E088

PDF page 207 / A79

Definition/ Required elements of service:
          Congestive heart failure premium is payable in addition to the amount payable for an
          assessment by a cardiology specialist (60) when all of the following criteria are met:
         a. The assessment is a:
              i.    medical specific assessment;
              ii. medical specific re-assessment;
              iii. complex medical specific re-assessment; or
              iv. partial assessment.
         b. The assessment is rendered in an office setting or an out-patient clinic located in a hospital,
            other than an emergency department.
         c. The patient has an established diagnosis of congestive heart failure, documented in the
            patient’s medical record.
   E088 Congestive heart failure premium............................. add 50%
       [Commentary:
       The congestive heart failure premium is not payable for assessments rendered to inpatients
       of any hospital, patients seen in a long-term care facility or patients seen in an emergency
       department.]

Master, record 926. Record Layout PDF, page 1.

E08820230401999999990000000000000000000000000000001000000000000000000000000

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.