Fee Navigator®

    Health Service Code 13.99OA

    Management of patient on hemodialysis or peritoneal dialysis (per week)

    NOTE:
    1. May only be claimed by nephrologists.
    2. May not be claimed in addition to HSC 13.99B or 13.99D within the same calendar week.
    3. May be claimed once per patient within the same calendar week if not preceded by any visit except those outlined in Note 4.
    4. HSCs 03.03AR, 03.03DF and special callback benefits (HSCs 03.03KA, 03.03LA, 03.03MC, 03.03MD, 03.05N, 03.05P, 03.05QA, 03.05QB, 03.05R) may be claimed within the same calendar week for the same patient by the same physician.
    5. Other HSCs (03.08A, 03.07B, 03.04A, 03.03A, 03.03F) may not be claimed in the same calendar week for the same patient by any nephrologist. Exceptions to this include consultation and visit HSCs that are related to assessment for kidney/kidney-pancreas transplantation, which may be claimed within the same calendar week by nephrologists with special interest or training in transplantation. For the exceptions, supporting text must be submitted.
    6. The physician must be actively involved in the management of the patient's care in order to claim.
    Category:V Visit
    Base rate:$131.51

    Fee modifiers:

    No modifiers.

    Governing Rules:

    No Governing Rules.