Fee schedule: Musculoskeletal program of care

Effective April 3, 2023

Musculoskeletal program of care block one - single zone
Services included Service code Minimum visits Fees

Initial assessment

Treatment: four weeks

 MPOCSB1 5 $560.00
Musculoskeletal program of care block one - multiple zones
Services included Service code Minimum visits Fees

Initial assessment

Treatment: four weeks

 MPOCMB1 5 $840.00
Musculoskeletal program of care block two - single zone 
Services included Service code Minimum visits Fees

Treatment: four weeks

 MPOCSB2 4 $350.00
Musculoskeletal program of care block two - multiple zones 
Services included Service code Minimum visits Fees

Treatment: four weeks

 MPOCMB2 4 $525.00
Musculoskeletal program of care supplementary block - single zone 
Services included Service code Minimum visits Fees

Treatment: four weeks

 MPOCSSB 3 $245.00

Musculoskeletal program of care supplementary block - multiple zones

New musculoskeletal program of care supplementary block
Services included Service code Minimum visits Fees

Treatment: four weeks

 MPOCMSB 3 $370.00
Reporting
Services included Service code Fees

Initial assessment

 MPOCIAF $50.00
Mid-point MPOCMPF $30.00
Care and outcomes summary MPOCCOS $50.00
Supplementary MPOCSBF $50.00

Requirements

The health care provider must:

  • Complete and submit all musculoskeletal program of care reports online.
  • Complete the initial assessment report and submit it within two business days of the assessment. The initial assessment report must be billed via TELUS Health.  Complete the mid-point report at the end of block one and submit it within two business days of the last treatment session in block one. The mid-point report must be billed via TELUS Health.  Payment of block one will be withheld until the WSIB has received the report and billing for both the initial assessment and mid-point reports. 
  • Complete the care and outcomes summary report at the end of block two, or when you discharge the patient. Submit the report within two business days of the last treatment session in block two. The care and outcomes summary report must be billed through TELUS Health. Payment of block two will be withheld until the WSIB has received the report and billing for the care and outcomes summary report.
  • Complete the supplementary report at the end of the supplementary block and submit it within two business days of the last treatment session in the supplementary block. The supplementary report must be billed through TELUS Health.  Payment of the supplementary block will be withheld until the WSIB has received the report and billing for the supplementary report.
  • Deliver the minimum number of visits in each block to receive the full block fee; otherwise, the block fee will be reduced by 50 per cent. 
  • Bill for treatment blocks that include multiple zones with WSIB approval.
  • If the patient is discharged early, i.e., during or after block one, complete and submit a care and outcomes summary report. A mid-point report is not necessary.

Billing instructions

  • Electronic billing is required for all treatment blocks and reporting.
  • When billing for block one, block two and supplementary block treatment (if applicable), please enter the service code with the number of visits (units) in the appropriate field and the corresponding fee. When billing treatment services, always enter the service date as the date of the first treatment visit in the block. If HST is applicable, record it on the same bill but on a separate line using the service code “ONHST”.
  • Payment for treatment will be withheld until the WSIB has received the corresponding reports.
  • Please submit completed reports using WSIB online services.
  • For more information on electronic billing, please contact the TELUS Health Support Centre at 1-866-240-7492 or visit TELUS Health.