Fee Navigator

    Health Service Code 03.03E

    Periodic chronic care visit to a long term care patient

    NOTE:
    1. May be claimed once per calendar week if no other visit precedes in the same calendar week for the same patient by the same physician.
    2. HSC 03.03EA and special callbacks (HSCs 03.03AR, 03.03KA, 03.03LA, 03.03MC, 03.03MD) may be claimed subsequent to a 03.03E in the same calendar week for the same patient by the same physician.
    3. HSC 03.03D may be claimed for palliative care or inter-current illness.
    Category:V Visit
    Base rate:$28.53

    AMA billing tips:

    • 03.03E is only billable once per calendar week (Sunday - Saturday). If the patient is ill and requires more than one visit per week, use 03.03D hospital daily care for the period where multiple visits are required e.g. acute inter-current illness. The admission date on the claim would be the date the illness started.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLPHMDReplace Base$115.27

    Governing Rules:

    No Governing Rules.