Fee schedule: Nurse Practitioner

Nurse practitioner services
Services included Service code Fee
Initial visit RNEC1 RNEC1 $30.33
Continuing treatment (per visit) RNEC2 $24.82

Acupuncture (per visit)

5130

 $49.98

Note: Acupuncture (per visit)

  • An initial trial of up to six treatments may be allowed.
  • Requests for extensions must be submitted in writing and pre-approved by the WSIB.
  • Must be delivered by a regulated health professional with appropriate training completed at an educational facility that offers a certification program in acupuncture and adheres to the standards of the College of Nurses of Ontario.
Nurse practitioner reports
Services included Service code Fee
Health Professional's Report (paper submission) 8M1 $40.00
Health Professional's Report (electronic submission) 8M1E $50.00
Health Professional's Report for Occupational Mental Stress (paper submission) CMS8 $85.00
Health Professional's Continuity Report 8R $33.00
Health Professional's Progress Report (paper submission) 26M1 $35.00
Health Professional's Progress Report (electronic submission) 26M1E $40.00
Narrative Progress Report 26 $23.54
Cannabis initial Assessment Form M630 $85.00
Follow-up Cannabis Assessment Form M631 $65.00
Functional Abilities Form for Planning Early and Safe Return to Work (FAF) FAF $45.00
Review of patient records/clinical literature (per 15 minute unit or major part thereof) RN651 $56.05
Report on Occupational Disease (8D) RN654 $23.54

Note: Functional Abilities Form for Planning Early and Safe Return to Work (FAF)

  • Request for the completion of the form must be initiated by either the worker or employer. Do not include clinical/diagnostic information on the form.
Nurse practitioner other services
Services included Service code Fee
In-office interview with treating health professional and WSIB representative RN645 $29.15
Photocopies of clinical reports (one to five pages) RN650 $23.54
Photocopies of clinical reports (each additional page after five) RN650 $1.12

Telephone consultation with treating health professional

N/A

 $45.00

Note: Telephone consultation with treating health professional

  • Call must be initiated by the WSIB to treating health professional.
  • Paid at a flat rate fee regardless of the duration of discussion.
  • A clinical report is not to be billed in addition to the telephone consultation.

The following information is intended to provide the Nurse Practitioner with a list of reports that may be requested or required by the WSIB.

Nurse practitioner description of reports
Services included Service code When to submit
Health Professional's Report 8M1/8M1E This form should be completed and submitted to the WSIB in all cases where
the worker has identified the injury/illness as work-related. Submit only one
Form 8 for each worker. This report must not be used as a progress report.
Health Professional's Report for Occupational Mental Stress CMS8 This form should be completed and submitted to the WSIB in all cases where
the worker has identified an occupational mental stress condition related
to work (e.g., chronic mental stress). Submit only one Form CMS8 for each
worker. This report must not be used as a progress report.
Health Professional's Continuity Report 8R This form should be completed and submitted to the WSIB in all cases where
the worker has identified a recurrence of a previous work-related injury/illness.
Health Professional's Progress Report 26M1/1ME The WSIB sends this form to the worker when a progress report is required.
When a worker provides this form, complete it and submit it to the WSIB.
Narrative Progress Report 26 A progress report may also be provided on your letterhead in cases when
you become aware of new and significant information relevant to the worker’s
workplace injury/illness.
Functional Abilities Form for Planning Early and Safe Return to Work FAF This form is to be provided to you by either the worker or employer. Health
professionals do not initiate the completion of this form. Do not include clinical
or diagnostic information on the form.
Photocopies RN650 Photocopies of reports must be requested by the WSIB. Only provide copies
of your own clinical records. Copies of other health professionals’ reports are
not to be submitted. The WSIB will request the necessary reports from other
health professionals involved in the worker’s claim.
Review of Patient Records/Clinical Literature (per 15 minute unit or major part thereof) RN651 The WSIB may request a narrative report when detailed information regarding the worker’s past records and/or clinical literature relevant to the worker’s claim is required.
The WSIB will specify the period in question and the information required.
Usually there is no concurrent clinical assessment of the worker required.
Report on Occupational Disease (8D) RN654 The WSIB sends this form to the worker when the worker reports a work related occupational illness. Complete this form and return it to the WSIB.
Cannabis Initial Assessment Form M630 A cannabis initial assessment form is requested by the WSIB when clinical
information is required regarding the initial request for coverage of medical
cannabis.
Follow-up Cannabis Assessment Form M631 A follow-up cannabis assessment form is requested by the WSIB when clinical information is required regarding the continued coverage of medical cannabis.

Additional notes:

Health Professional’s Report

  • On the worker’s initial visit, ONLY the Form 8 will be paid. A Functional
    Abilities (FAF) will not be paid if completed on the same day.

Health Professional's Report for Occupational Mental Stress

  • On the worker’s initial visit ONLY the Form CMS8 will be paid. A Functional Abilities (FAF) will not be paid if completed on the same day.

Functional Abilities Form for Planning Early and Safe Return to Work

  • On the worker’s initial visit, ONLY the Form 8 will be paid. A Functional
    Abilities (FAF) will not be paid if completed on the same day.

Overview of Nurse Practitioner

Nurse Practitioners have direct patient care access to treat injured/ill workers.