Fee Navigator

    Health Service Code 85.5 A

    Medical induction

    NOTE:
    1. May only be claimed when a physician has assessed the patient prior to the induction and monitors the patient's progress subsequent to the induction.
    2. A maximum of two per 24 hour period to a maximum of four per pregnancy may be claimed unless the patient is transferred to another facility for a higher level of care.
    3. If the patient is transferred to another facility for a higher level of care, the receiving physician may also claim a maximum of two per 24 hour period to a maximum of four per pregnancy.
    4. May be claimed at 100% in addition to delivery benefits regardless of who performs the delivery.
    Category:M Minor Procedure
    Base rate:$120.21

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPADDYesReplace Base100%

    Governing Rules: