Fee Navigator®

    Health Service Code 03.03FT

    Prolonged repeat virtual visit or scheduled outpatient visit via telephone or secure videoconference, referred cases only, full 15 minutes or portion thereof for the first call when only one call is claimed

    1. May only be claimed in addition to HSC 03.03FV when the service exceeds 30 minutes.
    2. May only be claimed by pediatrics (including subspecialties) and clinical immunology and allergy for patients 18 years of age and under, or by cardiology, endocrinology/metabolism, gastroenterology, infectious diseases, internal medicine, hematology, medical genetics, medical oncology, neurology, physiatry, respiratory medicine, rheumatology, urology and vascular surgery (no age restriction).
    3. The patient's record must include a detailed summary of all services provided including time spent and start and stop times.
    4. Time spent on administrative tasks cannot be claimed.
    5. May not be claimed on the same day as an in-person visit or consultation service by the same physician for the same patient.
    Category:V Visit
    Base rate:$14.27

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLCARDReplace Base$61.25
    SKLLCLIMReplace Base$48.21
    SKLLE/MReplace Base$29.21
    SKLLGASTReplace Base$25.98
    SKLLHEMReplace Base$48.21
    SKLLIDISReplace Base$60.72
    SKLLINMDReplace Base$48.21
    SKLLMDGNReplace Base$60.77
    SKLLMDONReplace Base$48.21
    SKLLNEURReplace Base$14.27
    SKLLNPMReplace Base$60.77
    SKLLPDGEReplace Base$60.77
    SKLLPDNRReplace Base$60.77
    SKLLPEDReplace Base$60.77
    SKLLPEDCReplace Base$61.25
    SKLLPEDNReplace Base$60.77
    SKLLPHMDReplace Base$76.18
    SKLLRHEUReplace Base$35.43
    SKLLRSMDReplace Base$54.95
    SKLLUROLReplace Base$60.30
    SKLLVSSGReplace Base$25.09
    CALLM151 - 4For Each Call Pay Base At100%

    Governing Rules: