General Practice BILLING GUIDE - British Columbia Medical ...

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C UNINSURED SERVICES CommoN GENERal PRaCtICE CoDES RatES EffECtIVE aPRIl 1, 2007 Please note: The A-lettered items/fees for uninsured services cannot be correctly interpreted without referece to Preamble Section A, Clause 5 of the BCMA Guide to Fees. Forms Fee A00032 Completion of the Occupational Fitness Assessment $37.50 (OFA) form (extra to examination) A00033 Completion of only Section E of the Occupational Fitness $24.00 Assessment (OFA) form (extra to examination) A00060 Written certificate, including time loss benefit form $34.80 (extra to examination) and medical certification of death A00069 Insurance company form to include review of records $117.00 – short report A00059 – extensive report $155.00 A00097 Examination and completion of Canadian Blood Services $84.40 form for report on Plasmapheresis Donors. Medical Legal Forms Fee A00070 For filling out an ordinary printed form reporting on a $136.00 patient’s condition or submitting like information in letter form. This item should not be used for time loss benefit or insurance forms normally covered under A00059, A00060 and A00069. Reports/Letters A00061 Medical advice by letter $117.00 Medical Legal Reports/Letters A00070 For filling out an ordinary printed form reporting on a $136.00 patient’s condition or submitting like information in letter form. This item should not be used for time loss benefit or insurance forms normally covered under A00059, A00060 and A00069. A00071 A Medico-Legal letter or form is defined as a short factual $285.00 written communication given to any lay person (e.g. lawyer, insurance representative) in relation to a patient for some purpose primarily unconnected with treatment. A00072 A Medico-Legal Report is one, which will recite symptoms, $852.00 history and records and gives diagnosis, treatment, results and present condition. This is a factual summary of all the information available on the case. It could also contain prognostic information about when the patient will be able to return to work and might mention whether there will be a permanent disability. GENERAL PRACTICE BILLING GUIDE C/1
C UNINSURED SERVICES A00073 A Medico-Legal Opinion will usually include the information $1,423.00 contained in the medical - legal report and will differ from it primarily in the field of expert opinion. This may be opinion as to the course of events when these cannot be known for sure. It can include opinion as to long term consequences and possible complications in the further development of the condition. All the known facts will probably be mentioned, but in addition there will be extensive exercise of expert knowledge and judgement with respect to those facts with a detailed prognosis. Examinations Complete physical examination (not covered by MSP for healthy persons) (BCMA) 12101 Complete examination – in office (Age 0–1) $65.10 (BCMA) 00101 Complete examination – in office (Age 2–59) $59.20 (BCMA) 16101 Complete examination – in office (Age 60–69) $68.00 (BCMA) 17101 Complete examination – in office (Age 70–79) $73.60 (BCMA) 18101 Complete examination – in office (Age 80+) $76.80 Office visit (when not covered by MSP) (BCMA) 12100 Visit – in office (Age 0–1) $65.10 (BCMA) 00100 Visit – in office (Age 2–59) $59.20 (BCMA) 16100 Visit – in office (Age 60–69) $68.00 (BCMA) 17100 Visit – in office (Age 70–79) $73.60 (BCMA) 18100 Visit – in office (Age 80+) $76.80 A00001 General Insurance Examination, industrial (to include M.O.T. $167.00 examinations for pilots and air traffic controllers), pre-placement and periodic examinations, CPP examinations A00002 Limited examinations for special policies $117.00 A00003 Industrial pre-placement and periodic examination not $69.40 requiring complete examination A00055 Examinations (other than the eyes) to obtain a driver’s $118.00 license - full exam A00056 – partial exam $60.20 A94530 OSMV Driver’s Medical Examination and Report (DMER) $163.00 – stand alone A94531 OSMV Diabetic Driver Examination and Report (DDR) $163.00 – stand alone A94532 OSMV DMER and DDR completed at same visit $204.00 A00004 Group examination of apparently healthy persons, including $282.00 school examinations – per hour A00068 Physical fitness examination for school, summer camp, etc., $58.70 including certificate A00063 Initial screening examination for chronic or rehabilitation care $121.00 C/2 GENERAL PRACTICE BILLING GUIDE
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CONTENTS 4. Prevention Fees A/39 El
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GENERAL PRACTICE BILLING GUIDE
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A GP SERVICES COMMITTEE INCENTIVES
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Page 23 and 24: A GP SERVICES COMMITTEE INCENTIVES
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Page 81 and 82: APPENDIX i FORMS FOR THE GPSC INITI
Page 95 and 96: APPENDIX ii OTHER TOOLS TO SUPPORT
Page 105 and 106: APPENDIX iii DIAGNOSTIC CODES QUICK
Page 107: APPENDIX iii DIAGNOSTIC CODES QUICK
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