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 pediatrics, obstetrics and gynecology, or radiology. 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 *** Pediatrics
Fee Code | Description |
---|---|
03.03DG | Complex pediatric hospital visits per full 15 minutes. NOTES: May only be claimed for visits where the patient is complex and requires a minimum of ***15 minutes on patient care management. (changed from 20). |
03.05G | ***Initial assessment of newborn. |
03.05GA | Care of healthy newborn in hospital (subsequent days) NOTE: May only be claimed when no other visit service has been provided on that day, regardless of physician. ***Addition of PED skill code. |
03.08M | Extended uro-gynecology, ***pediatric gynecological, gyne-oncology, reproductive endocrinology or perinatology consultation, per 15 minutes or major portion thereof. |
50.94D | Introduction of central venous catheter, with or without ultrasound guidance. NOTE: May not be claimed in addition to HSC 49.95A. ***Addition of L13 modifier |
50.94E | Introduction of catheter into peripheral vein, requiring ultrasound guidance NOTE: May not be claimed for routine venous access or initiation of intravenous. ***Addition of L13 modifier |
50.94F | Introduction of venous catheter for hyperalimentation, percutaneous or by cutdown. ***Deleted*** - refer to HSC 50.94D and 50.94E |
Fee Code | Description |
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03.08M | Extended uro-gynecology, ***pediatric gynecological, gyne-oncology, reproductive endocrinology or perinatology consultation, per 15 minutes or major portion thereof. |
13.99JA | Management of complex labour, per 15 minutes |
Fee Code | Description |
---|---|
X128 | ***Add Note 4 to read as follows: Bone mineral content determination dual photon absorptiometry with or without vertebral fracture assessment (VFA) |
X321 | Ultrasound, obstetrical, second or third trimester, ***high-risk for example, significant maternal disease (i.e. diabetes), fetal anomaly, fetal markers, Intrauterine Growth Retardation (IUGR), oligohydramnios, growth discordance in twins, suspected fetal anemia, genetics, fetal therapy |