This modifier type is used with visit health service codes to indicate during which time period the service recipient/service provider encounter took place. These modifiers are applicable during the evening on weekdays, during the day and evening on weekends and statutory holidays, and during the night on any day. A fee is added to the base rate as indicated by the modifier.
For home visits and hospice visits, the SUBD modifier should be claimed based on the time at which the encounter commences and the physician responds on an unscheduled basis within a 24 hour period from the time of the call.
The SUBD modifier MAY ONLY be claimed on home visits when a call for attendance by the physician has been made AND the physician responds on a priority basis within 24 hours of the call. When more than one patient is seen, the appropriate HSC should be used however; additional SUBD modifiers may only be claimed for additional patients when a specific call for attendance has been made for each patient.
| Code: | Description: |
|---|---|
| BNEV | 1700 - 2200 HOURS - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY Explicit |
| BNEVWK | 0700 - 2200 HOURS - SATURDAY, SUNDAY, STATUTORY HOLIDAY - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY Explicit |
| BNNTAM | 2400 - 0700 HOURS - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY Explicit |
| BNNTPM | 2200 - 2400 HOURS - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY Explicit |
| HAEV | 1700 - 2200 HOURS - HOSPITAL ADMISSION Explicit |
| HAEVWK | 0700 - 2200 HOURS - SATURDAY, SUNDAY, STATUTORY HOLIDAY HOSPITAL ADMISSION Explicit |
| HANTAM | 2400 - 0700 HOURS - HOSPITAL ADMISSION Explicit |
| HANTPM | 2200 - 2400 HOURS - HOSPITAL ADMISSION Explicit |
| OFEV | 1700 - 2200 HOURS - HOME VISIT OR CALLBACK TO CLOSED OFFICE Explicit |
| OFEVWK | 0700 - 2200 HOURS - HOME VISIT SATURDAY, SUNDAY, STATUTORY HOLIDAY OR INTERRUPTION OF OFFICE HOURS, EMERGENCY OR CALLBACK TO CLOSED OFFICE Explicit |
| OFNTAM | 2400 - 0700 HOURS - HOME VISIT OR CALLBACK TO CLOSED OFFICE Explicit |
| OFNTPM | Explicit 2200 - 2400 HOURS - HOME VISIT OR CALLBACK TO CLOSED OFFICE Cl as s i f i c at i on: Publ i |
