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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
  1. May be claimed in addition to an in person visit tariff excluding consultations
  2. Maximum of four (4) supplements may be claimed per patient per 12-month period.
  3. Patient must have an established diagnosis of one or more of the specified diseases.
Billing Note
  1. 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.
  2. 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.
  3. 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.
  4. 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; 28672869
Purpura, thrombocytopenia, other haemorrhagic conditions  2870; 2871; 2872; 28730; 28731; 28732; 28733; 28739; 28741; 28749; 2875; 28782879
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; 49184919
Emphysema 4920; 4928
Asthma, Allergic Bronchitis 5550; 5551; 55525559
Pulmonary Fibrosis 515; 5160; 5161; 5162; 51630; 51631
Regional Enteritis; Crohn’s Disease  5550; 5551; 55525559
Ulcerative Colitis 5560; 5561; 5562; 5563; 5564; 5565; 5566; 55685569
Cirrhosis of the Liver 5712; 5715
Chronic Renal Failure Uremia 5851; 5852; 5853; 5854; 5855; 5856; 5859586
Systemic Lupus Erythematosus 7100
Inflammatory Myositis 7103; 7291
Complex Psoriasis 6960; 6961; 6962; 6963; 6964; 69656968
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
March 20, 2024