Category: | V Visit |
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Base rate: | $157.97 |
Maximums that include both callbacks to in- and outpatients per physician per day apply:
No modifiers.
Benefits for UNSCHEDULED services (modifier SURC) and special callback HSCs 03.03LA, 03.03MC, 03.03MD, 03.05P, 03.05QA, 03.05QB and 03.05R are intended to cover a degree of disruption that a physician would have to experience to provide such services during:
The unscheduled service and special callback benefit must be claimed according to the time at which the encounter commences and not from the time of the call for attendance.
Claims for special callbacks must meet all of the following conditions:
Special callback benefits may not be claimed for subsequent patients seen during the same callback or in association with another service during the same encounter. However:
A maximum of seven (7) HSC 03.03MD, 03.05QB or any combination thereof may be claimed, per physician, any day, (2400 - 0700 hours).
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