Fee Navigator®

    Health Service Code 03.05JD

    Formal, scheduled, multiple health discipline team conference for purposes to include care planning, care plan review, annual integrated care conference, patient management, related to a patient in a continuing care facility where the facility or program, as outlined in the Continuing Care Health Service Standards, is responsible for patient care, full 5 minutes or major portion thereof for the first call when only one call is claimed, to a maximum of 12 units per hour

    Category:V Visit
    Base rate:$14.54

    AMA billing tips:

    • This team conference may be claimed when provided via telephone or secure videoconference.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM051 - 36For Each Call Pay Base At100%
    TELETELESYesIncrease Base To120%

    Governing Rules: