Telemedicine and virtual care guidelines (and other clinical resources for COVID-19)

As information is changing daily and sometimes hourly, we cannot guarantee that this information is always current. Always defer to your provincial colleges, professional organizations and/or governmental websites for accurate and timely information.

Information has been organized by province and was last updated on May 21, 2020.

Please note: The Royal College does not promote any virtual care platforms at this point and encourages its physician members to refer to their respective provincial/territorial authorities for information and guidance on approved platforms.

Please send suggestions for changes or additions to healthpolicy@royalcollege.ca

Alberta

  • Doctors advised to provide telemedicine or virtual care when possible (for COVID-19 pandemic only)
  • Alberta Medical Association virtual care bulletin (with resources)
  • Updates to billings codes for telemedicine or virtual care
    • Visit services: 03.03CV, 03.03FV
    • Consultation services: 03.08CV, 08.19CX
    • Mental health services: 08.19CV, 08.19CW
    • Other: 03.01AD

Useful links

British Columbia

  • COVID-19 related services to be billed under C19 (for family physicians)
    • 13706: delegated patient telehealth management fee
    • 13707: email/text/telephone medical advice relay or ReRX fee
    • 13708: COVID-19 communication with specialist and/or allied care provider
  • COVID-19 related services to be billed under C19 (for specialists)
    • 10000: urgent specialist advice on patient with previous visit/service
    • 10007: specialist email/text/telephone medical advice relay or ReRX fee
    • 10008: urgent specialist COVID-19 advice
    • 10009: non-urgent specialist advice on patient with previous visit/service
  • Video technology can be used.
  • Effective May 1, 2020, the Business Cost Premium (BCP) will be temporarily expanded to apply to telehealth fee items, including phone and video communication with patients.

Useful links

Manitoba

  • Doctors advised to provide telemedicine or virtual care when possible (virtual care for COVID-19 pandemic only)
  • 8321 billing code to be used for virtual care provided by family physicians and specialists (for both COVID-19 and non-COVID-19 related services)
  • Psychiatrists to use billing code 8533 for virtual psychotherapy

Useful links

Newfoundland and Labrador

  • Doctors advised to provide telemedicine and virtual care if possible
    • Existing 521 billing code
    • Pandemic Virtual Care Assessment code: 50000
  • Virtual care visits capped at 40 per day (annual 521 cap removed)
  • Doctors are recommended to use the Cisco Jabber application available through NLCHI

Useful links

New Brunswick

Useful links

Nova Scotia

Useful links

Ontario

  • Doctors (family physicians and specialists) advised to provide telephone or virtual care when possible
  • Billing codes to be used for telemedicine and virtual care
    • K080: minor assessment by telephone or video (10 minutes +)
    • K081: intermediate assessment by telephone or video (10 minutes +)
    • K082: psychotherapy, psychiatric, or primary mental health care, counselling, or interview by telephone or video (30 minutes)
    • K083: specialist consultation or visit by telephone or video

Useful links

Prince Edward Island

  • Doctors (family physicians and specialists) advised to provide telemedicine when possible
    • xx13: Limited Office Visit
    • 2505: Health Promotion Counseling
    • 2501/2504: Psychotherapy
    • 2588/2586/2886: Diagnostic and Therapeutic Interview
    • xx60: Consultation
    • xx62: Repeat consultation
    • 2863: Geriatric follow up visit
    • 0705: Postnatal visit
    • xx10: specialist comprehensive office visit

Useful links

Quebec

Useful links

Saskatchewan

Useful links

Yukon, Northwest Territories and Nunavut