Fee Navigator

    Health Service Code 03.05FE

    Follow-up care of a patient remaining in an AACC or UCC awaiting further evaluation, treatment, transfer to another facility, or requiring extended care by a physician, any day, 2200 to 0700 hours

    NOTE:
    1. HSCs 03.05FC, 03.05FD and 03.05FE may not be claimed on the same shift by the physician who provided the initial assessment.
    2. HSCs 03.05FC, 03.05FD and 03.05FE may only be claimed once per patient per shift.
    3. HSCs 03.05FC, 03.05FD and 03.05FE may only be claimed by physicians on rotation duty in an AACC or UCC.
    Category:V Visit
    Base rate:$35.18

    AMA billing tips:

    • Follow up in an AACC or UCC criteria (03.05FC, 03.05FD, 03.05FE):

      • May not be claimed on the same shift by the physician who provided the initial assessment.
      • May only be claimed once per patient per shift.
      • May only be claimed by physicians on rotation duty in an AACC or UCC.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CARECMXV20YesIncrease Base By$15.70
    CARECMXV35YesIncrease Base By$31.43

    Governing Rules:

    • 5.1.1

      HSCs 03.05CR, 03.05DR, 03.05ER, 03.05F, 03.05FA, 03.05FB may only be claimed by physicians on rotation duty or by physicians who are providing first call coverage in an emergency department that has greater than 25,000 visits to the emergency room per year. HSCs 03.05FR, 03.05GR, 03.05HR, 03.05FC, 03.05FD and 03.05FE may only be claimed by physicians on rotation duty in an AACC or UCC.