Fee Navigator®

    Health Service Code 03.03Q

    Home visit - repeat visit same day

    Common terms:
    • house call
    • respite care
    Category:V Visit
    Base rate:$14.00

    AMA billing tips:

    • Governing Rule 1.6 For the purposes of billing home visits, "home" includes personal residence or temporary lodging, assisted living, designated assisted living, group home, seniors' lodge, personal care home and other residences as approved, but does not include auxiliary hospitals or nursing homes.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLANESReplace Base$15.58
    SKLLANPAReplace Base$25.71
    SKLLCARDReplace Base$25.92
    SKLLCLIMReplace Base$32.14
    SKLLCMSPReplace Base$32.14
    SKLLCRCMReplace Base$21.41
    SKLLCRSGReplace Base$22.73
    SKLLCTSGReplace Base$22.73
    SKLLDERMReplace Base$22.87
    SKLLDIRDReplace Base$20.09
    SKLLE/MReplace Base$31.22
    SKLLGASTReplace Base$14.82
    SKLLGNSGReplace Base$31.79
    SKLLGPReplace Base$87.22
    SKLLHEMReplace Base$32.14
    SKLLHEPAReplace Base$25.71
    SKLLIDISReplace Base$14.00
    SKLLINMDReplace Base$32.14
    SKLLMDBIReplace Base$25.71
    SKLLMDGNReplace Base$101.28
    SKLLMDMIReplace Base$25.71
    SKLLMDONReplace Base$32.14
    SKLLNCMDReplace Base$20.09
    SKLLNEPHReplace Base$47.96
    SKLLNEURReplace Base$31.66
    SKLLNPMReplace Base$101.28
    SKLLNUPAReplace Base$25.71
    SKLLNUSGReplace Base$29.45
    SKLLOBGYReplace Base$21.78
    SKLLOCMDReplace Base$32.14
    SKLLOPHTReplace Base$25.60
    SKLLORTHReplace Base$21.98
    SKLLOTOLReplace Base$22.83
    SKLLPATHReplace Base$25.71
    SKLLPDGEReplace Base$101.28
    SKLLPDNRReplace Base$101.28
    SKLLPDSGReplace Base$101.28
    SKLLPEDReplace Base$101.28
    SKLLPEDCReplace Base$101.28
    SKLLPEDNReplace Base$101.28
    SKLLPHMDReplace Base$57.30
    SKLLPLASReplace Base$61.86
    SKLLPSYCReplace Base$15.66
    SKLLRHEUReplace Base$21.96
    SKLLROSPReplace Base$87.22
    SKLLRSMDReplace Base$40.57
    SKLLTHORReplace Base$20.81
    SKLLUROLReplace Base$26.19
    SKLLVSSGReplace Base$20.07
    SUBDOFEVYesIncrease Base By$54.18
    SUBDOFEVWKYesIncrease Base By$63.52
    SUBDOFNTAMYesIncrease Base By$145.62
    SUBDOFNTPMYesIncrease Base By$145.62
    CMPXCMGP1 - 10YesFor Each Call Increase By$18.84

    Governing Rules:

    • 6.1

      If a physician performs a minor procedure and provides a service warranting a claim for an office visit or a home visit on the same day, benefits for both may be claimed only if the services and diagnoses are unrelated.