General practice MSP billing codes

Consultations

Code	Description	Amount
00110	IN OFFICE: AGE 2-49-CONSULTATION	$76.20
00116	SPECIAL IN-HOSPITAL, CONSULTATION	$161.91
12110	IN OFFICE:(AGE 0-1)-CONSULTATION	$83.82
12210	OUT OF OFFICE (AGE 0-1)-CONSULTATION	$100.59
13210	OUT OF OFFICE (AGE 2-49)-CONSULTATION	$91.44
15210	OUT OF OFFICE (AGE 50-59)-CONSULTATION	$100.59
15310	IN OFFICE (AGE 50-59)-CONSULTATION	$83.82
16110	IN OFFICE:(AGE 60-69)-CONSULTATION	$87.63
16210	OUT OF OFFICE (AGE 60-69)-CONSULTATION	$105.16
17110	IN OFFICE: (AGE 70-79)-CONSULTATION	$99.05
17210	OUT OF OFFICE (AGE 70-79)-CONSULTATION	$118.86
18110	IN OFFICE: (AGE 80+)-CONSULTATION	$114.31
18210	OUT OF OFFICE (AGE 80+)-CONSULTATION	$137.18

Complete Examinations

Code	Description	Amount
00101	IN OFFICE (AGE 2-49)-COMPLETE EXAMINATION	$69.33
12101	IN OFFICE (AGE 0-1)-COMPLETE EXAMINATION	$76.26
12201	OUT OF OFFICE (AGE 0-1)-COMPLETE EXAMINATION	$91.51
13201	OUT OF OFFICE (AGE 2-49)-COMPLETE EXAMINATION	$83.20
15201	OUT OF OFFICE (AGE 50-59)-COMPLETE EXAMINATION	$91.51
15301	IN OFFICE (AGE 50-59)-COMPLETE EXAMINATION	$76.26
16101	IN OFFICE (AGE 60-69)-COMPLETE EXAMINATION	$79.72
16201	OUT OF OFFICE (AGE 60-69)-COMPLETE EXAMINATION	$95.67
17101	IN OFFICE (AGE 70-79)-COMPLETE EXAMINATION	$90.12
17201	OUT OF OFFICE (AGE 70-79)-COMPLETE EXAMINATION	$108.14
18101	IN OFFICE (AGE 80+)-COMPLETE EXAMINATION	$104.01
18201	OUT OF OFFICE (AGE 80+)-COMPLETE EXAMINATION	$124.80

Visits

Code	Description	Amount
00100	VISIT IN OFFICE (AGE 2 - 49)	$31.23
00105	ON CALL, ON SITE HOSPITAL VISIT - NIGHT	$71.06
00111	VISIT, EMERGENCY HOME	$115.65
00112	VISIT, EMERGENCY	$114.29
00113	ON CALL, ON SITE HOSPITAL VISIT - EVENING	$51.13
00123	ON CALL, ON SITE HOSPITAL VISIT - SAT, SUN OR HOLS	$51.13
12100	VISIT IN OFFICE (AGE 0-1)	$34.36
12200	VISIT - OUT OF OFFICE (AGE 0 - 1)	$41.22
13070	IN OFFICE ASSESSMENT IN ASSOC WITH A WSBC SERVICE	$16.24
13075	IN OFFICE ASSESSMENT IN ASSOC WITH AN ICBC SERVICE	$16.24
13200	VISIT - OUT OF OFFICE (AGE 2-49)	$37.48
15200	VISIT OUT OF OFFICE (AGE 50-59)	$41.22
15300	VISIT IN OFFICE (AGE 50-59)	$34.36
16100	VISIT IN OFFICE (AGE 60-69)	$35.91
16200	VISIT - OUT OF OFFICE (AGE 60-69)	$43.10
17100	VISIT IN OFFICE (AGE 70-79)	$40.60
17200	VISIT - OUT OF OFFICE (AGE 70-79)	$48.71
18100	VISIT IN OFFICE (AGE 80+)	$46.85
18200	VISIT - OUT OF OFFICE (AGE 80+)	$56.21

Group Medical Visits

Code	Description	Amount
13763	GENERAL PRACTICE GROUP MEDICAL VISIT - 3 PATIENTS	$25.55
13764	GENERAL PRACTICE GROUP MEDICAL VISIT - 4 PATIENTS	$20.64
13765	GENERAL PRACTICE GROUP MEDICAL VISIT - 5 PATIENTS	$17.73
13766	GENERAL PRACTICE GROUP MEDICAL VISIT - 6 PATIENTS	$15.78
13767	GENERAL PRACTICE GROUP MEDICAL VISIT - 7 PATIENTS	$14.39
13768	GENERAL PRACTICE GROUP MEDICAL VISIT - 8 PATIENTS	$13.36
13769	GENERAL PRACTICE GROUP MEDICAL VISIT - 9 PATIENTS	$12.52
13770	GENERAL PRACTICE GROUP MEDICAL VISIT - 10 PATIENTS	$11.87
13771	GENERAL PRACTICE GROUP MEDICAL VISIT - 11 PATIENTS	$10.40
13772	GENERAL PRACTICE GROUP MEDICAL VISIT - 12 PATIENTS	$9.78
13773	GENERAL PRACTICE GROUP MEDICAL VISIT - 13 PATIENTS	$9.05
13774	GENERAL PRACTICE GROUP MEDICAL VISIT - 14 PATIENTS	$8.89
13775	GENERAL PRACTICE GROUP MEDICAL VISIT - 15 PATIENTS	$8.53
13776	GENERAL PRACTICE GROUP MEDICAL VISIT - 16 PATIENTS	$8.28
13777	GENERAL PRACTICE GROUP MEDICAL VISIT - 17 PATIENTS	$7.94
13778	GENERAL PRACTICE GROUP MEDICAL VISIT - 18 PATIENTS	$7.76
13779	GENERAL PRACTICE GROUP MEDICAL VISIT - 19 PATIENTS	$7.48
13780	GENERAL PRACTICE GROUP MEDICAL VISIT - 20 PATIENTS	$7.30
13781	GENERAL PRACTICE GROUP MEDICAL VISIT- >20 PATIENTS	$7.03

Counselling Individual

Code	Description	Amount
00120	INDIVIDUAL COUNSELLING IN OFFICE (AGE 2-49)	$54.35
12120	INDIVIDUAL COUNSELLING IN OFFICE (AGE 0 - 1)	$59.78
12220	INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 0 - 1)	$71.72
13220	INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 2-49)	$65.20
15220	INDIVIDUAL COUNSELLING OUT OF OFFICE (AGE 50-59)	$71.72
15320	INDIVIDUAL COUNSELLING IN OFFICE (AGE 50-59)	$59.78
16120	INDIVIDUAL COUNSELLING IN OFFICE (AGE 60 - 69)	$62.49
16220	INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 60-69)	$74.99
17120	INDIVIDUAL COUNSELLING IN OFFICE (AGE 70-79)	$70.64
17220	INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 70-79)	$84.77
18120	INDIVIDUAL COUNSELLING IN OFFICE (AGE 80+)	$81.51
18220	INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 80 +)	$97.82

Counselling Group

Code	Description	Amount
00121	GROUP COUNSELLING-FIRST FULL HOUR	$87.34
00122	GROUP COUNSELLING-2ND HOUR/PER HALF OR MAJOR PART	$43.69

Facility Visits

Code	Description	Amount
00108	HOSPITAL VISIT	$31.69
00109	ACUTE CARE HOSPITAL ADMISSION VISIT	$81.00
00114	VISIT NURSING HOME ONE OR MULTIPLE PATIENTS	$35.86
00115	NURSING HOME VISIT - 1 PATIENT WHEN SPECIALLY CALL	$114.29
00127	TERMINAL CARE FACILITY VISIT	$53.20
00128	SUPPORTIVE CARE HOSPITAL VISIT	$27.32
13334	LTC FACILITY VISIT-FIRST VISIT OF DAY BONUS,EXTRA	$33.81

Community Based Gp Hospital Visits

Code	Description	Amount
13008	COMMUNITY BASED GP: HOSPITAL VISIT	$53.20
13028	COMMUNITY BASED GP: SUPPORTIVE CARE HOSP VISIT	$35.34
13228	COMMUNITY BASED GP: HOSPITAL VISIT	$29.63
13338	COMMUNITY BASED GP,1ST FAC VISIT OF DAY BONUS,EXTR	$37.82
13339	COM BASED GP,1ST HOSP VISIT OF DAY BONUS, EXTRA	$29.63

Phone Calls & Email

Code	Description	Amount
13005	Phone Call (Advice about patient in Community Care)	$15.60
13000	TELEPHONE ADVICE IN FIRST NATIONS COMMUNITIES	$15.60
14018	GP URGENT TELEPHONE CONFERENCE WITH A SPECIALIST	$40.00
14021	GP WITH SPECIALTY TRAINING TELE ADVICE - URGENT	$60.00
14022	GP WITH SPECIALTY TRAINING TELE PATIENT MGMT 1 WK	$40.00
14023	GP WITH SPEC TRAINING TELE PATIENT MGMT-FOLLOW UP	$20.00
14079	GP TELEPHONE/EMAIL MANAGEMENT FEE	$15.00

Gynecology & Pregnancy

Code	Description	Amount
00118	CAESAREAN SECTION-ATTENDANCE	$89.69
00119	NEWBORN CARE, ROUTINE, IN HOSPITAL	$91.67
14004	FULL SERVICE GP-OBSTET DELIVERY BONUS-W DELIVERY	$288.77
14005	FULL SERVICE GP-BONUS WITH TRANSFER HIGHER CARE	$120.26
14008	FULL SERVICE GP-BONUS WITH POST NATAL CARE	$59.41
14009	FULL SERVICE GP-OBSTET DELIVERY BONUS-W C SECTION	$240.54
14090	PRENATAL VISIT- COMPLETE EXAMINATION	$83.38
14091	PRENATAL VISIT - SUBSEQUENT EXAMINATION	$31.23
14094	POST-NATAL OFFICE VISIT	$31.23
14104	DELIVERY AND POST-NATAL CARE (1-14 DAYS IN-HOSP)	$577.54
14105	MANAGEMENT OF LABOUR AND TRANSFER TO HIGHER LEVEL	$240.52
14108	POST-NATAL CARE AFTER ELECTIVE C-SECTION	$118.82
14109	DELIVERY - ATTENDANCE - EMERG C/S	$481.07
14199	MNGMNT OF PRLNGD 2ND STG LABOUR - PER 30 MINS	$83.89
14540	INSERTION INTRAUTERINE CONTRACEPTIVE DEVICE	$42.62
14545	MEDICAL ABORTION	$162.92
14560	ROUTINE PELVIC EXAM INCLUDING PAP	$31.23
15120	PREGNANCY TEST, IMMUNOLOGIC, URINE	$11.50
14010	Maternity Network Incentive	$2,100.00

Surgical Assistance

Code	Description	Amount
00193	NON-CVT CERT. SURGICAL ASSIST @ OPEN HEART SURGERY	$29.36
00195	SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE	$133.22
00196	SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE	$187.83
00197	SURGICAL ASSISTANCE - OPERATIONS OVER $529.00	$256.18
00198	SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS	$28.31
13052	ANAES. EVALUATION - NON-CERTIFIED ANAESTHETIST	$46.40
13194	GP FIRST SURGICAL ASSIST OF THE DAY	$87.07

Procedures

Code	Description	Amount
00190	ELECTROSURG./CRYOTHERAPY FOR REMOVAL OF WARTS ETC.	$31.23
10710	IN-OFFICE ANOSCOPY	$7.84
13600	BIOPSY - MUCOSA/SKIN (OPERATION ONLY)	$51.28
13601	BIOPSY - FACIAL AREA (OPERATION ONLY)	$51.28
13605	ABSCESS - SUPERFICIAL	$43.93
13610	MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA	$35.18
13611	MINOR LACERATION/FOREIGN BODY REQUIRING ANAES.	$65.53
13612	EXTENSIVE LACERATION GREATER THAN 5CM	$13.15
13620	EXCISION TUMOR OF SKIN/SCAR UP TO 5CM	$65.53
13621	EXCISION ADDITIONAL TUMOR OF SKIN/SCAR UP TO 5CM	$32.76
13622	LOCALIZED CARCINOMA OF SKIN PROVEN HISTOPATH.	$72.40
13630	PARONYCHIA	$35.09
13631	NAIL REMOVAL - SIMPLE	$35.09
13632	NAIL REMOVAL WITH DESTRUCTION OF NAIL BED	$71.00
13633	WEDGE EXCISION OF ONE NAIL	$62.65
13650	ENUCLEATION OR EXCISION OF EXT THROMBOTIC HAEMORRH	$51.47
13660	METATARSAL BONE - CLOSED REDUCTION	$52.13

Laboratory Services

Code	Description	Amount
00012	INJECTION, VENEPUNCTURE	$5.88
15000	HAEMOGLOBIN -OTHER METHODS (IN PHYSICIANS OFFICE)	$1.61
15100	GLUCOSE - SEMIQUANTITATIVE	$3.65
15110	OCCULT BLOOD - FECES	$5.27
15120	PREGNANCY TEST, IMMUNOLOGIC, URINE	$11.50
15130	URINALYSIS - SCREENING	$2.15
15131	URINALYSIS - MICRO EXAM OF CENTRIFUGED DEPOSIT	$4.07
15132	CANDIDA CULTURE (IN PHYSICIANS OFFICE)	$6.62
15133	EXAMINATION OF EOSINOPHILS/SECRETIONS/EXCRETIONS	$7.09
15134	PINWORM OVA-EXAMINATION	$5.81
15136	FUNGUS, DIRECT EXAMINATION, KOH PREPARATION	$8.33
15137	HAEMOGLOBIN - CYANMETHAEMOGLOBIN	$3.10
15138	SEDIMENTATION RATE (IN PHYSICIANS OFFICE)	$2.49
15139	SPERM, SEMINAL EXAMINATION FOR PRESENCE OR ABSENCE	$14.67
15140	STAINED SMEAR (IN PHYSICIANS OFFICE)	$7.34
15141	TRICHOMONAS AND / OR CANDIDA, DIRECT EXAMINATION	$5.58
15142	URINALYSIS-COMPLETE DIAGNOSTIC, SEMI-QUANT & MICRO	$5.55
15143	WHITE CELL COUNT ONLY	$6.43
30015	EOSINOPHILS - SECRETION SMEAR	$7.24
93120	E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL)	$16.70

Gpsc Annual Bonuses

Code	Description	Amount
14033	ANNUAL COMPLEX CARE MANAGEMENT FEE	$315.00
14050	GP ANNUAL CHRONIC CARE BONUS - DIABETES MELLITUS	$125.00
14051	GP ANNUAL CHRONIC CARE BONUS - HEART FAILURE	$125.00
14052	GP ANNUAL CHRONIC CARE BONUS - HYPERTENSION	$50.00
14053	INCENTIVE FOR GP ANNUAL CHRONIC CARE BONUS COPD	$125.00

Conferences

Code	Description	Amount
14015	FACILITY PATIENT CONFERENCE-GENERAL PRACTICE	$40.00
14016	COMMUNITY PATIENT CONFERENCE FEE-GENERAL PRACTICE	$40.00
14017	GENERAL PRACTICE ACUTE CARE DISCHARGE CONFERENCE	$40.00

Mental Health Planning & Management

Code	Description	Amount
14043	GP MENTAL HEALTH PLANNING FEE	$100.00
14044	GP MENTAL HEALTH MANAGEMENT FEE AGE 2-49	$54.35
14045	GP MENTAL HEALTH MANAGEMENT FEE AGE 50-59	$59.78
14046	GP MENTAL HEALTH MANAGEMENT FEE AGE 60-69	$62.49
14047	GP MENTAL HEALTH MANAGEMENT FEE AGE 70-79	$70.64
14048	GP MENTAL HEALTH MANAGEMENT FEE AGE 80+	$81.51

Gp For Me Attachment Fees

Code	Description	Amount
14070	GP ATTACHMENT PARTICIPATION	$0.00
14071	GP LOCUM ATTACHMENT PARTICIPATION	$0.00
14074	GP UNATTACHED COMPLEX/HIGH NEEDS PATIENT ATTACHMEN	$200.00
14075	GP ATTACHMENT COMPLEX CARE MANAGEMENT FEE	$315.00
14076	GP ATTACHMENT TELEPHONE MANAGEMENT FEE	$20.00
14077	GP ATTACHMENT PATIENT CONFERENCE FEE	$40.00

Other Gpsc Fees

Code	Description	Amount
14063	PALLIATIVE CARE PLANNING FEE-GENERAL PRACTICE	$100.00
14066	PERSONAL HEALTH RISK ASSESSMENT	$50.00
14086	GP ASSIGNED INPATIENT CARE NETWORK	$2,100.00
14088	GP UNASSIGNED INPATIENT CARE FEE	$150.00

Other

Code	Description	Amount
00103	HOME VISIT - CALL PLACED BETWEEN 0800 AND 2300HRS	$114.29
00117	ECG INTERPRETATION ONLY G.P.	$10.25
03333	NO CHARGE REFERRAL	$0.00
13015	HIV/AIDS PRIMARY CARE MGMT - PER 1/2 HR OR	$85.31
13016	TELEHEALTH GP OUT OF OFFICE CONSULTATION	$108.21
13017	TELEHEALTH GP OUT OF OFFICE VISIT	$40.79
13018	TELEHEALTH GP OUT OF OFFICE INDIVIDUAL COUNSELLING	$74.76
13020	TELEHEALTH GENERAL PRACTITIONER ASSISTANT	$31.23
13021	TELEHEALTH GP OUT OF OFFICE GROUP COUNSEL 1ST HOUR	$86.81
13022	TELEHEALTH GP OUT OF OFFICE GROUP COUNSEL 2ND HOUR	$43.43
13036	TELEHEALTH GP IN-OFFICE CONSULTATION	$81.82
13037	TELEHEALTH GP IN-OFFICE VISIT	$34.18
13038	TELEHEALTH GP IN-OFFICE INDIVIDUAL COUNSELLING	$58.46
13041	TELEHEALTH GP IN-OFFICE GROUP COUNSELLING/1ST HR	$86.29
13042	TELEHEALTH GP IN-OFFICE GROUP COUNSELLING - 2ND HR	$43.18
13655	GENERAL PRACTICE - VASECTOMY BONUS	$21.17