A813

PDF page 78 / GP64

GENERAL PREAMBLE
AGE-BASED FEE PREMIUMS
 1. Despite any other provision in this Schedule, the amount payable for the following services to
    an insured person who falls into the age group described in the Age Group column of the
    following Age Premium Table is increased by the percentage specified in Percentage Increase
    column opposite the Age Group:
    a. A consultation, limited consultation or repeat consultation rendered by a specialist, as those
        services are defined in this Schedule.
     b. A surgical procedure listed in Parts K to Z inclusive of this Schedule.
     c. Basic and time unit surgical assistant services listed in Parts K to Z inclusive of this
        Schedule.
     d. Clinical Procedures associated with Diagnostic Radiological Examinations.
     e. A specific assessment or a partial assessment rendered by a specialist in ophthalmology
        (23) (A233 or A234).
     f. A Midwife or Aboriginal Midwife-Requested Special Assessment (A815, C815 or A817) or a
        Midwife or Aboriginal Midwife-Requested Assessment (A813, C813 or A814) rendered by a
        specialist.

PDF page 139 / A11

Midwife or Aboriginal Midwife-Requested Assessment (MAMRA)
       Midwife or Aboriginal Midwife-Requested Assessment (MAMRA) is an assessment of a mother
       or newborn provided by a physician upon the written request of a midwife or aboriginal midwife
       because of the complex, obscure or serious nature of the patient’s problem and is payable to a
       family physician or obstetrician for such an assessment in any setting.
       Urgent or emergency requests may be initiated verbally but must subsequently be requested in
       writing. The written request must be retained on the patient’s permanent medical record. The
       MAMRA must include the common and specific elements of a general or specific assessment
       and the physician must submit his/her findings, opinions and recommendations verbally to the
       midwife or aboriginal midwife and in writing to both the midwife or aboriginal midwife and the
       patient’s primary care physician or nurse practitioner, if applicable. Maximum one per patient
       per physician per pregnancy.
   A813 Midwife or Aboriginal Midwife-Requested Assessment
             (MAMRA)............................................................................ 111.70

PDF page 140 / A12

CONSULTATIONS AND VISITS
FAMILY PRACTICE & PRACTICE IN GENERAL (00)
    Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA)
      Midwife or Aboriginal Midwife-Requested Special Assessment must include constituent
      elements of A813 and is payable in any setting:
     a. to a paediatrician for an urgent or emergency assessment of a newborn; or
      b. to a family physician or obstetrician for assessment of a mother or newborn when, because
         of the very complex, obscure or serious nature of the problem, the physician must spend a
         minimum of 50 minutes in direct contact with the patient, exclusive of time spent rendering
         any other separately billable intervention to the patient. The start and stop times of the
         assessment must be recorded on the patient’s permanent medical record. In the absence of
         such information, the service is payable as A813. Maximum one per patient per physician
         per pregnancy.
 A815 Midwife or Aboriginal Midwife-Requested Special Assessment
          (MAMRSA) ......................................................................... 186.95
     [Commentary:
     Unless otherwise specified in the Schedule, the calculation of time excludes (1) time devoted to
     any other service or procedure for which an amount is payable in addition to the assessment
     and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or
     documentation, etc.]

PDF page 140 / A12

Non-Emergency Hospital In-Patient Services
     See General Preamble GP40 to GP48. For emergency calls and other special visits to in-
     patients, use General Listings and Premiums when applicable - see General Preamble GP65 to
     GP78.
 C005 Consultation............................................................................  95.60
 C911 Special family and general practice consultation - subject to the
          same conditions as A911....................................................          164.95
 C912 Comprehensive family and general practice consultation -
          subject to the same conditions as A912 .............................                 247.40
 C945 Special palliative care consultation - subject to the same
          conditions as A945 .............................................................     174.25
 C320 Special Medical Assistance in Dying (MAID) consultation -
          subject to the same conditions as A320 .............................                 174.25
 C905 Limited consultation ................................................................     81.25
 C006 Repeat consultation ................................................................      47.10
 C003 General assessment...............................................................         89.65
 C004 General re-assessment ..........................................................          38.35
 C813 Midwife or Aboriginal Midwife-Requested Assessment -
        subject to the same conditions as A813 .............................                                 111.70
 C815 Midwife or Aboriginal Midwife-Requested Special Assessment
        - subject to the same conditions as A815...........................                                  186.95
 C933 On-call admission assessment - subject to the same conditions
        as A933 ..............................................................................                 82.00
 C777 Intermediate assessment - Pronouncement of death - subject
         to the same conditions as A777 .........................................                              44.55
 C771 Certification of death - subject to the same conditions as A771                                          24.20

PDF page 198 / A70

Comprehensive Virtual Care Services – Virtual Only Fee Codes
   Midwife or Aboriginal Midwife-Requested Assessment (MAMRA) by Video
    Midwife or Aboriginal Midwife-Requested Assessment (MAMRA) by Video is an assessment of
    a mother or newborn provided by a physician upon the written request of a midwife or
    Aboriginal Midwife because of the complex, obscure or serious nature of the patient’s problem
    and is payable to a family physician or obstetrician for such an assessment in any setting.
     Urgent or emergency requests may be initiated verbally but must subsequently be requested in
     writing. The written request must be retained on the patient’s permanent medical record. The
     MRA must include the common and specific elements of a specific assessment by Video and
     the physician must submit his/her findings, opinions and recommendations verbally to the
     midwife or Aboriginal Midwife, and in writing to both the midwife or Aboriginal Midwife and the
     patient’s primary care physician or nurse practitioner, if applicable. Maximum one MAMRA
     (A814 or A813) per patient per physician per pregnancy.
 A814 Midwife or Aboriginal Midwife-Requested Assessment
           (MAMRA) by Video............................................................. 111.70

Master, record 299. Record Layout PDF, page 1.

A81320250601999999990000111700000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.