Fee Navigator®

    Health Service Code 03.08CV

    Comprehensive consultation via telephone or secure videoconference

    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.
    5. May only be claimed when a declaration of a public health emergency is made pursuant to 52.1(1), of the Public Health Act; or when the Chief Medical Officer of Health determines, in their discretion, that it is appropriate to implement this health service code even though a public health emergency has not been declared.
    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:

    No Governing Rules.