If you work as a midwife, RN, certified RN, or Psych RN, you’ll want to know about revisions pertaining to you made by the Minister of Health. As of June 1st, 2021, Ministerial Order #313-2015 added fee items for laboratory referral services. In the following tables, you’ll find new fee codes to Schedules A – Midwives, B – Registered Nurses (certified), and E – Registered Nurses and Registered Psychiatric Nurses Referral Relating to Substance Schedule.
Schedule A – Midwives
| Description | Fee Code |
| Identification of Microorganisms via MALDI-TOF-MS, in non-stool specimen | P90752 |
Schedule B – Registered Nurses (Certified)
| Description | Fee Code |
| Identification of Microorganisms via MALDI-TOF-MS, in non-stool specimen | P90752 |
| Identification of Microorganisms via MALDI-TOF-MS, in stool specimen | P90753 |
Schedule E – Registered Nurses and Registered Psychiatric Nurses Referral Relating to Substance Use Schedule
| Description | Fee Code |
| Venepuncture and dispatch of specimen to laboratory, when no other blood work performed | 90000 |
| Primary Base Fee | 91000 |
| Split Base Fee (Collecting Laboratory) | 91005 |
| Split Base Fee (Referral Laboratory) | 91010 |
Ministerial Order #228-2021 also made the following administrative updates to Schedules A, B, and C (Podiatrists):
Schedule A – Midwives
| Description | Fee Code | Action | Reference |
| T3 – Free | 92311 | Added | M425-2016 |
| Trichomonas Vaginalis (TV) by NAATUrine or Swab | 90647 | Added | M274-2019 |
| Gonorrhea/Chlamydia Trachomatis (GC/CT) Detection by NAAT- Urine or Swab | 90648 | Added | |
| Gonorrhea/Chlamydia Trachomatis/Trichomonas Vaginalis (GC/CT/TV) Detection by NAAT- Urine or Swab | 90649 | Added | |
| Chlamydia Trachomatis using NAATUrine | 90651 | Removed | |
| Chlamydia Trachomatis using NAATUrogenital Swab | 90652 | Removed | |
| Gonorrhea by NAAT- Urine | 90653 | Removed | |
| Gonorrhea by NAAT- Urogenital Swab | 90654 | Removed | |
| Haemoglobin Only | 90230 | Delisted 2009 | MOC10-014 |
| Platelet Count Only | 90395 | Delisted 2009 | MOC10-014 |
| Glucose- 2 Hr, Post-75g | 91719 | Delisted 2010 | MOC10-149 |
Schedule B – Registered Nurses (Certified)
| Description | Code | Action | Reference |
| Blood Film Review | 90465 | Added | M425-2016 |
| Trichomonas Vaginalis (TV) by NAATUrine or Swab | 90647 | Added | M274-2019 |
| Gonorrhea/Chlamydia Trachomatis (GC/CT) Detection by NAAT- Urine or Swab | 90648 | Added | |
| Gonorrhea/Chlamydia Trachomatis/Trichomonas Vaginalis (GC/CT/TV) Detection by NAAT- Urine or Swab | 90649 | Added | |
| Chlamydia Trachomatis using NAATUrine | 90651 | ||
| Removed Chlamydia Trachomatis using NAATUrogenital Swab | 90652 | Removed | |
| Gonorrhea by NAAT- Urine | 90653 | Removed | |
| Gonorrhea by NAAT- Urogenital Swab | 90654 | Removed |
Schedule C – Podiatrists
| Description | Code | Action | Reference |
| Trichomonas Vaginalis (TV) by NAATUrine or Swab | 90647 | Added | M274-2019 |
| Gonorrhea/Chlamydia Trachomatis (GC/CT) Detection by NAAT- Urine or Swab | 90648 | Added | |
| Gonorrhea/Chlamydia Trachomatis/Trichomonas Vaginalis (GC/CT/TV) Detection by NAAT- Urine or Swab | 90649 | ||
| Added Chlamydia Trachomatis using NAATUrine | 90651 | Removed | |
| Gonorrhea by NAAT- Urine | 90653 | Removed | |
| Haemoglobin Only | 90230 | Delisted 2009 | MOC10-014 |
| White Cell Count Only | 90570 | Delisted 2009 | MOC10-014 |
| HLA Genotyping | 90260 | Delisted 2010 | MOC10-094 |
| Immunofluorescent Staining- Add Autoantibodies | 90285 | Delisted 2014 | MOC14-085 |
| Folic Acid | 91655 | Delisted 2010 | MOC10-149 |
| Testosterone Free | 92265 | Delisted 2011 | MOC11-129 |
| Primary Base Fee- Drugs Of Abuse | 92500 | Delisted 2013 | MOC13-126 |
You can find the amended schedules at Referring Practitioner Schedules and a summary of Referring Practitioner Ministerial Orders and administrative updates. If you have questions about these amendments or any other billing issues, don’t hesitate to reach out to our support team.
This article offers 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. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.
Additional Reading
Dr. Nour Khatib left medical school for a finance career, but a persistent calling encouraged her to return years later and become an emergency physician.
