Fee Navigator®

    Health Service Code 03.05YM

    Second and subsequent physician attendance at a formal, scheduled, professional interview, case conference on behalf of a specific patient 18 years of age and under, full 15 minutes or major portion thereof for the first call when only one call is claimed

    NOTE:

    May only be claimed when the physician most responsible for the patient's care has submitted a claim under HSC 03.05Y.

    Common terms:
    • 18 years of age
    Category:V Visit
    Base rate:$51.13

    AMA billing tips:

    • This team conference may be claimed when provided via telephone or secure videoconference.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM151 - 8For Each Call Pay Base At100%
    TELETELESYesIncrease Base To120%

    Governing Rules: