Fee Navigator

    Health Service Code 03.05JA

    Formal, scheduled, multiple health discipline team conference, full 15 minutes or major portion thereof for the first call when only one call is claimed With para-medical personnel regarding the provision of health care where social and other issues are involved

    NOTE:
    1. May be claimed when the conference involves the physician and one or more allied health professionals.
    2. May be claimed by more than one physician where circumstances warrant (text will be required).
    3. May be claimed to a maximum of 12 calls or 3 hours per year (April 1 to March 31), per patient, per physician.
    Category:V Visit
    Base rate:$42.47

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM151 - 12For Each Call Pay Base At100%
    TELETELESYesIncrease Base To120%

    Governing Rules:

    No Governing Rules.