Fee Navigator

    Health Service Code 03.05LB

    Group teaching session for patients and/or family members with chronic pain, previous amputation, stroke, brain injury, concussion, spinal cord injury, or other neuromusculoskeletal condition, first 45 minutes or major portion thereof for the first call when only one call is claimed

    NOTE:

    May not be claimed for preparation time.

    Category:V Visit
    Base rate:$253.60

    AMA billing tips:

    • 03.05LB may only be claimed by physiatrists (PHMD skill code).

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    NBPGNBPGYesReduce Base To
    CALLM45M151For Each Call Pay Base At100%
    CALLM45M152 - 32For Each Call Pay Base At20%

    Governing Rules:

    No Governing Rules.