May only be claimed by internal medicine specialists.
| Category: | M+ Designated Minor Procedure |
|---|---|
| Base rate: | $10.55 |
No modifiers.
Benefits for non-invasive diagnostic procedures including HSCs in Section E (Laboratory and Pathology) and X (Diagnostic Radiology) performed for a hospital inpatient, registered outpatient or AACC or UCC patient are not payable under the Schedule. Payment for these services is the responsibility of the hospital/Regional Health Authority. This applies to both the technical and professional components. Such procedures include but are not limited to the following list.
| 03.12A | 03.16A | 03.16B | 03.19C | 03.19D | 03.37A |
| 03.37B | 03.38A | 03.38B | 03.38C | 03.38D | 03.38E |
| 03.38F | 03.38G | 03.38H | 03.38K | 03.38M | 03.38N |
| 03.38P | 03.38Q | 03.38R | 03.38S | 03.38T | 03.38X |
| 03.39A | 03.39B | 03.41A | 03.41B | 03.41C | 03.41D |
| 13.99CC | 24.89A | 32.81 | 49.98T | 50.98A |
| 95.94C | 98.8 A | 98.89A | 98.89B | 98.89C | 98.89D |
| 98.89E | 98.89F | 98.89H | 98.92E | 98.99F |
| F7 |
If a procedure designated "+" is performed in a place other than a physician's office, either a procedural benefit or a visit benefit, but not both, may be claimed for that day.
If a procedure designated "+" and a consultation are provided on the same day, both the procedural benefit and the appropriate consultation benefit are payable.
If a minor procedure (M or M+) is provided with a hospital visit on the same day, only the greater benefit HSC may be claimed.
