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A new temporary fee code is available to all physicians in BC who provide COVID-19 immunization advice to patients. This fee can be billed when a physician sees a patient for an unrelated visit (e.g. prenatal visit) and in addition provides advice regarding COVID-19 vaccines, whether that visit is in person or by Telehealth.
A minimum of ten additional minutes for the advice must be provided in addition to the unrelated base visit. The physician would not administer COVID-19 immunization during that visit, as temporary fees have already been established for when a physician provides the COVID-19 immunization and has an accompanying discussion (T10042, TB10043, TB10044).
The new fee is effective for dates of service on or after April 15, 2021.
T10045 COVID-19 immunization advice fee (extra) ..................................... $17.62
Notes:
i) Payable for COVID-19 immunization advice (ICD-9 code C19 must be entered on claim).
ii) Paid only in addition to a visit for an unrelated condition and is paid in full.
iii) Physician time with the patient for the advice must exceed 10 minutes exclusive of time spent on the base unrelated visit.
iv) Start and end times must be entered in both the billing claim and the patient’s chart.
v) Not payable with a COVID-19 immunization by the same practitioner, same day.
vi) If COVID-19 immunization advice fee is provided with a visit for an unrelated condition and with a procedure, bill the procedure and 50% of a visit with ICD-9 code C19.
vii) If COVID-19 immunization advice fee is provided as a stand-alone service, bill the appropriate visit code with ICD-9 code C19.
viii) Cannot be delegated to a nurse or other employee of the physician's practice.
To support the new fridge-stable COVID-19 vaccines that can be administered in a range of different locations, three temporary COVID-19 immunization fees have been approved. Click for more info.
If physicians encounter problems, they should contact the regular ICBC/WorkSafeBC contact (ICBC Health Care Inquiry Unit at 1-888-717-7150 and WorkSafe BC Health Care Services at
). These changes are in effect until an end date can safely be determined.General Preamble Temporary Revisions
General Preamble C.27 Business Cost Premium
Temporary COVID-19 Fee Codes for family physicians include:
The GPSC and BC Family Doctors co-hosted a webinar explaining these changes on May 28. For more information or to view a recording, visit the GPSC website.
Additional billing changes for Family Physicians include the allowance of Telehealth for:
For helpful Q&A, please visit the BC Family Doctors website.
More information and a downloadable billing cheat sheet can be found on the BC Family Doctors website.
New temporary fee code T10050 COVID-19 Perioperative Complexity surcharge has been added to the General Surgery fee guide, implemented on October 1, 2020. See details here.
See “Payment for Video and Telephone Visits” (above) for information on billing with existing telehealth codes or for billing face-to-face codes via telehealth
See “COVID-19 Office Visit Codes” (above) which can be billed by any physician
Four temporary fee codes were added to the Specialist Services Committee (SSC) fee guide:
Details on these fees can be found here.
FAQ available here (updated May 11, 2020).