MSP Billing Codes
Specialty: Family Medicine
Code | Description | Fee | |
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14250 | Gp annual chronic care incentive(encounter)-diabet | $125.78 | |
14251 | Gp annual chronic care incentive(encounter)-heart | $125.78 | |
14252 | Gp annual chronic care incentive(encounter)-hypert | $50.31 | |
14253 | Gp annual chronic care incentive(encounter)-copd | $125.78 | |
103 | Home visit - call placed between 0800 and 2300hrs | $116.09 | |
117 | Ecg interpretation only g.p. | $10.41 | |
13109 | Community based gp:acute care hospital admission | $103.16 | |
14019 | Gp advice fee to np-telephone or in person | $43.23 | |
14078 | Gp email/text/telephone medical advice relay fee | $7.04 | |
13623 | Excision tumour skin/subcututaneous/small scar | $90.04 | |
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13624 | Removal scars (5 cm or more) per cm over 5 c | $8.62 | |
14541 | Removal of intrauterine device (iud) | $31.72 | |
13008 | Community based gp: hospital visit | $54.20 | |
13011 | Community based gp: hospital visit | $64.64 | |
13012 | Community based gp: hospital visit | $43.23 | |
13028 | Community based gp: supportive care hosp visit | $36.01 | |
13228 | Community based gp: hospital visit | $30.09 | |
13236 | Telehealth GP Consultation (age 0-1) | $85.40 | |
13237 | Telehealth GP Visit (age 0-1) | $34.90 | |
13238 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 0-1) | $62.43 | |
13338 | Community based gp,1st fac visit of day bonus,extr | $49.84 | |
13339 | Com based gp,1st hosp visit of day bonus, extra | $49.84 | |
13436 | Telehealth GP Consultation (age 2-49) | $77.63 | |
13437 | Telehealth GP Visit (age 2-49) | $31.72 | |
13438 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 2-49) | $56.76 | |
101 | 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 | $83.82 | |
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 | |
100 | Visit in office (age 2 - 49) | $31.72 | |
105 | On call, on site hospital visit - night | $72.17 | |
110 | In office: age 2-49-consultation | $77.63 | |
111 | Visit, emergency home | $117.46 | |
112 | Visit, emergency | $116.09 | |
113 | On call, on site hospital visit - evening | $51.93 | |
116 | Special in-hospital, consultation | $164.96 | |
123 | On call, on site hospital visit - sat, sun or hols | $51.93 | |
12100 | Visit in office (age 0-1) | $34.90 | |
12110 | In office:(age 0-1)-consultation | $85.40 | |
12200 | Visit - out of office (age 0 - 1) | $41.87 | |
12210 | Out of office (age 0-1)-consultation | $102.48 | |
13015 | Hiv/aids primary care mgmt - per 1/2 hr or | $85.95 | |
13070 | In office assessment in assoc with a wsbc service | $16.49 | |
13075 | In office assessment in assoc with an icbc service | $16.49 | |
13200 | Visit - out of office (age 2-49) | $38.07 | |
13210 | Out of office (age 2-49)-consultation | $93.16 | |
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 | |
15200 | Visit out of office (age 50-59) | $41.87 | |
15210 | Out of office (age 50-59)-consultation | $102.48 | |
15300 | Visit in office (age 50-59) | $34.90 | |
15310 | In office (age 50-59)-consultation | $85.40 | |
16100 | Visit in office (age 60-69) | $36.47 | |
16110 | In office:(age 60-69)-consultation | $89.28 | |
16200 | Visit - out of office (age 60-69) | $43.87 | |
16210 | Out of office (age 60-69)-consultation | $107.14 | |
17100 | Visit in office (age 70-79) | $41.22 | |
17110 | In office: (age 70-79)-consultation | $100.91 | |
17200 | Visit - out of office (age 70-79) | $49.48 | |
17210 | Out of office (age 70-79)-consultation | $121.10 | |
18100 | Visit in office (age 80+) | $47.59 | |
18110 | In office: (age 80+)-consultation | $116.11 | |
18200 | Visit - out of office (age 80+) | $57.09 | |
18210 | Out of office (age 80+)-consultation | $139.76 | |
121 | Group counselling-first full hour | $160.99 | |
122 | Group counselling-2nd hour/per half or major part | $80.50 | |
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 | $43.23 | |
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 | |
120 | Individual counselling in office (age 2-49) | $56.76 | |
12120 | Individual counselling in office (age 0 - 1) | $62.43 | |
12220 | Individual counselling - out of office (age 0 - 1) | $74.90 | |
13220 | Individual counselling - out of office (age 2-49) | $68.09 | |
15220 | Individual counselling out of office (age 50-59) | $74.90 | |
15320 | Individual counselling in office (age 50-59) | $62.43 | |
16120 | Individual counselling in office (age 60 - 69) | $65.26 | |
16220 | Individual counselling - out of office (age 60-69) | $78.31 | |
17120 | Individual counselling in office (age 70-79) | $73.77 | |
17220 | Individual counselling - out of office (age 70-79) | $88.54 | |
18120 | Individual counselling in office (age 80+) | $85.12 | |
18220 | Individual counselling - out of office (age 80 +) | $102.15 | |
19100 | Individual counselling - out of office (age 80 +) | $185.00 | |
19101 | Individual counselling - out of office (age 80 +) | $185.00 | |
19102 | Individual counselling - out of office (age 80 +) | $83.00 | |
19103 | Individual counselling - out of office (age 80 +) | $55.00 | |
19104 | Individual counselling - out of office (age 80 +) | $43.00 | |
19105 | Individual counselling - out of office (age 80 +) | $43.00 | |
108 | Hospital visit | $31.93 | |
109 | Acute care hospital admission visit | $81.61 | |
114 | Visit nursing home one or multiple patients | $36.54 | |
115 | Nursing home visit - 1 patient when specially call | $116.45 | |
127 | Terminal care facility visit | $54.20 | |
128 | Supportive care hospital visit | $27.52 | |
13334 | Ltc facility visit-first visit of day bonus,extra | $49.84 | |
14074 | Gp unattached complex/high needs patient attachmen | $200.00 | |
14075 | Gp attachment complex care management fee | $316.95 | |
14076 | Gp attachment telephone management fee | $20.12 | |
14077 | Gp attachment patient conference fee | $43.23 | |
14033 | Annual complex care management fee | $316.95 | |
14041 | Annual complex care management fee | $15.00 | |
14050 | Gp annual chronic care bonus - diabetes mellitus | $125.78 | |
14051 | Gp annual chronic care bonus - heart failure | $125.78 | |
14052 | Gp annual chronic care bonus - hypertension | $50.31 | |
14053 | Incentive for gp annual chronic care bonus copd | $125.78 | |
13763 | General practice group medical visit - 3 patients | $25.95 | |
13764 | General practice group medical visit - 4 patients | $20.95 | |
13765 | General practice group medical visit - 5 patients | $18.01 | |
13766 | General practice group medical visit - 6 patients | $16.03 | |
13767 | General practice group medical visit - 7 patients | $14.62 | |
13768 | General practice group medical visit - 8 patients | $13.57 | |
13769 | General practice group medical visit - 9 patients | $12.71 | |
13770 | General practice group medical visit - 10 patients | $12.06 | |
13771 | General practice group medical visit - 11 patients | $10.56 | |
13772 | General practice group medical visit - 12 patients | $9.93 | |
13773 | General practice group medical visit - 13 patients | $9.20 | |
13774 | General practice group medical visit - 14 patients | $9.03 | |
13775 | General practice group medical visit - 15 patients | $8.66 | |
13776 | General practice group medical visit - 16 patients | $8.41 | |
13777 | General practice group medical visit - 17 patients | $8.06 | |
13778 | General practice group medical visit - 18 patients | $7.88 | |
13779 | General practice group medical visit - 19 patients | $7.60 | |
13780 | General practice group medical visit - 20 patients | $7.41 | |
13781 | General practice group medical visit- >20 patients | $7.14 | |
13836 | Telehealth GP Consultation (age 80+) | $116.11 | |
13837 | Telehealth GP Visit (age 80+) | $47.59 | |
13838 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 80+) | $85.12 | |
14002 | General practice group medical visit- >20 patients | $50.00 | |
118 | Caesarean section-attendance | $91.09 | |
119 | Newborn care, routine, in hospital | $93.11 | |
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 | |
14010 | Maternity network incentive | $2,100.00 | |
14090 | Prenatal visit- complete examination | $84.95 | |
14105 | Management of labour and transfer to higher level | $245.04 | |
14540 | Insertion intrauterine contraceptive device | $43.28 | |
14545 | Medical abortion | $165.47 | |
14560 | Routine pelvic exam including pap | $31.72 | |
15120 | Pregnancy test, immunologic, urine | $11.72 | |
14091 | Prenatal visit - subsequent examination | $31.81 | |
14094 | Post-natal office visit | $31.81 | |
14104 | Delivery and post-natal care (1-14 days in-hosp) | $588.41 | |
14108 | Post-natal care after elective c-section | $121.06 | |
14109 | Delivery - attendance - emerg c/s | $490.12 | |
14199 | Mngmnt of prlngd 2nd stg labour - per 30 mins | $85.47 | |
12 | Injection, venepuncture | $5.99 | |
15000 | Haemoglobin -other methods (in physicians office) | $1.62 | |
15100 | Glucose - semiquantitative | $3.70 | |
15110 | Occult blood - feces | $5.37 | |
15130 | Urinalysis - screening | $2.19 | |
15131 | Urinalysis - micro exam of centrifuged deposit | $4.15 | |
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 | $8.39 | |
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 | |
15142 | Urinalysis-complete diagnostic, semi-quant & micro | $5.65 | |
15143 | White cell count only | $6.48 | |
30015 | Eosinophils - secretion smear | $7.29 | |
93120 | E.c.g. tracing, without interpretation (technical) | $16.97 | |
14043 | Gp mental health planning fee | $100.62 | |
14044 | Gp mental health management fee age 2-49 | $56.76 | |
14045 | Gp mental health management fee age 50-59 | $62.43 | |
14046 | Gp mental health management fee age 60-69 | $65.26 | |
14047 | Gp mental health management fee age 70-79 | $73.77 | |
14048 | Gp mental health management fee age 80+ | $85.12 | |
14063 | Palliative care planning fee-general practice | $100.62 | |
14066 | Personal health risk assessment | $50.31 | |
14067 | Personal health risk assessment | $18.22 | |
14086 | Gp assigned inpatient care network | $2,100.00 | |
14088 | Gp unassigned inpatient care fee | $150.00 | |
13000 | Telephone advice in first nations communities | $18.28 | |
13005 | Phone call (advice about patient in community care) | $18.28 | |
14018 | Gp urgent telephone conference with a specialist | $43.23 | |
14021 | Gp with specialty training tele advice - urgent | $60.37 | |
14022 | Gp with specialty training tele patient mgmt 1 wk | $43.23 | |
14023 | Gp with spec training tele patient mgmt-follow up | $20.12 | |
14079 | Gp telephone/email management fee | $15.00 | |
10710 | In-office anoscopy | $7.96 | |
13650 | Enucleation or excision of ext thrombotic haemorrh | $52.44 | |
13660 | Metatarsal bone - closed reduction | $53.11 | |
13701 | Metatarsal bone - closed reduction | $50.00 | |
13702 | Metatarsal bone - closed reduction | $40.00 | |
13706 | Metatarsal bone - closed reduction | $20.12 | |
13707 | Metatarsal bone - closed reduction | $7.04 | |
13708 | Metatarsal bone - closed reduction | $43.23 | |
13736 | Telehealth GP Consultation (age 70-79) | $100.91 | |
13737 | Telehealth GP Visit (age 70-79) | $41.22 | |
13738 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 70-79) | $73.77 | |
190 | Electrosurg./cryotherapy for removal of warts etc. | $31.72 | |
13610 | Minor laceration or foreign body - no anaesthesia | $35.84 | |
13611 | Minor laceration/foreign body requiring anaes. | $66.76 | |
13631 | Nail removal - simple | $35.75 | |
13632 | Nail removal with destruction of nail bed | $72.34 | |
13633 | Wedge excision of one nail | $63.83 | |
13636 | Telehealth GP Consultation (age 60-69) | $89.28 | |
13637 | Telehealth GP Visit (age 60-69) | $36.47 | |
13638 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 60-69) | $65.26 | |
13630 | Paronychia | $35.75 | |
13600 | Biopsy of skin or mucosa (operation only) | $52.24 | |
13621 | - additional lesions removed at the same sitting (maximum per sitting, five) each (operation only) | $33.39 | |
13620 | Excision of tumour of skin or subcutaneous tissue or small scar under local anesthetic - up to 5 cm (operation only) | $66.76 | |
13605 | Opening superficial abscess, including furuncle - operation only | $44.76 | |
13601 | Biopsy - facial area (operation only) | $52.24 | |
13622 | Localized carcinoma of skin proven histopath. | $73.75 | |
13612 | Extensive laceration greater than 5cm | $13.40 | |
193 | Non-cvt cert. surgical assist @ open heart surgery | $30.89 | |
13052 | Anaes. evaluation - non-certified anaesthetist | $55.93 | |
13194 | Gp first surgical assist of the day | $89.09 | |
195 | Surgical assist-less than $317.00 inclusive | $134.22 | |
196 | Surgical assist $317.01 to 529.00 inclusive | $189.24 | |
197 | Surgical assistance - operations over $529.00 | $261.76 | |
198 | Surgical assist time after 3 hrs - per 15 mins | $28.52 | |
13655 | General practice - vasectomy bonus | $21.57 | |
15141 | Trichomonas and / or candida, direct examination | $5.69 | |
13537 | Telehealth GP Visit (age 50-59) | $31.72 | |
13538 | Telehealth GP Individual Counselling for a prolonged visit for counselling (age 50-59) | $62.05 | |
13536 | Telehealth GP Consultation (age 50-59) | $84.87 |
The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.
MSP Billing Codes
-
- Anaesthesia
- Cardiac Surgery
- Cardiology
- Clinical Immunology And Allergy
- Critical Care
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- Diagnostic And Selected Therapeutic Procedures
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- Emergency Medicine
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- Out Of Office Premiums
- PAEDIATRICS
- Pediatrics
- Physical Medicine And Rehabilitation
- Plastic Surgery
- Psychiatry
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- Rheumatology
- Specialist Services Committee
- Thoracic Surgery
- Urology
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