General practice MSP billing codes


Consultations

Code Description Amount
00110 IN OFFICE: AGE 2-49-CONSULTATION $77.15
00116 SPECIAL IN-HOSPITAL, CONSULTATION $163.94
12110 IN OFFICE:(AGE 0-1)-CONSULTATION $84.87
12210 OUT OF OFFICE (AGE 0-1)-CONSULTATION $100.59
13210 OUT OF OFFICE (AGE 2-49)-CONSULTATION $92.59
15210 OUT OF OFFICE (AGE 50-59)-CONSULTATION $101.85
15310 IN OFFICE (AGE 50-59)-CONSULTATION $84.87
16110 IN OFFICE:(AGE 60-69)-CONSULTATION $88.73
16210 OUT OF OFFICE (AGE 60-69)-CONSULTATION $106.48
17110 IN OFFICE: (AGE 70-79)-CONSULTATION $100.29
17210 OUT OF OFFICE (AGE 70-79)-CONSULTATION $120.35
18110 IN OFFICE: (AGE 80+)-CONSULTATION $115.75
18210 OUT OF OFFICE (AGE 80+)-CONSULTATION $138.90

Complete Examinations

Code Description Amount
00101 IN OFFICE (AGE 2-49)-COMPLETE EXAMINATION $69.85
12101 IN OFFICE (AGE 0-1)-COMPLETE EXAMINATION $76.83
12201 OUT OF OFFICE (AGE 0-1)-COMPLETE EXAMINATION $92.20
13201 OUT OF OFFICE (AGE 2-49)-COMPLETE EXAMINATION $83.20
15201 OUT OF OFFICE (AGE 50-59)-COMPLETE EXAMINATION $92.20
15301 IN OFFICE (AGE 50-59)-COMPLETE EXAMINATION $76.83
16101 IN OFFICE (AGE 60-69)-COMPLETE EXAMINATION $80.32
16201 OUT OF OFFICE (AGE 60-69)-COMPLETE EXAMINATION $96.39
17101 IN OFFICE (AGE 70-79)-COMPLETE EXAMINATION $90.80
17201 OUT OF OFFICE (AGE 70-79)-COMPLETE EXAMINATION $108.95
18101 IN OFFICE (AGE 80+)-COMPLETE EXAMINATION $104.79
18201 OUT OF OFFICE (AGE 80+)-COMPLETE EXAMINATION $125.74

Visits

Code Description Amount
00100 VISIT IN OFFICE (AGE 2 - 49) $31.62
00105 ON CALL, ON SITE HOSPITAL VISIT - NIGHT $71.95
00111 VISIT, EMERGENCY HOME $117.10
00112 VISIT, EMERGENCY $115.73
00113 ON CALL, ON SITE HOSPITAL VISIT - EVENING $51.77
00123 ON CALL, ON SITE HOSPITAL VISIT - SAT, SUN OR HOLS $51.77
12100 VISIT IN OFFICE (AGE 0-1) $34.79
12200 VISIT - OUT OF OFFICE (AGE 0 - 1) $41.22
13070 IN OFFICE ASSESSMENT IN ASSOC WITH A WSBC SERVICE $16.44
13075 IN OFFICE ASSESSMENT IN ASSOC WITH AN ICBC SERVICE $16.44
13200 VISIT - OUT OF OFFICE (AGE 2-49) $37.95
15200 VISIT OUT OF OFFICE (AGE 50-59) $41.74
15300 VISIT IN OFFICE (AGE 50-59) $34.79
16100 VISIT IN OFFICE (AGE 60-69) $36.36
16200 VISIT - OUT OF OFFICE (AGE 60-69) $43.73
17100 VISIT IN OFFICE (AGE 70-79) $41.10
17200 VISIT - OUT OF OFFICE (AGE 70-79) $49.33
18100 VISIT IN OFFICE (AGE 80+) $47.44
18200 VISIT - OUT OF OFFICE (AGE 80+) $56.91

Group Medical Visits

Code Description Amount
13763 GENERAL PRACTICE GROUP MEDICAL VISIT - 3 PATIENTS $25.87
13764 GENERAL PRACTICE GROUP MEDICAL VISIT - 4 PATIENTS $20.89
13765 GENERAL PRACTICE GROUP MEDICAL VISIT - 5 PATIENTS $17.95
13766 GENERAL PRACTICE GROUP MEDICAL VISIT - 6 PATIENTS $15.98
13767 GENERAL PRACTICE GROUP MEDICAL VISIT - 7 PATIENTS $14.57
13768 GENERAL PRACTICE GROUP MEDICAL VISIT - 8 PATIENTS $13.53
13769 GENERAL PRACTICE GROUP MEDICAL VISIT - 9 PATIENTS $12.67
13770 GENERAL PRACTICE GROUP MEDICAL VISIT - 10 PATIENTS $12.02
13771 GENERAL PRACTICE GROUP MEDICAL VISIT - 11 PATIENTS $10.53
13772 GENERAL PRACTICE GROUP MEDICAL VISIT - 12 PATIENTS $9.90
13773 GENERAL PRACTICE GROUP MEDICAL VISIT - 13 PATIENTS $9.17
13774 GENERAL PRACTICE GROUP MEDICAL VISIT - 14 PATIENTS $9.00
13775 GENERAL PRACTICE GROUP MEDICAL VISIT - 15 PATIENTS $8.63
13776 GENERAL PRACTICE GROUP MEDICAL VISIT - 16 PATIENTS $8.38
13777 GENERAL PRACTICE GROUP MEDICAL VISIT - 17 PATIENTS $8.04
13778 GENERAL PRACTICE GROUP MEDICAL VISIT - 18 PATIENTS $7.86
13779 GENERAL PRACTICE GROUP MEDICAL VISIT - 19 PATIENTS $7.58
13780 GENERAL PRACTICE GROUP MEDICAL VISIT - 20 PATIENTS $7.39
13781 GENERAL PRACTICE GROUP MEDICAL VISIT- >20 PATIENTS $7.12

Counselling Individual

Code Description Amount
00120 INDIVIDUAL COUNSELLING IN OFFICE (AGE 2-49) $56.41
12120 INDIVIDUAL COUNSELLING IN OFFICE (AGE 0 - 1) $62.05
12220 INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 0 - 1) $74.44
13220 INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 2-49) $67.67
15220 INDIVIDUAL COUNSELLING OUT OF OFFICE (AGE 50-59) $74.44
15320 INDIVIDUAL COUNSELLING IN OFFICE (AGE 50-59) $62.05
16120 INDIVIDUAL COUNSELLING IN OFFICE (AGE 60 - 69) $64.86
16220 INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 60-69) $77.83
17120 INDIVIDUAL COUNSELLING IN OFFICE (AGE 70-79) $73.32
17220 INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 70-79) $87.99
18120 INDIVIDUAL COUNSELLING IN OFFICE (AGE 80+) $84.60
18220 INDIVIDUAL COUNSELLING - OUT OF OFFICE (AGE 80 +) $101.52

Counselling Group

Code Description Amount
00121 GROUP COUNSELLING-FIRST FULL HOUR $160.00
00122 GROUP COUNSELLING-2ND HOUR/PER HALF OR MAJOR PART $80.00

Facility Visits

Code Description Amount
00108 HOSPITAL VISIT $31.93
00109 ACUTE CARE HOSPITAL ADMISSION VISIT $81.61
00114 VISIT NURSING HOME ONE OR MULTIPLE PATIENTS $36.31
00115 NURSING HOME VISIT - 1 PATIENT WHEN SPECIALLY CALL $115.73
00127 TERMINAL CARE FACILITY VISIT $53.87
00128 SUPPORTIVE CARE HOSPITAL VISIT $27.52
13334 LTC FACILITY VISIT-FIRST VISIT OF DAY BONUS,EXTRA $34.23

Community Based Gp Hospital Visits

Code Description Amount
13008 COMMUNITY BASED GP: HOSPITAL VISIT $53.87
13028 COMMUNITY BASED GP: SUPPORTIVE CARE HOSP VISIT $35.79
13228 COMMUNITY BASED GP: HOSPITAL VISIT $30.00
13338 COMMUNITY BASED GP,1ST FAC VISIT OF DAY BONUS,EXTR $49.72
13339 COM BASED GP,1ST HOSP VISIT OF DAY BONUS, EXTRA $30.00

Phone Calls & Email

Code Description Amount
13005 Phone Call (Advice about patient in Community Care) $18.22
13000 TELEPHONE ADVICE IN FIRST NATIONS COMMUNITIES $18.22
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 $90.81
00119 NEWBORN CARE, ROUTINE, IN HOSPITAL $92.82
14004 FULL SERVICE GP-OBSTET DELIVERY BONUS-W DELIVERY $375.40
14005 FULL SERVICE GP-BONUS WITH TRANSFER HIGHER CARE $156.34
14008 FULL SERVICE GP-BONUS WITH POST NATAL CARE $77.23
14009 FULL SERVICE GP-OBSTET DELIVERY BONUS-W C SECTION $312.70
14090 PRENATAL VISIT- COMPLETE EXAMINATION $84.43
14091 PRENATAL VISIT - SUBSEQUENT EXAMINATION $31.62
14094 POST-NATAL OFFICE VISIT $31.62
14104 DELIVERY AND POST-NATAL CARE (1-14 DAYS IN-HOSP) $584.78
14105 MANAGEMENT OF LABOUR AND TRANSFER TO HIGHER LEVEL $243.53
14108 POST-NATAL CARE AFTER ELECTIVE C-SECTION $120.31
14109 DELIVERY - ATTENDANCE - EMERG C/S $487.10
14199 MNGMNT OF PRLNGD 2ND STG LABOUR - PER 30 MINS $84.94
14540 INSERTION INTRAUTERINE CONTRACEPTIVE DEVICE $43.15
14545 MEDICAL ABORTION $164.96
14560 ROUTINE PELVIC EXAM INCLUDING PAP $31.62
15120 PREGNANCY TEST, IMMUNOLOGIC, URINE $11.65
14010 Maternity Network Incentive $2,100.00

Surgical Assistance

Code Description Amount
00193 NON-CVT CERT. SURGICAL ASSIST @ OPEN HEART SURGERY $29.84
00195 SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE $134.22
00196 SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE $189.24
00197 SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 $260.35
00198 SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $28.52
13052 ANAES. EVALUATION - NON-CERTIFIED ANAESTHETIST $55.76
13194 GP FIRST SURGICAL ASSIST OF THE DAY $88.16

Procedures

Code Description Amount
00190 ELECTROSURG./CRYOTHERAPY FOR REMOVAL OF WARTS ETC. $31.62
10710 IN-OFFICE ANOSCOPY $7.94
13600 Biopsy of skin or mucosa (operation only) $51.92
13601 BIOPSY - FACIAL AREA (OPERATION ONLY) $51.92
13605 Opening superficial abscess, including furuncle - operation only $44.48
13610 MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA $35.62
13611 MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. $66.35
13612 EXTENSIVE LACERATION GREATER THAN 5CM $13.32
13620 Excision of tumour of skin or subcutaneous tissue or small scar under local anesthetic - up to 5 cm (operation only) $66.35
13621 - additional lesions removed at the same sitting (maximum per sitting, five) each (operation only) $33.18
13622 LOCALIZED CARCINOMA OF SKIN PROVEN HISTOPATH. $73.30
13630 PARONYCHIA $35.53
13631 NAIL REMOVAL - SIMPLE $35.53
13632 NAIL REMOVAL WITH DESTRUCTION OF NAIL BED $71.89
13633 WEDGE EXCISION OF ONE NAIL $63.44
13650 ENUCLEATION OR EXCISION OF EXT THROMBOTIC HAEMORRH $52.12
13660 METATARSAL BONE - CLOSED REDUCTION $52.78

Laboratory Services

Code Description Amount
00012 INJECTION, VENEPUNCTURE $5.95
15000 HAEMOGLOBIN -OTHER METHODS (IN PHYSICIANS OFFICE) $1.62
15100 GLUCOSE - SEMIQUANTITATIVE $3.70
15110 OCCULT BLOOD - FECES $5.34
15120 PREGNANCY TEST, IMMUNOLOGIC, URINE $11.65
15130 URINALYSIS - SCREENING $2.18
15131 URINALYSIS - MICRO EXAM OF CENTRIFUGED DEPOSIT $4.12
15132 CANDIDA CULTURE (IN PHYSICIANS OFFICE) $6.67
15133 EXAMINATION OF EOSINOPHILS/SECRETIONS/EXCRETIONS $7.14
15134 PINWORM OVA-EXAMINATION $5.85
15136 FUNGUS, DIRECT EXAMINATION, KOH PREPARATION $8.33
15137 HAEMOGLOBIN - CYANMETHAEMOGLOBIN $3.12
15138 SEDIMENTATION RATE (IN PHYSICIANS OFFICE) $2.51
15139 SPERM, SEMINAL EXAMINATION FOR PRESENCE OR ABSENCE $14.78
15140 STAINED SMEAR (IN PHYSICIANS OFFICE) $7.40
15141 TRICHOMONAS AND / OR CANDIDA, DIRECT EXAMINATION $5.65
15142 URINALYSIS-COMPLETE DIAGNOSTIC, SEMI-QUANT & MICRO $5.62
15143 WHITE CELL COUNT ONLY $6.48
30015 EOSINOPHILS - SECRETION SMEAR $7.29
93120 E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL) $16.90

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 $56.41
14045 GP MENTAL HEALTH MANAGEMENT FEE AGE 50-59 $62.05
14046 GP MENTAL HEALTH MANAGEMENT FEE AGE 60-69 $64.86
14047 GP MENTAL HEALTH MANAGEMENT FEE AGE 70-79 $73.32
14048 GP MENTAL HEALTH MANAGEMENT FEE AGE 80+ $84.60

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 $115.73
00117 ECG INTERPRETATION ONLY G.P. $10.38
03333 NO CHARGE REFERRAL $0.00
13015 HIV/AIDS PRIMARY CARE MGMT - PER 1/2 HR OR $85.95
13016 TELEHEALTH GP OUT OF OFFICE CONSULTATION $109.02
13017 TELEHEALTH GP OUT OF OFFICE VISIT $41.10
13018 TELEHEALTH GP OUT OF OFFICE INDIVIDUAL COUNSELLING $75.32
13020 TELEHEALTH GENERAL PRACTITIONER ASSISTANT $31.46
13021 TELEHEALTH GP OUT OF OFFICE GROUP COUNSEL 1ST HOUR $87.46
13022 TELEHEALTH GP OUT OF OFFICE GROUP COUNSEL 2ND HOUR $43.76
13036 TELEHEALTH GP IN-OFFICE CONSULTATION $82.43
13037 TELEHEALTH GP IN-OFFICE VISIT $34.44
13038 TELEHEALTH GP IN-OFFICE INDIVIDUAL COUNSELLING $58.90
13041 TELEHEALTH GP IN-OFFICE GROUP COUNSELLING/1ST HR $86.94
13042 TELEHEALTH GP IN-OFFICE GROUP COUNSELLING - 2ND HR $43.50
13655 GENERAL PRACTICE - VASECTOMY BONUS $21.44

MSP Billing Codes by Specialty

Anaesthesia
Cardiac surgery
Cardiology
Critical care medicine
Dermatology
Emergency medicine
Endocrinology
Gastroenterology
General practice
General surgery
Geriatric medicine
Hematology oncology
Infectious disease
Internal medicine
Laboratory medicine
Medical assistance in dying (maid)
Nephrology
Neurology
Neurosurgery
Nuclear medicine
Obstetrics & gynaecology
Occupational medicine
Ophthalmology
Opioid agonist treatment (oat)
Orthopaedics
Otolaryngology
Out of office premiums
Paediatrics
Physical medicine and rehabilitation
Plastic surgery
Psychiatry
Respirology
Rheumatology
Thoracic surgery
Urology
Vascular surgery