Fees

The Community Longitudinal Family Physician (CLFP) Portal Codes (14070, 14071) are zero value codes that should be submitted at the beginning of each calendar year by CLFPs and locums who will cover for them. Many FPSC initiated fees are only billable by physicians who have fulfilled the requirements of, and successfully submitted, 14070/71. 

Submitting the 14070 Portal Code signifies that:

• You are a community longitudinal family physician (as defined in the FPSC Preamble), with an office from which you provide in-person medical services to a known panel of patients;
• You are the MRP for the majority of the patient’s longitudinal primary medical care, providing continuous comprehensive coordinated family practice services to your patients, and will continue to do so for the duration of that calendar year;
• You are confirming your doctor-patient relationship with your existing patients through a standardized conversation or ‘compact’; and,
• You are able to produce a list of active patients for whom you are the MRP.

Submitting the 14071 Locum CLFP Portal Code signifies that you are a locum tenens working on a temporary basis for a CLFP who has submitted 14070 and is away from practice. As per the FPSC Preamble, a locum tenens is defined as a physician with appropriate credentials who substitutes on a temporary basis for another physician who is away from practice.

Effective January 1, 2021, family physicians who have a focused practice in long term care facilities and are not working as a CLFP (as defined in the FPSC Preamble) in a community-based physician office or clinic will not be eligible to submit the CLFP Portal Codes (14070, 14071) and may submit the Long Term Care Portal Code (14072) to access fee codes 14076-78 and 14050-53. Please see the billing guide below for further details.

• CLFP Portal, LTC Portal & CLFP New Patient Intake Billing Guide (14070-72; 14041). Effective April 1, 2022.

Chronic Disease Management fees (14050, 14051, 14052, 14053; 14250, 14251, 14252, 14253) provide funding for FPs to identify, manage and improve care of patients with diabetes, hypertension, chronic obstructive pulmonary disease, and congestive heart failure. The Chronic Disease Management (CDM) fees compensate family physicians for the additional work, beyond the office visit, of providing guideline-informed care to patients with these diagnoses over the course of a full year.

To support team-based care, management of chronic diseases can involve college-certified Allied Care Providers, who may provide one of the visits required for billing CDM fees (14029, 14076, 14276). Please see the billing guide below for further details.

CDM fees 14050-14053 are only billable by family physicians who have submitted the CLFP Portal Codes (14070, 14071) or the Long Term Care Portal Code (14072). See the billing guide below for more information.

• FPSC CDM Billing Guide (14050, 14051, 14052, 14053, 14250, 14251, 14252, 14253, 14029, 14276). Effective October 1, 2021.
• CDM resources, including clinical guidelines, patient care flow sheets, patient guides, and action plan templates.

Two complex care fees compensate FPs for the time and skill needed to care for patients with eligible complex conditions who would benefit from a care plan.

14033 is payment for developing a care plan and managing patients who have documented confirmed diagnoses of at least two eligible chronic conditions as outlined within the billing guide below. 14075 is payment for developing a care plan and managing the conditions of patients of any age who require assistance with instrumental (IADL) and non-instrumental (NIADL) activities of daily living.

Both 14033 and 14075 are only billable by family physicians who have submitted the CLFP Portal Codes (14070, 14071). For more information, please see the billing guide below.

• FPSC Complex Care Billing Guide (14033, 14075). Effective October 1, 2021.

The FP conferencing fee (14067 and 14077) supports collaboration between community family physicians and other physicians or allied care providers. Eligible FPs can bill for two-way synchronous conferencing via telephone or video with other physicians or Allied Care Providers such as nurses about  the management of patients. Telephone Advice fees (14018, 14019, 14021, 14022) remunerate FPs for seeking and providing advice to their physician and allied care provider colleagues. FP-to-patient telephone management and two-way relay of physician advice via phone, text or email fees (14023, 14076, 14078) help improve efficiency of care through non face-to-face ‘visits’ or ‘touches’ between the physician or specific delegated staff, and the patient or their medical representative.

14067, 14076, 14077 and 14078 are only billable by family physicians who have submitted the CLFP Portal Codes (14070, 14071) or the Long-Term Care Portal Code (14072) or are registered in a Maternity Network or FP Unassigned In-patient Network. For more information, please see the billing guide below.

• FPSC Conferencing and Telephone Management Billing Guide (14077, 14018, 14019, 14021, 14022, 14023, 14067, 14076 & 14078). Effective October 1, 2021.

The in-patient care incentives (14086, 14088) recognize the importance of continuous FP-patient relationships including in-patient care and coordination of patient transitions between hospitals and community. The in-patient care incentives promote and support family physicians who participate in the FPSC's In-Patient Initiative by providing in-patient care to their own patients, and those FPs who additionally care for unassigned in-patients.

• FPSC In-Patient Care Billing Guide (14086, 14088). Effective October 1, 2021.
• FPSC Assigned In-Patient Network Registration Form (14086). Effective October 1, 2021.
• FPSC Unassigned In-Patient Network Registration Form (14088). Effective October 1, 2021.

The FPSC Long-term Care Initiative (LTCI) is designed to enable physicians to develop local, scalable, and sustainable solutions to long term care delivery. The initiative supports Divisions of Family Practice (or self-organizing groups of family physicians where no Divisions exist) to design and implement local solutions that deliver dedicated FP MRP services to patients in long term care facilities. In addition to the initiative funding, there are a number of existing FPSC and MSP fees available to support full-service family physicians who provide long term care services.

• Long-Term Care Billing Summary

The maternity care network incentive (14010) supports family physicians providing full-scope maternity care to patients in their community, to work together. The obstetrical delivery incentives (14004, 14005, 14008, 14009) are intended to encourage family physicians to continue to provide intra-partum obstetrical care as part of their practice. The Maternity Care Risk Assessment fee (14002) strengthens the support for early prenatal care by maternity care providers.

Obstetrical delivery incentives are only billable by maternity network members or physicians who have submitted the CLFP Portal Codes (14070, 14071). See the billing guide below for further information.

• FPSC Maternity Care Billing Guide (14002, 14004, 14005, 14008, 14009, & 14010).
• FPSC Maternity Network Registration Form.

The Mental Health Planning (14043) and Management fees (14044, 14045, 14046, 14047, 14048) compensate family physicians for the time and skill it takes to work with patients with mental health conditions who would benefit from a Care Plan. 14043 is payment for developing the Care Plan to manage the patient’s mental health condition. The Mental Health Management fees remunerate FPs for providing counselling visits to these patients beyond the current 4 visits covered by the 00120 series.

Mental health Planning and Management fees are only billable by physicians who have submitted the CLFP Portal Codes (14070, 14071). See the billing guide below for further information.

• FPSC Mental Health Billing Guide (14043, 14044, 14045, 14046, 14047, & 14048). Effective October 1, 2021.

The palliative care planning fee (14063) supports FPs to take the time required to collaboratively plan and coordinate end-of-life care with their palliative patients.

The palliative care fee is only billable by physicians who have submitted the CLFP Portal codes (14070, 14071). See the billing guide below for further information.

• FPSC Palliative Care Billing Guide (14063). Effective October 1, 2021.

Family physicians can provide Personal Health Risk Assessment (Prevention) visits with at- risk patients in one of the target populations, which include tobacco use, unhealthy eating, physical inactivity and medical obesity.

The prevention fee is only billable by physicians who have submitted the CLFP Portal codes (14070, 14071). See the billing guide below for further information.

Effective June 1, 2020: On a temporary basis, the required face-to-face visit to provide a personal health risk assessment (14066) can now be provided via telehealth. Please visit BCFD website for more details.

• FPSC Prevention Billing Guide (14066). Effective October 1, 2021.
• BC Lifetime Prevention Schedule.