HSCs 03.05CR, 03.05DR, 03.05ER, 03.05F, 03.05FA, 03.05FB may only be claimed by physicians on rotation duty or by physicians who are providing first call coverage in an emergency department that has greater than 25,000 visits to the emergency room per year. HSCs 03.05FR, 03.05GR, 03.05HR, 03.05FC, 03.05FD and 03.05FE may only be claimed by physicians on rotation duty in an AACC or UCC.
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When the patient has been discharged from an emergency department, AACC or UCC and returns on the same day, another visit by the same or different physician may be claimed.
If a physician on rotation duty in a hospital emergency department or a physician who is providing first call coverage in an emergency department that has greater than 25,000 visits to the emergency room per year and a second physician submit claims for visits to the same patient on the same day, the following rules apply:
If a physician working in an AACC or UCC, and a second physician submit claims for visits to the same patient on the same day, the physician working in an AACC or UCC may be paid and the second physician may only be paid when specially called from outside the facility to attend that specific patient.
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