of the applicable "Y" codes
E450, E451   the hospital components of the applicable "E" codes

Diagnostic and Therapeutic Procedures
     
G104     Diagnostic Balance Tests, Positional testing with ENG, technical component
G111    Dipyramidole Thallium Stress test, technical component
G121   Impedance plethysmography, technical component
G140   Evoked potentials - two limbs, technical component
G143   Cortical evoked audiometry, technical component
G146   Brain stem evoked response - simple, technical component
G149   Visual Evoked response - simple, technical component
G152   Visual Evoked response - threshold, technical component
G167   Hydrogen breath test, technical component
G181   Dual chamber reprogramming, technical component
G209   Skin testing, technical component
G284   Single chamber reprogramming, technical component
G308   Pacemaker pulse wave analysis, technical component
G310   ECG, technical component
G311   ECG telephone transmitted, technical component
G315   Stress testing, technical component
G316   Stress testing vector, technical component
G414   EEG, technical component
G416   EEG add on - activating or sleep inducing drugs/or sleep deprivation
G434   Manual Impedence Testing, technical component
G440   Pure tone threshold audiometry with or without bone conduction, technical component
G441   Pure tone threshold audiometry (with or without bone conduction) and speech reception threshold and/or speech discrimination scores, technical component
G442   Automatic impedance audiometry, technical component
G443   Advanced testing per test, technical component
G445   Hearing aid re-evaluation, technical component
G447   Hearing aid evaluation, technical component
G448   Sound field audiometry (infants and children), technical component
G451   Balance test caloric testing with ENG, technical component
G455   Electromyography Schedule A, technical component
G466   Electromyography Schedule B, technical component
G491   Thermography, technical component
G505   Phonocardiogram, technical component
G506   Phonocardiogram, add on for pharmacologic intervention
G508   Apex cardiogram, technical component
G519   Phlebography, technical component
G540   Videotape recording of clinical signs with EEG, technical component
G542   Radiotelemetry EEG, technical component
G544   Polygraphic recordings of parameters in addition to EEG
G554   Ambulatory EEG monitoring, technical component
G560   Echocardiography complete study 1 dim., technical component
G566   Echocardiography complete study 2 dim., technical component
G570   Echocardiography complete study 1 & 2 dim., technical component
G574   Echocardiography, limited study 1 or 2 dim., technical component
G576   Cardiac colour Doppler in conjunction with echocard., technical component
G577   Cardiac colour Doppler study in conjunction with echocard., technical component
G651   Holter Monitoring Level 1 - recording, technical component
G652   Holter Monitoring Level 1 - scanning, technical component
G654   Holter Monitoring Level 2 - recording, technical component
G655   Holter Monitoring Level 2 - scanning, technical component
G661   Event recorder, technical component
G670   Sleep studies - Level 1, technical component
G673   Sleep studies - Level 2, technical component
G676   Sleep studies - Level 3, technical component
G679   Multiple Sleep Latency Test, technical component
G815   Electrocochleography, technical component
G850   Colour vision detailed assessment, technical component
G851   Dark adaptation curve, technical component
G852   Electro-retinography, technical component
G853   Fluorescein angiography, technical component
G854   Fluorescein angioscopy, technical component
G855   Hess screen examination, technical component
G856   Tonography, with or without water, technical component
G857   Visual fields - kinetic, technical component
G858   Visual fields - static perimetry, technical component
     

3.   Additional List Of Codes
     
E542   When performed outside hospital
E545   When performed outside hospital
E584   Application of plaster cast outside hospital
E746   When performed outside hospital
E749   When performed outside hospital
E870   Cost of laminaria tent, when supplied by the physician
K018   Sexual assault examination for investigation of alleged sexual assault
and documentation - female
K021   Sexual assault examination for investigation of alleged sexual assault
and documentation - male

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