Fee Navigator®

    Health Service Code 03.01LM

    Patient care advice to active treatment facility worker or nurse practitioner in relation to the obstetrical outpatient, weekdays 0700 - 1700 hours

    NOTE:

    Refer to the notes following HSC 03.01LO.

    Additional notes:
    • Listed under 03.01LO - Patient care advice to active treatment facility worker or nurse practitioner in relation to the obstetrical outpatient, any day 2200 - 0700 hours:
      1. Active treatment facility worker may include Registered Nurse, Licensed Practical Nurse, midwife.
      2. To be claimed using the Personal Health Number of the patient.
      3. May only be claimed by general practice or obstetrics and gynecology.
      4. Advice to nurse practitioners may only be claimed if the nurse practitioner is in independent practice or working at a nursing station where no physician is present.
      5. May only be claimed when the physician is outside the facility from where the patient is located.
      6. May only be claimed when the call is initiated by the active treatment facility worker or nurse practitioner.
      7. May only be claimed for advice given to the active treatment facility worker or nurse practitioner by telephone or other telecommunication means.
      8. A maximum of two (any combination of HSC 03.01LM, 03.01LN or 03.01LO) may be claimed per patient, per physician, per day.
      9. Documentation of the communication must be recorded in their respective records.
    Category:V Visit
    Base rate:$18.10

    AMA billing tips:

    • This code may be claimed when the physician receives the request and or responds by fax, email or telephone.

      GR 1.26 Telecommunications means communication via telephone, facsimile or email.

    Fee modifiers:

    No modifiers.

    Governing Rules:

    No Governing Rules.