Fee Navigator

    Health Service Code 03.05FF

    Follow-up care of a patient remaining in a non-rotation duty emergency department after awaiting further evaluation, treatment, and/or waiting for a bed, transfer to another facility, or requiring extended care by a physician, 0700 - 1700 hours, weekdays

    NOTE:

    Refer to the notes following HSC 03.05FH.

    Additional notes:
    • Listed under 03.05FH - Follow-up care of a patient remaining in a non-rotation duty emergency department after awaiting further evaluation, treatment, and/or waiting for a bed, transfer to another facility, or requiring extended care by a physician 2200 to 0700 hours any day:
      1. May only be claimed by the same physician who provided the initial assessment when a second call for attendance has been made by staff or another physician.
      2. May be claimed by a different physician who is taking over care of the patient.
    Category:V Visit
    Base rate:$35.18

    AMA billing tips:

    • Follow up in a non rotation duty emergency department criteria (03.05FF, 03.05FG, 03.05FH):

      • May only be claimed by the physician who provided the initial assessment when a second call for attendance is made by staff or another physician.
      • May be claimed by another physician who is taking over the care of the patient.

    Fee modifiers:

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

    Governing Rules:

    No Governing Rules.