Designated Medical Practitioner Handbook

Appendix XVII: Interim Federal Health Program (IFHP) rates for Immigration Medical Examination (IME)

The table below is an extract of the IME specific services and codes relevant to DMPs/Examiners. DMPs/Examiners should verify the IFHP Benefit Grid, found on the IFHP Provider portal, periodically for updates to this information. In the case of any difference between this table and the IFHP Benefit Grid, the Benefit Grid will be considered the definitive source.

IME and IME related tests (for DMPs/Examiners only)
Benefit Description Benefit Code Effective date Maximum Dollar Amount Comments
Immigration Medical Exam (IME) 0293CI 01-Jun-10 $115.00 per exam Can only be performed by DMP/Examiner
IME Venipuncture 0293V 01-Jun-10 $9.60  
IME Chest X-Ray 0293CX 01-Jun-10 $42.10  
IME Lab Exam: urinalysis 0293L 01-Jun-10 $2.90  
IME Venereal Disease Research Lab (VDRL) 0293VDRL 01-Jun-10 $15.75  
IME HIV Lab testing 0293HLT 01-Jun-10 $21.00  
IME Post Test Counselling for HIV 0293PH 01-Jun-10 $119.95  
IME HIV confirmation test

0293HIV

08-Aug-11 $156.00 Note A
IME syphilis confirmation test* 0293SCT 08-Aug-11 $118.00 Note B
IME laboratory documentation* 0293LD 08-Aug-11 $7.76 Note C
Furtherance – DMP/Examiner (Public Health and safety concerns only)* 0293FPHD 08-Aug-11 $35.00

Note D

Can only be performed by DMP/Examiner
Furtherance – MD specialist (Public Health and safety concerns only)* 0293FPHM 08-Aug-11 $75.80 Note E
Sputum smear (TB)* 0293TB 08-Aug-11 $11.37  
IME combined code: IME + urinanalysis* 0293EU 08-Aug-11 $117.90 Note F
IME combined code: IME + urinanalysis + venipuncture* 0293EVU 08-Aug-11 $127.50 Note G

* New fee introduced on August 08, 2011, to be applied retroactively for up to 6 months.

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  • Note A. HIV confirmation test may include: Western Blot, Immunoblot, radioimmunoprecipitation, immunofluorescence.
  • Note B. Syphilis confirmation test may include: TP-PA, FTA-ABS, INNO-LIA.
  • Note C. (see below)
    • The patient documentation and specimen handling benefit is limited to 1 per patient, per day.
    • This fee is allowed to laboratories only.
    • Not applicable to a patient visit solely to receive instructions or collection containers.
    • When multiple tests are ordered for the same patient, for the same day, only one fee is payable.
  • Note D. Furtherance fee for cases of public health or public safety concern only. The service can be performed by DMP/Examiners only.
  • Note E. Furtherance fee include investigations for cases of public health or public safety concern only, which can be performed by MD specialists only. Referral from a DMP/Examiner is required.
  • Note F. IME combined code includes: IME examination and IME laboratory examination: urinalysis. Not payable if claimed together with one of the following codes: 0293CI, 0293L.
  • Note G. IME combined code includes: IME examination, IME venipuncture and IME laboratory examination. Not payable if claimed together with one of the following codes: 0293CI, 0293V, 0293L.

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