Fee Navigator®

    Modifier: SUBD

    SUBD SUBDIVISION

    This modifier type is used with visit health service codes to indicate during which time period the service recipient/service provider encounter took place. These modifiers are applicable during the evening on weekdays, during the day and evening on weekends and statutory holidays, and during the night on any day. A fee is added to the base rate as indicated by the modifier.

    For home visits and hospice visits, the SUBD modifier should be claimed based on the time at which the encounter commences and the physician responds on an unscheduled basis within a 24 hour period from the time of the call.

    AMA billing tips:

    • The SUBD modifier MAY ONLY be claimed on home visits when a call for attendance by the physician has been made AND the physician responds on a priority basis within 24 hours of the call. The time of the call and the time of the physician attendance at the location of the patient must be recorded in the patient record.

    Codes:

    Code:Description:
    BNEV
    1700 - 2200 HOURS - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY
    Explicit
    BNEVWK
    0700 - 2200 HOURS - SATURDAY, SUNDAY, STATUTORY HOLIDAY - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY
    Explicit
    BNNTAM
    2400 - 0700 HOURS - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY
    Explicit
    BNNTPM
    2200 - 2400 HOURS - BUNDLED EMERGENCY HOME VISIT WITH A HOSPITAL ADMISSION AND A HOSPITAL VISIT ON THE SAME DAY
    Explicit
    HAEV
    1700 - 2200 HOURS - HOSPITAL ADMISSION
    Explicit
    HAEVWK
    0700 - 2200 HOURS - SATURDAY, SUNDAY, STATUTORY HOLIDAY HOSPITAL ADMISSION
    Explicit
    HANTAM
    2400 - 0700 HOURS - HOSPITAL ADMISSION
    Explicit
    HANTPM
    2200 - 2400 HOURS - HOSPITAL ADMISSION
    Explicit
    OFEV
    1700 - 2200 HOURS - HOME VISIT OR CALLBACK TO CLOSED OFFICE
    Explicit
    OFEVWK
    0700 - 2200 HOURS - HOME VISIT SATURDAY, SUNDAY, STATUTORY HOLIDAY OR INTERRUPTION OF OFFICE HOURS, EMERGENCY OR CALLBACK TO CLOSED OFFICE
    Explicit
    OFNTAM
    2400 - 0700 HOURS - HOME VISIT OR CALLBACK TO CLOSED OFFICE
    Explicit
    OFNTPM
    Explicit
    2200 - 2400 HOURS - HOME VISIT OR CALLBACK TO CLOSED OFFICE Cl as s i f i c at i on: Publ i