Fee Navigator®

    Health Service Code 03.03FZ

    Repeat office visit or scheduled outpatient visit in a regional facility, referred cases only - out of office.

    Category:V Visit
    Base rate:$32.34

    AMA billing tips:

      • Physicians that provide care in publicly funded sites are required to bill the "Z" codes.
      • Publicly funded facility types are: acute care centres, ambulatory care centres, auxiliary hospital, Health Canada Nursing Station, nursing home, regional contracted practitioner office (offices that are contracted by AHS to provide specific services) and subacute auxiliary hospital.
      • AHS and AH are conducting a review of physician overhead arrangements. Changes to the Z codes are expected to be implemented by October 1, 2020. In the meantime, there is still a requirement for physicians to claim the Z codes.
      • Please consult the Alberta Health Facility Directory for information regarding facility designations.
    • When providing psychotherapy and non psychotherapy services at the same encounter, only ONE claim for a visit service may be submitted for payment. Either the psychotherapy service or the visit service (03.03A, 03.03AZ, 03.03F, 03.03FZ etc.). The claim should reflect the service where the majority of the time was spent providing services. Reminder that 08.19G and 08.19GZ only include direct face-to-face time, extended time may not be claimed for indirect services.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLCARDReplace Base$103.25
    SKLLCLIMReplace Base$63.58
    SKLLCRCMReplace Base$32.34
    SKLLE/MReplace Base$80.13
    SKLLGASTReplace Base$65.95
    SKLLHEMReplace Base$63.58
    SKLLIDISReplace Base$59.99
    SKLLINMDReplace Base$63.58
    SKLLMDGNReplace Base$100.20
    SKLLMDONReplace Base$63.58
    SKLLNEPHReplace Base$87.67
    SKLLNEURReplace Base$67.23
    SKLLNPMReplace Base$100.20
    SKLLPDGEReplace Base$100.20
    SKLLPDNRReplace Base$100.20
    SKLLPEDReplace Base$100.20
    SKLLPEDCReplace Base$103.25
    SKLLPEDNReplace Base$100.20
    SKLLPHMDReplace Base$115.27
    SKLLRHEUReplace Base$66.30
    SKLLRSMDReplace Base$98.95
    SKLLUROLReplace Base$51.34
    SKLLVSSGReplace Base$50.17
    CARECMXV15YesIncrease Base By$15.70
    CARECMXV20YesIncrease Base By$15.70
    CARECMXV30YesIncrease Base By$31.43
    CARECMXV35YesIncrease Base By$31.43
    TELETELESYesIncrease Base To120%

    Governing Rules: