K301

PDF page 198 / A70

CONSULTATIONS AND VISITS
VIRTUAL CARE SERVICES
     Claims submission instructions:
     Comprehensive Virtual Care Services rendered within an Existing/Ongoing Patient-Physician
     Relationship must be claimed using the fee codes listed in Appendix J – Section 1.
     Claims submitted for Comprehensive Virtual Care Services must include the modality indicator
     that identifies the technology used to deliver the service:
        K300A – identifies Video technology used during the service
        K301A – identifies Telephone technology (audio only) used during the service
     Submit claims for Comprehensive Virtual Care Services using the in-person fee value
     regardless of whether the service is rendered by Video or Telephone. Payments for Telephone
     services will be automatically reduced as set out below.
     Limited Virtual Care Services rendered outside of an Existing/Ongoing Patient-Physician
     Relationship must be claimed using the fee codes listed in Appendix J – Section 2.
     Payment rules:
     Comprehensive Virtual Care Services rendered by Video are payable at fees that are
     equivalent to the corresponding in-person fees for those services; or for Limited Virtual Care
     Services, the fees listed in Appendix J – Section 2 that correspond to those services.
     The amount payable for Comprehensive Virtual Care Services rendered by Telephone is 85%
     of the corresponding in-person fee except for K007, K005, K197 and K198 which will be
     payable at 95% of the corresponding in-person fee.

Master, record 3011. Record Layout PDF, page 1.

K30120221201999999990000000000100000000000000000000000000000000000000000000

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.