Tariff 8004 compensates physicians who are responsible for monitoring patients taking Clozapine, also sold under the names: Apo-clozapine, Clozaril and Gen-clozapine. Services encompassed by Tariff 8004 include:

  1. Ordering blood tests,
  2. Interpreting results,
  3. Inquiring into possible complications, and
  4. Adjusting the dosage as necessary

Payment of Tariff 8004 is limited to one claim per patient per calendar month. Claims for additional services provided to a patient (e.g. visits) may be made in addition to this tariff.

Billing Notes

  1. Tariff 8004 applies to hospital in-patients, Personal Care Home residents and at-home patients.
  2. For ease of billing, choose a day of the month (e.g., 1st day of month, last day of month etc.) and bill Tariff 8004 with respect to all applicable patients on this same day each month. You may also bill Tariff 8004 on a quarterly basis for patients receiving anticoagulant therapy, indicating the service date for each month for which they are billing.
  3. Elect to claim the tariff with a service date on the 1st (or last) Saturday or Sunday (non-office day) of each month, so as to avoid the possibility of the selected service date coinciding with the date of a patient visit, which can sometimes result in a failed” claim.
  4. Tariff 8004 should be claimed by the physician most responsible for monitoring the patient’s condition respecting the Clozapine dosage.
Last updated
July 17, 2024