Billing tip: Family conferences 03.05JB

Family conferences that are formal, scheduled conferences discussing the patient without the patient present may be claimed using 03.05JB. Claims should be submitted using the PHN of the patient that is being discussed.

When a patient has a chaperone such as a family member(s) or spouse with him/her at the visit, this may not be claimed using 03.05JB. Visits that include a chaperone should be claimed using the most appropriate visit code(03.02A, 03.03A, 03.04A).

Complex modifiers can be added to the claim as appropriate for any additional time spent managing the patient's care and communicating with the chaperone if required.

03.05JB - Formal, scheduled family conference relating to a specific patient, per 15 minutes or major portion

When claiming one call, the greater portion of 15 minutes (which is 8 minutes) must be spent discussing the patient.

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