The representatives of the Ministry of Health and Social Services and your federation have agreed to the «Protocole d’accord» relating to the remuneration of specialist physicians participating in the digital council, which comes into force retroactively to March 16, 2021.
The RAMQ will be ready to receive your billing as of June 7, 2021. You will have 120 days from this date to bill your services retroactively to March 16, 2021. Note that the code 42051 will also be available on the Facturation.net platform as of June 7.
This ”Protocole d’accord” establishes the terms of compensation that apply to medical specialists who respond in writing to a consult request via the digital consulting platform authorized by the MSSS.
The consult request must come from a general practitioner or specialized nurse practitioner (SNP) and is aimed at obtaining your opinion about the diagnosis, follow-up or treatment of a patient.
Your advice includes:
• handling the consult request;
• necessary research to fulfill the request, if applicable;
• requesting additional information from the general practitioner or the IPS, when needed;
• replying on the digital consulting platform.
You must use the Medical claim form – Specialist Physicians and:
• use billing code 42051 Médecin spécialiste répondant : conseil numérique (49,95$/conseil numérique);
• Select as the place of service the place where you are when entering the response in the platform;
• Select as a reference, the license number of the professional who requested the consult or his first name, last name and profession (general practitioner or IPS).
When remunerated according to the mixed remuneration method in Annexes 38 and 40, the rate provided for digital consulting will be paid at 50% of the fee for service.
Other rules and methods of application
• The different rate increases provided for in Annex 19 do not apply to the activities covered by this protocol;
• The rate increases provided for in the Agreement for emergency care do not apply to the activities covered by this
protocol;
• For the application of the general caps on gains in practice provided for in Annex 8, all the compensation payable
under this protocol is considered to be paid in a facility.