Fee Navigator®

    Health Service Code 03.01NL

    Patient care advice to active treatment facility worker in relation to a patient receiving outpatient IV medication day treatment, any day 2200 to 0700 hours

    NOTE:
    1. Active treatment facility worker may include registered: nurse, licensed practical nurse, occupational therapist, physiotherapist, speech language pathologist, social worker, pharmacist, psychologist, recreational therapist or respiratory therapist.
    2. May only be claimed by hematology, infectious disease specialists, internal medicine and rheumatologists.
    3. May only be claimed when the physician is outside the facility from where the patient is located.
    4. May be claimed for advice given to the worker by telephone or other telecommunication means.
    5. To be claimed using the Personal Health Number of the patient.
    6. May only be claimed when the call is initiated by the health care worker.
    7. A maximum of two (any combination of HSCs 03.01NJ, 03.01NK, 03.01NL) claims may be made per patient, per physician, per day.
    8. Documentation of the communication must be recorded in their respective records.
    Category:V Visit
    Base rate:$47.69

    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.