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    Health Service Code 03.05T

    Formal, scheduled, professional interview relating to the care and treatment of a palliative care patient with other physicians, family, and/or direct therapeutic supervision of allied health professionals or community agencies, on behalf of a specific patient, full 15 minutes or major portion thereof for the first call when only one call is claimed


    This service is to be claimed in the name of the patient by the physician most responsible for the patient.

    Category:V Visit
    Base rate:$42.47

    Fee modifiers:

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

    Governing Rules:

    • 4.2.4

      Palliative Care: Defined as care given to a patient with a terminal disease such as cancer, AIDS or advanced neurologic disease. Palliative care involves active ongoing multi-disciplinary team care. Physicians involved in palliative care may claim for services provided under 03.05I, 03.05T and 03.05U as applicable.