Fee Navigator®

    Governing Rule: 15.7

    Claims for Unscheduled Services/Special Callback Benefits

    • 15.7.1

      Claims for the unscheduled service benefit (modifier SURC) must meet all of the following conditions:

      1. a special call for attendance is made on the patient's behalf;
      2. the physician responds to such a call on an unscheduled basis outside of his/her normal working hours;
      3. the patient is attended on a priority basis;
      4. there is direct attendance by the physician.
    • 15.7.2

      Claims for special callbacks must meet all of the following conditions:

      1. a special call for attendance is made on the patient's behalf;
      2. the physician responds to such a call from outside the hospital, auxiliary hospital, nursing home, AACC or UCC on an unscheduled basis;
      3. the patient is attended on a priority basis;
      4. there is direct attendance by the physician.