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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

    NOTE:

    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.