Complex Care

Two complex care incentives compensate GPs for the time and skill needed to care for patients with eligible complex conditions. 14033 is payment for managing patients who have documented confirmed diagnoses of at least 2 eligible chronic conditions as outlined within the Billing Guide. 14075 encompasses patients of any age with frailty requiring assistance with instrumental (IADL) and non-instrumental (NIADL) activities of daily living. Care expectations for patients with eligible complex conditions includes the development of a care plan and ongoing clinical follow-up of the patient over the subsequent year.

Click here for details in GPSC's related billing guide.