MSP Billing Codes, Fees & Payment Schedule

If you’re looking for more information on MSP billing including how the system works, how to get paid, and how to bill properly, see our Ultimate MSP Billing eBook.

Filter by section

Code Description Fee

97008 Apb-form completion greater than 20 minutes $50.00
97009 Apb-form completion greater than 20 minutes $50.00
97010 Apb-form completion greater than 20 minutes $50.00
97011 Apb-form completion greater than 20 minutes $50.00
97012 Apb-form completion greater than 20 minutes $60.00
97013 Apb-form completion greater than 20 minutes $50.00
97014 Apb-form completion greater than 20 minutes $50.00
97015 Apb-form completion greater than 20 minutes $50.00
97016 Apb-form completion greater than 20 minutes $50.00
08710 Consult malignant haemopoietic/reproductive/etc. $57.89

The Ultimate MSP Billing eBook

New to billing? Not sure where to start? Our Ultimate Billing eBook outlines every aspect of BC billing.

Download the Guide
06184 Extensor - repair $232.45
09903 First additional area. physical therapy. $6.75
06183 Flexor - repair $369.80
96201 Gp 2nd medical opinion & form 12 - mental health $58.99
09908 Home visit - requires therapist to travel to home $28.70
10040 Immunization-patient < 19 yrs-mmr/v $5.43
10041 Immunization-patient < 19 yrs-mmr/v $14.00
10042 Immunization-patient < 19 yrs-mmr/v $5.45
10043 Immunization-patient < 19 yrs-mmr/v $14.00
10044 Immunization-patient < 19 yrs-mmr/v $17.62
10045 Immunization-patient < 19 yrs-mmr/v $17.62
10046 Immunization-patient < 19 yrs-mmr/v $43.50
10050 Immunization-patient < 19 yrs-mmr/v $60.00
09904 Initial visit - incl. evaluation & treatment - $25.20
09910 Initial visit - nursing home - physical therapy $23.85
96501 Msd form person with disabilities designation $130.00
96503 Msd med rprt - persons with persist multi barriers $50.00
96504 Msd medical report employability form $25.00
96505 Msd medical report, child $25.00
96400 Msd monthly nutritional supplement form part b $25.00
96502 Msd section 3 assessor report $75.00
09913 Multiple area treatment - second additional area $6.75
09914 Multiple area treatment - third additional area. $6.75
96223 Osmv - visual field test and exam visual functions $102.00
96222 Osmv diabetic driver report-sent out with dmer $30.00
96221 Osmv diabetic driver report-stand alone (no dmer) $75.00
96220 Osmv driver's medical examination report (dmer) $75.00
96224 Osmv examination of visual function (evf) by optom $70.00
96225 Osmv visual field test (vft) by optom-stand alone $42.00
96227 Osmv-examinatino of visual function(evf)-by ophth $91.51
96228 Osmv-vft-visual field test by oph-stand alone test $62.10
96226 Osmv-vft+evf(visual field+visual function)by ophth $153.61
09934 Prolonged visit - assessment,treatment,instruction $23.60
09935 Prolonged visit - cns, assessment,treatment of cns $35.90
09933 Prolonged visit -min 25 minutes of direct contact $23.60
09912 Prolonged visit at nursing home, therapy rendered $23.60
08711 Radiology consult for malignant lesion - w/ biopsy $43.58
08712 Radiology consult for malignant lesion of skin $29.09
99000 Sessional - GP visit $1,106.00
99001 Sessional - GP visit $3,842.00
99002 Sessional - GP visit $14,702.00
A00095 Sessional - GP visit $92.70
96302 Spec 2nd med op & form 12, follow up-mental health $81.31
96301 Spec 2nd med. op. & form 12, intl - mental health $177.10
10007 Specialist e-mail patient management-follow up $10.10
10008 Specialist e-mail patient management-follow up $60.00
10009 Specialist e-mail patient management-follow up $40.00
09902 Subsequent visit - short evaluation and either $17.65
09911 Subsequent visit at nursing home-therapy rendered $15.65
08770 Telehealth radiology consult for malignant lesion $57.89
08771 Telehealth radiology consult malignant w/biopsy $43.58
08772 Telehealth radiology consult/malignant lesion skin $29.09

Abdomen

08570 Abdomen x-ray $35.32
08648 Abdominal b-scan $110.10
08571 Abdominal multiple x-ray $53.41
08650 Guidance for biopsy or cyst puncture $126.67
08684 Prostate scan using rectal probe $110.08
08649 Renal b scan $86.68

Abdominal and Perineal Approach

72666 Altemeier transperineal excision of rectal procide $677.27
72667 Division of stricture of rectum $252.59
72664 Proctectomy, complete - subtotal/total colectomy $1,645.83
72665 Proctectomy, partial - without anastomosis $558.30
07580 Rectal tumor excision by posterior parasacral $800.00

Abdominal Operations

04208 Ectopic pregnancy $500.91
04217 Hemorrhage - post op (intra-abdominal management) $458.49
04228 Hysterectomy - total $736.94
04709 Hysterectomy-laparoscopic total/supracerv&/or lavh $980.80
04204 Hysterotomy - abdominal with/without sterilization $358.76
04707 Laparoscopic sacrocolpopexy $980.80
04001 Laparoscopy $229.25
04203 Myomectomy $500.91
04216 Neurectomy presacral $418.08
04003 Oophorectomy/salpingectomy $358.76
04201 Ovarian cystectomy $447.72
04229 Removal of complicated pelvic disease $754.70
04230 Sterilization - abdominal-open $356.60
04206 Suspension of uterus $240.19
04605 Vault prolapse $748.87

Abdominal Operations for Cancer

04011 Ca ovary/ fallopian tubes $1,011.82
04218 Hysterectomy - radical $1,102.00
04029 Omentectomy/removal of soft-tissue mass $358.76
04219 Para-aortic lymphadenectomy $595.90
04220 Para-aortic lymphadenectomy - partial $263.91
04212 Pelvic lymphadenectomy $595.90
04628 Removal of extrapelvic soft tissue mass > 10 cm $509.44
04630 Removal of extrapelvic soft tissue mass > 10 cm $474.13
04631 Removal of extrapelvic soft tissue mass > 10 cm $711.19
04632 Removal of extrapelvic soft tissue mass > 10 cm $356.60
04633 Removal of extrapelvic soft tissue mass > 10 cm $407.55
04640 Removal of extrapelvic soft tissue mass > 10 cm $474.13
04641 Removal of extrapelvic soft tissue mass > 10 cm $711.19

Abdominal Surgery - Miscellaneous

07603 Abdominal wound evisceration - resuture $406.03
07597 Haemorrhage; intra-abdominal management - post ope $379.58
71280 Indwelling enteral tubes, removal - no anes $30.65
71282 Indwelling enteral tubes, removal- gen anaes $203.93
71281 Indwelling enteral tubes,removal-local/regional $63.06
71283 Indwelling entereal tubes, replacement - extra $30.65
07601 Intra-abdominal abscess excluding intrahepatic $434.19
07600 Laparotomy to include biopsy - exploratory $405.81
71292 Peritonectomy, with or without chemotherapy $662.77
71293 Peritonectomy, with/without chemotherapy add 15min $75.60
71291 Resection of soft issue tumour 10cmor >-add 15min $76.47
71290 Resection of soft tissue tumour 10cm or greater $662.77
72600 Temp or delayed abdominal closure with vac $376.25
07451 Thoracic extension of abdominal incision(extra) $285.69

Ablation

06114 Abrasive surgery - full face $523.79
06112 Abrasive surgery <1/4 of face $126.70
06113 Abrasive surgery 1/4 to 1/2 of face $246.18

Acute Pain Management

01075 Axillary indwelling catheter - repeat injection $60.85
01076 Axillary indwelling catheter - supervision $40.57
01007 Catheter insertion intrapleural for pain mgmt $83.54
01074 Catheter insertion-axillary for pain mgmt $72.55
01025 Epidural catheter insertion - lumbar or caudal $150.36
01026 Epidural catheter insertion - thoracic pain mgmt $228.03
01050 Epidural indwelling catheter repeat injection - 4 $60.85
01073 Epidural infusion - supervision $40.57
01019 Interpleural indwelling catheter repeat injections $60.85
01021 Intrapleural infusion - supervision $40.57
01187 Major peripheral nerve block - multiple $69.28
01186 Major peripheral nerve block - single $45.85
01013 Pain management - consultation for post-op pain $101.03
01012 Patient controlled analgesia - supervision $40.57
01011 Patient controlled analgesia (PCA) - first day $21.79

Adult and Pediatric Critical Care

01413 Comprehensive care (icu) - 1st day $507.54
01423 Comprehensive care (icu) - 2nd to 7th day (incl.) $256.61
01443 Comprehensive care (icu) - 31st day onward $147.80
01450 Comprehensive care (icu) - 31st day onward $42.87
01455 Comprehensive care (icu) - 31st day onward $7.26
01433 Comprehensive care (icu) - 8th to 30th day $142.11
01411 Critical care (icu) - 1st day $340.05
01421 Critical care (icu) - 2nd to 7th day (incl.) $170.52
01441 Critical care (icu) - 31st day onward $135.47
01431 Critical care (icu) - 8th to 30th day $117.75
01412 Ventilatory support (icu) - 1st day $294.96
01422 Ventilatory support (icu) - 2nd to 7th day (incl.) $161.06
01442 Ventilatory support (icu) - 31st day onward $110.89
01432 Ventilatory support (icu) - 8th to 30th day $123.38

Airway Surgery

02422 Broncho or microlaryngoscopy w f b removal- <3 yrs $380.57
02450 Broncho or microlaryngoscopy w removal of foreign body $255.15
79080 Closure of bronchopleural fistula $953.71
02420 Dilation of trachea $152.64
02421 Dilation of trachea - repeat within one month $152.43
02430 Micro-surgery w co2 laser for removal of-1st procedure $445.46
02435 Microsurgery w c02 laser for ..-subsequent proc $445.46
79085 Repair of ruptured bronchus $964.56
79065 Trachael resection $964.56
79075 Tracheal resection - with hilar release $476.11
79070 Tracheal resection - with laryngeal release $476.11

All

92520 1-amphetamine $70.92
92521 1-metamphetamine $70.92
92353 13c triolein breath test for malabsorption $67.91
91482 Acetaminophen (quantitative) $11.47
91480 Acetazolamide $46.68
91985 Albumin creatinine ratio (acr) $11.41
91484 Amikacin $45.99
91486 Amiodarone $46.53
91488 Amitryptyline $24.64
93065 Amniotic cell culture - analysis only $210.20
91490 Amoxapine $46.53
92503 Amphetamines $9.55
92522 Anileridine $70.92
90287 Anti-neutrophil cytoplasmic antibodies (anca) $114.26
90121 Anti-nuclear antibodies, by multiplex immunoassay $38.64
90288 Anti-parietal cell antibody (apca), immuno screen $23.82
92523 Antihistamines $70.92
90281 Antinuclear antibodies by sensitive eia $16.24
91220 B-glucosidase, fibroblasts $51.38
91221 B-glucosidase, white blood cells $51.38
91275 B-type natriuretic peptide(bnp or nt-probnp) $28.14
91226 Barbiturates - quantitative $35.61
92505 Benzodiazepines $8.39
91230 Beta - 2 - microglobulin $20.40
91231 Beta-glucuronidase, white blood cells $51.25
91232 Beta-mannosidase white blood cells $51.25
91235 Bicarbonate, serum/plasma $2.37
91236 Bicarbonate, urine $1.06
91241 Bile acids, total $32.36
91240 Bile pigments and salts, qualitative, urine $2.34
91245 Bilirubin total, serum/plasma $1.61
91246 Bilirubin total, transudate/exudate $1.05
91250 Bilirubin, direct $1.58
90620 Biochemical identification - micro-organism $9.55
92515 Blood methadone $46.42
91255 Blood, qualitative, gastric $2.44
91260 Bone gla protein (osteocalcin) $17.76
91270 Bromides, qualitative, urine $10.48
91265 Bromides, quantitative $16.29
91280 C - 1q esterase inhibitors $22.86
91285 C - 3 complement $9.61
91290 C - 4 complement $9.87
91295 C - peptide $47.42
91300 C - reactive protein $10.31
91310 Ca 125 $22.72
91305 Ca 15 - 3 $21.25
91315 Ca 19 -9 $20.88
91320 Calcitonin $50.63
91326 Calcium total, serum/plasma $1.55
91327 Calcium, 24 hours excretion, feces $19.73
91325 Calcium, timed urine collection $5.48
91328 Calcium, urine random $1.05
91330 Calculus analysis, urine $27.86
91335 Carbamazepine $15.32
91340 Carbon monoxide, quantitative $17.58
91345 Carotene $8.90
91350 Catecholamines $59.27
91351 Catecholamines fractions-separation/interpretation $40.79
91352 Catecholamines, total urine $46.45
91353 Cells count - examination for faeces $5.46
91360 Ceruloplasmin $10.15
91370 Chloride - iontophoresis, sweat $77.50
91365 Chloride, quantitative, csf/other fluids $7.21
91366 Chloride, serum/plasma $1.49
91367 Chloride, timed urine collection $10.06
91368 Chloride, urine random $3.26
91369 Chloride, whole blood $1.06
91492 Chlorpromazine $46.53
91375 Cholesterol, total $6.87
91380 Cholinesterase/dibucaine number $30.26
91386 Chromatography, keto acids $36.30
91387 Chromatography, reducing substances, urine $31.40
91388 Chromatography, thin layer (tlc) $32.65
93070 Chromosomal breakage $181.80
93080 Chromosome analysis - high resolution $123.82
93081 Chromosome analysis - high resolution $113.56
91494 Citrate, urine $24.66
91496 Clobazam $49.73
91498 Clomipramine $49.82
91500 Clonazepam $46.53
92524 Clonidine $70.92
91502 Clozapine $27.92
92507 Cocaine/cocaine metabolite $7.10
91390 Complement assay $19.63
91395 Complement, total haemolytic (ch 100) $43.71
92546 Comprehensive drug analysis $119.94
91400 Copper, serum $49.19
91401 Copper, tissue $49.77
91402 Copper, urine $49.78
91405 Cortisol $13.28
91406 Cortisol, late night salivary test $77.25
91415 Creatine kinase $1.88
91410 Creatine, timed urine collection $12.73
91420 Creatinine, random urine $5.10
91421 Creatinine, serum/plasma $1.52
91422 Creatinine, timed urine collection $5.80
91425 Cryofibrinogen $17.38
91440 Cryoglobulins $41.92
93010 Crystal identification synovial fluid $40.05
91445 Csf - albumin $20.16
91450 Csf - immunoglobulin g $20.40
91504 Cyanide $24.64
91435 Cyclic a.m.p., urine $45.46
91434 Cyclic amp, plasma/serum $44.73
91455 Cyclosporine $23.47
93045 Cytogenetic analysis $966.29
93047 Cytogenetic analysis $296.18
93048 Cytogenetic analysis $400.00
93049 Cytogenetic analysis $800.00
93020 Cytogenetic analysis - bone marrow $516.59
93025 Cytogenetic analysis - chorionic villus $727.15
93030 Cytogenetic analysis - cultured amniotic fluid $414.61
93035 Cytogenetic analysis - cultured tissue $414.49
93040 Cytogenetic analysis - foetal blood sample $392.46
93015 Cytogenetic analysis - short term blood $301.44
93051 Cytogenetic analysis/fluorescence in situ, single $192.68
93052 Cytogenetic analysis/fluorescence, subtelomeric $515.49
93053 Cytogenetic analysis/fluorescence,uncultured $389.61
93050 Cytogenetic analysis/in-situ hybridization $466.46
93095 Cytologic interpretation - unscreened cytology $85.52
93090 Cytologic interpretation of pre-screened cytology $65.54
91460 Dehydroepiandrosterone, serum (dhea) $18.55
91506 Desipramine $24.35
91508 Desmethylclobazam $46.53
91510 Diazepam $46.53
91465 Digoxin $18.97
91470 Disaccharides, intestinal $62.40
91512 Disopyramide $46.53
91475 Dopamine, quantitative $61.91
91514 Doxepin $46.53
91599 Drug assay - multiple (2 or more) $53.46
92152 Drug assay (multiple) - pyridinium cross links $24.67
93100 Electron microscopy $384.40
91602 Electrophoresis, c.s.f. $31.21
91600 Electrophoresis, protein, qualitative $26.54
91601 Electrophoresis, protein, quantitative $34.58
91603 Electrophoresis, qualitative, urine $31.35
91605 Erythrocyte galactose 1 phosphate transferase $70.84
91610 Estradiol $22.43
91615 Estrogens $51.66
92508 Ethanol $6.92
91620 Ethosuximide $18.47
91628 Ethosuximide $26.00
91636 Fat, balance 3 day, feces $92.68
91631 Fat, microscopic exam-faeces $5.48
91640 Fatty acids, nonesterified (free), feces $22.79
91635 Fecal elastase $46.65
92006 Fecal immunochemical test (fit)-analysis only $11.29
92007 Fecal immunochemical test(fit)-collection only $6.57
91630 Fecal ph $3.92
92525 Fentanyl $70.92
92518 Fentanyl, urine screening immunoassay $13.10
91645 Ferritin, serum $10.12
91650 Fibrinogen, quantitative, chemical $28.68
93085 Fine needle aspirate - cytologic examination $94.24
91516 Fluoxetine $46.53
91518 Flupenthixol $46.53
91520 Fluphenazine $46.53
91522 Fluvoxamine $46.53
91660 Follicle stimulating hormone (fsh) $13.13
92330 Free t4 $12.12
92526 Furosemide $70.92
91523 Gabapentin $24.64
91665 Galactocerebrosidase, fibroblasts $51.38
91666 Galactocerebrosidase, white blood cells $51.38
91670 Galactose, qualitative, urine $17.13
91675 Gastric acidity determination, quantitative $3.52
91681 Gastric analysis, acid $0.92
91682 Gastric analysis, hollander insulin $89.43
91680 Gastric analysis, intubation $18.15
91685 Gastrin $63.32
90811 Gastrointestinal pathogen multiples(gpmp)& culture $105.04
92545 Gc/ms confirmation of positive screen $67.92
91524 Gentamycin $26.69
91720 Glucose phosphate isomerase $14.29
91705 Glucose quantitative, csf $6.45
91706 Glucose quantitative, joint fluid $6.45
91708 Glucose quantitative, transudate/exudate $6.45
91709 Glucose quantitative, urine $1.06
91700 Glucose semiquantitative $3.53
91716 Glucose tolerance test > 6 hours $39.40
91695 Glucose tolerance test-gestational protocol $15.84
91715 Glucose tolerance test, 2 - 5 hours $12.94
91717 Glucose tolerance test, intravenous $38.90
91690 Glucose, gestational assessment $10.03
91707 Glucose, quantitative serum/plasma $1.46
91710 Glucose, timed urine collection $7.13
91725 Glutamyl transpeptidase (gtp) $1.66
91730 Glutathione peroxidase $44.32
91735 Gold $43.91
91745 Haemoglobin, a1c $5.30
91526 Haloperidol $24.63
91740 Haptoglobin $19.77
91780 Hdl cholesterol $7.85
91760 Helicobacter pilori carbon 13 urea breath test $36.50
91761 Helicobacter pylori stool antigen (hpsa) $35.64
91750 Hemoglobin, qualitative, urine $2.28
91762 Heparan sulfamidase, white blood cells $93.71
93110 Hepatic glucose - 6 phosphatase $49.10
93105 Hepatic glycogen (tissue) $32.52
91765 Hepatitis b surface antigen $10.40
91777 Hexosaminidase white blood cells $99.30
91775 Hexosaminidase, serum $51.38
91770 Hexosaminidases $51.38
92080 Homocysteine - plasma $22.97
91785 Homocystine, screening test, urine $2.28
91790 Homovanillic acid (quantitative) urine $38.61
92527 Hydrocodone $70.92
92528 Hydromorphone $70.92
91796 Hydroxyindoleacetic acid, quantitative, urine $44.28
91795 Hydroxyindoleacetic acid, urine $9.28
90752 Id microorganisms maldi-tof-ms/non-stool specimen $6.84
90753 Id microorganisms maldi-tof-ms/stool specimen $6.84
91800 Iga anti-gliadin antibodies $32.58
91801 Iga quantitative, secretion $20.31
91802 Iga quantitative, serum/plasma $9.83
92170 Ige assay, quantitative (duplicate) $13.72
91805 Igf - i (somatomedin - c). $55.08
91840 Igg - quantitative serum $9.95
91163 Igg anti-deamidated gliadin peptide(anti-dgp)antib $18.24
91814 Igg blocking antibody $20.40
91803 Igg quantitative spinal fluid $20.06
91810 Igg1 $24.85
91811 Igg2 $24.85
91812 Igg3 $24.85
91813 Igg4 $24.85
91845 Igm - quantitative $10.05
91528 Imipramine $46.53
91815 Immune complex detection by c1q binding method $44.66
91820 Immunofixation, csf $105.31
91821 Immunofixation, serum/plasma $104.12
91822 Immunofixation, urine $104.12
91830 Immunoglobulin + specific protein assays $20.40
91825 Immunoglobulin d $20.40
91831 Immunoglobulin, additional assay $12.53
91835 Immunoreactive trypsin $18.80
91850 Inclusion bodies, (cytomegalic) urine $7.77
91857 Insulin tolerance test, per specimen $6.29
91856 Insulin, additional specimen $19.49
91855 Insulin, first specimen $27.55
91858 Interferon beta, neutralizing antibodies $205.52
93075 Investigation - chromosomal mosaicism $114.52
91860 Ionized calcium. $14.02
91865 Iron, total and binding capacity, protein $7.56
91870 Isoenzymes by electrophoresis $25.53
91882 Keto acids chromatography - screening tests - urin $5.44
91881 Keto acids chromatography - total, chemical - urin $10.99
91880 Keto acids, chromatography - urine $36.90
91885 Ketogenic steroids - urine $39.47
91890 Ketosteroids, total neutral - urine $50.17
91900 Lactate dehydrogenase, csf $1.06
91901 Lactate dehydrogenase, serum/plasma $1.62
91902 Lactate dehydrogenase, transudate/exudate $1.05
91895 Lactate, serum/plasma $7.64
91896 Lactate, whole blood $17.89
91905 Lactose, qualitative, urine $9.81
91529 Lamotrigine $24.64
91910 Lead $130.68
91912 Lead, porphyrin screening test, urine $6.22
91911 Lead, timed urine collection $40.68
91915 Lecithin sphingomyelin ratio $232.26
91920 Lhrh stimulation test $46.22
91530 Lidocaine $44.73
91925 Light chains, free kappa and lambda $78.99
91930 Lipase $6.62
91936 Lipoprotein (a) isoforms $25.92
91940 Lipoprotein electrophoresis $56.04
91941 Lipoprotein, sizing $25.92
91935 Lipoprotein(a) $29.61
91945 Lithium, serum/plasma $14.94
91946 Lithium, whole blood $11.23
90286 Liver autoantibodies (liaa), immunofluorescence $23.82
91532 Lorazepam $46.53
91534 Loxapine $46.53
91950 Luteinizing hormone (lh) $12.41
91955 Magnesium, fecal $25.15
91956 Magnesium, red blood cell $29.51
91957 Magnesium, serum/plasma $6.79
91958 Magnesium, urine $10.06
91959 Magnesium, whole blood $23.97
91536 Maprotiline $46.53
91960 Melanin, qualitative, urine $2.35
92529 Meperidine $70.92
92530 Meprobamate $70.92
91965 Mercury $52.42
91970 Metachromatic granules, urine $16.13
91975 Metanephrines, quantitative $155.77
92513 Methadone $3.50
92510 Methadone metabolite $6.80
92532 Methaqualone $70.92
92533 Methocarbamol $70.92
91538 Methotrexate $46.53
91540 Methotrimeprazine $46.53
92534 Methylenedioxyamphetamine $70.92
92535 Methylenedioxymethamphetamine $70.92
91542 Methylphenidate $46.53
92396 Microalbumin, semiquantative - by urine dipstick $6.68
91990 Microscopic examination of feces $5.08
36079 Midwife consultative care and assessment-phase 1 $40.76
36080 Midwife consultative care and assessment-phase 2 $40.76
36081 Midwife consultative care and assessment-phase 3 $41.37
36082 Midwife consultative care and assessment-phase 4 $41.37
36083 Midwife consultative care and assessment-phase 5 $41.37
36084 Midwife consultative care/assessment by phone $41.37
36085 Midwife consultative care/assessment call-out-day $72.41
36086 Midwife consultative care/assessment callout-night $116.89
36091 Midwife consultative care/assessment callout-night $10.15
36092 Midwife consultative care/assessment callout-night $4.06
36093 Midwife consultative care/assessment callout-night $35.53
36021 Midwife phase 1 (1st trimest) 1st visit is in ph 2 $268.98
36010 Midwife phase 1 (1st trimester) - total care $268.98
36016 Midwife phase 1 (1st trimester)-trans frm othr 60% $161.36
36014 Midwife phase 1 (1st trimester)-trans to othr 40% $107.58
36020 Midwife phase 2 (2nd trimester) - total care $268.98
36026 Midwife phase 2 (2nd trimester)-trans frm othr 60% $161.36
36024 Midwife phase 2 (2nd trimester)-trans to othr 40% $107.58
36036 Midwife phase 3 (3nd trimester)-trans frm othr 60% $322.82
36034 Midwife phase 3 (3nd trimester)-trans to othr 40% $215.22
36030 Midwife phase 3 (3rd trimester) - total care $538.05
36031 Midwife phase 3 (third trimester) phase 3 services $538.05
36046 Midwife phase 4 - home birth medications $50.73
36047 Midwife phase 4 - home birth supplies $101.45
36040 Midwife phase 4 (l & d) - first contact prior 34 w $1,075.91
36045 Midwife phase 4 home birth: second attendance fees $371.35
36048 Midwife phase 4 supp care-scheduld c-section in or $106.10
36070 Midwife phase 4 surgical assist caesarean schedule $192.08
36071 Midwife phase 4 surgical assistance-caesarean emer $260.35
36076 Midwife phase 4-caesarean night surcharge $185.94
36075 Midwife phase 4-caesarean-evening surcharge $115.83
36077 Midwife phase 4-caesarean-weekend/stat surcharge $115.83
36078 Midwife phase 4-call out-emergency caesarean sect $115.98
36073 Midwife phase 4-first surgical assist of the day $88.16
36056 Midwife phase 5 (post part care) - trnsfr to other $645.56
36054 Midwife phase 5 (post part care) -trnsfr frm other $430.37
36050 Midwife phase 5 (post partum care) - total care $1,075.91
36049 Midwife phase4 supp care-scheduled c-sect recovery $106.10
36064 Midwife supervision of 11-15 full courses of care $12,290.45
36065 Midwife supervision of 16-30 full courses of care $15,363.06
36062 Midwife supervision of 5 full courses of care $6,145.22
36063 Midwife supervision of 6 - 10 full courses of care $9,217.84
36061 Midwife supervision of up to 5 births or 4 full cs $3,072.61
36074 Midwife surgical assistance-fs delivery incentive $244.14
36072 Midwife-attendance at caesarean as mrp for baby $91.44
36041 Midwife-phase4 (labour/delivery) trans to (40%) $430.37
36042 Midwife-phase4 (labour/delivery) transfer (60%) $645.56
91992 Mitochondrial preparation-muscle $90.55
91995 Mucopolysaccharides, urine $59.55
93115 Muscle biopsy enzyme studies $195.44
91022 Muscle-specific tyrosine kinase antibody (musk ab) $245.60
91544 N - acetyl procainamide $46.53
92536 N-acetyl morphine $70.92
91997 N-acetyl-galactosamine-6-sulfate sulfatase, wbc $93.71
92537 Naloxone $70.92
91546 Netilmicin $46.53
91548 Nitrazepam $46.53
92001 Nitrogen - 24 hr. excretion - urine $6.43
92000 Nitrogen, 24 hr. excretion - feces $19.79
91550 Nortriptyline $24.35
92005 Occult blood-feces $6.02
91551 Olanzapine $24.64
92511 Opiates $7.16
92010 Organic acids $105.41
92015 Osmolar concentration, serum $49.25
92016 Osmolar concentration, urine $49.41
92020 Oxalate, timed urine collection $58.00
92538 Oxycodone $70.92
92514 Oxycodone, screening assay $12.82
92025 Oxygen capacity or content $20.06
92026 Oxygen, saturation (photometric) $10.93
92539 Oxymorphone $70.92
92030 Parathyroid hormone (intact) $17.52
92031 Parathyroid hormone (mid molecule/carboxyl termina $25.18
91552 Paroxetine $46.53
92035 Pentagastrin test, gastric $67.51
92540 Pentazocine $70.92
92040 Peptide hormones $25.18
91554 Perphenazine $46.53
92045 Ph, pc02 and p02 $36.18
92050 Phenothiazine screen $7.24
92541 Phentermine $70.92
92056 Phenylalanine, quantitative $20.56
92055 Phenylalanine, screening test (guthrie) $4.04
92542 Phenylpropanolamine $70.92
92065 Phenylpyruvic acid, qualitative, urine $2.35
92060 Phenytoin $17.13
92072 Phosphate, timed urine collection $3.95
92070 Phosphates, random urine $2.24
92071 Phosphates, serum/plasma $1.62
92075 Pigments, abnormal (spectroscopic) $14.06
90415 Plasma preparation $16.19
92085 Porphobilinogen, qualitative, urine $9.70
92090 Porphyrins, qualitative, urine $7.62
92095 Porphyrins, quantitative - blood $21.76
92092 Porphyrins, quantitative - feces $132.71
92091 Porphyrins, quantitative - urine $56.74
92100 Potassium, serum/plasma $1.39
92101 Potassium, timed urine collection $5.57
92102 Potassium, urine random $2.84
92103 Potassium, whole blood $1.05
92105 Pre albumin $20.16
92110 Pregnancy test - serum $14.74
92108 Pregnancy test, immunologic - urine $15.50
92115 Pregnanediol, urine $45.07
92120 Pregnanetriol, urine $53.20
92125 Primidone (mysolene) $18.49
91556 Procainamide $46.53
92130 Progesterone, serum/plasma $14.86
92131 Progesterone, serum/plasma 17-oh $41.71
92135 Prolactin $13.49
92543 Propoxyphene $70.92
91558 Propranolol $46.53
90710 Prostatic specific antigen (psa) $14.35
92150 Protease inhibitor $32.95
92397 Protein creatinine ratio, urine $7.67
92147 Protein total, joint fluid $1.05
92148 Protein total, serum or plasma $1.60
92149 Protein total, transudate/exudate $1.05
92146 Protein, timed urine collection $5.95
92145 Proteins, total quantitative, c.s.f. $7.14
92156 Pryruvate carboxylase, fibroblasts $93.71
92544 Pseudoephedrine $70.92
92151 Purine, pyrimidine and creatine disorder screen $63.34
92157 Pyruvate dehydrogenase, fibroblasts $93.71
92155 Pyruvates $17.98
92160 Quantitative beta hcg $16.30
92165 Quantitative hcg (intact) $25.18
91559 Quetiapine $24.64
92180 Quinidine $27.36
92185 Renin, single determination $63.87
92190 Renin, two or more determinations $98.11
92195 Respiratory chain enzymes-muscle $274.56
92197 Retinol binding protein $27.82
91561 Risperidone $26.46
92201 Salicylates, qualitative, gastric $2.88
92200 Salicylates, qualitative, serum $5.24
92202 Salicylates, qualitative, urine $3.01
92203 Salicylates, quantitative, serum $9.26
92204 Salicylates, quantitative, urine $9.77
92205 Scc $20.40
92210 Secretin - pancreozymin test $462.10
92215 Selenium $49.77
93160 Semen - examination - complete $82.34
93170 Seminal examination $26.98
92220 Seminal fructose $7.32
91560 Sertraline $52.35
92225 Serum viscosity $23.17
92267 Sex hormone binding globulig (shbg) $13.56
92227 Sirolimus $43.01
91430 Skin fibroblasts-culturing/biochemical/dna $603.88
92230 Sodium, random urine $2.72
92231 Sodium, serum/plasma $1.38
92232 Sodium, timed urine collection $4.60
92233 Sodium, whole blood $1.05
92236 Somatotropin, additional specimen $19.36
92235 Somatotropin, one specimen $30.38
93060 Special banding (q-, r-, c-) $29.48
93055 Special staining (giemsa ii, dapi, sce, nor) $30.78
92240 Specific protein analysis/preparative ultracentrif $141.14
92250 Sphingomyelinase, fibroblasts $51.38
92251 Sphingomyelinase, white blood cells $51.38
91010 Split base fee (referral facility) $7.02
90810 Stool examination - amoebae $46.93
92255 Sulfonamides, quantitative, urine $3.77
36067 Supervised labour and delivery-conditional midwive $131.32
36066 Supervision of continuity of care-conditional midw $315.15
36068 Supervision of in-office competency-based skills $15.75
36069 Supervision of out-of-office competency-based $26.26
92260 Sweat test (mucoviscidosis) chemical $10.20
92311 T3 - free $9.35
92263 Tacrolimus $23.47
92266 Testosterone total $15.81
92506 Tetrahydrocannabinoids (thc) $10.92
92270 Thallium $43.91
92275 Theophylline $42.33
92277 Thiopurine metabolites $50.46
92278 Thiopurine metabolites $54.49
91562 Thioridazine $48.47
90545 Thrombin time $8.31
92280 Thyroglobulin $27.90
92285 Thyroglobulin antibodies $20.40
92290 Thyroid binding globulin $20.40
92305 Thyroid receptor ab $22.48
92320 Thyroid releasing hormone (trh) stimulation test $55.91
92325 Thyroid stimulating hormone, tsh $9.90
92332 Thyroperoxidase antibodies $20.22
92315 Thyroxine ratio, t4 or total $12.12
92335 Tissue iron $43.91
91564 Tobramycin $26.17
91565 Topiramate $24.64
92310 Total t3 $12.12
92340 Transcobalamine ii $20.40
92345 Transferrin $7.56
92346 Transferrin isoelectric focusing(qualitive) $90.49
91566 Trazodone $46.53
91568 Trifluoperazine $46.53
92350 Triglycerides, serum/plasma $6.59
92351 Triglycerides, transudate/exudate $9.05
91570 Trimipramine $46.53
92355 Troponin $15.05
92360 Trypsin, qualitative, feces $2.24
92361 Trypsin, quantitative, feces $3.96
92362 Trypsin, quantitative, gastric $3.96
92365 Urea, amniotic fluid $1.06
92366 Urea, csf $1.06
92367 Urea, nitrogen quantitative, urine $7.42
92368 Urea, serum/plasma $1.57
92369 Urea, urine random $1.76
92370 Urea, whole blood $1.06
92375 Uric acid, random urine $1.06
92376 Uric acid, serum/plasma $1.70
92377 Uric acid, synovial fluid $1.58
92378 Uric acid, timed urine collection $4.56
92385 Urinalysis - or any part of (screening) $2.05
92391 Urinalysis-microscopic exam of centrifuged deposit $4.19
92390 Urinalysis, macroscopic $7.42
92395 Urinalysis, microscopic $7.17
92382 Urinalysis, screening and microscopic $5.63
92550 Urine, drugs of abuse screen - per analyte $6.95
92400 Urobilin, qualitative, urine $2.35
92405 Urobilinogen, qualitative, urine $4.09
92406 Urobilinogen, timed urine collection $13.58
91572 Valproic acid $16.55
91573 Vancomycin $15.57
92420 Vanillylmandelic acid $38.61
90000 Venepuncture $7.65
92425 Very long chain fatty acids $91.69
91576 Vigabatrin $26.68
92430 Vitamin a $47.86
92435 Vitamin b1 $54.30
92450 Vitamin b12 $14.38
92440 Vitamin b2 $54.30
92445 Vitamin b6 $54.30
92455 Vitamin d (1,25 dihydroxy) $94.49
92460 Vitamin d (25 hydroxy-cholecalciferol) $61.32
92465 Vitamin e $53.94
91861 Voltage-gated calcium channel antibody (vgcc ab) $281.78
92467 White blood cell preparation for lysosomal enzyme $42.36
92470 Xylose tolerance $106.16
92475 Zinc $102.44
91574 Zopiclone $24.64
91575 Zuclopenthixol $24.64

Allergy, patch and photopatch tests

00765 Annual maximum (scratch or intracutaneous tests) $34.40
00767 Patch testing (extra) (annual maximum, 80 tests) per test $1.96
00769 Photopatch test, annual maximum $56.69
00768 Photopatch test, per test $5.66
00763 Scratch test - children under 5 years $2.32
00762 Scratch test, per antigen $1.06

Anesthesiology

01215 Anesthesia surcharge - nonoperative - evening $66.69
01216 Anesthesia surcharge - nonoperative - night $91.18
01217 Anesthesia surcharge - nonoperative -weekend, stat $66.69

Anesthestic Intensity / Complexity Levels

01180 Level 10 - per 15 mins-anaes. intensity / complexity $50.00
01181 Level 11 - per 15 mins-anaes. intensity / complexity $50.00
01172 Level 2 - per 15 mins-anaes. intensity / complexity $36.64
01173 Level 3 - per 15 mins-anaes. intensity / complexity $36.75
01174 Level 4 - per 15 mins-anaes. intensity / complexity $36.75
01175 Level 5 - per 15 mins-anaes. intensity / complexity $41.87
01176 Level 6 - per 15 mins-anaes. intensity / complexity $43.75
01177 Level 7 - per 15 mins-anaes. intensity / complexity $43.75
01178 Level 8 - per 15 mins-anaes. intensity / complexity $49.82
01179 Level 9 - per 15 mins-anaes. intensity / complexity $50.00

Anesthetic Procedural Fee Modifiers

01192 Awake intubation, any means, for difficult airway $61.13
01082 Catheter axillary - insertion during GA $24.26
01084 Catheter insertion - intrapleural, during GA $27.93
01072 Epidural catheter - lumbar insertion during GA $41.75
01071 Epidural catheter - thoracic insertion during GA $54.28
01070 Hypotension - controlled in neurosurgical anaesth $61.13
01168 Neonates-anaesthesia - < 42 gest wks and / or 4000 gr $122.20
01169 Neonates-anaesthesia - < 42 gest wks and / or 4000 gr $10.00
01065 Patients < one year - anaesthetic modifier $61.10
01164 Patients 70-79 years of age - anaesthesia $20.38
01165 Patients 80 years of age and over-anaesthesia $41.56
01059 Prone position $35.50
01077 Pulmonary artery catheterization $55.60
01096 Retrobulbar / peribulbar block with anaesthetic $34.04
01166 Sitting position - anaesthesia $61.13
01093 Spinal cord monitoring - interp of ssep during GA $40.76

Angiography

08626 Angiogram, thoracic or abdominal, mult non-select $137.74
08627 Angiogram, thoracic or abdominal, mult selective $135.56
08616 Angiography cerebral x-ray - bilateral $232.60
08615 Angiography cerebral x-ray - unilateral $135.56
08618 Angiography peripheral - bilateral $104.61
08617 Angiography peripheral - unilateral $70.17

Angioplasty

77114 Intraoperative open or percutaneous angioplasty $589.40
77113 Intraoperative open or percutaneous tibial artery angioplasty $697.42

Anus Excision

70676 Abscess - ischiorectal/ intramural - incision $389.95
07687 Anal fissure, excision $115.00
70675 Anal seton - removal $28.67
07691 Anus imperforate simple incision $303.06
71682 Botox injection for anal fissure $252.34
07675 Fistula-in-ano - subcutaneous or submucous $250.00
07677 Fistula-in-ano - multiple or horseshoe $451.50
07676 Fistula-in-ano - submuscular $337.72
71700 Fistula-in-ano; closure of congenital anal fistula $645.16
07666 Fistula-in-ano; second stage; division - sphincter $250.00
71689 Hemmorhoid(s); office procedure (eg band ligation) $80.58
71690 Hemorrhoid(s); office procedure-infrared photocoag $80.58
71691 Hemorrhoid(s); office procedure-infrared photocoag $16.82
07683 Hemorrhoidectomy $268.05
07678 Incision and drainage perianal abscess,superficial $91.43
07679 Incision/drain abscess - ischiorectal, intramural $203.01
71686 Papillectomy - multiple - extra $123.30
71684 Papillectomy - single - extra $67.87
71681 Sphincterotomy with/without fissurectomy $303.07

Anus Repair

07689 Anal dilation under general anaesthetic $152.67
70665 Anoplasty - adult $451.50
07690 Anoplasty for imperforate anus - peads $602.52
70674 Destruction - anal lesion $75.41
70680 Destruction of anal lesion - complicated $252.69
70683 Eua with or without sigmoidoscopy $152.95
07452 Extra-peritoneal rectum +/- colostomy - repair $962.78
70668 Graft - rectal incontinence/prolapse: $203.93
70671 Imbrication - levator muscle $451.50
70672 Implantation - artificial sphincter $1,009.32
70666 Sphincteroplasty - anal - adult $451.50
70670 Sphincteroplasty - anal - incontinence $702.52

Appendix

72658 Appendectomy - laparoscopic $480.30
72659 Appendectomy - laparoscopic - perforated $505.30
72657 Appendectomy - perforated