OUT-PATIENT SERVICES - PRIVATE CLINIC

OUT-PATIENT SERVICES - PRIVATE CLINIC

Benefit Code Number
120115
Program of Choice
05 - Hospital service
Province
Alberta
Prescriber Required
Nurse practitioner
Medical Doctor
Recommender Required
No
Preauthorization Required
No
Provincial Coverage
No
Comments
SEE NOTE 1
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". NURSE PRACTITIONERS (NP) MAY PRESCRIBE POC 13 ITEMS IN PROVINCES IN WHICH THE PROFESSION IS REGULATED. SEMI-PRIVATE AND PRIVATE ACCOMMODATIONS MUST BE REQUIRED DUE TO MEDICAL NECESSITY, ORDERED BY AN "MD" AND PRE-AUTHORIZED BY VAC. SPECIAL NOTES NOTE 1 - THIS BENEFIT CODE SHOULD NOT BE USED FOR MULTI-DISCIPLINARY SERVICES. MULTI-DISCIPLINARY PROVIDERS SHOULD USE THE POC 05 MULTI- DISCIPLINARY CLINIC (MDC) BENEFIT CODES.