Fee Navigator

    Health Service Code 03.08F

    Formal, comprehensive consultation, for a patient with chronic pain, full 60 minutes or major portion thereof for the first call when only one call is claimed

    NOTE:

    The physician must be part of a comprehensive, coordinated, interdisciplinary chronic pain program as defined in GR 4.2.5.

    Category:V Visit
    Base rate:$182.62

    AMA billing tips:

    • For clarity, if the patient had a comprehensive May 16th, 2018, the next comprehensive by the same physician is not technically eligible until May 16th of 2019.

      Alberta Health has relaxed the system rules to 345 days, be advised that this adjustment to the payment processing rules is intended to accommodate a small variance in patient/physician schedules; and not as permission to bill a comprehensive more frequently.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CARECMXC30YesIncrease Base By$31.43
    CALLH1M151For Each Call Pay Base At100%
    CALLH1M152 - 9For Each Call Increase By$45.65
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    TELETELESYesIncrease Base To120%

    Governing Rules: