Details of New Fees For The COVID-19 Pandemic

Notes:

  1. Payable for patients with suspected or active COVID-19 symptoms only.
  2. COVID-19 testing must be performed.
  3. Not intended for providing general information on a viral infection, including COVID-19.
  4. Not payable in addition to any other office visits to the same physician to the same patient, same day.

Notes:

  1. Payable for patients with suspected or active COVID-19 symptoms only.
  2. Not intended for providing general information on a viral infection, including COVID-19.
  3. Not payable in addition to any other office visits to the same physician for same patient, same day.

Notes:

  1. For verbal, real-time telephone or video technology communication discussion between the patient or the patient’s medical representative and a College-certified allied care provider (e.g.: Nurse, Nurse Practitioner) employed within a physician’s practice. Not payable when the delegated representative is paid or funded by alternate means by a health authority or the Ministry of Health.
  2. Chart entry must record the name of the person who communicated with the patient or patient’s medical representative, as well as capture the elements of care discussed.
  3. Not payable for prescription renewals, anti-coagulation therapy by telephone (00043) or notification of appointments or referrals.
  4. Only one service payable per patient per day.
  5. Not payable on the same calendar day as a visit or service fee by same physician for same patient.
  6. Not payable to physicians working under salary, service contract or sessional arrangements whose duties would otherwise include provision of this care.

Notes:

  1. Email/Text/Telephone Relay Medical Advice requires two-way relay/communication of medical advice from the physician to eligible patients, or the patient’s medical representative, via email/text or telephone. The task of relaying the physician advice may be delegated to any Allied Care Provider or MOA working within the physician practice.
  2. Chart entry must record the name of the person who communicated with the patient or patient’s medical representative, as well as the advice provided, modality of communication and confirmation the advice has been received.
  3. Payable for prescription renewals without patient interaction.
  4. Not payable for anti-coagulation therapy by telephone (00043) or notification of appointments or referrals.
  5. Only one service payable per patient per day.
  6. Not payable on the same calendar day as a visit or service fee by same physician for same patient.
  7. Not payable to physicians working under an Alternative Payment/Funding model whose duties would otherwise include provision of this service.

Notes:

  1. Payable to the Family Physician who participates in a 2 way telephone or videoconference communication with a specialist and/or allied care provider about a patient regarding COVID-19.
  2. T13708 FP COVID-19 communication with specialist and/or allied care provider can not be delegated. No claim may be made where communication is with a proxy for either provider.
  3. Payable in addition to any visit fee on the same day.
  4. Not payable for communications which occur as a part of the performance of routine rounds on the patient if located in a facility, or communications which occur as part of regular work flow within a physician’s community practice.
  5. Not payable in addition to PG14018 or PG14077 on the same day for the same patient.
  6. Not payable to physicians working under an Alternative Payment/Funding model whose duties would otherwise include provision of this service.

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