Fee Navigator

    Health Service Code 13.99M

    Donor maintenance during cadaveric organ harvesting, first full 35 minutes

    NOTE:

    Each subsequent full 5 minutes may be claimed at the rate specified on the Price List.

    Category:C Anaesthetic
    Base rate:$154.50

    AMA billing tips:

    • For donor harvesting claims following the date of death:

      1. Submit the claim using the date of death as the PHN becomes invalid following the date of death.
      2. Add text to the claim that states the date that the harvesting occurred.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM35M051For Each Call Pay Base At100%
    CALLM35M052 - 72For Each Call Increase By$22.07
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70

    Governing Rules:

    • 2.3.3

      Where time is described as a full amount of minutes e.g. a full 5 minutes, the physician must spend the full amount of time stated in the HSC in order to submit a claim for the service.