Fee Navigator®

    Health Service Code 03.08CV

    Comprehensive consultation via telephone or secure videoconference

    NOTE:
    1. May only be claimed if the service is personally rendered by the physician.
    2. The patient's record must include a detailed summary of all services provided including time spent and start and stop times.
    3. May not be claimed on the same day as 03.01AD, 03.01S, 03.01T, 03.03CV, 03.03FV, 03.05JR, 08.19CV, 08.19CW, or 08.19CX by the same physician for the same patient.
    4. May not be claimed on the same day as an in-person visit or consultation service by the same physician for the same patient.
    Common terms:
    • Virtual
    Category:V Visit
    Base rate:$79.23

    AMA billing tips:

      • Patient must be referred, See GR's 4.3 and 4.4
      • Record the start and stop time of the service in the patient record
      • Surcharge modifiers and time premium are NOT billable in addition to this service.
      • Service must be provided by a physician
      • Will not count towards the daily cap.
      • Virtual codes are permanent, the pandemic requirement has been removed.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLANESReplace Base$115.00
    SKLLANPAReplace Base$163.37
    SKLLCARDReplace Base$175.00
    SKLLCLIMReplace Base$198.70
    SKLLCMSPReplace Base$198.70
    SKLLCRCMReplace Base$164.67
    SKLLCRSGReplace Base$160.80
    SKLLCTSGReplace Base$160.80
    SKLLDERMReplace Base$79.23
    SKLLE/MReplace Base$195.12
    SKLLEMSPReplace Base$122.55
    SKLLFTERReplace Base$122.55
    SKLLGASTReplace Base$186.95
    SKLLGNSGReplace Base$153.19
    SKLLGPReplace Base$124.25
    SKLLHEMReplace Base$198.70
    SKLLHEPAReplace Base$163.37
    SKLLIDISReplace Base$199.97
    SKLLINMDReplace Base$198.70
    SKLLMDBIReplace Base$163.37
    SKLLMDGNReplace Base$200.40
    SKLLMDMIReplace Base$163.37
    SKLLMDONReplace Base$198.70
    SKLLNEPHReplace Base$210.41
    SKLLNEURReplace Base$197.86
    SKLLNPMReplace Base$200.40
    SKLLNUPAReplace Base$163.37
    SKLLNUSGReplace Base$133.85
    SKLLOBGYReplace Base$92.55
    SKLLOCMDReplace Base$198.70
    SKLLOPHTReplace Base$120.88
    SKLLORTHReplace Base$109.88
    SKLLOTOLReplace Base$98.16
    SKLLPATHReplace Base$163.37
    SKLLPDGEReplace Base$200.40
    SKLLPDNRReplace Base$200.40
    SKLLPDSGReplace Base$200.40
    SKLLPEDReplace Base$200.40
    SKLLPEDCReplace Base$200.40
    SKLLPEDNReplace Base$210.41
    SKLLPHMDReplace Base$200.48
    SKLLPLASReplace Base$103.65
    SKLLRHEUReplace Base$198.38
    SKLLROSPReplace Base$124.25
    SKLLRSMDReplace Base$207.31
    SKLLTHORReplace Base$191.40
    SKLLUROLReplace Base$94.12
    SKLLVSSGReplace Base$160.56

    Governing Rules:

    • 19.1

      Daily patient volume payment rules will apply to visit services with a "V" category code (excluding HSC 03.01AD, 03.01N, 03.03CV, 03.03FV, 03.05LB, 03.08CV, 08.19CV, 08.19CW, 08.19CX, 08.44A, 08.44B, 08.44C, 08.44D, 13.59V, 13.59VA, 13.82A, 13.99AC, 13.99O and 13.99OA) that are provided in an office, home, or a non-registered facility.

      Excluding Grande Prairie and Fort McMurray, the daily patient volume payment rules will not apply to services provided in communities that are eligible for variable fee payments under the Rural Remote Northern Program.

      The total of all billings for eligible category "V" codes that are accepted for payment under the Alberta Health Care Insurance Plan will be calculated for each practitioner for each calendar day. When the daily total exceeds 50, the practitioner's payment on the category "V" codes that exceed 50 will be discounted by 50 percent. When the daily total exceeds 65, the practitioner's payment on the category "V" codes that exceed 65 will be discounted by 100 percent.

      Services will be assessed and payment/discounts will be applied to services in the order in which they are accepted for payment by the Alberta Health Care Insurance Plan.