MSP Billing Codes

Specialty: Other

Code Description Fee

All

19945 Reserved worksafebc init expedited comp consult $316.75
19946 Reserved worksafebc repeat exped comp consultation $154.20
19510 Worksafebc - complex spinal cord injury office $113.48
19512 Worksafebc - surcharge - operative evening $1,279.95
19514 Worksafebc - surcharge - operative sat sun hols $1,279.95
19511 Worksafebc - complex spinal cord injury home visit $226.95
19509 Worksafebc - complex spinal cord injury intl visit $170.21
19324 Worksafebc - rural pt complex exception fee $178.00
19513 Worksafebc - surcharge - operative - night $2,052.14
19901 Worksafebc 1st rprt injury(form 8 recd wn 4-6 dys $22.64

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19927 Worksafebc 1st rprt of injury (form 8) req'd later $56.72
19900 Worksafebc 1st rprt of injury(form 8)recd wn 3 dys $37.44
19800 Worksafebc achilles tendon repair/gastrocnemius $2,758.00
19843 Worksafebc acl reconstruction $4,156.00
19854 Worksafebc acromioplasty and distal clavicle $4,623.00
19906 Worksafebc addl charge per page for over 20 pages $1.33
19824 Worksafebc amputation - finger $2,096.00
19801 Worksafebc amputation - toe $2,096.00
19323 Worksafebc amputee pt visit $31.00
19802 Worksafebc ankle arthrodesis $4,487.00
19825 Worksafebc artery and nerve repair-major $3,309.00
19826 Worksafebc artery and nerve repair-minor $2,427.00
05982 Worksafebc arthroscopic acromioplasty $425.62
19817 Worksafebc arthroscopic elbow capsular $2,046.00
19818 Worksafebc arthroscopic or open elbow $2,046.00
19855 Worksafebc bankart/slap repair - includes $4,879.00
19816 Worksafebc below elbow amputation $2,627.00
19844 Worksafebc below knee amputation $2,627.00
19856 Worksafebc biceps tenodesis or repair $3,363.00
19863 Worksafebc blephroplasty $2,206.00
19904 Worksafebc board req a copy of an existing rprt $46.29
19905 Worksafebc board req for a copy of existing report $27.64
19701 Worksafebc burn/soft tissue injury $337.00
19803 Worksafebc calcaneal osteotomy $2,648.00
19936 Worksafebc cancellation fee $84.04
19827 Worksafebc capsulotomy/capsulolysis/capsulolysis $2,427.00
19828 Worksafebc carpal tunnel release $1,655.00
19864 Worksafebc cataract(unilateral) $2,591.00
19881 Worksafebc cervical discectomy 1 level anterior $5,778.00
19882 Worksafebc cervical discectomy 2 level anteri $6,829.00
19868 Worksafebc chronic fasioiotmy up/low limbs $2,758.00
19892 Worksafebc chronic wound care - clinic visit $337.00
19891 Worksafebc community chronic wound care treatment $45.00
19896 Worksafebc computerized dynamic posturography $250.00
19884 Worksafebc cryocuff (no pain pump) $350.00
19883 Worksafebc cryocuff (with pain pump) $200.00
19829 Worksafebc distal ulnar radial resection/arthropla $4,224.00
19325 Worksafebc dnr - non contracted physio visit $45.00
00129 Worksafebc emergency call out $77.77
19866 Worksafebc endoscopic computer assisted sinus $3,309.00
19865 Worksafebc endoscopic computer assisted sinus-one $2,206.00
19929 Worksafebc excess prolonged or complex case-rprt $186.22
19845 Worksafebc excision of prepatellar bursa $1,655.00
19867 Worksafebc excision soft tissue tumor/fb rem/ $1,655.00
19907 Worksafebc factual written summary/reasnd medical $295.16
19811 Worksafebc fix. osteochondral#-may incl osteotomy $3,231.00
19830 Worksafebc fracture/reconstruction orif (one bone, $2,371.00
19869 Worksafebc fractured zygoma $1,655.00
19831 Worksafebc fusion pip joint/mcp joint or arthropla $3,032.00
19832 Worksafebc ganglion excision $1,655.00
19885 Worksafebc hardware for cervical discectomy $7,000.00
19812 Worksafebc harvest iliac crest bone graft $1,655.00
19870 Worksafebc hernia repair $2,630.00
19846 Worksafebc high tibial osteotomy $3,309.00
19813 Worksafebc hip arthroscopy $3,341.00
19890 Worksafebc home chronic wound initial assessment $45.00
19893 Worksafebc home iv therapy visit $45.00
19574 Worksafebc hosp - icu per diem $8,692.00
19915 Worksafebc init expedited com consult-ur/oto/ophth $347.17
19917 Worksafebc init expedited comp consult-dermatology $347.17
19911 Worksafebc init expedited compreh consult-dif spec $393.61
19934 Worksafebc initial exped consult & rprt from anaes $393.61
19913 Worksafebc initial expedited comprehensive consult $347.17
19814 Worksafebc intramedullary hardware remova $2,206.00
19894 Worksafebc iv therapy clinic visit $337.00
19942 Worksafebc job site meeting $341.45
19847 Worksafebc knee arthroplasty - unicompartmental $9,526.00
19819 Worksafebc lateral or medial epicondylar $1,655.00
19804 Worksafebc ligament reconstruction* $3,177.00
19857 Worksafebc loose body rem./shoulder debride/acrom $3,309.00
19879 Worksafebc lumbar discectomy 1 level $4,728.00
19880 Worksafebc lumbar discectomy 2 levels $5,778.00
19858 Worksafebc manipulation shoulder $2,758.00
19933 Worksafebc medical-legal opinion - expert opinion $1,955.96
19932 Worksafebc medical-legal report - factual summary $1,168.97
19848 Worksafebc meniscectomy/loose body/debridement $1,986.00
19849 Worksafebc meniscus repair $2,427.00
19895 Worksafebc methadone clinic admin monthly fee $85.00
19797 Worksafebc multidisciplinary outpat clinic visits $359.00
19871 Worksafebc nasal reconstruction/septo/rhino $2,206.00
19872 Worksafebc nerve block - no c-arm $500.00
19873 Worksafebc nerve block - with a c-arm $1,200.00
19874 Worksafebc neurolysis (other than upper limb) $2,758.00
19908 Worksafebc non-expedited specialist consult report $36.63
19919 Worksafebc office consult with wsbc officer $61.94
19833 Worksafebc open reduction/bone graft of non-union $3,363.00
19805 Worksafebc orif of ankle $4,156.00
19859 Worksafebc orif of clavicle with associated bone $3,452.00
19850 Worksafebc osteochondral bone graft femur $3,089.00
19820 Worksafebc osteotomy - elbow $3,309.00
19834 Worksafebc osteotomy - hand* $3,861.00
19875 Worksafebc otoplasty $2,206.00
19702 Worksafebc out patient visit facility fee $110.00
19703 Worksafebc out patient visit facility fee $60.00
19704 Worksafebc out patient visit facility fee $13.75
19705 Worksafebc out patient visit facility fee $125.00
19706 Worksafebc out patient visit facility fee $83.00
19707 Worksafebc out patient visit facility fee $30.00
19886 Worksafebc over night stay - one night per surgery $2,000.00
19887 Worksafebc pain pumps - 2ml $275.00
19888 Worksafebc pain pumps - 5ml $325.00
19835 Worksafebc palmar fasciectomy $2,101.00
19851 Worksafebc patellar tendon tenolysis $2,758.00
19852 Worksafebc pcl reconstruction $5,811.00
19508 Worksafebc phone consult between worksafebc & phy $78.53
19554 Worksafebc physician gst (goods + services tax) $35.00
19553 Worksafebc physicians pst (prov sales tax) $35.00
19314 Worksafebc physio (vestibular) initial visit $29.00
19316 Worksafebc physio (vestibular) subsequent visit $29.00
19171 Worksafebc physio clinical/chart notes,1st 5 pages $42.00
19172 Worksafebc physio copy/report each page over 5 pgs $1.26
19308 Worksafebc physio direct referral-daily rate $60.00
19203 Worksafebc physio exception to stdrd trtment rprt $37.62
19187 Worksafebc physio excepts to std trtmnt late rprt $32.42
19198 Worksafebc physio home visit travel $27.50
19199 Worksafebc physio hydrotherapy - small group $27.50
19181 Worksafebc physio init vis exception to std trtmnt $51.75
19183 Worksafebc physio initial cns disorder visit $31.00
19182 Worksafebc physio initial home visit $27.50
19197 Worksafebc physio late report for cns disorder $32.42
19189 Worksafebc physio late report for home visit $32.42
19188 Worksafebc physio late requested report $32.42
19200 Worksafebc physio medical - legal report $374.54
19208 Worksafebc physio off shelf orthotics $2,000.00
19205 Worksafebc physio pending claim report fee $59.41
19177 Worksafebc physio phone consultation by worksafebc $27.50
19345 Worksafebc physio pilot-telephone consult $28.00
19175 Worksafebc physio report for cns disorder $65.00
19173 Worksafebc physio report for home visit $50.00
19318 Worksafebc physio report for vestibular pt $60.00
19167 Worksafebc physio requested report $50.00
19186 Worksafebc physio standard treatment late report $32.42
19185 Worksafebc physio standard treatment report $37.62
19165 Worksafebc physio sub central nervous disorder vis $31.00
19184 Worksafebc physio sub visit exception to std trtmt $41.98
19163 Worksafebc physio subsequent home visit $27.50
19202 Worksafebc physio subsequent visit std treatment $41.98
19204 Worksafebc physio telephone consult for rtw $30.00
19178 Worksafebc physio trt visit form rec'd in 72 hrs $62.75
19179 Worksafebc physio trt visit, form rec'd > 72 hrs $56.75
19196 Worksafebc physio-pt-stream 1 -report (cbi only) $37.62
19931 Worksafebc post op consult + form 11 rec'd w/i 5 $97.27
19930 Worksafebc pre-arranged tele consult/up to 15 min $82.18
19799 Worksafebc privte surgical facility dressing $75.00
19902 Worksafebc progress rprt(form 11)recd wn 3 working $33.70
19903 Worksafebc progress rprt(form 11)recd wn 4-6 days $15.27
19426 Worksafebc psychotherapy indiv.(in-pt) 1/2 hr $178.12
19427 Worksafebc psychotherapy indiv.(in-pt) 3/4 hr $267.18
19429 Worksafebc psychotherapy indiv.(in-ptnt) 1 hr $356.24
19428 Worksafebc psychotherapy-hosp and emerg visits $100.00
19193 Worksafebc pt - hydrotherapy visit $63.00
19319 Worksafebc pt - secondary asses't report $125.00
19305 Worksafebc pt (hospital) - daily rate $60.00
19307 Worksafebc pt team meeting per 15 min $27.50
19313 Worksafebc pt- hydrotherapy visit (delegated) $47.00
19309 Worksafebc pt(ps)-subsequent post-surgical extensn $320.00
19822 Worksafebc radial head excision $4,882.00
19889 Worksafebc referral fee - see schedule a $500.00
19815 Worksafebc removal of hardware/screws & plates $1,655.00
19836 Worksafebc removal of loose body/debride $2,206.00
19821 Worksafebc removal of loose body/debridem $1,986.00
19806 Worksafebc removal of loose body/debridement $2,784.00
19912 Worksafebc repeat consult wn 2 - 4 months of 19911 $191.41
19914 Worksafebc repeat consult wn 2/4 months of 19913 $168.68
19916 Worksafebc repeat consult wn 2/4 months of 19915 $168.68
19918 Worksafebc repeat consult wn 2/4 months of 19917 $168.68
19953 Worksafebc req'd copy of an exist rprt or chrt nte $138.90
19521 Worksafebc reserved -allograft $1.00
19520 Worksafebc reserved -procedure not listed $1.00
19562 Worksafebc reserved audio-accessories > $100 $1.00
19516 Worksafebc reserved expedited sess extensive spine $4,325.39
19517 Worksafebc reserved expedited sess extensive spine $1,686.89
19518 Worksafebc reserved expedited sess extensive spine $2,630.44
19515 Worksafebc reserved expedited sess surg assist $1,003.82
19560 Worksafebc reserved haps-manufacturer shipping fee $1.00
19584 Worksafebc reserved neuropsychiatry admin fee $425.00
19347 Worksafebc reserved physio pilot-hydrotherapy sml $27.15
19348 Worksafebc reserved physio pilot-hydrotherapy-lrg $35.91
19340 Worksafebc reserved physio pilot-initial visit $50.25
19343 Worksafebc reserved physio pilot-requested report $50.00
19341 Worksafebc reserved physio pilot-subsequent visit $38.52
19346 Worksafebc reserved physio pilot-telephone consult $27.59
19344 Worksafebc reserved physio pilot-timely report fee $5.00
19342 Worksafebc reserved physio pilot-treatment report $32.62
19585 Worksafebc reserved psychology treatment extension $150.76
19527 Worksafebc restrictions/limitations $30.00
19537 Worksafebc restrictions/limitations $1,377.00
19950 Worksafebc return to work - consultation $327.75
19976 Worksafebc return to work request $47.83
19853 Worksafebc revision of acl $4,623.00
19860 Worksafebc rib resection/scalenectomy $3,309.00
19861 Worksafebc rotator cuff repair-includes acromiopla $4,879.00
19935 Worksafebc rpt consult within 2-4 months - anaes $191.41
19837 Worksafebc scapholunate reconstruction $4,135.00
19876 Worksafebc scar revision $1,655.00
19862 Worksafebc shoulder stabilization/capsula shrinkag $3,034.00
19838 Worksafebc silastic wrist fusion/wrist fusion/wris $5,103.00
19332 Worksafebc spbn gst(goods + services tax) $35.00
19331 Worksafebc spbn pst(provincial sales tax) $35.00
19910 Worksafebc standard assessment form recd after 15 $81.02
19909 Worksafebc standard assessmnt form recd wn 15 da $86.80
19877 Worksafebc strabismus $1,986.00
19807 Worksafebc subtalar fusion $4,763.00
19410 Worksafebc surcharge - op assist evening @ 32.77% applied to expedited assist level to a maximum of $550.36
19411 Worksafebc surcharge - op assist night @ 52.54% applied to expedited assist level to a maximum of $882.38
19412 Worksafebc surcharge - op assist sat sun hols @ 32.77% applied to expedited assist level to a maximum of $550.36
19878 Worksafebc sympathectomy $2,758.00
19808 Worksafebc tarsometatarsal fusion $4,156.00
19937 Worksafebc teleplan e-form 8 $64.78
19938 Worksafebc teleplan e-form rec'd wthn 4-6 work dys $35.32
19941 Worksafebc telepln e-form 11 rec'd wn 4-6 work dys $18.55
19940 Worksafebc telepln e-frm 11 $46.26
19939 Worksafebc telepln e-frm 8 rec'd wtn 10 dys of fax $51.00
19839 Worksafebc tenolysis,3 or less* $2,758.00
19840 Worksafebc tenolysis,4 or more* $3,309.00
19841 Worksafebc tfcc repair $2,041.00
19809 Worksafebc tibial tendon augmentation $2,758.00
19922 Worksafebc tray service $150.00
19810 Worksafebc triple arthrodesis $5,043.00
19823 Worksafebc ulnar nerve transposition $1,710.00
19842 Worksafebc ulnar shortening osteotomy $4,882.00
19320 Worksafebc-operative surcharge-evening 18:00-23:00 @ 17.5% of msp surgical fee codes with a minimum of $65.00
19321 Worksafebc-operative surcharge-night 2300-0800hrs @ 28% of msp surgical fee with a minimum of $105.00
19322 Worksafebc-operative surcharge-weekend/stat hol @ 17.5% of msp surgical fee with a minimum of $65.00
19315 Worksafebc-physio (clinical specialty) visit $31.00
19291 Worksafebc-pt assessment block incl initial report $225.00
19295 Worksafebc-pt complex exception fee $178.00
19296 Worksafebc-pt daily rate $70.00
19194 Worksafebc-pt day 1 pgm coaching/mentoring $30.00
19302 Worksafebc-pt discharge report $40.00
19293 Worksafebc-pt extension request report $52.00
19195 Worksafebc-pt functional abilities report $52.00
19303 Worksafebc-pt requested report $55.00
19294 Worksafebc-pt standard extension block $320.00
19297 Worksafebc-pt(ps) assessment blck incl.initial rpt $195.00
19301 Worksafebc-pt(ps) daily rate $70.00
19299 Worksafebc-pt(ps) extension request report $52.00
19300 Worksafebc-pt(ps) post surgical extension block $498.00
19298 Worksafebc-pt(ps) post surgical treatment block $920.00
19292 Worksafesbc-pt standard treatment block $560.00

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.

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