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). In an eConsult the consultant reviews your specific medical request and any diagnostic data sent with it, then replies with recommendations on treatment and management (B-28). The one note on 8628 reads "A visit or consultation may be claimed on the same day as 8628." The consultant claims tariff 8627 at $63.67 per 15 minutes or part of 15 minutes, and 8627 is "Limited to physicians participating in a recognized Provincial eConsultation service" (B-28).
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.
The fees
| Tariff | Description | Fee | Manual page | Manual dated |
|---|---|---|---|---|
| 8628 | eConsult request sent by the referring physician (the referring physician's claim) | $29.28 | B-28 | |
| 8627 | eConsult answered by a consultant, per 15 minutes or part of 15 minutes (the consultant's claim) | $63.67 | B-28 |
When 8628 applies
The manual lists 8627 and 8628 together under its eConsultation heading (B-28). Tariff 8627 has five notes and 8628 has one. This page gives the 8628 note and four of the 8627 notes. It leaves out 8627 note 5, which is about the consultant's claim only. So the list is partial.
- The tariff. The manual's words for 8628 are "Referring physician" (B-28). This page reads it as the claim of the physician who sends the eConsult request.
- A visit on the same day: "A visit or consultation may be claimed on the same day as 8628." (B-28, 8628 note) This is the only note on 8628.
What the consultant does and claims (8627)
- What an eConsult covers: "8627 includes review of the specific medical request and any accompanying diagnostic data and communication to the referring physicians with recommendations as to treatment and management of patient." (B-28, 8627 note 1)
- The reply: "Response must be provided within seven days of request." (B-28, 8627 note 2)
- No visit for the consultant that day: "A visit or consultation by the consultant may not be claimed on the same day as 8627." (B-28, 8627 note 3) This bar is on the consultant. The note on 8628 says a visit or consultation may be claimed on the same day as 8628.
- The service: "Limited to physicians participating in a recognized Provincial eConsultation service." (B-28, 8627 note 4)
Not settled by the pages we checked
- Whether the service limit in 8627 note 4 also applies to 8628. The note sits under 8627 (B-28). The pages we checked do not say. The example below uses a recognized provincial eConsultation service, so it fits either way.
- Whether 8628 depends on the consultant claiming 8627. One case is a reply that does not come within seven days. The B-28 notes do not say.
- How many 8628 claims one request allows. The 8628 line has no unit such as "per fifteen minutes" (B-28). The pages we checked do not say whether a follow-up question on the same request is a new 8628.
- What your record or your claim must show for 8628. The 8628 note does not say (B-28).
Worked example
On a Tuesday morning you see a patient in your office. You are their family physician. Their liver blood tests were raised on two checks three months apart. During the visit you decide to ask a gastroenterologist for advice.
That afternoon you send an eConsult request through a recognized provincial eConsultation service. You ask what to do next. You attach the history and both sets of results.
Bill the Tuesday office visit as you usually would. Bill 8628 as well: $29.28. A visit may be claimed on the same day as 8628 (B-28).
Four days later the gastroenterologist replies with recommendations on further tests and management. That is within the seven days in 8627 note 2 (B-28). The gastroenterologist claims 8627.
- Had the gastroenterologist also seen the patient on the day they answered, that visit may not be claimed. A visit or consultation by the consultant may not be claimed on the same day as 8627 (B-28, 8627 note 3). That bar is on the consultant, not on your Tuesday visit.
What is often not billed
- Your own claim for the eConsult you send. When you send an eConsult request for your patient, 8628 pays $29.28 (B-28). It is payment for the request you made for your patient's care. A visit or consultation may be claimed on the same day as 8628 (B-28). So the visit and 8628 may both be claimed that day. Our suggestion, not a Manitoba Health rule: keep the request in the chart with the question you asked and the service you sent it through. File the consultant's reply with it.
Source
Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update), page B-28. Manitoba Health publishes the manual at 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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