Fee Navigator®

    Health Service Code 87.98E

    Delivery detention time, may be claimed per full 15 minutes after the first full 30 minutes has elapsed

    NOTE:
    1. May only be claimed when a physician is specifically requested by the physician intending to perform a delivery and no other service may be claimed for that attendance.
    2. May be claimed following the first 30 minutes after the physician has arrived for the attendance at delivery.
    3. Services following delivery may be claimed in addition, e.g., care of healthy newborn (HSC 03.05G), neonatal resuscitation (HSC 13.99F), resuscitation (HSC 13.99E), etc.
    4. This service is only billable when physician attendance on behalf of the baby is required.
    5. If the mother is transferred to another hospital prior to the delivery, the physician may claim for the time spent providing the service to a maximum of 3 calls (60 minutes) of HSC 87.98E with text.
    Category:V Visit
    Base rate:$88.99

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM30M151For Each Call Pay Base At100%
    CALLM30M152 - 3For Each Call Increase By$44.50
    SURCEVYesIncrease By$48.82
    SURCNTAMYesIncrease By$117.12
    SURCNTPMYesIncrease By$117.12
    SURCWKYesIncrease By$48.82

    Governing Rules:

    • 15.9

      The unscheduled service benefit (modifier SURC) may be claimed for the services outlined in GRs 15.9.1 through 15.9.3.

    • 15.9.1

      selected "V" category code services:

      1. consultations, including telehealth (except those provided using store and forward videotechnology);
      2. intensive care unit visits (HSC 03.05A);
      3. psychiatric mental status determination requiring complete mental health status examination and investigation (HSC 08.11A);
      4. for complex patient, requiring complete mental status examination and investigation (HSC 08.11C);
      5. certification under the Mental Health Act (HSC 08.12A);
      6. trauma assessment, multiple trauma, severely injured patient (HSC 13.99GA);
      7. hyperbaric oxygen therapy detention time (HSC 13.99I);
      8. medical emergency detention (HSC 13.99J);
      9. management of complex labor, per 15 minutes (HSC 13.99JA);
      10. donor maintenance prior to cadaveric harvesting of organs (HSC 13.99L);
      11. examination and crisis counseling for sexual/physical abuse (HSC 13.99V);
      12. attendance at delivery (HSC 87.98E).