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14 15 Line Line No. Item After-Care Fee No. Item After-Care Fee 469. Mastoid - bilateral 3 wks. 225 00 602. Fixation of kidney A. & A. 471. Antrotomy puncture with irrigation 10 00 603. Kidney calculi-removal 3 wks. 150 00 472. Antrotomy - window 3 wks. 50 00 604. Nephrotomy 3 wks. 100 00 473. Antrotomy - radical A. & A. 605. Cystotomy 3 wks. 75 00 474. Antrotomy - subsequent irrigations 5 00 606. Cystoscopy without X-ray 25 00 475. Epistaxis, arrest of bleeding, office visit. 607. Cystoscopy including catherization ureters 35 00 476. Epistaxis, with electrocoagulation or electro- 608. External Urethrotomy A. & A. cauterization 10 00 609. Hydrocele - radical 3 wks. 50 00 477. Epistaxis, without electrocoagulation, office visit. 610. Hydrocele - tapping 10 00 478. Myringotomy, in office (puncture) 5.00 611. Orchidectomy 3 wks. 60 00 479. Nyringotomy, at hospital or home or other place 10 00 612. Epididymectomy 3 wks. 75 00 480. Subsequent office visits 3 00 (Lines 601 to 612 apply to all qualified surgeons 481. House visit, routine, for examination and opinion 5 00 with "A" rating or equivalent.) 482. Hospital visit, for ordinary visit, dressings and observation 3 00 DERMATOLOGY EYE " SH " QUALIFICATION " SE " QUALIFICATION 650. Complete office examination or consultation 10 00 525. Simple, office, eye check-up on referred patients, 650a. Check-up office examination of referred patient 5 00 mere observation (no refraction, no study of 651. Subsequent office examination or care 3 00 retina) 5 00 652. Subsequent care, with X-ray therapy 5 00 526. Compiete office examination or consultation without 653. Hospital visit 3 00 refraction 10 00 654. Neo-salvarsan, plus cost of drug 7 50 527. Special study, special test for permanent disability and report A. & A. 528. Refraction alone and prescription for glasses 7 50 PROCTOLOGY 529. Combined full examination (526 and 528) and re- fraction and prescription for glasses 12 50 530. Subsequent office visit 3 00 " SM8 QUALIFICATION 531. Hospital visits 3 00 535. Foreign body embedded in cornea, removal of 5 00 664. Complete office examination or consultation 10 00 536. Removal of intra-ocular foreign body 21 days 100 00 665. Anal fissure, divulsion under anaesthesia 15 00 537. Removal of intra-orbital foreign body 21 days 100 00 666. Single fistula including 3 weeks after care 50 00 560. Primary suture of lid wounds 15 00 667. Multiple fistulae including 3 weeks after care 75 00 561. Iridectomy 10 days 60 00 668. Hemorrhoids, removal by injection, per visit 5 00 562. Cataract extraction 10 days 100 00 669. Hemorrhoids, external, single, 2 weeks after care 25 00 563. Muscle operation A. & A. 670. Hemorrhoids, multiple external, 2 weeks after care. 50 00 564. Plastic lid operation A. & A. 671. Hemorrhoids, internal, 2 weeks after care 50 00 568. Discission (needling) of cataract 10 days 75 00 672. Incision of thrombosed hemorrhoid 10 00 569. Operation for detachment of retina 10 days 100 00 673. Prolapse, anal, treatment by laparotomy including 570. Enucleation of eyeball 21 days 100 00 3 weeks after care 150 00 571. Evisceration of eyeball 21 days 100 00 674. Rectal resection, including 4 weeks after care 150 00 572. Conjunctivokeratoplasty for perforating wounds of (Lines 664 to 674 apply to all qualified surgeons eyeball A. & A. with "A" rating or equivalent.) 575. Glaucoma operation 10 days 100 00 576 Operation for strabismus A. & A. 577. Dacryocystectomy 10 days 75 00 PHYSICAL THERAPY 578. Chalazion operation, either dissection or incision and currettage 15 00 " SM1 " QUALIFICATION UROLOGY 690. Per visit, inclusive of any and all modalities 3 00 (When total fees for physical therapy treatment " SG " QUALIFICATION approach the sum of $25.00, the physician should file an additional C-4 report and re- 600. Neo-salvarsan plus cost of drug 7 50 quest authorization as prescribed in Section 601. Excision of kidney 3 wks. 150 00 13-A-5.)

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    "ocrText": "14\n15\nLine\nLine\nNo.\nItem\nAfter-Care\nFee\nNo.\nItem\nAfter-Care\nFee\n469. Mastoid - bilateral\n3 wks. 225 00\n602. Fixation of kidney\nA. & A.\n471. Antrotomy puncture with irrigation\n10 00\n603. Kidney calculi-removal\n3 wks.\n150 00\n472. Antrotomy - window\n3 wks.\n50 00\n604. Nephrotomy\n3 wks.\n100 00\n473. Antrotomy - radical\nA. & A.\n605. Cystotomy\n3 wks.\n75 00\n474. Antrotomy - subsequent irrigations\n5 00\n606. Cystoscopy without X-ray\n25 00\n475. Epistaxis, arrest of bleeding, office visit.\n607. Cystoscopy including catherization ureters\n35 00\n476. Epistaxis, with electrocoagulation or electro-\n608. External Urethrotomy\nA. & A.\ncauterization\n10 00\n609. Hydrocele - radical\n3 wks.\n50 00\n477. Epistaxis, without electrocoagulation, office visit.\n610. Hydrocele - tapping\n10 00\n478. Myringotomy, in office (puncture)\n5.00\n611. Orchidectomy\n3 wks.\n60 00\n479. Nyringotomy, at hospital or home or other place\n10 00\n612. Epididymectomy\n3 wks.\n75 00\n480. Subsequent office visits\n3 00\n(Lines 601 to 612 apply to all qualified surgeons\n481. House visit, routine, for examination and opinion\n5 00\nwith \"A\" rating or equivalent.)\n482. Hospital visit, for ordinary visit, dressings and\nobservation\n3 00\nDERMATOLOGY\nEYE\n\" SH \" QUALIFICATION\n\" SE \" QUALIFICATION\n650. Complete office examination or consultation\n10 00\n525. Simple, office, eye check-up on referred patients,\n650a. Check-up office examination of referred patient\n5 00\nmere observation (no refraction, no study of\n651. Subsequent office examination or care\n3 00\nretina)\n5 00\n652. Subsequent care, with X-ray therapy\n5 00\n526. Compiete office examination or consultation without\n653. Hospital visit\n3 00\nrefraction\n10 00\n654. Neo-salvarsan, plus cost of drug\n7 50\n527. Special study, special test for permanent disability\nand report\nA. & A.\n528. Refraction alone and prescription for glasses\n7 50\nPROCTOLOGY\n529. Combined full examination (526 and 528) and re-\nfraction and prescription for glasses\n12 50\n530. Subsequent office visit\n3 00\n\" SM8 QUALIFICATION\n531. Hospital visits\n3 00\n535. Foreign body embedded in cornea, removal of\n5 00\n664. Complete office examination or consultation\n10 00\n536. Removal of intra-ocular foreign body\n21 days\n100 00\n665. Anal fissure, divulsion under anaesthesia\n15 00\n537. Removal of intra-orbital foreign body\n21 days\n100 00\n666. Single fistula including 3 weeks after care\n50 00\n560. Primary suture of lid wounds\n15 00\n667. Multiple fistulae including 3 weeks after care\n75 00\n561. Iridectomy\n10 days\n60 00\n668. Hemorrhoids, removal by injection, per visit\n5 00\n562. Cataract extraction\n10 days\n100 00\n669. Hemorrhoids, external, single, 2 weeks after care\n25 00\n563. Muscle operation\nA. & A.\n670. Hemorrhoids, multiple external, 2 weeks after care.\n50 00\n564. Plastic lid operation\nA. & A.\n671. Hemorrhoids, internal, 2 weeks after care\n50 00\n568. Discission (needling) of cataract\n10 days\n75 00\n672. Incision of thrombosed hemorrhoid\n10 00\n569. Operation for detachment of retina\n10 days\n100 00\n673. Prolapse, anal, treatment by laparotomy including\n570. Enucleation of eyeball\n21 days\n100 00\n3 weeks after care\n150 00\n571. Evisceration of eyeball\n21 days\n100 00\n674. Rectal resection, including 4 weeks after care\n150 00\n572. Conjunctivokeratoplasty for perforating wounds of\n(Lines 664 to 674 apply to all qualified surgeons\neyeball\nA. & A.\nwith \"A\" rating or equivalent.)\n575. Glaucoma operation\n10 days\n100 00\n576 Operation for strabismus\nA. & A.\n577. Dacryocystectomy\n10 days\n75 00\nPHYSICAL THERAPY\n578. Chalazion operation, either dissection or incision and\ncurrettage\n15 00\n\" SM1 \" QUALIFICATION\nUROLOGY\n690. Per visit, inclusive of any and all modalities\n3 00\n(When total fees for physical therapy treatment\n\" SG \" QUALIFICATION\napproach the sum of $25.00, the physician\nshould file an additional C-4 report and re-\n600. Neo-salvarsan plus cost of drug\n7 50\nquest authorization as prescribed in Section\n601. Excision of kidney\n3 wks. 150 00\n13-A-5.)"
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