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WorkSafeBC

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Fees for expedited services

The requirements for receiving fees 19911 through 19918 are as follows:
  1. The report shall be comprehensive (as per BCMA/WorkSafeBC Agreement).
  2. Only one expedited comprehensive consultation per specialist (initial or repeat), may be billed on each claim, unless the patient is not seen for at least six months, and is referred again by the attending physician.
  3. The report must be received by WorkSafeBC within 15 business days of the initial referral by the attending Physician or Board Officer, or in a trauma case within 15 business days of the consultation.
  4. A report received at WorkSafeBC after 15 working days will be paid under MSP fee item 19908.
  5. The fee includes physical examination and report. A Form 8 will not be accepted as a consultation report for any expedited consultation service.
  6. Repeat consultations may be arranged at the discretion of the specialist within two months but not to exceed four months. Repeat consultations may be indicated where a return to work plan has failed or there is a marked change in the worker’s condition.
Internal Medicine Neurology, Neurosurgery, Orthopedics, Physical Medicine, General Surgery, Plastic Surgery and Rheumatology
Fee Code Description

19911 Initial expedited comprehensive consultation from specialists in internal medicine neurology, neurosurgery, orthopedics, physical medicine, general surgery, plastic surgery and rheumatology received within 15 business days of referral by attending physician or Board officer.
19912 Repeat consultation within two to four months of 19911. Repeat consultation more than four months after 19911 to be billed at normal MSP/WCB repeat consultation rate.
 
Psychiatry

Fee Code Description

19913 Initial expedited comprehensive consultation from specialists in psychiatry received within 15 business days.
19914 Repeat consultation within two to four months of 19913. Repeat consultation more than four months after 19913 to be billed at normal MSP/WCB repeat consultation rate.
 
Urology, Otolaryngology, and Opthamology

Fee Code Description

19915 Initial expedited comprehensive consultation from specialists in urology, otolaryngology, and ophthalmology received within 15 business days.
19916 Repeat consultation within two to four months of 19915. Repeat consultation more than four months after 19915 to be billed at normal MSP/WCB repeat consultation rate.
 
Dermatology

Fee Code Description

19917 Initial expedited comprehensive consultation from specialists in dermatology received within 15 business days.
19918 Repeat consultation within two to four months of 19917. Repeat consultation more than four months after 19917 to be billed at normal MSP/WCB repeat consultation rate.
 
Anesthesiology

Fee Code Description

19934 Initial expedited comprehensive consultation from an anesthetist for diagnostic opinion and/or therapeutic management of complicated chronic pain, and/or related problems. To include comprehensive history and physical examination, review of radiological and laboratory findings and a written report. If followed by a diagnostic or therapeutic nerve block, the consultation may be charged in addition to the nerve block fees on the first occasion. Received within 15 business days.
19935 Repeat consultation within two to four months of 19934. Repeat consultation more than four months after 19934 to be billed at normal MSP/WCB repeat consultation rate.