As described in INFOBulletin 230310, permanent adjustments to fee schedule codes within the Schedule of Benefits for Physician Services (the Schedule) have been made effective April 1, 2023. Adjustments to the claims payment system related to these Schedule changes are being introduced through staged implementations to ensure correct payment of claims in accordance with the Schedule.
As a result of staged implementations, physicians may have experienced incorrect payment of newly introduced fee schedule codes when billed in conjunction with virtual care modality indicators (K300A or K301A).
Adjustments to the claims payment system have now been completed to enable correct processing of these services billed with modality indicators when eligible for payment in accordance with the Schedule.
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