Fee Navigator®

    Health Service Code 03.08AZ

    Comprehensive consultation - out of office

    1. May not be claimed in addition to a surgical assist (SA, SAQS,SSOS) for the same patient by the same physician.
    2. A comprehensive consultation may not be claimed for a transfer of care.
    Category:V Visit
    Base rate:$80.00

    AMA billing tips:

      • Physicians that provide care in publicly funded sites are required to bill the "Z" codes.
      • Publicly funded facility types are: acute care centres, ambulatory care centres, auxiliary hospital, Health Canada Nursing Station, nursing home, regional contracted practitioner office (offices that are contracted by AHS to provide specific services) and subacute auxiliary hospital.
      • AHS and AH are conducting a review of physician overhead arrangements. Changes to the Z codes are expected to be implemented by October 1, 2020. In the meantime, there is still a requirement for physicians to claim the Z codes.
      • Please consult the Alberta Health Facility Directory for information regarding facility designations.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLANESReplace Base$120.50
    SKLLANPAReplace Base$171.38
    SKLLCARDReplace Base$175.00
    SKLLCLIMReplace Base$200.88
    SKLLCMSPReplace Base$200.88
    SKLLCRCMReplace Base$165.13
    SKLLCRSGReplace Base$161.39
    SKLLCTSGReplace Base$161.39
    SKLLDERMReplace Base$80.00
    SKLLE/MReplace Base$195.12
    SKLLEMSPReplace Base$122.55
    SKLLFTERReplace Base$122.55
    SKLLGASTReplace Base$186.95
    SKLLGNSGReplace Base$153.67
    SKLLGPReplace Base$126.63
    SKLLHEMReplace Base$200.88
    SKLLHEPAReplace Base$171.38
    SKLLIDISReplace Base$199.97
    SKLLINMDReplace Base$200.88
    SKLLMDBIReplace Base$171.38
    SKLLMDGNReplace Base$202.57
    SKLLMDMIReplace Base$171.38
    SKLLMDONReplace Base$200.88
    SKLLNEPHReplace Base$210.41
    SKLLNEURReplace Base$197.86
    SKLLNPMReplace Base$202.57
    SKLLNUPAReplace Base$171.38
    SKLLNUSGReplace Base$131.52
    SKLLOBGYReplace Base$111.06
    SKLLOCMDReplace Base$200.88
    SKLLOPHTReplace Base$121.30
    SKLLORTHReplace Base$109.88
    SKLLOTOLReplace Base$100.48
    SKLLPATHReplace Base$171.38
    SKLLPDGEReplace Base$202.57
    SKLLPDNRReplace Base$202.57
    SKLLPDSGReplace Base$202.57
    SKLLPEDReplace Base$202.57
    SKLLPEDCReplace Base$202.57
    SKLLPEDNReplace Base$210.41
    SKLLPHMDReplace Base$202.47
    SKLLPLASReplace Base$103.80
    SKLLRHEUReplace Base$198.38
    SKLLROSPReplace Base$126.63
    SKLLRSMDReplace Base$207.31
    SKLLTHORReplace Base$192.46
    SKLLUROLReplace Base$94.75
    SKLLVSSGReplace Base$160.56
    CARECMXC30YesIncrease Base By$31.43
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    TELETELESYesIncrease Base To120%

    Governing Rules: