AHCIP has updated and released a new “Schedule of Medical Benefits,” effective as of November 1, 2018. The following guide is a quick reference to new changes that affect physicians who specialize in anesthesia, cardiology, critical care or emergency. Please note that the new Alberta fee codes are automatically available on Dr. Bill, they will appear on any claim with a ‘Date of Service’, on or after November 1st. If the ‘Date of Service’ is set before November 1st, it will show the old code along with its expiry date. Any claims that are have already been submitted to AHCIP with the old fees but after November 1st, will come back as adjustments and our billing team will automatically handle them for you. Click here for changes affecting all Alberta physicians. Note: all new changes are marked with *** Anesthesia ***Amended anesthetic time modifier from ANE/ANEST to 2ANE/2ANES for the following HSCs:*** 16.43D 47.15B 47.92C 91.15A 16.43E 47.15C 47.93A 91.15B 20.73 47.25 47.93 93.69 44.01 47.25C 48.0 A 44.3 A 47.25D 49.7 A 44.4 C 47.25E 49.62B 44.5 B 47.39A 49.85 4.5 C 47.54A 50.08A 46.1 A 47.55A 50.08AA 46.1 B 47.55B 50.09A 46.3 B 47.55C 50.34B 46.3 C 47.72A 50.34C 46.09B 47.72B 50.34K 47.02C 47.72C 50.34LA 47.12A 47.81 50.75B 47.12B 47.82 51.1 A 47.13A 47.83B 51.21A 47.13B 47.84A 51.21B 47.14A 47.91A 65.8 A 47.14B 47.92A 65.8 B 47.15A 47.92B 90.40B
|01.12||***Deleted*** This will be replaced by HSC 01.12B and 01.12 will become a heading.|
|01.12B||***HSC 01.12B replaces HSC 01.12 which has been deleted in order to make the appropriate headings. 01.12 Other nonoperative esophagoscopy. 01.12A Functional endoscopic esophageal study ***01.12B Other nonoperative esophagoscopy, rigid.|
|01.24BA||Flexible proctosigmoidoscopy for screening of patients considered to be of high risk for colon cancer due to a family history of Familial Adenomatous Polyposis (FAP).|
|01.24BB||Flexible proctosigmoidoscopy for screening of patients who are considered to be of average risk for colon cancer.|
|03.08I||***Addition of skill CARD, CLIM, and MDON descriptions in the list of eligible providers*** Prolonged ***cardiology, ***clinical immunology, endocrinology/ metabolism, gastroenterology, hematology, infectious diseases, internal medicine, nephrology, physiatry, ***medical oncology, neurology, respiratory medicine or rheumatology consultation or visit, full 15 minutes or major portion thereof for the first call when only one call is claimed.|
|03.05A||Intensive care unit visit per 15 minutes.|
|GR 6.12.1||If a physician attempts a closed reduction of a fracture unsuccessfully and finds it necessary to transfer the care of the patient to another physician, the referring physician may claim up to ***100% of the benefit listed for such fractures. (attempted reductions require just as much if not more effort than successful fracture reductions).|
|***17.71B||***Femoral nerve block – injection with or without ultrasound.|
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