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    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.

    • Update Jan 21, 2019 -The Base Rate for this code has been corrected, claims for services for 03.03E between November 1, 2018 and Jan 21, 2019 will be reassessed and paid at the corrected rate in May 2019.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLPHMDReplace Base$115.27

    Governing Rules:

    No Governing Rules.