Fee Item 00084 - Accompanying Patients to a Distant Hospital

Text Size


	B.C. Home

Other Resources:

Clinical Practice Guidelines and Protocols

Resources
News Statutes and Regulations Reports and Publications B.C. Government Directory
Government
Quick access to information based on government's structure B.C. Government Ministries and Organizations Other Levels of Government

Test your knowledge about...

Fee item 00084 - Accompanying Patients to a Distant Hospital

This short self-quiz will test your understanding of MSP billing on Accompanying Patients to a Distant Hospital.

Question 1

A patient presents in Duncan with multiple trauma at 1000 hours. A physician examines the patient and determines that a transfer to Victoria is required. The patient's condition is so unstable that a physician must travel with the patient. The physician leaves the hospital with the patient at 1100 hours, and arrives at Victoria General Hospital at 1147 hours. After transferring the patient's care to another physician at VGH, the physician returns to Duncan at 1245 hours.

How should the physician bill for the time spent travelling?

	(a)	Fee item 00084 X 4 (from 1100 - 1245)
	(b)	Fee item 00084 X 2 (from 1100 - 1147)
	(c)	Fee item 00084 X 3 (from 1100 - 1245 as the last half hour is not a full half hour)
	(d)	Fee item 00084 X 1 (from 1100 - 1147 as the last half hour is not a full half hour)

Question 2

A patient presents to the Emergency Department in Masset. It is determined that the patient requires transfer to Prince Rupert and that the physician must accompany the patient. However, the air ambulance is unable to fly immediately due to fog. The physician provides resuscitation for 35 minutes and constant monitoring for an additional 25 minutes. The air ambulance takes an additional 30 minutes to arrive.

How should the services rendered prior to the arrival of the air ambulance be billed?

	(a)	Fee item 00081 X 1, and fee item 00082 X 2
	(b)	Fee item 00081 X 1, and fee item 00082 X 1
	(c)	Fee item 00081 X 1, fee item 00082 X 1, and fee item 00084 X 1

Question 3

Continuing with Question 2, the patient is flown to Prince Rupert, with the physician in attendance. During the flight, the patient's condition deteriorates and requires an additional 20 minutes of resuscitation. Total travel time is one hour.

How should the services provided during the flight time be billed?

	(a)	Fee item 00084 X 2
	(b)	Fee item 00084 X 2, and fee item 00081 X 1
	(c)	Fee item 00084 X 1, and fee item 00081 X 1

Question 4

Continuing with Question 3, when the patient arrives in Prince Rupert, continuous monitoring is still required. The physicians at Prince Rupert Regional Hospital are already attending to several critically injured patients as the result of a motor vehicle accident and are unable to take over the patient's care. The physician who accompanied the patient stays with the patient for one hour to provide the required monitoring until another physician can take over the patient's care.

How should this service be billed?

	(a)	Fee item 00084 X 2
	(b)	Fee item 00082 X 2

PDF Format

Some documents on this Web site are in PDF format and require a PDF reader. If you do not have Adobe Acrobat Reader Version 7.0 or the most recent version of another PDF reader, you can download Adobe Acrobat Reader by clicking on the 'Get Acrobat Reader' icon.