SOMB 2026 Reference
Alberta SOMB Billing Code Guide
PDF-verified Alberta SOMB 2026 code references for family physicians. Every code on this page is sourced directly from the Alberta Schedule of Medical Benefits — no fabricated modifiers, no invented fees.
Limited Assessment — In Office
Limited assessment of a patient's condition requiring a history related to the presenting problems, a directed examination, and advice. The default GP office visit code.
Comprehensive Assessment — In Office
Comprehensive in-office assessment requiring a complete history and a complete physical examination. Use only when documentation actually supports a full workup.
Minor Consultation — In Office
Minor in-office consultation performed at the request of another physician. Lower complexity than 03.08A.
Comprehensive Consultation — In Office
Comprehensive in-office consultation performed at the request of another physician. Requires a complete history, complete physical examination, and a written consult report.
Assessment via Telephone or Secure Videoconference
Assessment of a patient's condition conducted via telephone or secure videoconference. Substantive clinical work only — not for admin or results-only calls.
Physician Telephone Call to Patient — Management or Results
Physician-initiated telephone call directly to a patient to discuss management or diagnostic test results. Subject to SOMB frequency and eligibility rules.
Telephone Advice to Patient or Agent
Advice provided to a patient or their agent (as defined in the Personal Directives Act) via telephone. Strict SOMB rules apply — read the full text before billing.
Scheduled Family Conference — Per 15 Minutes
Formal, scheduled family conference relating to a specific patient, billed per 15 minutes or major portion thereof.
Hospital Visit
In-hospital attendance on an admitted patient.
Home Visit — First Patient
First patient seen at a home-visit location.
Home Visit — Second / Subsequent Patients (Same Location)
Second and subsequent patients seen at the same home-visit location.
Initial Prenatal Visit — Complete History & Physical
Initial prenatal visit requiring a complete history and complete physical examination. Prenatal-only — not interchangeable with 03.04A.
Prenatal Visit — In Office
In-office prenatal follow-up visit. Prenatal-specific — does not substitute for a regular 03.03A.
Intramuscular or Subcutaneous Injection
Administration of an intramuscular or subcutaneous injection. Commonly under-billed when performed alongside an office visit.
Incision and Drainage — Abscess or Hematoma
Incision and drainage of a subcutaneous or submucous abscess or hematoma.
Excisional Biopsy — Skin
Excisional biopsy of a non-facial skin lesion.
Excisional Biopsy — Skin of Face
Excisional biopsy of a skin lesion on the face.
Removal of Sebaceous Cyst
Excision of a sebaceous cyst.
Excision of Subcutaneous Soft-Tissue Tumor — Per 30 Min
Excision of a subcutaneous soft-tissue tumor, billed per 30 minutes of operating time or major portion thereof.
Removal or Excision — First Lesion
Removal or excision of a first lesion (non-cryotherapy, non-fulguration method).
Removal by Fulguration — First Lesion
Fulguration removal of a first lesion.
Cryotherapy / Chemotherapy — Warts or Keratoses
Non-surgical treatment (cryotherapy or topical chemotherapy) of warts or keratoses. Commonly under-billed alongside routine visits.
Removal of Atypical or Neoplastic Lesion(s) — Any Method
Removal of atypical or neoplastic lesion(s) by any method (excluding cryotherapy for actinic keratosis).
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