MSP has recently announced new GIM (General Internal Medicine) Fee codes for General Internists. The new GIM codes only apply to General Internists who have completed 3 years of core Internal Medicine training, plus at least 1 full year of General Internal Medicine training. There are 3 distinct categories for GIMs (General Internal Medicine Specialists). The new codes are only applicable to Category 2.
| Category 1 | Category 2 | Category 3 |
|---|---|---|
| GIMs who have less than 4 years of GIM training. | GIMs with 4 years or more of GIM training. | GIMs only (i.e., no sub-specialty) For Complex Patients. |
| Code | Explanation | Fee |
|---|---|---|
| 00312 | Repeat or limited consultation: Where a consultation for same illness is repeated within six months of the last visit by the consultant, or where in the judgment of the consultant the consultative services do not warrant a full consultative fee | $80.37 |
| 00310 | To consist of examination, review of history, laboratory, X-ray findings, and any additional visits necessary to render a written report. | $166.35 |
| 00308 | Subsequent Hospital Visit | $28.71 |
| 32270 | Telehealth Consultation: To consist of examination, review of history, laboratory, X-ray findings, and additional visits necessary to render a written report. | $166.35 |
| 32272 | Telehealth repeat or limited consultation: Where a consultation for same illness is repeated within six months of the last visit by the consultant, or where in the judgment of the consultant, the consultative services do not warrant a full consultative fee. | $80.37 |
| 32276 | Telehealth Directive Care | $71.32 |
| 32277 | Telehealth Subsequent Office Visit | $49.71 |
| 32278 | Telehealth Subsequent Hospital Visit | $28.71 |
| Code | Explanation | Fee |
|---|---|---|
| 32210 | To consist of examination, review of history, laboratory, X-ray findings, and any additional visits necessary to render a written report. | $202.57 |
| 32212 | Repeat or limited consultation: Where a consultation for same illness is repeated within six months of the last visit by the consultant, or where in the judgment of the consultant the consultative services do not warrant a full consultative fee | $90.00 |
| 32206 | Directive Care | $85.00 |
| 32208 | Subsequent Hospital Visit | $50.00 |
| 32370 | Telehealth Consultation: To consist of examination, review of history, laboratory, X-ray findings, and additional visits necessary to render a written report. | $202.57 |
| 32372 | Telehealth repeat or limited consultation: Where a consultation for same illness is repeated within six months of the last visit by the consultant, or where in the judgment of the consultant, the consultative services do not warrant a full consultative fee. | $90.00 |
| 32376 | Telehealth Directive Care | $85.00 |
| 32378 | Telehealth subsequent hospital visit | $50.00 |
| Code | Explanation | Fee |
|---|---|---|
| 00311 | Complex Consultation - Payable for patients that have 3 or more chronic diseases. For hospital in-patients, paid once per patient per hospital admission. | $263.52 |
| 32271 | Telehealth Complex Consultation - Payable for patients that have 3 or more chronic diseases. Limited to one per patient in a 6-month period. | $263.52 |
| 32307 | Subsequent follow-up office visit, complex patient – 3 medical conditions. Payable only if 00311 is paid within the previous 6 months. | $90.00 |
| 32308 | Subsequent Hospital Visit, Complex Patient – 3 Medical Conditions. | $53.00 |
| Disease | Diagnostic Code | |
| Coronary Atherosclerosis | 414 | |
| Septicemia | 038 | |
| Other HIV Infection | 044 | |
| DM including complications | 250 | |
| Disorders of Lipid Metabolism | 272 | |
| Thyroid disorders | 246 | |
| Purpura, Thrombocytopenia and Hemorrhagic conditions | 287 | |
| Anemia, unspecified | 285.9 | |
| Senile Dementia, Presenile Dementia | 290 | |
| Acute Confusional State | 293 | |
| Congestive Heart Failure | 428 | |
| Diseases of the Aortic and Mitral valve | 396 | |
| Essential Hypertension | 401 | |
| Neoplasm of uncertain behaviour of other and unspecified sites. "Not for minor or superficial skin malignancies." | 238 | |
| Cardiac Dysarrhythmias | ||
| Cerebral Atherosclerosis | 437 | |
| Asthma Allergic Bronchitis | 493 | |
| Emphysema | 492 | |
| Other Bacterial Pneumonia | 482 | |
| Non Infective Enteritis and Colitis | 557.1 | |
| GI Hemorrhage | 578 | |
| Chronic Liver diseases and Cirrhosis of the Liver | 571 | |
| CRF | 585 | |
| ARF | 584 | |
| Systemic Lupus Erythematosus | 710 | |
| Disorders of fluid, electrolyte and acid base balance | 276 | |
| Syncope | 780.2 | |
| cell1_3 | cell2_3 | |
| Venous thrombosis and embolism | 453 | |
| Pulmonary fibrosis | 515 | |
| Rheumatoid Arthritis | 714 |
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