Fee Navigator®

    Health Service Code 03.08K

    Otolaryngological oncology consultation for patients with complex invasive malignancies of the head and neck

    1. May only be claimed for patients with:
      • malignant mucosal disease of the upper aerodigestive tract, excluding salivary gland, thyroid and skin malignancy or
      • malignant disease of the facial bones, sinuses or skull base or,
      • head and neck sarcomas and other rare malignancies requiring significantly invasive surgery of the head and neck.
    2. May only be claimed by physicians having at least one year's post-residency training in head and neck oncology.
    Category:V Visit
    Base rate:$126.47

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    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: