S-4.2, r. 25 - Regulation respecting the specialized medical treatments provided in a specialized medical centre

Updated to 12 December 2023

This document has official status.

chapter S-4.2, r. 25

Regulation respecting the specialized medical treatments provided in a specialized medical centre

Act respecting health services and social services

(chapter S-4.2, s. 333.1).

1. For the purposes of section 333.1 of the Act respecting health services and social services (chapter S-4.2), the following are specialized medical treatments:

(1)  treatments listed in Part I of the Schedule, irrespective of the type of anaesthesia used for the treatment; and

(2)  treatments listed in Part II of the Schedule if the treatment is provided under general anaesthesia or under regional anaesthesia, whether nerve block or block anaesthesia at the root of a limb, excluding digital block;

(3)  (paragraph revoked).

M.O. 2008-08, s. 1; S.Q. 2009, c. 29, s. 38 .

2. Unless provided in a facility maintained by an institution within the mission of the institution, a specialized medical treatment may not be provided elsewhere than in a specialized medical centre and to the extent that it is expressly stated in the permit issued to the centre pursuant to section 437 of the Act.

M.O. 2008-08, s. 2.

3. A specialized medical treatment usually requiring a postoperative stay exceeding 24 hours or involving a hip or knee replacement may be provided only in a specialized medical centre referred to in subparagraph 2 of the first paragraph of section 333.3 of the Act.

M.O. 2008-08, s. 3.

4. (Omitted).

M.O. 2008-08, s. 4; M.O. 2008-017.

SCHEDULE

(s.1)

PART I

LIST OF SPECIALIZED MEDICAL TREATMENTS PROVIDED WITHOUT REGARD TO THE TYPE OF ANAESTHESIA USED

(1) Cosmetic surgery

1.1 Liposuction

1.2 Lipoinjection

(2) (paragraph revoked)

PART II

LIST OF SPECIALIZED MEDICAL TREATMENTS PROVIDED UNDER GENERAL ANAESTHESIA OR UNDER REGIONAL ANAESTHESIA, WHETHER NERVE BLOCK OR BLOCK ANAESTHESIA AT THE ROOT OF A LIMB, EXCLUDING DIGITAL BLOCK

(3) Breast surgery

3.1 Female or male mastectomy

3.2 Prosthesis removal/capsulectomy

3.3 Breast enlargement

3.4 Breast reduction

3.5 Other breast reconstruction

(4) Cosmetic surgery

4.1 Abdominal lipectomy

4.2 Abdominoplasty/redraping of the skin in other areas

4.3 Rhytidectomy (facelift)

(5) Orthopedic surgery

5.1 Surgery for benign injuries to bones, muscles, ligaments, tendons, synovial bursas and fascias, and arthroplasty of the hallux

5.2 Excisions of wires, nails, plates and screws

5.3 Arthrotomic or arthroscopic diagnosis or therapy, excluding the vertebral column

5.4 Dupuytren’s contracture surgery

5.5 Carpal tunnel surgery

5.6 Knee ligament reconstruction

5.7 Acromioplasty, rotator cuff repair

(6) Upper respiratory tract surgery

6.1 Nasal surgery for minor nose injuries or respiratory disorders

6.2 Rhinoplasty

6.3 Sinus surgery

(7) Vascular and lymphatic surgery

7.1 Varicose vein ligation, resection and stripping

7.2 Excision of surface lymph nodes

(8) Digestive system surgery

8.1 Lip, mouth and tongue surgery for minor injuries or precancerous lesions

8.2 Anorectal surgery for fissures, fistulas, hemorrhoids or prolapse

8.3 Excision of salivary glands for minor injuries

8.4 Diagnostic laparoscopy

8.5 Hernial surgery

8.6 Bariatric surgery

(9) Gynecological surgery

9.1 Excision of cysts, benign or malignant tumours

9.2 Labia minora plasty, labia majora plasty

9.3 Cystocele repair, any approach, enterocele or rectocele repair

9.4 Tubal ligation, any approach

9.5 Dilation and curettage

9.6 Diagnostic and therapeutic hysteroscopy

9.7 Diagnostic and therapeutic laparoscopy

9.8 Simple vaginal hysterectomy

9.9 Salpingo-oophorectomy or oophorectomy, any approach

(10) Nervous system surgery

10.1 Surgery on injured peripheral nerves or peripheral nerve repair

(11) Eye surgery

11.1 Laser surgery

11.2 Superficial keratectomy of the cornea

11.3 Excision of cutaneous lesions of the eyelid

11.4 Blepharoplasty

11.5 Tarsorrhaphy and separation of the eyelids

11.6 Strabismus surgery

11.7 Retinal surgery

(12) Ear surgery

12.1 Correction of protruding ears (prominauris)

(13) Transsexual surgery

13.1 Vaginoplasty

13.2 Phalloplasty with penile prosthesis implantation

13.3 Scrotoplasty with insertion of testicular prosthesis

(14) Cutaneous surgery

14.1 Surgery for abscesses, tumours, cysts, wounds, superficial or deep fistulas, eccrine sweat glands, with or without grafting, and wound debridement

14.2 Skin grafting

14.3 Surgical or laser correction of scars

14.4 Pilonidal sinus excision with or without plasty

(15) Breast biopsies

M.O. 2008-08, Sch; O.C. 223-2010; O.C. 706-2010, s. 1.

REFERENCES

M.O. 2008-08, 2008 G.O. 2, 2941

M.O. 2008-017, 2008 G.O. 2, 5616

S.Q. 2009, c. 29

O.C. 1029-2009, 2009 G.O. 2, 3287

O.C. 223-2010, 2010 G.O. 2, 742

O.C. 706-2010, 2010 G.O. 2, 2537