Fee Navigator®

    Health Service Code 03.02A

    Brief assessment of a patient's condition requiring a minimal history with little or no physical examination

    Category:V Visit
    Base rate:$10.03

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLANESReplace Base$11.41
    SKLLANPAReplace Base$17.56
    SKLLCARDReplace Base$28.65
    SKLLCLIMReplace Base$24.35
    SKLLCMSPReplace Base$24.35
    SKLLCRSGReplace Base$26.23
    SKLLCTSGReplace Base$26.23
    SKLLDERMReplace Base$12.32
    SKLLDIRDReplace Base$13.52
    SKLLE/MReplace Base$23.41
    SKLLFTERReplace Base$10.25
    SKLLGASTReplace Base$20.40
    SKLLGNSGReplace Base$15.94
    SKLLGPReplace Base$29.62
    SKLLHEMReplace Base$24.35
    SKLLHEPAReplace Base$17.56
    SKLLIDISReplace Base$29.99
    SKLLINMDReplace Base$24.35
    SKLLMDBIReplace Base$17.56
    SKLLMDGNReplace Base$20.45
    SKLLMDMIReplace Base$17.56
    SKLLMDONReplace Base$24.35
    SKLLNCMDReplace Base$13.52
    SKLLNEPHReplace Base$35.15
    SKLLNEURReplace Base$25.72
    SKLLNPMReplace Base$20.45
    SKLLNUPAReplace Base$17.56
    SKLLNUSGReplace Base$17.40
    SKLLOBGYReplace Base$15.97
    SKLLOCMDReplace Base$24.35
    SKLLOPHTReplace Base$12.74
    SKLLORTHReplace Base$12.31
    SKLLOTOLReplace Base$12.78
    SKLLOVACReplace Base$12.74
    SKLLPATHReplace Base$17.56
    SKLLPDGEReplace Base$20.40
    SKLLPDNRReplace Base$25.72
    SKLLPDSGReplace Base$20.45
    SKLLPEDReplace Base$20.45
    SKLLPEDCReplace Base$28.65
    SKLLPEDNReplace Base$35.15
    SKLLPHMDReplace Base$20.05
    SKLLPLASReplace Base$31.14
    SKLLPSYCReplace Base$14.54
    SKLLRHEUReplace Base$12.04
    SKLLROSPReplace Base$29.62
    SKLLRSMDReplace Base$18.81
    SKLLTHORReplace Base$11.50
    SKLLUROLReplace Base$15.60
    SKLLVSSGReplace Base$10.03
    TELETELESYesIncrease Base To120%

    Governing Rules:

    • 4.2.1

      Brief Visit: Assessment of a patient's condition when history is minimal and little or no physical examination is included.

    • 5.2.3

      Services provided to additional patients seen during the same callback, or services over the limits specified in GR 15.11 may be claimed as:

      1. Deleted
      2. HSC 03.02A, 03.03A, 03.03AZ, 03.03B, 03.03BZ, 03.04A, 03.04AZ as appropriate, or
      3. the applicable procedure.
    • 9.1.3

      Three technical services and three interpretive services from the following examinations may be claimed in addition to HSCs 03.02A, 03.03A, 03.03AZ, 03.07A, 03.07AZ, and 03.07B:

      • 03.12A Intraocular pressure measurement
      • 09.01A Biomicroscopy (slit lamp examination)
      • 09.01B Gonioscopy
      • 09.01C Orthoptic analysis, interpretation
      • 09.01E Orthoptic analysis, technical (may include Hess screen)
      • 09.02B Anterior chamber depth measurement
      • 09.02E Amblyopia evaluation for patients nine years of age or younger
      • 09.05A Full threshold perimetric examination, technical
      • 09.05B Full threshold perimetric examination, interpretation
      • 09.06A Color vision test, interpretation and technical
      • 09.11A Bilateral specular microscopy for corneal graft patients only - technical
      • 09.11B Bilateral specular microscopy for corneal graft patients only - interpretation
      • 09.11C Potential acuity measurement (PAM)
      • 09.12A Intravenous fluorescein angiography (IVFA), interpretation
      • 09.12B Intravenous fluorescein angiography (IVFA), technical
      • 09.13E Optical coherence tomography (OCT), interpretation
      • 09.13F Optical coherence tomography (OCT), technical
      • 09.13I Yearly bilateral biometry for myopic progression in children under
      • 18 years of age, technical
      • 09.13J Yearly bilateral biometry for myopic progression in children under
      • 18 years of age, interpretation
      • 09.26A Diurnal tension curve
      • 09.26D Bilateral corneal pachymetry
      • 21.31A Diagnostic irrigation of nasolacrimal duct, office procedure, per eye
      • 24.89B Diagnostic conjunctival scraping
      • 25.81A Diagnostic corneal scraping
    • 9.1.4

      When done independently on a separate day or as a repeat, not more than three interpretations and three technical services from the list in GR 9.1.3 may be claimed.