| Services included | Service code | Fee |
|---|---|---|
| Initial visit RNEC1 | RNEC1 | $31.74 |
| Continuing treatment (per visit) | RNEC2 | $25.98 |
| Acupuncture (per visit) | 5130 | $52.31 |
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.
| 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 (FAF)
- Request for the completion of the form must be initiated by either the person with a work-related injury or illness or their employer . Do not include clinical/diagnostic information on the form.
| 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: A telephone consultation with the treating health professional must be:
- initiated by the WSIB to the 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.
| 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 person with a work-related injury or illness identified the injury/illness as work-related. Submit only one Form 8 for each person. 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 person with a work-related injury or illness identified an occupational mental stress condition related to work (e.g., chronic mental stress). Submit only one form CMS8 for each person. 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 person with a work-related injury or illness identified a recurrence of a previous work-related injury/illness. |
| Health professional's progress report | 26M1/1ME | The WSIB sends this form to the person with a work-related injury or illness when a progress report is required. When a person 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 person’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 person with a work-related injury or illness 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 person’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 person with a work-related injury or illness past records and/or clinical literature relevant to the person’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 person required. |
| Report on occupational disease (8D) | RN654 | The WSIB sends this form to the person with a work-related injury or illness when the person 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 person with a work-related injury or illness initial visit, ONLY the form 8 will be paid. A Functional
abilities form (FAF) will not be paid if completed on the same day.
Health professional's report for occupational mental stress
- On the person with a work-related injury or illness initial visit ONLY the form CMS8 will be paid. A Functional abilities form (FAF) will not be paid if completed on the same day.
Functional abilities form
- On the person with a work-related injury or illness initial visit, ONLY the form 8 will be paid. A Functional
abilities form (FAF) will not be paid if completed on the same day.
Overview of Nurse Practitioner
Nurse Practitioners have direct patient care access to treat people with workplace injuries or illnesses.