MSP Billing Codes

Specialty: Family Medicine

Code	Description	Anes	Fee
Search a description within this chart
14250	Gp annual chronic care incentive(encounter)-diabet	0	$125.78
14251	Gp annual chronic care incentive(encounter)-heart	0	$125.78
14252	Gp annual chronic care incentive(encounter)-hypert	0	$50.31
14253	Gp annual chronic care incentive(encounter)-copd	0	$125.78
103	Home visit - call placed between 0800 and 2300hrs	0	$116.09
117	Ecg interpretation only g.p.	0	$10.41
13109	Community based gp:acute care hospital admission	0	$103.16
14019	Gp advice fee to np-telephone or in person	0	$43.23
14078	Gp email/text/telephone medical advice relay fee	0	$7.04
13623	Excision tumour skin/subcututaneous/small scar	0	$90.04
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13624	Removal scars (5 cm or more) per cm over 5 c	0	$8.62
14541	Removal of intrauterine device (iud)	0	$31.72
13008	Community based gp: hospital visit	0	$54.20
13011	Community based gp: hospital visit	0	$64.64
13012	Community based gp: hospital visit	0	$43.23
13028	Community based gp: supportive care hosp visit	0	$36.01
13228	Community based gp: hospital visit	0	$30.09
13236	Telehealth GP Consultation (age 0-1)	0	$85.40
13237	Telehealth GP Visit (age 0-1)	0	$34.90
13238	Telehealth GP Individual Counselling for a prolonged visit for counselling (age 0-1)	0	$62.43
13338	Community based gp,1st fac visit of day bonus,extr	0	$49.84
13339	Com based gp,1st hosp visit of day bonus, extra	0	$49.84
13436	Telehealth GP Consultation (age 2-49)	0	$77.63
13437	Telehealth GP Visit (age 2-49)	0	$31.72
13438	Telehealth GP Individual Counselling for a prolonged visit for counselling (age 2-49)	0	$56.76
101	In office (age 2-49)-complete examination	0	$69.85
12101	In office (age 0-1)-complete examination	0	$76.83
12201	Out of office (age 0-1)-complete examination	0	$92.20
13201	Out of office (age 2-49)-complete examination	0	$83.82
15201	Out of office (age 50-59)-complete examination	0	$92.20
15301	In office (age 50-59)-complete examination	0	$76.83
16101	In office (age 60-69)-complete examination	0	$80.32
16201	Out of office (age 60-69)-complete examination	0	$96.39
17101	In office (age 70-79)-complete examination	0	$90.80
17201	Out of office (age 70-79)-complete examination	0	$108.95
18101	In office (age 80+)-complete examination	0	$104.79
18201	Out of office (age 80+)-complete examination	0	$125.74
100	Visit in office (age 2 - 49)	0	$31.72
105	On call, on site hospital visit - night	0	$72.17
110	In office: age 2-49-consultation	0	$77.63
111	Visit, emergency home	0	$117.46
112	Visit, emergency	0	$116.09
113	On call, on site hospital visit - evening	0	$51.93
116	Special in-hospital, consultation	0	$164.96
123	On call, on site hospital visit - sat, sun or hols	0	$51.93
12100	Visit in office (age 0-1)	0	$34.90
12110	In office:(age 0-1)-consultation	0	$85.40
12200	Visit - out of office (age 0 - 1)	0	$41.87
12210	Out of office (age 0-1)-consultation	0	$102.48
13015	Hiv/aids primary care mgmt - per 1/2 hr or	0	$85.95
13070	In office assessment in assoc with a wsbc service	0	$16.49
13075	In office assessment in assoc with an icbc service	0	$16.49
13200	Visit - out of office (age 2-49)	0	$38.07
13210	Out of office (age 2-49)-consultation	0	$93.16
14015	Facility patient conference-general practice	0	$40.00
14016	Community patient conference fee-general practice	0	$40.00
14017	General practice acute care discharge conference	0	$40.00
15200	Visit out of office (age 50-59)	0	$41.87
15210	Out of office (age 50-59)-consultation	0	$102.48
15300	Visit in office (age 50-59)	0	$34.90
15310	In office (age 50-59)-consultation	0	$85.40
16100	Visit in office (age 60-69)	0	$36.47
16110	In office:(age 60-69)-consultation	0	$89.28
16200	Visit - out of office (age 60-69)	0	$43.87
16210	Out of office (age 60-69)-consultation	0	$107.14
17100	Visit in office (age 70-79)	0	$41.22
17110	In office: (age 70-79)-consultation	0	$100.91
17200	Visit - out of office (age 70-79)	0	$49.48
17210	Out of office (age 70-79)-consultation	0	$121.10
18100	Visit in office (age 80+)	0	$47.59
18110	In office: (age 80+)-consultation	0	$116.11
18200	Visit - out of office (age 80+)	0	$57.09
18210	Out of office (age 80+)-consultation	0	$139.76
121	Group counselling-first full hour	0	$160.99
122	Group counselling-2nd hour/per half or major part	0	$80.50
13016	Telehealth gp out of office consultation	0	$109.02
13017	Telehealth gp out of office visit	0	$41.10
13018	Telehealth gp out of office individual counselling	0	$75.32
13020	Telehealth general practitioner assistant	0	$43.23
13021	Telehealth gp out of office group counsel 1st hour	0	$87.46
13022	Telehealth gp out of office group counsel 2nd hour	0	$43.76
13036	Telehealth gp in-office consultation	0	$82.43
13037	Telehealth gp in-office visit	0	$34.44
13038	Telehealth gp in-office individual counselling	0	$58.90
13041	Telehealth gp in-office group counselling/1st hr	0	$86.94
13042	Telehealth gp in-office group counselling - 2nd hr	0	$43.50
120	Individual counselling in office (age 2-49)	0	$56.76
12120	Individual counselling in office (age 0 - 1)	0	$62.43
12220	Individual counselling - out of office (age 0 - 1)	0	$74.90
13220	Individual counselling - out of office (age 2-49)	0	$68.09
15220	Individual counselling out of office (age 50-59)	0	$74.90
15320	Individual counselling in office (age 50-59)	0	$62.43
16120	Individual counselling in office (age 60 - 69)	0	$65.26
16220	Individual counselling - out of office (age 60-69)	0	$78.31
17120	Individual counselling in office (age 70-79)	0	$73.77
17220	Individual counselling - out of office (age 70-79)	0	$88.54
18120	Individual counselling in office (age 80+)	0	$85.12
18220	Individual counselling - out of office (age 80 +)	0	$102.15
19100	Individual counselling - out of office (age 80 +)	0	$185.00
19101	Individual counselling - out of office (age 80 +)	0	$185.00
19102	Individual counselling - out of office (age 80 +)	0	$83.00
19103	Individual counselling - out of office (age 80 +)	0	$55.00
19104	Individual counselling - out of office (age 80 +)	0	$43.00
19105	Individual counselling - out of office (age 80 +)	0	$43.00
108	Hospital visit	0	$31.93
109	Acute care hospital admission visit	0	$81.61
114	Visit nursing home one or multiple patients	0	$36.54
115	Nursing home visit - 1 patient when specially call	0	$116.45
127	Terminal care facility visit	0	$54.20
128	Supportive care hospital visit	0	$27.52
13334	Ltc facility visit-first visit of day bonus,extra	0	$49.84
14074	Gp unattached complex/high needs patient attachmen	0	$200.00
14075	Gp attachment complex care management fee	0	$316.95
14076	Gp attachment telephone management fee	0	$20.12
14077	Gp attachment patient conference fee	0	$43.23
14033	Annual complex care management fee	0	$316.95
14041	Annual complex care management fee	0	$15.00
14050	Gp annual chronic care bonus - diabetes mellitus	0	$125.78
14051	Gp annual chronic care bonus - heart failure	0	$125.78
14052	Gp annual chronic care bonus - hypertension	0	$50.31
14053	Incentive for gp annual chronic care bonus copd	0	$125.78
13763	General practice group medical visit - 3 patients	0	$25.95
13764	General practice group medical visit - 4 patients	0	$20.95
13765	General practice group medical visit - 5 patients	0	$18.01
13766	General practice group medical visit - 6 patients	0	$16.03
13767	General practice group medical visit - 7 patients	0	$14.62
13768	General practice group medical visit - 8 patients	0	$13.57
13769	General practice group medical visit - 9 patients	0	$12.71
13770	General practice group medical visit - 10 patients	0	$12.06
13771	General practice group medical visit - 11 patients	0	$10.56
13772	General practice group medical visit - 12 patients	0	$9.93
13773	General practice group medical visit - 13 patients	0	$9.20
13774	General practice group medical visit - 14 patients	0	$9.03
13775	General practice group medical visit - 15 patients	0	$8.66
13776	General practice group medical visit - 16 patients	0	$8.41
13777	General practice group medical visit - 17 patients	0	$8.06
13778	General practice group medical visit - 18 patients	0	$7.88
13779	General practice group medical visit - 19 patients	0	$7.60
13780	General practice group medical visit - 20 patients	0	$7.41
13781	General practice group medical visit- >20 patients	0	$7.14
13836	Telehealth GP Consultation (age 80+)	0	$116.11
13837	Telehealth GP Visit (age 80+)	0	$47.59
13838	Telehealth GP Individual Counselling for a prolonged visit for counselling (age 80+)	0	$85.12
14002	General practice group medical visit- >20 patients	0	$50.00
118	Caesarean section-attendance	0	$91.09
119	Newborn care, routine, in hospital	0	$93.11
14004	Full service gp-obstet delivery bonus-w delivery	0	$375.40
14005	Full service gp-bonus with transfer higher care	0	$156.34
14008	Full service gp-bonus with post natal care	0	$77.23
14009	Full service gp-obstet delivery bonus-w c section	0	$312.70
14010	Maternity network incentive	0	$2,100.00
14090	Prenatal visit- complete examination	0	$84.95
14105	Management of labour and transfer to higher level	0	$245.04
14540	Insertion intrauterine contraceptive device	2	$43.28
14545	Medical abortion	0	$165.47
14560	Routine pelvic exam including pap	0	$31.72
15120	Pregnancy test, immunologic, urine	0	$11.72
14091	Prenatal visit - subsequent examination	0	$31.81
14094	Post-natal office visit	0	$31.81
14104	Delivery and post-natal care (1-14 days in-hosp)	0	$588.41
14108	Post-natal care after elective c-section	0	$121.06
14109	Delivery - attendance - emerg c/s	0	$490.12
14199	Mngmnt of prlngd 2nd stg labour - per 30 mins	0	$85.47
12	Injection, venepuncture	0	$5.99
15000	Haemoglobin -other methods (in physicians office)	0	$1.62
15100	Glucose - semiquantitative	0	$3.70
15110	Occult blood - feces	0	$5.37
15130	Urinalysis - screening	0	$2.19
15131	Urinalysis - micro exam of centrifuged deposit	0	$4.15
15132	Candida culture (in physicians office)	0	$6.67
15133	Examination of eosinophils/secretions/excretions	0	$7.14
15134	Pinworm ova-examination	0	$5.85
15136	Fungus, direct examination, koh preparation	0	$8.39
15137	Haemoglobin - cyanmethaemoglobin	0	$3.12
15138	Sedimentation rate (in physicians office)	0	$2.51
15139	Sperm, seminal examination for presence or absence	0	$14.78
15140	Stained smear (in physicians office)	0	$7.40
15142	Urinalysis-complete diagnostic, semi-quant & micro	0	$5.65
15143	White cell count only	0	$6.48
30015	Eosinophils - secretion smear	0	$7.29
93120	E.c.g. tracing, without interpretation (technical)	0	$16.97
14043	Gp mental health planning fee	0	$100.62
14044	Gp mental health management fee age 2-49	0	$56.76
14045	Gp mental health management fee age 50-59	0	$62.43
14046	Gp mental health management fee age 60-69	0	$65.26
14047	Gp mental health management fee age 70-79	0	$73.77
14048	Gp mental health management fee age 80+	0	$85.12
14063	Palliative care planning fee-general practice	0	$100.62
14066	Personal health risk assessment	0	$50.31
14067	Personal health risk assessment	0	$18.22
14086	Gp assigned inpatient care network	0	$2,100.00
14088	Gp unassigned inpatient care fee	0	$150.00
13000	Telephone advice in first nations communities	0	$18.28
13005	Phone call (advice about patient in community care)	0	$18.28
14018	Gp urgent telephone conference with a specialist	0	$43.23
14021	Gp with specialty training tele advice - urgent	0	$60.37
14022	Gp with specialty training tele patient mgmt 1 wk	0	$43.23
14023	Gp with spec training tele patient mgmt-follow up	0	$20.12
14079	Gp telephone/email management fee	0	$15.00
10710	In-office anoscopy	0	$7.96
13650	Enucleation or excision of ext thrombotic haemorrh	2	$52.44
13660	Metatarsal bone - closed reduction	2	$53.11
13701	Metatarsal bone - closed reduction	0	$50.00
13702	Metatarsal bone - closed reduction	0	$40.00
13706	Metatarsal bone - closed reduction	0	$20.12
13707	Metatarsal bone - closed reduction	0	$7.04
13708	Metatarsal bone - closed reduction	0	$43.23
13736	Telehealth GP Consultation (age 70-79)	0	$100.91
13737	Telehealth GP Visit (age 70-79)	0	$41.22
13738	Telehealth GP Individual Counselling for a prolonged visit for counselling (age 70-79)	0	$73.77
190	Electrosurg./cryotherapy for removal of warts etc.	0	$31.72
13610	Minor laceration or foreign body - no anaesthesia	0	$35.84
13611	Minor laceration/foreign body requiring anaes.	2	$66.76
13631	Nail removal - simple	2	$35.75
13632	Nail removal with destruction of nail bed	2	$72.34
13633	Wedge excision of one nail	2	$63.83
13636	Telehealth GP Consultation (age 60-69)	0	$89.28
13637	Telehealth GP Visit (age 60-69)	0	$36.47
13638	Telehealth GP Individual Counselling for a prolonged visit for counselling (age 60-69)	0	$65.26
13630	Paronychia	2	$35.75
13600	Biopsy of skin or mucosa (operation only)	2	$52.24
13621	- additional lesions removed at the same sitting (maximum per sitting, five) each (operation only)	0	$33.39
13620	Excision of tumour of skin or subcutaneous tissue or small scar under local anesthetic - up to 5 cm (operation only)	2	$66.76
13605	Opening superficial abscess, including furuncle - operation only	2	$44.76
13601	Biopsy - facial area (operation only)	2	$52.24
13622	Localized carcinoma of skin proven histopath.	2	$73.75
13612	Extensive laceration greater than 5cm	2	$13.40
193	Non-cvt cert. surgical assist @ open heart surgery	0	$30.89
13052	Anaes. evaluation - non-certified anaesthetist	0	$55.93
13194	Gp first surgical assist of the day	0	$89.09
195	Surgical assist-less than $317.00 inclusive	0	$134.22
196	Surgical assist $317.01 to 529.00 inclusive	0	$189.24
197	Surgical assistance - operations over $529.00	0	$261.76
198	Surgical assist time after 3 hrs - per 15 mins	0	$28.52
13655	General practice - vasectomy bonus	0	$21.57
15141	Trichomonas and / or candida, direct examination	0	$5.69
13537	Telehealth GP Visit (age 50-59)	0	$31.72
13538	Telehealth GP Individual Counselling for a prolonged visit for counselling (age 50-59)	0	$62.05
13536	Telehealth GP Consultation (age 50-59)	0	$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.