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Other, March 1, 1939

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18 19 Line Line No. Item After-Care Fee No. Item After-Care Fee 800. Stomach contents for ferments 00 801. Ewald or retention 00 852. Fees are for a competent diagnosis by x-ray 802. Fractional Rehfus 5 00 image, expert interpretation and opinion 803. Bacteriophags A. & A. size and number of films not relevant. 804. Calculi A. & A. 853. Single finger 5 00 854. Single toe 5 00 855. Hand (including fingers) 8 00 FECES 856. Wrist (including carpus and lower one-third of 810. Parasites 3 00 forearm) 8 00 857. Forearm mid one-third 811. Typhoid and para cultures 5 00 8 00 812. Microscopic for bacteria, etc 3 00 858. Elbow (including upper one-third of forearm and 813. Urobilin 3 00 supracondyles) 8 00 5 00 859. Humerus mid one-third 814. Urobilin quantitative 8 00 815. Histamine 3 00 860. Foot (including toes) 8 00 816. Occult blood only 2 00 861. Ankle (including lower three inches of leg) 8 00 817. Ferments 5 00 862. Leg, mid one-third 8 00 818. Simple culture 5 00 863. Knee (including four inches above and below joint) 8 00 819. Special culure A. & A. 864. Femur mid one-third 8 00 820. Fats - -quantitative 5 00 865. Femur upper one-third 8 00 870. Shoulder joint 10 00 871. Clavicle 10 00 SPECIAL PROCEDURES 872. Scapula 10 00 821. Basal metabolism 10 00 873. Hip joint 15 00 822. Immunology and allergy A. & A. 875. Head and face, complete examination 20 00 823. Spinal puncture 10 00 876. Head and face, partial examination for follow-up 824. Spinal puncture with manometric determination 15 00 when area of injury has been demonstrated previously 10 00 830. Complete post mortem and report, without micro- 50 00 880. Nasal bones. scopic work 10 00 881. Nasal sinuses 831. Complete post mortem and report, with tissue micro- 15 00 scopic examination 75 00 882. Mastoids 15 00 883. Mandible- - one side 10 00 832. Other post mortem laboratory work, as 884. Cervical spine 15 00 scheduled above. 885. Dorsal spine 15 00 835. When pathologist visits patient's home 886. Lumbar spine 15 00 or other place to obtain specimen, add 887. Pelvis 15 00 $3.00 for home visit to the above items. 888. Sacro-iliac joint and coccyx 15 00 836. The attending physician will not make 889. Any two spinal regions 25 00 charge for obtaining specimen, except 890. Any three spinal regions 35 00 spinal puncture. 891. Sacro-iliac (including lumbo-sacral facets) A. & A. 900. Thoracic cage (not including spine) any one area 15 00 ROENTGENOLOGY AND RADIOLOGY 901. Lungs and heart (not including cardiac mensura- tion) 15 00 " 15 00 SD " QUALIFICATION 902. Cardiac mensuration (including fluoroscopy) 903. Abdomen and gastrointestinal; flat plate for acute 850. Lines 850 to 945 inclusive specify fees for obstruction 15 00 physicians who are qualified as " SD." 904. Oesophagus only (including fluoroscopy) 15 00 851. (Instructions: Do not file either C-104 905. Gastro-intestinal (oesophagus to cecum) 25 00 or C-4 reports. Instead, make writ- 906. Gastro-intestinal (oesophagus to ampulla) 35 00 ten report in quadruplicate; having one 907. Colon by opaque enema 20 00 notarized and sent to the district office 908. Gall bladder, simple. 15 00 of the State Department of Labor; send 909. Gall bladder, Graham test, oral 25 00 one to the attending physician or sur- 909a. Intravenous or Stewart Concentrate 35 00 geon; retain one for record. Render 910. Genito-urinary - simple 15 00 separate bill to carrier, if known, or 911. Genito-urinary - retrograde pylography (not in- employer with the report. Films shall be clusive of injection) 15 00 preserved by roentgenologist and they 912. Genito-urinary - pylography by excretion 25 00 (or satisfactory prints) shall be made 913. Teeth - complete dental study 10 00 available to attending physician, carrier 914. Foreign body; same as part involved or employer.) 915. Foreign body - search of respiratory or alimentary canal 20 00

Page data

Page
11
Source index
0
Type
photo
Media ID
1fe857775a0a45ce
Size
unknown

Document data

ID
75729625
Core
doc
Type
document
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Context sent to Scholar

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Page context 
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    "ocrText": "18\n19\nLine\nLine\nNo.\nItem\nAfter-Care\nFee\nNo.\nItem\nAfter-Care\nFee\n800. Stomach contents for ferments\n00\n801. Ewald or retention\n00\n852. Fees are for a competent diagnosis by x-ray\n802. Fractional Rehfus\n5 00\nimage, expert interpretation and opinion\n803. Bacteriophags\nA. & A.\nsize and number of films not relevant.\n804. Calculi\nA. & A.\n853. Single finger\n5 00\n854. Single toe\n5 00\n855. Hand (including fingers)\n8 00\nFECES\n856. Wrist (including carpus and lower one-third of\n810. Parasites\n3 00\nforearm)\n8 00\n857. Forearm mid one-third\n811. Typhoid and para cultures\n5 00\n8 00\n812. Microscopic for bacteria, etc\n3 00\n858. Elbow (including upper one-third of forearm and\n813. Urobilin\n3 00\nsupracondyles)\n8 00\n5 00\n859. Humerus mid one-third\n814. Urobilin quantitative\n8 00\n815. Histamine\n3 00\n860. Foot (including toes)\n8 00\n816. Occult blood only\n2 00\n861. Ankle (including lower three inches of leg)\n8 00\n817. Ferments\n5 00\n862. Leg, mid one-third\n8 00\n818. Simple culture\n5 00\n863. Knee (including four inches above and below joint)\n8 00\n819. Special culure\nA. & A.\n864. Femur mid one-third\n8 00\n820. Fats - -quantitative\n5 00\n865. Femur upper one-third\n8 00\n870. Shoulder joint\n10 00\n871. Clavicle\n10 00\nSPECIAL PROCEDURES\n872. Scapula\n10 00\n821. Basal metabolism\n10 00\n873. Hip joint\n15 00\n822. Immunology and allergy\nA. & A.\n875. Head and face, complete examination\n20 00\n823. Spinal puncture\n10 00\n876. Head and face, partial examination for follow-up\n824. Spinal puncture with manometric determination\n15 00\nwhen area of injury has been demonstrated\npreviously\n10 00\n830. Complete post mortem and report, without micro-\n50 00\n880. Nasal bones.\nscopic work\n10 00\n881. Nasal sinuses\n831. Complete post mortem and report, with tissue micro-\n15 00\nscopic examination\n75 00\n882. Mastoids\n15 00\n883. Mandible- - one side\n10 00\n832. Other post mortem laboratory work, as\n884. Cervical spine\n15 00\nscheduled above.\n885. Dorsal spine\n15 00\n835. When pathologist visits patient's home\n886. Lumbar spine\n15 00\nor other place to obtain specimen, add\n887. Pelvis\n15 00\n$3.00 for home visit to the above items.\n888. Sacro-iliac joint and coccyx\n15 00\n836. The attending physician will not make\n889. Any two spinal regions\n25 00\ncharge for obtaining specimen, except\n890. Any three spinal regions\n35 00\nspinal puncture.\n891. Sacro-iliac (including lumbo-sacral facets)\nA. & A.\n900. Thoracic cage (not including spine) any one area\n15 00\nROENTGENOLOGY AND RADIOLOGY\n901. Lungs and heart (not including cardiac mensura-\ntion)\n15 00\n\"\n15 00\nSD \" QUALIFICATION\n902. Cardiac mensuration (including fluoroscopy)\n903. Abdomen and gastrointestinal; flat plate for acute\n850. Lines 850 to 945 inclusive specify fees for\nobstruction\n15 00\nphysicians who are qualified as \" SD.\"\n904. Oesophagus only (including fluoroscopy)\n15 00\n851. (Instructions: Do not file either C-104\n905. Gastro-intestinal (oesophagus to cecum)\n25 00\nor C-4 reports. Instead, make writ-\n906. Gastro-intestinal (oesophagus to ampulla)\n35 00\nten report in quadruplicate; having one\n907. Colon by opaque enema\n20 00\nnotarized and sent to the district office\n908. Gall bladder, simple.\n15 00\nof the State Department of Labor; send\n909. Gall bladder, Graham test, oral\n25 00\none to the attending physician or sur-\n909a. Intravenous or Stewart Concentrate\n35 00\ngeon; retain one for record. Render\n910. Genito-urinary - simple\n15 00\nseparate bill to carrier, if known, or\n911. Genito-urinary - retrograde pylography (not in-\nemployer with the report. Films shall be\nclusive of injection)\n15 00\npreserved by roentgenologist and they\n912. Genito-urinary - pylography by excretion\n25 00\n(or satisfactory prints) shall be made\n913. Teeth - complete dental study\n10 00\navailable to attending physician, carrier\n914. Foreign body; same as part involved\nor employer.)\n915. Foreign body - search of respiratory or alimentary\ncanal\n20 00"
}