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prefixes to fee codes

  • A designates a service is not a benefit of the plan (MSP), uninsured
  • B designates services included in the visit fee.
  • C designates fee items for which it is not required to indicate by letter the need for a certified surgeon to assist at surgery (see fee item 70019).
  • G designates fee items which originated from the Joint Clinical Committees and have been transferred to the MSC Payment Schedule.
  • H designates listings which are administered through the Claims payment system but are not funded through the medical practitioners’ Available Amount.
  • P designates fee items approved on a provisional basis and awaiting further review.
  • S designates fee items for which a surgical assistant’s fee is not payable.
  • T designates fee items approved on a temporary basis and awaiting further information.
  • V designates general surgery fee items that are exempt from the post-operative general preamble rule (D. 5. 1.). Therefore, fee item 71008 can be billed for post-operative care within the first 14 post-operative days in hospital.
  • Y designates office or hospital visit on the same day is billable in additional to the procedure fee.

Note: These fee code prefixes should not be submitted when billing

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