BC Billing Codes for Delegated Care

MSP Link: BC MSP Payment Schedule - COVID-19

Important Guidelines:

• Chart Entries: Every encounter must include a note in the chart (it can be brief). The chart entry should capture the name of the person who communicated with the patient or the patient’s medical representative, as well as the details of care discussed.
• One Service Per Day: Only one service is payable per patient per calendar day.
• No Double Billing: Services cannot be billed on the same calendar day as a visit or service fee by the same physician for the same patient (e.g., bill on a day when the patient was not seen by the MD)
   

T13707 - FP Email/Text/Telephone Medical Advice Relay or ReRX

Fee Code: $7.00
This is a smaller fee code for medical advice that can include communication via email, text, or telephone, and can also involve Medical Office Assistants (MOAs).

• Not Payable For: Notification of appointments or specialist appointments.
• Can Be Billed For:
  • Prescription renewals requested by pharmacies or patients.
  • Patient notifications with physician advice, such as:
    • Informing the patient of test results and advising follow-up with a physician.
    • Following up with patients to check if they need another appointment.
    • Calling a patient to confirm if they’ve scheduled tests (e.g., imaging).
    • Notifying patients that a form or sick note is available.
    • Gathering additional information from patients to complete forms (e.g., demographics, clinical status).
       

T13706 - FP Delegated Patient Telehealth Management Fee

Fee Code: $20.00
This is a larger fee code for medical advice provided by College-certified allied health providers.

• Not Payable For: Notification of appointments or specialist appointments, or prescription renewals.

Requirements:

• Real-time patient encounters via video or telephone (active communication, not just leaving a message).
• The service must be performed by a College-certified allied health provider (e.g., nurse, NP, PA, etc.)

• Examples of Use:
  • Nurses or PAs calling patients with test results and physician follow-up instructions.
  • Nurses providing telephone advice based on clinical changes (e.g., calling a patient with a URTI to check if they’re improving or need a follow-up appointment with a physician).