Referral Schedules Midwives, RNs, Certified RNs, and Psych RN Lab referrals

Ashley Lane
August 1, 2021

If you work as a midwife, RN, certified RN, or Psych RN, you’ll want to know about revisions pertaining to you made by the Minister of Health. As of June 1st, 2021, Ministerial Order #313-2015 added fee items for laboratory referral services. In the following tables, you’ll find new fee codes to Schedules A – Midwives, B – Registered Nurses (certified), and E – Registered Nurses and Registered Psychiatric Nurses Referral Relating to Substance Schedule.

Schedule A – Midwives

Description Fee Code
Identification of Microorganisms via MALDI-TOF-MS, in non-stool specimen P90752

Schedule B – Registered Nurses (Certified)

Description Fee Code
Identification of Microorganisms via MALDI-TOF-MS, in non-stool specimen P90752
Identification of Microorganisms via MALDI-TOF-MS, in stool specimen P90753

Schedule E – Registered Nurses and Registered Psychiatric Nurses Referral Relating to Substance Use Schedule 

Description Fee Code
Venepuncture and dispatch of specimen to laboratory, when no other blood work performed 90000
Primary Base Fee 91000
Split Base Fee (Collecting Laboratory) 91005
Split Base Fee (Referral Laboratory) 91010

 

Ministerial Order #228-2021 also made the following administrative updates to Schedules A, B, and C (Podiatrists): 

Schedule A – Midwives 

Description Fee Code Action Reference
T3 – Free 92311 Added M425-2016
Trichomonas Vaginalis (TV) by NAATUrine or Swab 90647 Added M274-2019
Gonorrhea/Chlamydia Trachomatis (GC/CT) Detection by NAAT- Urine or Swab 90648 Added
Gonorrhea/Chlamydia Trachomatis/Trichomonas Vaginalis (GC/CT/TV) Detection by NAAT- Urine or Swab 90649 Added
Chlamydia Trachomatis using NAATUrine 90651 Removed
Chlamydia Trachomatis using NAATUrogenital Swab 90652 Removed
Gonorrhea by NAAT- Urine 90653 Removed
Gonorrhea by NAAT- Urogenital Swab 90654 Removed
Haemoglobin Only 90230 Delisted 2009 MOC10-014
Platelet Count Only 90395 Delisted 2009 MOC10-014
Glucose- 2 Hr, Post-75g 91719 Delisted 2010 MOC10-149

 

Schedule B – Registered Nurses (Certified) 

Description Code Action Reference
Blood Film Review 90465 Added M425-2016
Trichomonas Vaginalis (TV) by NAATUrine or Swab 90647 Added M274-2019
Gonorrhea/Chlamydia Trachomatis (GC/CT) Detection by NAAT- Urine or Swab 90648 Added
Gonorrhea/Chlamydia Trachomatis/Trichomonas Vaginalis (GC/CT/TV) Detection by NAAT- Urine or Swab 90649 Added
Chlamydia Trachomatis using NAATUrine 90651
Removed Chlamydia Trachomatis using NAATUrogenital Swab 90652 Removed
Gonorrhea by NAAT- Urine 90653 Removed
Gonorrhea by NAAT- Urogenital Swab 90654 Removed

 

Schedule C – Podiatrists

Description Code Action Reference
Trichomonas Vaginalis (TV) by NAATUrine or Swab 90647 Added M274-2019
Gonorrhea/Chlamydia Trachomatis (GC/CT) Detection by NAAT- Urine or Swab 90648 Added
Gonorrhea/Chlamydia Trachomatis/Trichomonas Vaginalis (GC/CT/TV) Detection by NAAT- Urine or Swab 90649
Added Chlamydia Trachomatis using NAATUrine 90651 Removed
Gonorrhea by NAAT- Urine     90653    Removed
Haemoglobin Only 90230 Delisted 2009 MOC10-014
White Cell Count Only  90570 Delisted 2009 MOC10-014
HLA Genotyping  90260 Delisted 2010  MOC10-094 
Immunofluorescent Staining- Add Autoantibodies 90285 Delisted 2014 MOC14-085 
Folic Acid 91655  Delisted 2010  MOC10-149
Testosterone Free 92265  Delisted 2011    MOC11-129
Primary Base Fee- Drugs Of Abuse 92500  Delisted 2013  MOC13-126 

                   

You can find the amended schedules at Referring Practitioner Schedules and a summary of Referring Practitioner Ministerial Orders and administrative updates. If you have questions about these amendments or any other billing issues, don’t hesitate to reach out to our support team.