Fee Navigator®

    Health Service Code 03.04E

    Emergency home visit and admission to a hospital and hospital visit on the same day

    Common terms:
    • house call
    • respite care
    Category:V Visit
    Base rate:$35.99

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLCARDReplace Base$64.63
    SKLLCLIMReplace Base$160.71
    SKLLCMSPReplace Base$160.71
    SKLLCRCMReplace Base$104.66
    SKLLCRSGReplace Base$101.37
    SKLLDERMReplace Base$123.82
    SKLLE/MReplace Base$156.10
    SKLLGASTReplace Base$59.39
    SKLLGNSGReplace Base$153.67
    SKLLGPReplace Base$190.59
    SKLLHEMReplace Base$160.71
    SKLLIDISReplace Base$35.99
    SKLLINMDReplace Base$160.71
    SKLLMDGNReplace Base$222.82
    SKLLMDONReplace Base$160.71
    SKLLNEPHReplace Base$232.46
    SKLLNEURReplace Base$148.40
    SKLLNPMReplace Base$222.82
    SKLLNUSGReplace Base$143.21
    SKLLOBGYReplace Base$118.91
    SKLLOCMDReplace Base$160.71
    SKLLOPHTReplace Base$125.59
    SKLLORTHReplace Base$114.27
    SKLLOTOLReplace Base$112.77
    SKLLPDGEReplace Base$222.82
    SKLLPDNRReplace Base$222.82
    SKLLPDSGReplace Base$222.82
    SKLLPEDReplace Base$222.82
    SKLLPEDCReplace Base$222.82
    SKLLPEDNReplace Base$222.82
    SKLLPHMDReplace Base$129.91
    SKLLPLASReplace Base$132.35
    SKLLRHEUReplace Base$56.68
    SKLLROSPReplace Base$190.59
    SKLLRSMDReplace Base$198.85
    SKLLTHORReplace Base$102.99
    SKLLUROLReplace Base$106.13
    SKLLVSSGReplace Base$120.42
    CARECMXC30YesIncrease Base By$31.43
    SUBDBNEVYesIncrease Base By$22.26
    SUBDBNEVWKYesIncrease Base By$22.26
    SUBDBNNTAMYesIncrease Base By$55.53
    SUBDBNNTPMYesIncrease Base By$55.53

    Governing Rules:

    • 2.7.3

      For administrative purposes the start of the day is considered to be midnight. A hospital visit which takes place after 0700 hours may be claimed in addition to one of the following services provided between midnight and 0700 hours:

      1. emergency home visit and admission to a hospital and hospital visit on the same day;
      2. home visit;
      3. hospital admission or consultation claimed in lieu of hospital admission;
      4. emergency visit/special callback to hospital emergency/outpatient department, AACC or UCC, when specially called from home or office;
      5. a special call for attendance to a patient at a closed office, with no staff in attendance.