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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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