MSP Billing Codes

Specialty: Other

Code	Description	Anes	Fee
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19945	Reserved worksafebc init expedited comp consult	0	$316.75
19946	Reserved worksafebc repeat exped comp consultation	0	$154.20
19510	Worksafebc - complex spinal cord injury office	0	$113.48
19512	Worksafebc - surcharge - operative evening	0	$1,279.95
19514	Worksafebc - surcharge - operative sat sun hols	0	$1,279.95
19511	Worksafebc - complex spinal cord injury home visit	0	$226.95
19509	Worksafebc - complex spinal cord injury intl visit	0	$170.21
19324	Worksafebc - rural pt complex exception fee	0	$178.00
19513	Worksafebc - surcharge - operative - night	0	$2,052.14
19901	Worksafebc 1st rprt injury(form 8 recd wn 4-6 dys	0	$22.64
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19927	Worksafebc 1st rprt of injury (form 8) req'd later	0	$56.72
19900	Worksafebc 1st rprt of injury(form 8)recd wn 3 dys	0	$37.44
19800	Worksafebc achilles tendon repair/gastrocnemius	0	$2,758.00
19843	Worksafebc acl reconstruction	0	$4,156.00
19854	Worksafebc acromioplasty and distal clavicle	0	$4,623.00
19906	Worksafebc addl charge per page for over 20 pages	0	$1.33
19824	Worksafebc amputation - finger	0	$2,096.00
19801	Worksafebc amputation - toe	0	$2,096.00
19323	Worksafebc amputee pt visit	0	$31.00
19802	Worksafebc ankle arthrodesis	0	$4,487.00
19825	Worksafebc artery and nerve repair-major	0	$3,309.00
19826	Worksafebc artery and nerve repair-minor	0	$2,427.00
05982	Worksafebc arthroscopic acromioplasty	2	$425.62
19817	Worksafebc arthroscopic elbow capsular	0	$2,046.00
19818	Worksafebc arthroscopic or open elbow	0	$2,046.00
19855	Worksafebc bankart/slap repair - includes	0	$4,879.00
19816	Worksafebc below elbow amputation	0	$2,627.00
19844	Worksafebc below knee amputation	0	$2,627.00
19856	Worksafebc biceps tenodesis or repair	0	$3,363.00
19863	Worksafebc blephroplasty	0	$2,206.00
19904	Worksafebc board req a copy of an existing rprt	0	$46.29
19905	Worksafebc board req for a copy of existing report	0	$27.64
19701	Worksafebc burn/soft tissue injury	0	$337.00
19803	Worksafebc calcaneal osteotomy	0	$2,648.00
19936	Worksafebc cancellation fee	0	$84.04
19827	Worksafebc capsulotomy/capsulolysis/capsulolysis	0	$2,427.00
19828	Worksafebc carpal tunnel release	0	$1,655.00
19864	Worksafebc cataract(unilateral)	0	$2,591.00
19881	Worksafebc cervical discectomy 1 level anterior	0	$5,778.00
19882	Worksafebc cervical discectomy 2 level anteri	0	$6,829.00
19868	Worksafebc chronic fasioiotmy up/low limbs	0	$2,758.00
19892	Worksafebc chronic wound care - clinic visit	0	$337.00
19891	Worksafebc community chronic wound care treatment	0	$45.00
19896	Worksafebc computerized dynamic posturography	0	$250.00
19884	Worksafebc cryocuff (no pain pump)	0	$350.00
19883	Worksafebc cryocuff (with pain pump)	0	$200.00
19829	Worksafebc distal ulnar radial resection/arthropla	0	$4,224.00
19325	Worksafebc dnr - non contracted physio visit	0	$45.00
00129	Worksafebc emergency call out	0	$77.77
19866	Worksafebc endoscopic computer assisted sinus	0	$3,309.00
19865	Worksafebc endoscopic computer assisted sinus-one	0	$2,206.00
19929	Worksafebc excess prolonged or complex case-rprt	0	$186.22
19845	Worksafebc excision of prepatellar bursa	0	$1,655.00
19867	Worksafebc excision soft tissue tumor/fb rem/	0	$1,655.00
19907	Worksafebc factual written summary/reasnd medical	0	$295.16
19811	Worksafebc fix. osteochondral#-may incl osteotomy	0	$3,231.00
19830	Worksafebc fracture/reconstruction orif (one bone,	0	$2,371.00
19869	Worksafebc fractured zygoma	0	$1,655.00
19831	Worksafebc fusion pip joint/mcp joint or arthropla	0	$3,032.00
19832	Worksafebc ganglion excision	0	$1,655.00
19885	Worksafebc hardware for cervical discectomy	0	$7,000.00
19812	Worksafebc harvest iliac crest bone graft	0	$1,655.00
19870	Worksafebc hernia repair	0	$2,630.00
19846	Worksafebc high tibial osteotomy	0	$3,309.00
19813	Worksafebc hip arthroscopy	0	$3,341.00
19890	Worksafebc home chronic wound initial assessment	0	$45.00
19893	Worksafebc home iv therapy visit	0	$45.00
19574	Worksafebc hosp - icu per diem	0	$8,692.00
19915	Worksafebc init expedited com consult-ur/oto/ophth	0	$347.17
19917	Worksafebc init expedited comp consult-dermatology	0	$347.17
19911	Worksafebc init expedited compreh consult-dif spec	0	$393.61
19934	Worksafebc initial exped consult & rprt from anaes	0	$393.61
19913	Worksafebc initial expedited comprehensive consult	0	$347.17
19814	Worksafebc intramedullary hardware remova	0	$2,206.00
19894	Worksafebc iv therapy clinic visit	0	$337.00
19942	Worksafebc job site meeting	0	$341.45
19847	Worksafebc knee arthroplasty - unicompartmental	0	$9,526.00
19819	Worksafebc lateral or medial epicondylar	0	$1,655.00
19804	Worksafebc ligament reconstruction*	0	$3,177.00
19857	Worksafebc loose body rem./shoulder debride/acrom	0	$3,309.00
19879	Worksafebc lumbar discectomy 1 level	0	$4,728.00
19880	Worksafebc lumbar discectomy 2 levels	0	$5,778.00
19858	Worksafebc manipulation shoulder	0	$2,758.00
19933	Worksafebc medical-legal opinion - expert opinion	0	$1,955.96
19932	Worksafebc medical-legal report - factual summary	0	$1,168.97
19848	Worksafebc meniscectomy/loose body/debridement	0	$1,986.00
19849	Worksafebc meniscus repair	0	$2,427.00
19895	Worksafebc methadone clinic admin monthly fee	0	$85.00
19797	Worksafebc multidisciplinary outpat clinic visits	0	$359.00
19871	Worksafebc nasal reconstruction/septo/rhino	0	$2,206.00
19872	Worksafebc nerve block - no c-arm	0	$500.00
19873	Worksafebc nerve block - with a c-arm	0	$1,200.00
19874	Worksafebc neurolysis (other than upper limb)	0	$2,758.00
19908	Worksafebc non-expedited specialist consult report	0	$36.63
19919	Worksafebc office consult with wsbc officer	0	$61.94
19833	Worksafebc open reduction/bone graft of non-union	0	$3,363.00
19805	Worksafebc orif of ankle	0	$4,156.00
19859	Worksafebc orif of clavicle with associated bone	0	$3,452.00
19850	Worksafebc osteochondral bone graft femur	0	$3,089.00
19820	Worksafebc osteotomy - elbow	0	$3,309.00
19834	Worksafebc osteotomy - hand*	0	$3,861.00
19875	Worksafebc otoplasty	0	$2,206.00
19702	Worksafebc out patient visit facility fee	0	$110.00
19703	Worksafebc out patient visit facility fee	0	$60.00
19704	Worksafebc out patient visit facility fee	0	$13.75
19705	Worksafebc out patient visit facility fee	0	$125.00
19706	Worksafebc out patient visit facility fee	0	$83.00
19707	Worksafebc out patient visit facility fee	0	$30.00
19886	Worksafebc over night stay - one night per surgery	0	$2,000.00
19887	Worksafebc pain pumps - 2ml	0	$275.00
19888	Worksafebc pain pumps - 5ml	0	$325.00
19835	Worksafebc palmar fasciectomy	0	$2,101.00
19851	Worksafebc patellar tendon tenolysis	0	$2,758.00
19852	Worksafebc pcl reconstruction	0	$5,811.00
19508	Worksafebc phone consult between worksafebc & phy	0	$78.53
19554	Worksafebc physician gst (goods + services tax)	0	$35.00
19553	Worksafebc physicians pst (prov sales tax)	0	$35.00
19314	Worksafebc physio (vestibular) initial visit	0	$29.00
19316	Worksafebc physio (vestibular) subsequent visit	0	$29.00
19171	Worksafebc physio clinical/chart notes,1st 5 pages	0	$42.00
19172	Worksafebc physio copy/report each page over 5 pgs	0	$1.26
19308	Worksafebc physio direct referral-daily rate	0	$60.00
19203	Worksafebc physio exception to stdrd trtment rprt	0	$37.62
19187	Worksafebc physio excepts to std trtmnt late rprt	0	$32.42
19198	Worksafebc physio home visit travel	0	$27.50
19199	Worksafebc physio hydrotherapy - small group	0	$27.50
19181	Worksafebc physio init vis exception to std trtmnt	0	$51.75
19183	Worksafebc physio initial cns disorder visit	0	$31.00
19182	Worksafebc physio initial home visit	0	$27.50
19197	Worksafebc physio late report for cns disorder	0	$32.42
19189	Worksafebc physio late report for home visit	0	$32.42
19188	Worksafebc physio late requested report	0	$32.42
19200	Worksafebc physio medical - legal report	0	$374.54
19208	Worksafebc physio off shelf orthotics	0	$2,000.00
19205	Worksafebc physio pending claim report fee	0	$59.41
19177	Worksafebc physio phone consultation by worksafebc	0	$27.50
19345	Worksafebc physio pilot-telephone consult	0	$28.00
19175	Worksafebc physio report for cns disorder	0	$65.00
19173	Worksafebc physio report for home visit	0	$50.00
19318	Worksafebc physio report for vestibular pt	0	$60.00
19167	Worksafebc physio requested report	0	$50.00
19186	Worksafebc physio standard treatment late report	0	$32.42
19185	Worksafebc physio standard treatment report	0	$37.62
19165	Worksafebc physio sub central nervous disorder vis	0	$31.00
19184	Worksafebc physio sub visit exception to std trtmt	0	$41.98
19163	Worksafebc physio subsequent home visit	0	$27.50
19202	Worksafebc physio subsequent visit std treatment	0	$41.98
19204	Worksafebc physio telephone consult for rtw	0	$30.00
19178	Worksafebc physio trt visit form rec'd in 72 hrs	0	$62.75
19179	Worksafebc physio trt visit, form rec'd > 72 hrs	0	$56.75
19196	Worksafebc physio-pt-stream 1 -report (cbi only)	0	$37.62
19931	Worksafebc post op consult + form 11 rec'd w/i 5	0	$97.27
19930	Worksafebc pre-arranged tele consult/up to 15 min	0	$82.18
19799	Worksafebc privte surgical facility dressing	0	$75.00
19902	Worksafebc progress rprt(form 11)recd wn 3 working	0	$33.70
19903	Worksafebc progress rprt(form 11)recd wn 4-6 days	0	$15.27
19426	Worksafebc psychotherapy indiv.(in-pt) 1/2 hr	0	$178.12
19427	Worksafebc psychotherapy indiv.(in-pt) 3/4 hr	0	$267.18
19429	Worksafebc psychotherapy indiv.(in-ptnt) 1 hr	0	$356.24
19428	Worksafebc psychotherapy-hosp and emerg visits	0	$100.00
19193	Worksafebc pt - hydrotherapy visit	0	$63.00
19319	Worksafebc pt - secondary asses't report	0	$125.00
19305	Worksafebc pt (hospital) - daily rate	0	$60.00
19307	Worksafebc pt team meeting per 15 min	0	$27.50
19313	Worksafebc pt- hydrotherapy visit (delegated)	0	$47.00
19309	Worksafebc pt(ps)-subsequent post-surgical extensn	0	$320.00
19822	Worksafebc radial head excision	0	$4,882.00
19889	Worksafebc referral fee - see schedule a	0	$500.00
19815	Worksafebc removal of hardware/screws & plates	0	$1,655.00
19836	Worksafebc removal of loose body/debride	0	$2,206.00
19821	Worksafebc removal of loose body/debridem	0	$1,986.00
19806	Worksafebc removal of loose body/debridement	0	$2,784.00
19912	Worksafebc repeat consult wn 2 - 4 months of 19911	0	$191.41
19914	Worksafebc repeat consult wn 2/4 months of 19913	0	$168.68
19916	Worksafebc repeat consult wn 2/4 months of 19915	0	$168.68
19918	Worksafebc repeat consult wn 2/4 months of 19917	0	$168.68
19953	Worksafebc req'd copy of an exist rprt or chrt nte	0	$138.90
19521	Worksafebc reserved -allograft	0	$1.00
19520	Worksafebc reserved -procedure not listed	0	$1.00
19562	Worksafebc reserved audio-accessories > $100	0	$1.00
19516	Worksafebc reserved expedited sess extensive spine	0	$4,325.39
19517	Worksafebc reserved expedited sess extensive spine	0	$1,686.89
19518	Worksafebc reserved expedited sess extensive spine	0	$2,630.44
19515	Worksafebc reserved expedited sess surg assist	0	$1,003.82
19560	Worksafebc reserved haps-manufacturer shipping fee	0	$1.00
19584	Worksafebc reserved neuropsychiatry admin fee	0	$425.00
19347	Worksafebc reserved physio pilot-hydrotherapy sml	0	$27.15
19348	Worksafebc reserved physio pilot-hydrotherapy-lrg	0	$35.91
19340	Worksafebc reserved physio pilot-initial visit	0	$50.25
19343	Worksafebc reserved physio pilot-requested report	0	$50.00
19341	Worksafebc reserved physio pilot-subsequent visit	0	$38.52
19346	Worksafebc reserved physio pilot-telephone consult	0	$27.59
19344	Worksafebc reserved physio pilot-timely report fee	0	$5.00
19342	Worksafebc reserved physio pilot-treatment report	0	$32.62
19585	Worksafebc reserved psychology treatment extension	0	$150.76
19527	Worksafebc restrictions/limitations	0	$30.00
19537	Worksafebc restrictions/limitations	0	$1,377.00
19950	Worksafebc return to work - consultation	0	$327.75
19976	Worksafebc return to work request	0	$47.83
19853	Worksafebc revision of acl	0	$4,623.00
19860	Worksafebc rib resection/scalenectomy	0	$3,309.00
19861	Worksafebc rotator cuff repair-includes acromiopla	0	$4,879.00
19935	Worksafebc rpt consult within 2-4 months - anaes	0	$191.41
19837	Worksafebc scapholunate reconstruction	0	$4,135.00
19876	Worksafebc scar revision	0	$1,655.00
19862	Worksafebc shoulder stabilization/capsula shrinkag	0	$3,034.00
19838	Worksafebc silastic wrist fusion/wrist fusion/wris	0	$5,103.00
19332	Worksafebc spbn gst(goods + services tax)	0	$35.00
19331	Worksafebc spbn pst(provincial sales tax)	0	$35.00
19910	Worksafebc standard assessment form recd after 15	0	$81.02
19909	Worksafebc standard assessmnt form recd wn 15 da	0	$86.80
19877	Worksafebc strabismus	0	$1,986.00
19807	Worksafebc subtalar fusion	0	$4,763.00
19410	Worksafebc surcharge - op assist evening @ 32.77% applied to expedited assist level to a maximum of	0	$550.36
19411	Worksafebc surcharge - op assist night @ 52.54% applied to expedited assist level to a maximum of	0	$882.38
19412	Worksafebc surcharge - op assist sat sun hols @ 32.77% applied to expedited assist level to a maximum of	0	$550.36
19878	Worksafebc sympathectomy	0	$2,758.00
19808	Worksafebc tarsometatarsal fusion	0	$4,156.00
19937	Worksafebc teleplan e-form 8	0	$64.78
19938	Worksafebc teleplan e-form rec'd wthn 4-6 work dys	0	$35.32
19941	Worksafebc telepln e-form 11 rec'd wn 4-6 work dys	0	$18.55
19940	Worksafebc telepln e-frm 11	0	$46.26
19939	Worksafebc telepln e-frm 8 rec'd wtn 10 dys of fax	0	$51.00
19839	Worksafebc tenolysis,3 or less*	0	$2,758.00
19840	Worksafebc tenolysis,4 or more*	0	$3,309.00
19841	Worksafebc tfcc repair	0	$2,041.00
19809	Worksafebc tibial tendon augmentation	0	$2,758.00
19922	Worksafebc tray service	0	$150.00
19810	Worksafebc triple arthrodesis	0	$5,043.00
19823	Worksafebc ulnar nerve transposition	0	$1,710.00
19842	Worksafebc ulnar shortening osteotomy	0	$4,882.00
19320	Worksafebc-operative surcharge-evening 18:00-23:00 @ 17.5% of msp surgical fee codes with a minimum of	0	$65.00
19321	Worksafebc-operative surcharge-night 2300-0800hrs @ 28% of msp surgical fee with a minimum of	0	$105.00
19322	Worksafebc-operative surcharge-weekend/stat hol @ 17.5% of msp surgical fee with a minimum of	0	$65.00
19315	Worksafebc-physio (clinical specialty) visit	0	$31.00
19291	Worksafebc-pt assessment block incl initial report	0	$225.00
19295	Worksafebc-pt complex exception fee	0	$178.00
19296	Worksafebc-pt daily rate	0	$70.00
19194	Worksafebc-pt day 1 pgm coaching/mentoring	0	$30.00
19302	Worksafebc-pt discharge report	0	$40.00
19293	Worksafebc-pt extension request report	0	$52.00
19195	Worksafebc-pt functional abilities report	0	$52.00
19303	Worksafebc-pt requested report	0	$55.00
19294	Worksafebc-pt standard extension block	0	$320.00
19297	Worksafebc-pt(ps) assessment blck incl.initial rpt	0	$195.00
19301	Worksafebc-pt(ps) daily rate	0	$70.00
19299	Worksafebc-pt(ps) extension request report	0	$52.00
19300	Worksafebc-pt(ps) post surgical extension block	0	$498.00
19298	Worksafebc-pt(ps) post surgical treatment block	0	$920.00
19292	Worksafesbc-pt standard treatment block	0	$560.00

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.