What is the Manitoba Physician's Manual, and which edition is current?
The Manitoba Physician's Manual is Manitoba Health's fee schedule for physicians in Manitoba. It lists each tariff, its fee and the rules for claiming it. The current edition is the April 1, 2026 edition, with the October 1, 2026 update. Every page of this Manitoba billing guide is checked against that edition.
Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.
What the manual is
- Manitoba Health publishes the manual on its website. The manual says its most current version is on Manitoba Health's website (page CLMST-1).
- The manual is part of the Physician Services Agreement negotiated with Doctors Manitoba. It covers payment for fee-for-service physicians (page CLMST-1).
- The Rules of Application apply across the tariffs. The General Practice section says: "These benefits cannot be correctly interpreted without reference to the Rules of Application." (page A-119)
- Most of this guide comes from four parts of the manual:
- The claims section (pages CLMST-1 to CLMST-7).
- The Rules of Application.
- The General Practice section, which starts on page A-119.
- The General Schedule.
The edition we checked
- Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update).
- The cover and the page footers say April 1, 2026. Manitoba Health's website calls it the manual updated October 1, 2026. Both dates refer to the same manual.
- Every fee in this guide comes from that manual, including the October 1, 2026 update. Each page shows the manual page and the manual date.
- When Manitoba Health publishes a new manual, we check every page again. A page not yet checked against the new manual says so at the top.
Manitoba only
- Every answer in this guide is for Manitoba, under the Manitoba Physician's Manual.
- Each province has its own fee schedule and its own rules. Do not use a Manitoba answer for a claim in another province.
- One question per page. Each page names the manual pages it uses and gives a sample visit. A page about a tariff gives its fee.
- A few pages also use Manitoba Health's or Doctors Manitoba's own web pages, and link to them.
Questions in this guide
Missed billings
- Am I missing billings? Services Manitoba family physicians often do not bill Premiums, panel tariffs and add-ons, with fees and manual pages.
Office visits
- 8529, 8509, 8540 or 8640: which office visit tariff do I bill in Manitoba? The four office visit tariffs compared.
- What is tariff 8529 in Manitoba? The regional intermediate visit and its add-ons.
- When can I bill the extended visit, tariff 8640, in Manitoba? Two or more complaints and 20 minutes.
- When can I bill a complete history and physical (8540) in Manitoba, and what is the 60-day rule? Tariff 8540 and Rule 6.
Virtual care
- How do I bill a virtual visit in Manitoba? Tariffs 8340, 8345, 8321, 8442 and 8350, and Rule 62.
Premiums
- After-hours premium or extended hours premium: which applies in Manitoba? Premiums 5555, 5550 and 5553 compared with 5530 and 5531.
- What is the extended clinic hours premium in Manitoba (5530 and 5531)? Hours, clinic conditions and exclusions.
- Do I bill the age premium for patients 65 and over in Manitoba? The 10% and 20% premiums Manitoba Health adds.
Family Medicine Plus
- Who can bill Family Medicine Plus (FM+) tariffs in Manitoba? Tariffs 8180 to 8191 and the Home Clinic panel.
- How do Family Medicine Plus age-based panel payments work in Manitoba (8181 to 8185)? Tariffs per enrolled patient, once per quarter.
- How do Family Medicine Plus chronic disease tariffs work in Manitoba (8186 to 8190)? Quarterly tariffs by chronic disease cluster.
- How many units of tariff 8191 (indirect clinical services) can I claim in Manitoba? The weekly limit by panel size.
Phone, fax and email
- How do I bill eConsult as the referring physician (8628) in Manitoba? In Manitoba the referring physician who sends an eConsult request claims tariff 8628 at $29.28 (Manitoba Physician's Manual, page B-28).
- Can I bill a call to a specialist for advice (8356) in Manitoba? Yes: in Manitoba tariff 8356 pays $26.53 when you phone or video-call a consultant for advice about a patient in your care (Manitoba Physician's Manual, page B-12; the consultant claims 8355).
Women's health
- Can I bill a Pap test and a pelvic exam with a visit in Manitoba? Tariffs 9795 and 8448 as add-ons.
The manual and its rules
- When does the Manitoba Physician's Manual change, and how do I keep up? Quarterly updates, and how to check the latest one.
Submitting claims
- How do I submit a claim to Manitoba Health? Electronic claims, the six-month limit and pay dates.
- What is the deadline to submit a claim to Manitoba Health? Six months from the date of the service.
Rejections and remittances
- Why was my Manitoba Health claim rejected? The reason code from Manitoba Health (Explanation of Benefits, or EOB, code) on your remittance advice.
- What does EOB code 44 mean on a Manitoba Health claim, and how do I fix it? Patient details that do not match Manitoba Health's records.
Source
Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update), pages CLMST-1 and A-119. gov.mb.ca/health/manual
Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.
Unbilled is not Manitoba Health or Doctors Manitoba. This page is general information, not a ruling on any claim. Manitoba Health decides what is payable. Check the current manual before you bill.
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