SOMB Procedure List - October 1, 2021

1 Classification: Public ALBERTA HEALTH CARE INSURANCE PLAN Medical Procedure List As Of 01 October 2021 Out of date Classification: Public ALBERTA HEALTH CARE INSURANCE PLAN Page i Generated 2021/09/24 TABLE OF CONTENTS As of 2021/10/01 I.

2 CERTAIN DIAGNOSTIC AND THERAPEUTIC PROCEDURES .. 1 01 NONOPERATIVE ENDOSCOPY .. 1 Nonoperative endoscopy of respiratory tract .. 1 Nonoperative endoscopy of upper gastrointestinal tract .. 1 Nonoperative endoscopy of lower gastrointestinal tract .. 2 Other nonoperative endoscopy .. 4 02 DIAGNOSTIC RADIOLOGY AND RELATED TECHNIQUES .. 4 Radiology Section - Please See Section X Other x-ray.

3 4 Diagnostic ultrasound .. 4 03 CLINICAL EVALUATION AND EXAMINATION .. 4 Diagnostic interview and evaluation or consultation .. 4 Measurements and manual examinations of nervous system and sense organs .. 56 Measurements and manual examinations of genitourinary system .. 58 Other measurements and manual examinations Refer to GRs and for additional information pertaining to HSCs to inclusive.

4 59 Cardiac stress tests and pacemaker checks .. 61 Other cardiac function tests .. 61 Other cardiovascular measurements .. 62 General physical examination .. 62 06 NUCLEAR MEDICINE .. 63 Other therapeutic radiology and nuclear medicine .. 63 Out of date Classification: Public ALBERTA HEALTH CARE INSURANCE PLAN Page ii Generated 2021/09/24 TABLE OF CONTENTS As of 2021/10/01 07 PHYSICAL MEDICINE, REHABILITATION, AND RELATED PROCEDURES.

5 64 Diagnostic physical medicine .. 64 Other physical medicine - musculoskeletal manipulation .. 64 Skeletal traction and other traction .. 64 Other immobilization, pressure, and attention to wound .. 64 08 DIAGNOSTIC AND THERAPEUTIC PSYCHOLOGY AND PSYCHIATRY .. 65 Psychiatric evaluations, interviews, and consultations .. 65 Psychiatric drug and shock therapy .. 76 Other psychiatric therapeutic procedures.

6 77 09 OPHTHALMOLOGICAL AND OTOLOGICAL DIAGNOSIS AND TREATMENT .. 80 General and subjective eye examination .. 80 Examinations of form and structure of eye .. 81 Objective functional tests of eye .. 82 Nonoperative procedures related to hearing .. 82 10 NONOPERATIVE INTUBATION, IRRIGATION, AND MANIPULATION PROCEDURES .. 84 Nonoperative intubation of respiratory and gastrointestinal tracts.

7 84 Other nonoperative dilation and manipulation procedures .. 85 Nonoperative alimentary tract irrigation, cleaning and local instillation .. 85 Nonoperative irrigation, cleaning, and local instillation of genitourinary system .. 85 11 REPLACEMENT AND REMOVAL OF THERAPEUTIC APPLIANCES .. 85 Nonoperative replacement of gastrointestinal appliances .. 85 Other nonoperative replacement.

8 86 Out of date Classification: Public ALBERTA HEALTH CARE INSURANCE PLAN Page iii Generated 2021/09/24 TABLE OF CONTENTS As of 2021/10/01 Nonoperative removal of therapeutic device from genital system .. 86 Other nonoperative removal of therapeutic device .. 86 12 NONOPERATIVE REMOVAL OF FOREIGN BODY .. 86 Removal of (non-penetrating) intraluminal foreign body from respiratory tract without incision.

9 86 Removal of (non-penetrating) intraluminal foreign body from digestive system without incision .. 86 Removal of (non-penetrating) intraluminal foreign body from other sites without incision .. 87 Removal of other foreign body from head and neck without incision .. 87 13 OTHER NONOPERATIVE PROCEDURES .. 87 Injection or infusion of other therapeutic or prophylactic substance.

10 87 Other injection or infusion of other therapeutic or prophylactic substance .. 87 Respiratory therapy .. 91 Conversion of cardiac rhythm .. 92 Miscellaneous physical procedures .. 92 Other miscellaneous diagnostic and therapeutic procedures .. 92 II. OPERATIONS ON THE NERVOUS SYSTEM .. 104 14 INCISION AND EXCISION OF SKULL, BRAIN AND CEREBRAL MENINGES Intracranial Procedure involving microsurgical technique,for a second neurosurgeon, refer to Price List.