Effective September 1, 2023, MSP has established new fee codes for MAiD services.
These new fees can now be found on Dr. Bill's MSP Billing Code Database.
The new fees are outlined as follows:
13506: MAiD Expert Case Review
When death is not reasonably foreseeable. Includes all activities necessary to complete an expert case review including patient assessment when required. The assessment may be provided either in-person or by video conference - per 15 minutes or greater portion thereof
Notes:
i)Maximum payable is 105 minutes (7 units).
ii)Payable once per patient, except where patient reapplies as previous MAiD request was declined.
iii)Not payable with 13501 or 13502 by the same physician.
iv)Not payable with a consult or visit on the same day by the same physician.
iv)Start and end time for the assessment must be entered in both the billing claim and patient’s chart.
13507: MAiD Waiver of Final Consent
Includes explanation and review of the Waiver of Final Consent with the patient as well as completing the waiver form. May be provided in-person or by videoconference - per 15 minutes or greater portion thereof
Notes:
i) Maximum payable is 60 minutes (4 units) (see note iv. For exception).
ii) Payable only to the Assessor Prescriber who provides the MAiD assessment fee 13501.
iii) Payable in addition to fee 13501.
iv) A second waiver may be paid if the original waiver has expired. If second waiver performed by the same assessor as the first waiver, only one additional unit may be billed.
v) Start and end time must be entered in both the billing claim and patient’s chart.
13508: Oral MAiD extension (extra)
For provision of oral MAiD when the procedure takes longer than 90 minutes or conversion to IV MAiD is necessary - per 15 minutes or greater portion thereof
Notes:
i) Maximum payable is 90 minutes (6 units).
ii) Only payable when MAiD provision is by oral medication.
iii) Only payable in addition to fee 13504.
iv) Timing begins after 90 minutes has passed since administration of the oral agent.
v) Start and end time must be entered in both the billing claim and patient’s chart.
vi) No other surcharge is payable.
Below are the remainder of MAiD codes which were introduced in 2017
13501: MAiD Assessment Fee – Assessor Prescriber
Includes all requirements of a MAiD assessment, including review of medical records, patient encounter and completion of the MAiD Assessment Record (Prescriber). The assessment may be provided either in-person or by video conference - per 15 minutes or greater portion thereof
Notes:
i) Maximum payable is 135 minutes (9 units). Services which exceed the maximum will be given independent consideration with an explanatory letter.
ii) Start and end time for the assessment must be entered in both the billing claim and patient’s chart.
iii) Additionally, start and end time for the patient encounter must be entered in the patient’s chart.
iv) Only one service for 13501 or 13502 may be performed by video conference.
13502 MAiD Assessment Fee – Assessor
Includes all requirements of a MAiD assessment, including review of medical records, patient encounter and completion of the MAiD Assessment Record (Assessor). The assessment may be provided either in-person or by video conference - per 15 minutes or greater portion thereof
Notes:
i) Maximum payable is 105 minutes (7 units). Services which exceed the maximum will be given independent consideration with an explanatory letter.
ii) Start and end time for the assessment must be entered in both the billing claim and the patient’s chart.
iii) Additionally, start and end time for the patient encounter must be entered in the patient’s chart.
iv) Not payable with 13501 by same physician.
v) Only one service for 13501 or 13502 may be performed by video conference.
13503 Physician witness to video conference MAiD Assessment – Patient Encounter
Patient Encounter Physician must be in personal attendance with the patient for the duration of the patient encounter with the Assessor or Assessor Prescriber. Billable only for time spent witnessing the patient-Assessor encounter. Includes completion of any required documentation - per 15 minutes or greater portion thereof
Notes:
i) Maximum payable is 105 minutes (7 units). Services which exceed the maximum will be given independent consideration with an explanatory letter.
ii) Start and end time for the witnessed encounter must be entered in both the billing claim and patient’s chart.
iii) Not payable with 13501 or 13502 by same physician.
13504 MAiD Event Preparation and Procedure
Notes:
i) Payable only to Assessor Prescriber.
ii) Includes all necessary elements: establishment of IV, administration of meds, pronouncement of death.
iii) Includes pharmacy visits for procedures provided in facilities with on-site pharmacies.
iv) Fee 13505 billable in addition for procedures provided in facilities with no on-site pharmacy.
v) A same day visit fee is payable in full in addition under fee item 00103 (home) or out of office visit fee items 12200,13200, 15200, 16200, 17200 and 18200 (all other locations). Fee items 00108, 00127 and 00114 are not payable.
13505 MAiD Medication Pick-up and Return
Notes:
i) ) Paid only in addition to 13504.
ii) Payable only when MAiD procedure takes place in a location where there is no on-site pharmacy.
iii) Not payable when time for medication pick-up and return has been compensated under a different payment modality.