Fee Navigator®

    Health Service Code 03.01R

    Physician to Physician secure E-Consultation, referring physician

    1. Time spent completing the referral may not be claimed using complexity modifiers.
    2. May only be claimed when both the referring and consulting physician exchange communication using secure electronic communication that is in compliance with the CPSA guidelines on secure electronic communication and when the physician/clinic has submitted a Privacy Impact Assessment for this service acceptable to the Office of the Privacy Commissioner of Alberta.
    3. May not be claimed for situations where the purpose of the communication is to:
      1. arrange for laboratory or diagnostic investigations
      2. discuss or inform of results of diagnostic investigations, or
      3. arrange for an expedited consultation with the patient
    4. Documentation of the request and advice given must be recorded in the patient record.
    5. This service may not be claimed for transfer of care alone.
    Category:V Visit
    Base rate:$34.89

    AMA billing tips:

    • 03.01R is intended to compensate physicians for the time and overhead costs associated with documenting an electronic referral. Time spent documenting the referral may not be used in the total time claimed using complex modifiers. For example, the time spent reviewing and gathering chart information in preparation of the referral may be used in the calculation of complex modifiers but the time documenting the information on the electronic referral may not be included in claims for complex modifiers. You may use 03.01R only when you have completed the referral using a secure electronic method such a secure electronic messaging, secure email or other secure electronic products that are accepted by the Office of the Information and Privacy Commissioner of Alberta (OIPC).

    Fee modifiers:

    No modifiers.

    Governing Rules:

    No Governing Rules.