E098

PDF page 232 / A104

Definition/ Required elements of service:
      Gastroenterology chronic disease assessment premium is payable in addition to the amount
      payable for an assessment by a gastroenterology specialist (41) 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 Crohn’s disease, Ulcerative Colitis, malnutrition,
        Celiac disease, or chronic liver cirrhosis, documented in the patient’s medical record.
E098 Gastroenterology chronic disease assessment premium
          ............................................................................. add 28%
    [Commentary:
    The gastroenterology chronic disease assessment 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 929. Record Layout PDF, page 1.

E09820230401999999990000000000000000000000000000001000000000000000000000000

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.