Complex care visit fee

Complex care visit fee

A Complex Care Visit (CCV) fee can be claimed a maximum of four times per patient per fiscal year (April 1 to March 31) if you or your practice are providing ongoing comprehensive care to a patient who is under active management for three or more of the following chronic diseases:

  • Asthma
  • COPD
  • Diabetes
  • Chronic liver disease
  • Hypertension
  • Chronic renal failure
  • Congestive heart failure
  • Ischaemic heart disease
  • Dementia
  • Chronic neurological disorders
  • Cancer

For each visit, you must spend at least 15 minutes in direct patient intervention. The visit must address at least one of the chronic diseases either directly or indirectly. Start and finish times are to be recorded on the patient’s chart.

Full billing rules for the Complex Care Visit are available in the March 2011 MSI Physicians' Bulletin.


Jessica Moore
Compensation manager, Physician Agreement and Fee Schedule

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