Guide
Continuing Patient Care Managment by Medical Specialists
A new tariff is available as of April 1, 2024 to recognize the ongoing monitoring and patient care management required for some patients followed by a medical specialist. The new tariff also ensures Manitoba’s specialist remuneration remains competitive with other provinces.
The new continuing patient care management tariff:
- Adds a supplement to qualifying in-person visits,
- Can be claimed up to four times per year,
- Is available to 14 medical specialty blocs, and
- Applies to patients with one of 33 specified medical conditions.
The new tariff is a visit supplement and should be claimed with a qualifying in-person visit, such as a complete examination. It does not apply to consultations.
The tariff is available to the following blocs of practice: Internal Medicine, Neurology, Geriatric Medicine, Rheumatology, Cardiology, Gastroenterology, Nephrology, Allergy and Clinical Immunology, Medical Genetics, Dermatology, Physical Medicine and Rehabilitation, Respirology, Infectious Disease, and Endocrinology.
8700
Continuing patient care management, supplement add to visit fee
$30.00
Continuing patient care management, supplement add to visit fee
$30.00
- May be claimed in addition to an in person visit tariff excluding consultations
- Maximum of four (4) supplements may be claimed per patient per 12-month period.
- Patient must have an established diagnosis of one or more of the specified diseases.
Billing Note
- Tariff 8700 is intended to apply to ongoing care of the listed conditions. It is eligible to be billed in addition to in-person visits, excluding consultations. Patients that do not require ongoing management by a specialist and can be managed by a family physician, are not meant to be eligible for this tariff.
- Tariff 8700 will most often be claimed in addition to a complete examination. It may also be claimed in addition to certain other in-person visits. It is not eligible to be claimed in addition to hospital care, concomitant care, or Clinical Teaching Unit (CTU) per diems.
- Tariff 8700 may be claimed up to four (4) times in 12 consecutive months. This maximum applies to individual physicians, caring for individual patients. This maximum does not apply to a given disease, so in instances where a patient is managed by a roster of physicians over the course of 12 months, each physician is eligible for up to 4 claims for that patient in that period.
- Tariff 8700 is not claimable in addition to virtual services.
Eligible Diseases and ICD Codes
| Eligible Disease | Applicable ICD Codes |
|---|---|
| Advanced HIV | 042 |
| HIV with opportunistic infection | 042 |
| HIV in Pregnancy | 64760 |
| Diabetes mellitus, including complications | 25000; 25001; 25002; 25003; 25010; 25011; 25012; 25013; 25020; 25021; 25022; 25023; 25030; 25031; 25032; 25033; 25040; 25041; 25042; 25043; 25050; 25051; 25052; 25053; 25060; 25061; 25062; 25063; 25070; 25071; 25072; 25073; 25080; 25081; 25082; 25083; 25090; 25091; 25092; 25093 |
| Coagulation defects (e.g., haemophillia, other deficiencies | 2860; 2861; 2862; 2863; 2864; 28652; 28653; 28659; 2866; 2867; 2869 |
| Purpura, thrombocytopenia, other haemorrhagic conditions | 2870; 2871; 2872; 28730; 28731; 28732; 28733; 28739; 28741; 28749; 2875; 2878; 2879 |
| Senile dementia, presenile dementia | 2900; 29010; 29011; 29012; 29013; 29020; 29021; 2903 |
| Child psychoses or autism | 29900; 29910; 29980; 29990 |
| Parkinson’s Disease | 3320 |
| Multiple Sclerosis | 340 |
| Cerebral Palsy | 3438; 3439 |
| Epilepsy | 34500; 34501; 34510; 34511; 3452; 3453; 34540; 34541; 34550; 34551; 34560; 34561; 34570; 34571; 34580; 34581; 34590; 34591 |
| Chronic Bronchitis | 4910; 4911; 49120; 49121; 49122; 4918; 4919 |
| Emphysema | 4920; 4928 |
| Asthma, Allergic Bronchitis | 49300; 49301; 49302; 49310; 49311; 49312; 49320; 49321; 49322; 49381; 49382; 49390; 49391; 49392 |
| Pulmonary Fibrosis | 49320; 49321; 49322; 49381; 49382; 49390; |
| Regional Enteritis; Crohn’s Disease | 49391; 49392 |
| Ulcerative Colitis | 5560; 5561; 5562; 5563; 5564; 5565; 5566; 5568; 5569 |
| Cirrhosis of the Liver | 5712; 5715 |
| Chronic Renal Failure Uremia | 5851; 5852; 5853; 5854; 5855; 5856; 5859; 586 |
| Systemic Lupus Erythematosus | 7100 |
| Inflammatory Myositis | 7103; 7291 |
| Complex Psoriasis | 6960; 6961; 6962; 6963; 6964; 6965; 6968 |
| Vasculitis | 7091 |
| Scleroderma | 7010; 7101 |
| sarcoidosis | 135 |
| Rheumatoid Arthritis | 7140 |
| Adult Onset Still’s Disease | 7142 |
| Systemic Juvenile Inflammatory Arthritis | 71430; 71431; 71432; 71433 |
| Ankylosing Spondylitis | 7200 |
| Psoriatic Arthritis | 6960 |
| Reactive Arthritis | 71100; 71101; 71102; 71103; 71104; 71105; 71106; 71107; 71108; 71109; 71110; 71111; 71112; 71113; 71114; 71115; 71116; 71117; 71118; 71119; 71120; 71121; 71122; 71123; 71124; 71125; 71126; 71127; 71128; 71129; 71130; 71131; 71132; 71133; 71134; 71135; 71136; 71137; 71138; 71139; 71140; 71141; 71142; 71143; 71144; 71145; 71146; 71147; 71148; 71149; 71150; 71151; 71152; 71153; 71154; 71155; 71156; 71157; 71158; 71159; 71160; 71161; 71162; 71163; 71164; 71165; 71166; 71167; 71168; 71169; 71170; 71171; 71172; 71173; 71174; 71175; 71176; 71177; 71178; 71179; 71180; 71181; 71182; 71183; 71184; 71185; 71186; 71187, 71188, 71189, 71190; 71191; 71192; 71193; 71194; 71195; 71196; 71197; 71198; 71199 |
| Enteropathic Arthritis | 7131 |
Last updated
April 23, 2024