Medical Price List As Of 01 October 2014

ALBERTA HEALTH CARE INSURANCE PLAN

Medical Price List

As Of 01 October 2014

? Government of Alberta

Generated 2014/07/29

ALBERTA HEALTH CARE INSURANCE PLAN TABLE OF CONTENTS

Page i As of 2014/10/01

I. CERTAIN DIAGNOSTIC AND THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . 1 01 NONOPERATIVE ENDOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 01.0 Nonoperative endoscopy of respiratory tract . . . . . . . . . . . . . . . 1 01.1 Nonoperative endoscopy of upper gastrointestinal tract . . . . . . . . . 2 01.2 Nonoperative endoscopy of lower gastrointestinal tract . . . . . . . . . 3 01.3 Other nonoperative endoscopy . . . . . . . . . . . . . . . . . . . . . . 5 02 DIAGNOSTIC RADIOLOGY AND RELATED TECHNIQUES . . . . . . . . . . . . . . . . . 5 Radiology Section - Please See Section X 02.7 Other x-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 02.8 Diagnostic ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . 6 03 CLINICAL EVALUTION AND EXAMINATION . . . . . . . . . . . . . . . . . . . . . . 7 03.0 Diagnostic interview and evaluation or consultation . . . . . . . . . . . 7 03 CLINICAL EVALUATION AND EXAMINATION . . . . . . . . . . . . . . . . . . . . . 7 03.0 Diagnostic interview and evaluation or consultation . . . . . . . . . . . 7 03.1 Measurements and manual examinations of nervous system and sense organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 03.2 Measurements and manual examinations of genitourinary system . . . . . 24 03.3 Other measurements and manual examinations Refer to GRs 11.2.1 and 11.2.2 for additional information pertaining to HSCs 03.37A to 03.38X inclusive. . . . . . . . . . . . . . . . . . . 25 03.4 Cardiac stress tests and pacemaker checks . . . . . . . . . . . . . . . 25 03.5 Other cardiac function tests . . . . . . . . . . . . . . . . . . . . . 26 03.6 Other cardiovascular measurements . . . . . . . . . . . . . . . . . . . 26 03.7 General physical examination . . . . . . . . . . . . . . . . . . . . . . 26 06 NUCLEAR MEDICINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 06.3 Other therapeutic radiology and nuclear medicine . . . . . . . . . . . 26 07 PHYSICAL MEDICINE, REHABILITATION, AND RELATED PROCEDURES . . . . . . . . . 27 07.0 Diagnostic physical medicine . . . . . . . . . . . . . . . . . . . . . 27 07.2 Other physical medicine - musculoskeletal manipulation . . . . . . . . 27 07.4 Skeletal traction and other traction . . . . . . . . . . . . . . . . . 28 07.5 Other immobilization, pressure, and attention to wound . . . . . . . . 28 08 DIAGNOSTIC AND THERAPEUTIC PSYCHOLOGY AND PSYCHIATRY . . . . . . . . . . . 30 08.1 Psychiatric evaluations, interviews, and consultations . . . . . . . . 30 08.3 Psychiatric drug and shock therapy . . . . . . . . . . . . . . . . . . 33

? Government of Alberta

Generated 2014/07/29

ALBERTA HEALTH CARE INSURANCE PLAN TABLE OF CONTENTS

Page ii As of 2014/10/01

08.4 Other psychiatric therapeutic procedures . . . . . . . . . . . . . . . 34 09 OPHTHALMOLOGICAL AND OTOLOGICAL DIAGNOSIS AND TREATMENT . . . . . . . . . . 35

09.0 General and subjective eye examination . . . . . . . . . . . . . . . . 35 09.1 Examinations of form and structure of eye . . . . . . . . . . . . . . . 35 09.2 Objective functional tests of eye . . . . . . . . . . . . . . . . . . . 36 09.4 Nonoperative procedures related to hearing . . . . . . . . . . . . . . 36 10 NONOPERATIVE INTUBATION, IRRIGATION, AND MANIPULATION PROCEDURES . . . . . 36 10.0 Nonoperative intubation of respiratory and gastrointestinal tracts . . 36 10.2 Other nonoperative dilation and manipulation procedures . . . . . . . . 37 10.3 Nonoperative alimentary tract irrigation, cleaning and local

instillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 10.5 Nonoperative irrigation, cleaning, and local instillation of

genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . 38 11 REPLACEMENT AND REMOVAL OF THERAPEUTIC APPLIANCES . . . . . . . . . . . . . 39

11.0 Nonoperative replacement of gastrointestinal appliances . . . . . . . . 39 11.2 Other nonoperative replacement . . . . . . . . . . . . . . . . . . . . 39 11.7 Nonoperative removal of therapeutic device from genital system . . . . . 39 11.8 Other nonoperative removal of therapeutic device . . . . . . . . . . . 39 12 NONOPERATIVE REMOVAL OF FOREIGN BODY . . . . . . . . . . . . . . . . . . . 40 12.0 Removal of (non-penetrating) intraluminal foreign body from

respiratory tract without incision . . . . . . . . . . . . . . . . . . 40 12.1 Removal of (non-penetrating) intraluminal foreign body from

digestive system without incision . . . . . . . . . . . . . . . . . . . 40 12.2 Removal of (non-penetrating) intraluminal foreign body from other

sites without incision . . . . . . . . . . . . . . . . . . . . . . . . 41 12.3 Removal of other foreign body from head and neck without incision . . . 42 13 OTHER NONOPERATIVE PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . 42 13.0 Transfusion of blood and blood components . . . . . . . . . . . . . . . 42 13.4 Injection or infusion of other therapeutic or prophylactic substance . 42 13.5 Other injection or infusion of other therapeutic or prophylactic

substance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 13.6 Respiratory therapy . . . . . . . . . . . . . . . . . . . . . . . . . . 44 13.7 Conversion of cardiac rhythm . . . . . . . . . . . . . . . . . . . . . 44 13.8 Miscellaneous physical procedures . . . . . . . . . . . . . . . . . . . 45 13.9 Other miscellaneous diagnostic and therapeutic procedures . . . . . . . 45 II. OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . 49

? Government of Alberta

Generated 2014/07/29

ALBERTA HEALTH CARE INSURANCE PLAN TABLE OF CONTENTS

Page iii As of 2014/10/01

14 INCISION AND EXCISION OF SKULL, BRAIN AND CEREBRAL MENINGES Intracranial procedure involving microsurgical technique,for a second neurosurgeon, refer to Price List . . . . . . . . . . . . . . . . . . . . 49

14.0 Cranial puncture . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 14.1 Craniotomy and craniectomy . . . . . . . . . . . . . . . . . . . . . . 50 14.2 Incision of brain and cerebral meninges . . . . . . . . . . . . . . . . 54 14.3 Operations on thalamus and globus pallidus (including ansa and

cingulus) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 14.4 Other excision or destruction of brain and meninges . . . . . . . . . . 56 14.8 Invasive diagnostic procedures on skull, brain, and cerebral

meninges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 15 OTHER OPERATIONS ON SKULL, BRAIN, AND CEREBRAL MENINGES . . . . . . . . . . 62

15.0 Cranioplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 15.1 Repair of cerebral meninges . . . . . . . . . . . . . . . . . . . . . . 64 15.2 Ventriculostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 15.3 Extracranial ventricular shunt . . . . . . . . . . . . . . . . . . . . 67 15.4 Revision of ventricular shunt . . . . . . . . . . . . . . . . . . . . . 67 15.9 Other operations on skull, brain, and cerebral meninges . . . . . . . . 67 16 OPERATIONS ON SPINAL CORD AND SPINAL CANAL STRUCTURES . . . . . . . . . . . 68

NOTE: The listed benefits are payable irrespective of the number of vertebrae involved if one incision utilized, unless otherwise stated.

16.0 Exploration and decompression of spinal canal . . . . . . . . . . . . . 68 16.1 Division of intraspinal nerve root . . . . . . . . . . . . . . . . . . 71 16.2 Chordotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 16.3 Excision or destruction of lesion of spinal cord and spinal meninges . 73 16.4 Plastic operations on spinal cord and spinal meninges . . . . . . . . . 75 16.5 Freeing of adhesions of spinal cord and nerve roots . . . . . . . . . . 78 16.8 Invasive diagnostic procedures on spinal cord and spinal canal

structures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 16.9 Other operations on spinal cord and canal structures . . . . . . . . . 80 17 OPERATIONS ON CRANIAL AND PERIPHERAL NERVES . . . . . . . . . . . . . . . . 81 17.0 Incision, division, and excision of cranial and peripheral nerves . . . 81 17.1 Destruction of cranial and peripheral nerves . . . . . . . . . . . . . 86 17.2 Suture of cranial and peripheral nerves . . . . . . . . . . . . . . . . 86 17.3 Freeing of adhesions and decompression of cranial and peripheral

nerves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

? Government of Alberta

Generated 2014/07/29

ALBERTA HEALTH CARE INSURANCE PLAN TABLE OF CONTENTS

Page iv As of 2014/10/01

17.4 Cranial or peripheral nerve graft . . . . . . . . . . . . . . . . . . . 91 17.5 Transposition of cranial and peripheral nerves . . . . . . . . . . . . 92 17.6 Other cranial or peripheral neuroplasty . . . . . . . . . . . . . . . . 93 17.7 Injection into peripheral nerve . . . . . . . . . . . . . . . . . . . . 94 17.8 Invasive diagnostic procedures on peripheral nervous system . . . . . . 94 17.9 Other operations on cranial and peripheral nerves . . . . . . . . . . . 95 18 OPERATIONS ON SYMPATHETIC NERVES OR GANGLIA . . . . . . . . . . . . . . . . 96 18.1 Sympathectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 II. OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . 97 18 OPERATIONS ON SYMPATHETIC NERVES OR GANGLIA . . . . . . . . . . . . . . . . 97 18.2 Injection into sympathetic nerve or ganglion . . . . . . . . . . . . . 97 III. OPERATIONS ON THE ENDOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . 99 19 OPERATIONS ON THYROID AND PARATHYROID GLANDS . . . . . . . . . . . . . . . 99 19.0 Incision of thyroid field . . . . . . . . . . . . . . . . . . . . . . . 99 19.1 Unilateral thyroid lobectomy . . . . . . . . . . . . . . . . . . . . . 99 19.2 Other partial thyroidectomy . . . . . . . . . . . . . . . . . . . . . . 99 19.3 Complete thyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . 100 19.6 Excision of thyroglossal duct or tract . . . . . . . . . . . . . . . . 100 19.7 Parathyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 19.8 Invasive diagnostic procedures on thyroid and parathyroid glands . . . 102 20 OPERATIONS ON OTHER ENDOCRINE GLANDS . . . . . . . . . . . . . . . . . . . 102 20.1 Partial adrenalectomy . . . . . . . . . . . . . . . . . . . . . . . . . 102 20.5 Hypophysectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 20.7 Thymectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 IV. OPERATIONS ON THE EYES . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 21 OPERATIONS ON LACRIMAL APPARATUS . . . . . . . . . . . . . . . . . . . . . 105 21.3 Manipulation of lacrimal passage (tract) . . . . . . . . . . . . . . . 105 21.4 Incision of lacrimal sac and passage . . . . . . . . . . . . . . . . . 107 21.6 Repair of canaliculus and punctum . . . . . . . . . . . . . . . . . . . 107 21.7 Fistulization of lacrimal tract to nasal cavity . . . . . . . . . . . . 108 22 OPERATIONS ON EYELIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 22.1 Excision of lesion or tissue of eyelid . . . . . . . . . . . . . . . . 109 22.3 Correction of entropion or ectropion . . . . . . . . . . . . . . . . . 110

? Government of Alberta

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download