Fee Navigator®

    Health Service Code 03.05YM

    Second and subsequent physician attendance at a formal, scheduled, professional interview, case conference on behalf of a specific patient 18 years of age and under, full 15 minutes or major portion thereof for the first call when only one call is claimed


    May only be claimed when the physician most responsible for the patient's care has submitted a claim under HSC 03.05Y.

    Common terms:
    • 18 years of age
    Category:V Visit
    Base rate:$50.64

    AMA billing tips:

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

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM151 - 8For Each Call Pay Base At100%
    TELETELESYesIncrease Base To120%

    Governing Rules: