vaccination is an insured service under the Schedule
of Benefits for physician services.
April 1, 2001, the requirement that influenza immunization was
insured only for people who were eligible to receive publicly
funded influenza vaccine was removed. See Bulletin 4367. The fee
codes for the administration of influenza vaccine are
Influenza immunization – sole reason
immunization is the sole service provided during the patient
encounter, G591 is payable. The fee for G591 includes any
evaluation of the patient with regard to the patient receiving the
vaccine. G590 is payable with a visit when the reason for the
visit is not related to the flu vaccine. It is inappropriate to
claim Active Immunization codes (G538 and G539) for administration
of influenza immunization.
Requirements for Delegation
payment purposes, the physician must personally administer the
vaccine or delegate the procedure in accordance with the rules for
delegated procedures i.e.
vaccine is administered by a person who is an employee of the
person is under the direct supervision of the physician; and
physician is physically present in the office or clinic at which
the delegate is administering the vaccine to ensure that the
procedure is being performed competently; and
physician is immediately available at all times to approve, modify
or otherwise intervene in the procedure as required in the best
interest of the patient.
complete information about physician payment for delegated
procedures, see the Schedule of Benefits, General Preamble, B.10,
Delegated Procedure, page xxv.
addition, the College of Physicians and Surgeons of Ontario
standards for delegating a controlled act apply when
administration of the vaccine is delegated to a person who is not
authorized to do so by the Regulated
Health Professions Act. For further information about
delegating a controlled act, refer to the College of Physicians
and Surgeons of Ontario policy statement The Delegation of Controlled Acts dated November 1999.