A631

PDF page 276 / A148

CONSULTATIONS AND VISITS
NUCLEAR MEDICINE (63)
   GENERAL LISTINGS
 A635 Consultation............................................................................              188.40
   Comprehensive nuclear medicine consultation
     A comprehensive nuclear medicine consultation is a consultation rendered by a specialist in
     nuclear medicine who provides all the appropriate elements of a consultation and spends a
     minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any
     other separately billable intervention to the patient.
 A835 Comprehensive nuclear medicine consultation ......................            342.25
     Medical record requirements:
     The start and stop times must be recorded in the patient’s permanent medical record
       [Commentary:
       1.A835 must satisfy all the elements of a consultation (see page GP16).
       2.Unless otherwise specified in the Schedule, the calculation of the 75 minute minimum time
         for comprehensive nuclear medicine consultation excludes (1) time devoted to any other
         service or procedure for which an amount is payable in addition to the consultation and (2)
         non-patient-facing time such as such as time spent reviewing charts, imaging, or
         documentation, etc.]
     Diagnostic consultation
       A diagnostic nuclear medicine consultation is the service rendered:
      a. when nuclear medicine studies rendered at one institution or facility are referred to a nuclear
          medicine specialist in a different institution or facility for a written opinion. In this case, the
          specific elements are the same as the nuclear medicine professional component (see page
          B1); or
      b. when a nuclear medicine specialist is required to make a special visit at evening or night
         (17:00h to 07:00h) or on a Saturday, Sunday, or holiday to consult on the advisability of
         performing a nuclear medicine procedure, which eventually is not done. In this case, the
         specific elements are the same as for consultations (see page GP16).
 A735 Diagnostic consultation........................................................... 80.90
     Payment rules:
     A diagnostic nuclear medicine consultation is not eligible for payment when studies rendered in
     a different institution or facility are used for comparison purposes with nuclear medicine studies
     rendered in the consultant’s institution or facility.
 A636 Repeat consultation ................................................................                    84.00
 A633 Specific assessment ...............................................................                     72.00
 A638 Partial assessment .................................................................                    48.00
   Minor assessment
     A minor assessment is the service rendered when a nuclear medicine specialist evaluates a
     patient on a non-emergent basis resulting in the cancellation or deferral of a planned diagnostic
     nuclear medicine procedure due to procedural difficulties, including lack of patient cooperation,
     if no other diagnostic nuclear medicine procedure is rendered.
 A631 Minor assessment................................................................... 26.80

Master, record 257. Record Layout PDF, page 1.

A63120260401999999990000000000000000000000000002680000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.