Fee Navigator®

    Health Service Code 49.98AC

    Standard ablation of arrhythmic substrate

    NOTE:
    1. May not be claimed in addition to HSC 49.96B.
    2. Refer to the notes following 49.98Y.
    Category:M+ Designated Minor Procedure
    Base rate:$1225.00

    Fee modifiers:

    No modifiers.

    Governing Rules:

    • 6.6.2

      If a procedure designated "+" is performed in a physician's office, both the procedural benefit and the appropriate office visit benefit for that day may be claimed, but if a consultation benefit pursuant to GR 6.6.4 has been claimed, a visit benefit will not be payable for the day on which the procedure is performed.

    • 6.6.3

      If a procedure designated "+" is performed in a place other than a physician's office, either a procedural benefit or a visit benefit, but not both, may be claimed for that day.

    • 6.6.4

      If a procedure designated "+" and a consultation are provided on the same day, both the procedural benefit and the appropriate consultation benefit are payable.

    • 6.7.1

      If a minor procedure (M or M+) is provided with a hospital visit on the same day, only the greater benefit HSC may be claimed.