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13
12
Line
Line
No.
Item
After-Care
No.
Item
After-Care
Fee
Fee
REPAIR
" SB " QUALIFICATION
365. Tendon, one primary
3 wks.
35 00
425. Orthopedist, complete office examination or con-
10 00
sultation
366. Tendon, each additional
$10 00, maximum
100 00
367. Tendon, secondary
A. & A.
426. Orthopedist, "check-up" examination of referred
5 00
370. Nerve suturing, primary, single
3 wks.
35 00
patient
371. Nerve suturing, each additional
$10 00, maximum
100 00
427. Orthopedist, subsequent examination or care not
included in scheduled " after care "
3 00
372. Nerve suturing, secondary
A. & A.
375. Hernia, single (including assistant's fee)
8 wks.
75 00
376. Hernia, double (including assistant's fee)
8 wks.
100 00
" SA " QUALIFICATION
377. Hernia, recurrent
A. & A.
A. & A.
430. Surgeon, complete office examination or consulta-
378. Hernia by injection
10 00
tion
379. Hernia, diaphragmatic
A. & A.
380. Hernia, post-surgical (including assistant's fee)
8 wks.
100 00
431. Surgeon, "check-up" examination of referred
5 00
381. Hernia, ventral (including assistant's fee)
8 wks.
100 00
patient
A. & A.
432. Surgeon, subsequent examination or care not in-
382. Hernia, strangulated
2 00
cluded in scheduled after care
385. Suture of soft tissue wound, such as -
386. Skin: Routine fee plus $1.00 for each suture
maximum
10 00
387. Fascia: Routine fee plus $1.00 for each suture.
maximum
10 00
" SC" QUALIFICATION
388. Muscle: Routine fee plus $1.00 for each suture.
maximum
10 00
438. Surgeon, first care, if not otherwise scheduled
3 00
390. Superficial lacerations: Office Visit.
439. Surgeon, subsequent office visits or hospital visit
2 00
440. Surgeon, patient's home or place of employment.
3 00
FOREIGN BODIES
Day
441. Surgeon, patient's home or place of employment.
5 00
392. Foreign body extraction, intracutaneous;
Night, 12 Midnight to 7 A. M
office fees.
393. Foreign body extraction, subcutaneous, without
anaesthetic
5 00
EAR, NOSE AND THROAT
394. Foreign body extraction, subcutaneous, with
"SF" QUALIFICATION
anaesthetic
10 00
395. Foreign body extraction, deep
3 wks.
25 00
450. Nose, complete office examination or consulta-
10 00
396. Note: Above extractions do not include
tion and report
removal of foreign body from eye or orbit.
451. Nose, subsequent office examination or consulta-
5 00
tion
452. Nose, extensive study, various charges according
A. & A.
CONSULTATIONS AND CONSULTANT CARE
to special tests
3 wks.
25 00
453. Nasal bones, fracture
" SG " QUALIFICATION
454. Submucuous resection of nasal septum
2 wks.
75 00
455. Otoscopic examination, including functional test of
10 00
400. Urologist office consultation fee, complete, but not
cochlea
inclusive of cystoscopy or x-ray demonstration
15 00
456. Ear examination, including functional tests of
A. & A.
401. Urologist, subsequent office or hospital visits, ex-
cochlea and labyrinth
clusive of " after care " as specified
0 00
457. Direct laryngoscopy; instrumentation with laryn-
goscope (inclusive of removal of foreign body or
25 00
biopsy)
" SI QUALIFICATION
458. Direct laryngoscopy, removal of growth
1 wk.
50 00
1 wk.
50 00
410. Neurologist or psychiatrist, complete office exami-
459. Bronchoscopy
460. Bronchoscopy, with removal of biopsy
50 00
nation or consultation
20 0
411. Neurologist or psychiatrist, for subsequent office
461. Bronchoscopy, with foreign body extraction
75 00
50 00
diagnostic consultation
5 00
462. Oesophagoscopy
463. Oesophagoscopy, with removal of biopsy
50 00
412. Neurologist or psychiatrist, for other subsequent
3 00
464. Oesophagoscopy, with foreign body extraction
75 00
office visits
1 wk.
40 00
465. Tonsillectomy
3 days
75 00
466. Tracheotomy
"
467. Mastoid - simple*
3 wks.
100 00
SJ " QUALIFICATION
468. Mastoid - radical*
3 wks.
150 00
420. Internist, complete office examination or consulta-
tation
10 00
* RADICAL MASTOID - fee allowed only when mastoid and middle ear cavities are made
421. Internist, subsequent office visits
3 00
one - bony wall removed.
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"ocrText": "13\n12\nLine\nLine\nNo.\nItem\nAfter-Care\nNo.\nItem\nAfter-Care\nFee\nFee\nREPAIR\n\" SB \" QUALIFICATION\n365. Tendon, one primary\n3 wks.\n35 00\n425. Orthopedist, complete office examination or con-\n10 00\nsultation\n366. Tendon, each additional\n$10 00, maximum\n100 00\n367. Tendon, secondary\nA. & A.\n426. Orthopedist, \"check-up\" examination of referred\n5 00\n370. Nerve suturing, primary, single\n3 wks.\n35 00\npatient\n371. Nerve suturing, each additional\n$10 00, maximum\n100 00\n427. Orthopedist, subsequent examination or care not\nincluded in scheduled \" after care \"\n3 00\n372. Nerve suturing, secondary\nA. & A.\n375. Hernia, single (including assistant's fee)\n8 wks.\n75 00\n376. Hernia, double (including assistant's fee)\n8 wks.\n100 00\n\" SA \" QUALIFICATION\n377. Hernia, recurrent\nA. & A.\nA. & A.\n430. Surgeon, complete office examination or consulta-\n378. Hernia by injection\n10 00\ntion\n379. Hernia, diaphragmatic\nA. & A.\n380. Hernia, post-surgical (including assistant's fee)\n8 wks.\n100 00\n431. Surgeon, \"check-up\" examination of referred\n5 00\n381. Hernia, ventral (including assistant's fee)\n8 wks.\n100 00\npatient\nA. & A.\n432. Surgeon, subsequent examination or care not in-\n382. Hernia, strangulated\n2 00\ncluded in scheduled after care\n385. Suture of soft tissue wound, such as -\n386. Skin: Routine fee plus $1.00 for each suture\nmaximum\n10 00\n387. Fascia: Routine fee plus $1.00 for each suture.\nmaximum\n10 00\n\" SC\" QUALIFICATION\n388. Muscle: Routine fee plus $1.00 for each suture.\nmaximum\n10 00\n438. Surgeon, first care, if not otherwise scheduled\n3 00\n390. Superficial lacerations: Office Visit.\n439. Surgeon, subsequent office visits or hospital visit\n2 00\n440. Surgeon, patient's home or place of employment.\n3 00\nFOREIGN BODIES\nDay\n441. Surgeon, patient's home or place of employment.\n5 00\n392. Foreign body extraction, intracutaneous;\nNight, 12 Midnight to 7 A. M\noffice fees.\n393. Foreign body extraction, subcutaneous, without\nanaesthetic\n5 00\nEAR, NOSE AND THROAT\n394. Foreign body extraction, subcutaneous, with\n\"SF\" QUALIFICATION\nanaesthetic\n10 00\n395. Foreign body extraction, deep\n3 wks.\n25 00\n450. Nose, complete office examination or consulta-\n10 00\n396. Note: Above extractions do not include\ntion and report\nremoval of foreign body from eye or orbit.\n451. Nose, subsequent office examination or consulta-\n5 00\ntion\n452. Nose, extensive study, various charges according\nA. & A.\nCONSULTATIONS AND CONSULTANT CARE\nto special tests\n3 wks.\n25 00\n453. Nasal bones, fracture\n\" SG \" QUALIFICATION\n454. Submucuous resection of nasal septum\n2 wks.\n75 00\n455. Otoscopic examination, including functional test of\n10 00\n400. Urologist office consultation fee, complete, but not\ncochlea\ninclusive of cystoscopy or x-ray demonstration\n15 00\n456. Ear examination, including functional tests of\nA. & A.\n401. Urologist, subsequent office or hospital visits, ex-\ncochlea and labyrinth\nclusive of \" after care \" as specified\n0 00\n457. Direct laryngoscopy; instrumentation with laryn-\ngoscope (inclusive of removal of foreign body or\n25 00\nbiopsy)\n\" SI QUALIFICATION\n458. Direct laryngoscopy, removal of growth\n1 wk.\n50 00\n1 wk.\n50 00\n410. Neurologist or psychiatrist, complete office exami-\n459. Bronchoscopy\n460. Bronchoscopy, with removal of biopsy\n50 00\nnation or consultation\n20 0\n411. Neurologist or psychiatrist, for subsequent office\n461. Bronchoscopy, with foreign body extraction\n75 00\n50 00\ndiagnostic consultation\n5 00\n462. Oesophagoscopy\n463. Oesophagoscopy, with removal of biopsy\n50 00\n412. Neurologist or psychiatrist, for other subsequent\n3 00\n464. Oesophagoscopy, with foreign body extraction\n75 00\noffice visits\n1 wk.\n40 00\n465. Tonsillectomy\n3 days\n75 00\n466. Tracheotomy\n\"\n467. Mastoid - simple*\n3 wks.\n100 00\nSJ \" QUALIFICATION\n468. Mastoid - radical*\n3 wks.\n150 00\n420. Internist, complete office examination or consulta-\ntation\n10 00\n* RADICAL MASTOID - fee allowed only when mastoid and middle ear cavities are made\n421. Internist, subsequent office visits\n3 00\none - bony wall removed."
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