Table 1:

General practitioner fee-for-service codes and percent use in Alberta in 2011

Service fee code nameGeneral practitioner service codeDescriptionCost per code, $Frequency (% of total claims for all general practitioners)
Limited assessment fee03.03ALimited assessment — history and physical examination body system relevant to patient’s presenting health issue, with appropriate advice to patient and provision of a health record3751
Comprehensive fee03.04AComprehensive assessment — history and complete physical examination based on patient’s condition including appropriate advice and provision of a health record1035
Complex care fee03.04JDevelopment, documentation and administration of a comprehensive annual care plan for a patient with complex needs188< 1
After-hours callback03.03MDEmergency visit/special callback to outpatient department/long-term care, 12 am–7 am weekdays150< 1
After-hours callback03.03MCEmergency visit/special callback to outpatient department 10 pm–12 am weekdays150< 1
After-hours fee03.01AAAfter-hours time premium22–44< 1
Mental health assessment fee08.19GMental health assessment473
Hospital admission fee03.04CHospital admission128< 1
Papanicolaou fee13.99BA (now 13.99BC)Papanicolaou smear28< 2
Time modifier 1CMPG01Used with 03.03A visit (15–24 min)1817
Time modifier 2CMPG02Used with 03.03A (25–34 min)365