Fee Guide Resources

Explore upcoming and recent changes to the Fee Guide.

Group Medical Visits

Updates to Group Medical Visit (GMV) fees for Family Medicine and Specialists will take effect November 1, 2026. The changes will support ongoing access to virtual GMVs for patients and provide clearer billing guidance for physicians.

Learn more

Key updates

• New, permanent Telehealth GMV fee items, with a maximum of 30 patients per session.
• Existing GMV fee items will apply to in-person visits only, with no maximum number of patients per session.
• Changes to the existing GMV preambles and fee notes.
• Clearer requirements for direct 1:1 physician-patient interaction.
• Updated documentation requirements.

More information

See the Family Medicine and Specialist GMV summary tables for an at-a-glance overview of what’s changing and the requirements that remain in place.

• Family Medicine GMVs Summary Table
• Family Medicine GMVs MOC
• Specialist GMVs Summary Table
• Specialist GMVs MOC

See the updated Family Medicine and Consultant Specialists of BC Fee Guides for full billing rules and fee amounts when implemented November 1, 2026.

Virtual care

Changes to the MSC Payment Schedule related to virtual care will take effect November 1, 2026.

During the COVID-19 pandemic, temporary changes to fee-for-service (FFS) billing policies helped support the rapid expansion of Telehealth services. The 2022 Physician Main Agreement (PMA) provided an opportunity to take a broader look at virtual care, with the Ministry of Health reviewing both existing FFS policies and the temporary measures introduced during the pandemic and bringing forward proposed revisions.

The proposal was reviewed by the Virtual Care Working Group in 2023, leading to a set of agreed-upon changes that were approved by the Tariff Committee and Doctors of BC Board of Directors. Their implementation was later stipulated in the 2025 PMA.

Beginning November 1, some of this work will take effect through amendments to sections D.1 (Telehealth) and D.3.3 (Counselling) of the General Preamble. The updates will make several temporary virtual care measures permanent and provide greater clarity around the requirements for providing and billing virtual care.

Learn more

Key updates

• Expanded definition of Telehealth. Telehealth will include services provided by telephone as well as video. The General Preamble will also define synchronous services, such as telephone and video calls, and asynchronous services, such as email, text and voicemail
• Choice of care modality. Physicians, in consultation with their patients, are responsible for determining the most appropriate modality for providing care.
• Same-day virtual and in-person visits. A Telehealth visit and an in-person visit provided by the same physician, or their in-person substitute, on the same day are generally not both payable. Both may be payable if a new assessment is required because the patient’s condition has changed or the patient presents with a different condition.
• Patient eligibility. Telehealth services are available to MSP beneficiaries, as well as eligible residents of Alberta and Yukon under reciprocal billing arrangements. This is intended to support existing care arrangements for border communities, rather than general Telehealth practices serving patients in other provinces.
• Physician location. Physicians must generally be located in BC to bill MSP for Telehealth services. An exception applies when a physician is temporarily outside BC for 30 consecutive days or less. Exceptions may also be made for programs approved by the Medical Services Commission.
• Virtual counselling. Section D.3.3 (Counselling) will be updated to recognize counselling provided by telephone as an insured MSP benefit. Counselling provided by video call is already an insured MSP benefit.

Temporary Telehealth billing rule remains in place until April 2027

A temporary billing rule introduced during the COVID-19 pandemic allows physicians to provide services virtually when a Telehealth-equivalent fee is not available. Under this rule, physicians can bill the applicable in-person consultation, visit or non-procedural intervention fee, provided “telehealth” is identified on the claim.

This temporary rule will remain in place until April 1, 2027, giving MSP and Doctors of BC additional time to identify areas of the Payment Schedule where appropriate Telehealth fees are not currently available and address potential gaps before the rule ends.

More information

See the updated General Preamble D.1 (Telehealth) and D.3.3 (Counselling) for the complete requirements. 

• Virtual care MOC

Past billing updates

Motor vehicle accidents

Effective November 27, 2025, new legislation amending the Insurance (Vehicle) Act introduced changes to the payment of medical claims for motor vehicle accidents (MVAs).

ICBC is no longer responsible for physician services related to MVAs. All MVA-related claims will be processed as standard MSP claims, including any claims received on or after that date, even if the service date is prior to November 27, 2025.

• Changes to the MSC Payment Schedule relating to MVAs

WorkSafeBC

Explore billing guides for common fee codes encountered by BC physicians who treat WorkSafeBC patients. Find useful information for you and your medical office team below.  

• Billing Expedited Comprehensive Consultation Fee Code 19911 and 19912
  Specialists who require assistance with Fee Code 19911 - Initial Expedited Comprehensive Consultation and Fee Code 19912 - Repeat Expedited Comprehensive Consultation. View the Expedited Comprehensive Consultation billing guide.
• Billing Telephone or Office Consultation Fee Code 19930
  Fee Code 19930 is billable for communication via telephone or video conference, or in-office meetings for physicians to collaborate with other health care professionals, and WorkSafeBC Case Management team members involved in the care of injured workers. View the Fee Code 19930 billing guide.
• Expedited Surgical Premiums (ESP) Guide
  The Expedited Surgery Premium (ESP) is a premium paid in addition to the applicable MSP fees for WorkSafeBC-approved surgeries, if the surgery is performed within an accelerated timeframe. View the Expedited Surgical Premium (ESP) guide.

Access current fee listings, billing codes, service location codes, and other reference information for submitting claims.

Fee tables and files

• MSP Broadcast Message Index

The following documents are effective April 1, 2026:

• Summary listing of MSP Fees
• Summary listing of Private/Non-insured Fees
• Non-MSP Insured Fees
• Non-MSP Insured Fees with Descriptions (XLSX)
• Non-MSP Insured Fees with Descriptions (CSV)

Supplementary billing information

• Business Cost Premium: Overview of program and expansion updates
• Longitudinal Family Physician (LFP) Payment model: Overview and information and LFP schedule
• Rural Support: Rural Retention Program Booklet
• Sessional contract rates: 2023/24 Sessional Contract Rates

Billing and reference codes

• ICD-9 Codes
• Explanatory Codes

Service location codes

For further information about Service Location Codes, see the MSP website.

Service Location Code descriptions

Code	Location	Description
B	Community Health Centre	An inter-professional primary care centre that integrates primary care, health promotion and community well-being services as well as a broader range of social supports.
C	Residential Care/Assisted Living Residence	Service is provided to a patient in a licensed residential care facility or registered assisted living residence. (Note: Excludes small “group homes” where no professional health care support/care is available and includes extended care facility within a hospital).
D	Diagnostic Facility	Service is provided in a facility that primarily/exclusively provides diagnostic testing and has been granted a MSC Certificate of Approval (Note: Excludes diagnostic tests provided in a physician's office. Also excludes diagnostic services provided in/by hospital and/or D&T centre facilities).
E	Hospital Emergency Room (unscheduled patient)	Service is provided in a hospital emergency department for a patient who presents for emergent or urgent treatment (Note: Excludes hospital outpatients who receive services on a scheduled basis within an emergency department; see Hospital Outpatient).
F	Private medical/surgical facility	Service is provided within a private medical/surgery facility accredited by the College of Physicians and Surgeons of BC.
G	Hospital, Day Care (surgery)	Service is provided within a hospital to a patient who is a day care surgery patient (Note: Includes all patients who are in hospital on a day care basis primarily to receive a “procedure”. Excludes scheduled services; see Hospital Outpatient).
I	Hospital (inpatient)	Service is provided within a hospital to a patient who is a day care surgery patient (Note: Includes all patients who are in hospital on a day care basis primarily to receive a “procedure”. Excludes scheduled services; see Hospital Outpatient).
J	First Nations Primary Health Care Clinic	A clinic that provides inter-professional-based continuum of care that integrates health services, disease prevention and management, population health promotion, traditional and mental wellness, and social determinants of health, as well as embodies attributes of cultural safety and humility, trauma-informed care, and integration to First Nations communities.
K	Hybrid Primary Care Practice	A primary care practice that includes both longitudinal primary care services and walk-in/episodic care services
L	Longitudinal Primary Care Practice	A primary care practice (e.g. Patient Medical Home) that provides longitudinal primary care services by a family physician, group of family physicians, or group of family physicians and nurse practitioners including those with focused practice or providing consultative expertise and those in a shared office with non-FPs.
M	Mental Health Centre	Service is provided in a publicly administered mental health centre to an outpatient (Note: Excludes mental health facilities that are primarily residential in nature; see Residential Care/Assisted Living. Includes CRESST Facilities).
N	Health Care Practitioner Office (non-physician)	An office where non-physician health care practitioners, e.g. Nurse Practitioners, are providing health care.
P	Hospital Outpatient	Service is provided in outpatient and/or ambulatory clinics where outpatients receive scheduled services including emergency department, or any other hospital setting where outpatients receive services (Note: Excludes day care surgical patients).
Q	Specialist Physician Office	A physician office that provides health care services by one or more non-family physicians (e.g. Royal College Specialist).
R	Patient’s Private Home	Service is provided in a patient’s ow home (Note: Includes service provided in “group homes” where on-site nursing or other health professional support care is not provided but excludes assisted living residences and other residential facilities; see Residential Care/Assisted Living Residence).
T	Family physician Office, in a publicly administered facility	Service is provided in a family physician’s Publicly Administered office located within a publicly administered health care facility (e.g. Hospital, Primary Care Centre/Clinic, D&T Centre, etc.).
U	Urgent and Primary Care Centre (Ministry-designated)	A centre that provides longitudinal full-service primary care and attachment in addition to meeting the episodic urgent primary care needs for both attached and unattached patients.
V	Virtual Care	A practice that provides exclusively virtual care as a method of delivering health care diagnosis and treatment services. Does not include other clinics or centers where virtual care is provided in addition to in-person care.
W	Walk-in/Episodic Care Clinic	A practice that provides exclusively episodic primary care services.
Z	Other, e.g. accident site or in an ambulance	Service is provided in any other location such as a temporary community or school clinic, ambulance, accident site, etc.

Practical guidance on billing requirements, referrals, claims, professional and technical fees, and other common billing questions.

Billing guides and FAQs

• Medical Office Assistant Billing Guide
• FPSC Billing Guide and FAQs
• SSC Fees and FAQs

Billing rules and claims

• Consultation, referrals, and re-referrals—Clarifications and FAQs
• Managing Fee-For-Service Billing Claim Refusals
• Professional and Technical Fees
• Physician enrolment with MSP

Standard requisition forms

• Provincial Laboratory Medicine Services
• HLTH 1901 - Standard Outpatient Laboratory Requisition
• Standard Out-Patient Bone Densitometry Requisition
• Leukemia / Bone Marrow Transplant Requisition
• Standard Out-patient Breast Imaging Requisition

Learn how to request changes to the MSC Payment Schedule.

• Guide to Requesting Changes to the MSC Payment Schedule

Forms

• Amending Fee Item Description or Level of Fee (Word)
• Deleting a Fee Item (Word)
• New Diagnostic and Selected Therapeutic Procedures (Word)
• New or Split Medical Fee Item (Word)
• New or Split Surgical Fee Item (Word)

Find out who to contact for fee, claim, or billing support.

General concerns regarding fee code rules or billing claim rejections

Please contact Health Insurance BC, administrator of the Medical Services Plan

• Vancouver: +1 604 456-6950
• Elsewhere in BC: +1 866 456-6950
• Additional MSP provider services

Complex fee queries or questions regarding specific clinical scenarios

We recommend these be directed to your Section. Please contact Doctors of BC.