Follow-up visits post consultation, repeat visits, 03.03F, 03.03FA

Criteria:

All of the following criteria must be met:

  • Patient must be referred initially.
  • Visit must be scheduled.
  • The patient must have been previously examined by a physician at a earlier encounter.
  • Specialty restrictions: CARD, CLIM, CRCM, DERM, E/M, GAST, HEM, IDIS, INMD, MDGN, MDON, NEPH, NEUR, NPM, PDGE, PDNR, PED, PEDC, PEDN, PHMD, RHEU, RSMD, VSSG.

This fee code may not be claimed for the following:

Transfer of care

Additional information:

Complexity modifiers (CMXV15, CMXV20, CMXV30, CMXV35) may be claimed in addition as appropriate.

The following specialties may claim 03.03FA in addition to 03.03F and CMXV30 or CMXV20 when a follow-up visit exceeds 30 minutes:

  • CARD
  • E/M
  • INMD
  • MDGN
  • NPM
  • PDGE
  • PDNR
  • PED
  • PEDC
  • PEDN
  • PHMD
  • VSSG

Related fee codes

03.03FA, CMXV15, CMXV20, CMXV30, CMXV35

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