-7-

G264

Occipital nerve blocks (initial) - maximum 1 per patient per day regardless of number of occipital nerve blocks rendered

 

R

G265

Occipital nerve blocks (additional) - maximum 3 per day

 

R

Obstetrics and Gynecology

P003

General assessment (major prenatal visit)

$53.55

R

E411

Sole Delivery Premium - payable in addition to labour and delivery fees P011A … or P041A

 

R

#G397

Medical management of ectopic pregnancy - includes administration of cyto-toxic medications and routine follow-up visits for supervision within a period of seven days

$65.75

N

#P050

Therapeutic amnio-reduction (6 assistant / 6 anesthetic base units)

$241.55

N

#P051

Percutaneous fetal blood transfusion - into fetal hepatic vein (8 assistant/ 8 anesthetic base units)

$338.15

N

#P052

Percutaneous fetal blood sample - from umbilical cord or fetal hepatic vein (6 assistant / 6 anesthetic base units)

$193.25

N

 

Fetal management, selective fetal reduction of one or more fetuses

 

 

#P053

-          by bipolar or unipolar cautery of umbilical cord (6 assistant / 6 anesthetic base units)

$241.55

N

#P054

-          by intracardiac potassium chloride injection (6 assistant / 6 anesthetic base units)

$241.55

N

#P055

Insertion of fetal shunt - bladder to amniotic cavity (8 assistant / 8 anesthetic base units)

$386.45

N

#P056

Insertion of fetal shunt - chest to amniotic cavity (8 assistant / 8 anesthetic base units)

$386.45

N

#P057

Fine needle fetal body cavity aspiration from fetal abdomen, chest, heart, bladder and/or renal tract (6 assistant / 6 anesthetic base units)

$193.25

N

#P058

In-utero ligation of umbilical cord vessels (8 assistant / 8 anesthetic base units)

$450.85

N

#P059

In-utero placental vessel ablation by YAG laser (8 assistant / 8 anesthetic base units)

$450.85

N

 

Note: Procedures listed under Maternal-Fetal Procedures (P050 to P059) are payable in addition to J149, Ultrasonic Guidance and/or Z552, Diagnostic Laparoscopy where applicable.

 

 

#S701

Repair of infibulation - resulting from female genital mutilation (4 anesthetic base units)

$79.75

N

#S805

Laparoscopic retropubic urethropexy (6 assistant / 6 anesthetic base units)

$365.60

N

#S807

Laparoscopic repeat retropubic urethropexy (8 assistant / 8 anesthetic base units)

$429.35

N

#S806

Laparoscopic combined abdominal/vaginal approach for vaginal vault prolapse (6 assistant / 6 anesthetic base units)

$523.50

N

#S808

Laparoscopic vaginal sacropexy (6 assistant / 6 anesthetic base units)

$423.45

N

#S811

Rectus abdominus myocutaneous neovaginostomy - includes harvest of longitudinal, vertical or transverse rectus abdominus flap(s), formation vaginal pouch and insertion of vaginal mould (8 assistant / 8 anesthetic units)

$805.10

N

#S810

Laparoscopic vaginal hysterectomy (LAVH) (8 assistant / 8 anesthetic base units)

$520.70

N

#S727

Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C or 4 including hysterectomy, omentectomy and bowel resection and may include one or more biopsies and/or resection of pelvic peritoneum. (8 assistant / 8 anesthetic base units)

$660.70

N

#S750

Radical resection pelvic and para-aortic nodes for cancer (6 assistant / 8 anesthetic base units)
Note: S758, S776 or S781 claimed for same patient same day as S750 is payable at nil.

$595.45

N

Psychiatry

 

General Preamble, B7.5 - Family Psychotherapy: Is defined as psychotherapy provided to the patient in the presence of one or more members of the patient's household.

 

R

C195/W195

Non-Emergency hospital and long-term care in-patient consultation

 

D

C895/W895

Non-Emergency hospital and long-term care in-patient consultation (replaces C195/W195 to mirror A895)

$132.90

N

A895

Consultation in association with special visit to hospital or long-term care in-patient

$132.90

N

K623

Note:  1. A completed Form 1 - Application by Physician for Psychiatric Assessment retained on the patient's medical record is sufficient documentation to indicate that a consultation for involuntary psychiatric treatment has been requested by the referring physician.

 

R

 

Psychotherapy, Family Psychotherapy…Note:  4. Psychotherapy or Hypnotherapy claimed in conjunction with obstetric delivery are payable at nil.

 

R


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