Fee Navigator®

    Health Service Code 03.08IV

    Prolonged cardiology, clinical immunology, endocrinology/metabolism, gastroenterology, hematology, infectious diseases, internal medicine, nephrology, physiatry, medical oncology, neurology, respiratory medicine or rheumatology consultation via telephone or secure videoconference, full 15 minutes or major portion thereof for the first call when only one call is claimed.

    1. May only be claimed in addition to HSC 03.08CV when the service exceeds 30 minutes.
    2. The patient's record must include a detailed summary of all services provided including time spent and start and stop times.
    3. Time spent on administrative tasks cannot be claimed.
    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.
    Category:V Visit
    Base rate:$31.36

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLCARDReplace Base$31.36
    SKLLCLIMReplace Base$48.21
    SKLLE/MReplace Base$54.63
    SKLLGASTReplace Base$42.75
    SKLLHEMReplace Base$48.21
    SKLLIDISReplace Base$50.60
    SKLLINMDReplace Base$48.21
    SKLLMDONReplace Base$48.21
    SKLLNEPHReplace Base$49.78
    SKLLNEURReplace Base$45.51
    SKLLPHMDReplace Base$50.12
    SKLLRHEUReplace Base$40.24
    SKLLRSMDReplace Base$50.06
    CALLM151 - 6For Each Call Pay Base At100%

    Governing Rules: