Fee Navigator®

    Health Service Code 03.03AO

    Transfer of care of hospital in-patient

    1. May only be claimed by endocrinology/metabolism, general internal medicine, gastroenterology, infectious disease, general surgery, cardiology, hematology, clinical immunology medical oncology, nephrology, pediatrics, pediatric subspecialities and respiratory medicine.
    2. May be claimed on the date of transfer by the receiving physician when assuming responsibility for care of a hospital in-patient.
    3. Only one transfer may be claimed per patient, per calendar week, regardless of whether the same or different physician provides the service.
    4. The physician from whom the care is being transferred may claim a hospital visit or intensive care visit on the day of transfer.
    5. May not be claimed for weekend coverage or within 24 hours of admission to hospital.
    6. May not be claimed during post-operative time periods unless complications occur.
    Category:V Visit
    Base rate:$95.63

    AMA billing tips:

    • All of the following criteria must be met:

      • Used when the care of a patient has been transferred to another physician who will continue to provide care for the patient.
      • The physician receiving the care claims the transfer of care.
      • Each physician may claim for services on the date of transfer if they have seen the patient.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLCARDReplace Base$129.50
    SKLLCLIMReplace Base$202.94
    SKLLE/MReplace Base$195.12
    SKLLGASTReplace Base$186.95
    SKLLGNSGReplace Base$95.63
    SKLLHEMReplace Base$202.94
    SKLLIDISReplace Base$166.37
    SKLLINMDReplace Base$202.94
    SKLLMDONReplace Base$202.94
    SKLLNEPHReplace Base$210.92
    SKLLNPMReplace Base$204.52
    SKLLPDGEReplace Base$204.52
    SKLLPDNRReplace Base$204.52
    SKLLPEDReplace Base$204.52
    SKLLPEDCReplace Base$204.52
    SKLLPEDNReplace Base$204.52
    SKLLRSMDReplace Base$199.41

    Governing Rules:

    No Governing Rules.