Fee Navigator

    Modifier: CALL

    CALLS UNITS

    This modifier is system derived from the information entered in the calls field for multiple services. The calls field indicates the number of services claimed. The modifier value code indicates what each unit/call represents (time, size, number).

    Codes:

    Code:Description:
    CALL01
    This modifier allows payment of an additional percentage for patients less than 1 year of age.
    CALL10
    This modifier allows payment of an additional percentage for patients less than 10 years of age.
    CALL13
    This modifier allows payment of an additional percentage for the second and subsequent calls for patients less than 13 years of age.
    CM2.5D
    PER 2.5cm

    For use by Dentists only. Per layer, each 2.5 cm represents 1 unit.

    COMGER
    COMPREHENSIVE GERIATRIC ASSESSMENT PER 1 1/2 HOURS + EACH ADDITIONAL 1/4 HOUR

    First unit represents 1 1/2 hours, each subsequent unit represents 15 minutes.

    F2.5B5
    PER FACE 2.5 cm or BODY 5 cm

    Each 2.5 cm of the face or 5 cm of the body involving a single layer represent 1 unit. For additional layers requiring suturing, each 2.5 cm of the face or 5 cm of the body represents 1 unit.

    H1
    PER HOUR

    Each unit represents 60 minutes.

    H1M15
    PER 1 HOUR + EACH ADDITIONAL 1/4 HOUR

    First unit represents 60 minutes, each subsequent unit represents 15 minutes.

    M05
    PER 5 MINUTES

    Each unit represents 5 minutes. Additional calls for anesthetic may not be claimed unless a full 5 minutes has elapsed.

    M15
    PER 1/4 HOUR

    Each unit represents 15 minutes.

    M15NPM
    M15NPM

    This implicit modifier allows physicians with the implicit skill of NPM to be paid for HSC 08.45 according to the rates listed in the Price List

    M15PDC
    M15PDC

    This implicit modifier allows physicians with the implicit skill modifier of PEDC to be paid for HSC 08.45 according to the rates listed in the Price List.

    M15PDG
    M15PDG

    This implicit modifier allows physicians with the implicit skill modifier of PDGE to be paid for HSC 08.45 according to the rates listed in the Price List.

    M15PDN
    M15PDN

    This implicit modifier allows physicians with the implicit skill modifier of PEDN to be paid for HSC 08.45 according to the rates listed in the Price List.

    M15PDS
    M15PDS

    This implicit modifier allows physicians with the implicit skill modifier of PDSG to be paid for HSC 08.45 according to the rates listed in the Price List.

    M15PED
    M15PED

    This implicit modifier allows physicians with the implicit skill modifier of PED to be paid for HSC 08.45 according to the rates listed in the Price List.

    M15PSY
    M15PSY

    This implicit modifier allows physicians with the implicit skill modifier of PSYC to be paid for HSC 08.45 according to the rates listed in the Price List.

    M30
    PER 1/2 HOUR

    Each unit represents 30 minutes.

    M30M15
    PER 1/2 HOUR + EACH ADDITIONAL 1/4 HOUR

    First unit represents 30 minutes, each subsequent unit represents 15 minutes.

    M35M05
    PER 35 MINUTES + EACH ADDITIONAL 5 MINUTES

    First unit represents 35 minutes, each subsequent unit represents 5 minutes. Additional calls for anesthetic may not be claimed unless a full 5 minutes has elapsed.

    M45M15
    PER 3/4 HOUR + EACH ADDITIONAL 1/4 HOUR

    First unit represents 45 minutes, each subsequent unit represents 15 minutes.

    M90M15
    Per 90 MINUTES + EACH ADDITIONAL 1/4 HOUR

    First unit represents 90 minutes, each subsequent unit represents 15 minutes.

    NBRDAY
    NUMBER OF DAYS

    Each unit represents 1 day.

    NBRMON
    NUMBER OF MONTHS

    Each unit represents 1 month.

    NBRSER
    NUMBER OF SERVICES

    Each unit represents 1 service.