Fee item 00084 - Accompanying Patients to a Distant Hospital

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Fee item 00084 may be billed when it is medically required for a physician to accompany a patient to a distant hospital. The following information will help you determine how to use fee item 00084:

Bill Fee Item 00084 for:

  • "Portal to portal" time while the patient is under the exclusive care of the accompanying physician.

    Note: Fee item 00084 may be billed per 1/2 hour or major portion thereof.

Services not Included in 00084:

  • Other medically required services provided prior to time spent traveling should be billed under the appropriate fee item(s) (e.g. visit fee, 00081) and the time for performing these services should not be included in the time billed under fee item 00084.
  • Medically required services provided at the distant hospital should be billed under the appropriate fee item(s) and the time spent performing these services should not be included in the time billed under fee item 00084.
Note: Out-of-office hours premiums may be charged in addition to fee item 00084 when
applicable.

Do not bill fee item 00084 for:

  • Layover or return travel time.
  • Time spent waiting for the ambulance/air ambulance to arrive.
Note: Any services provided during travel time are included in the time billed under fee item 00084 and should not be billed in addition to this item.

Tips: Always provide the total time spent accompanying the patient in the "start time" and "end time" fields of your claim. Provide the sites that the physician traveled "from" and "to" in your note record to ensure prompt payment of your claims. Timing for 00084 begins when the physician leaves the hospital with the patient, and ends when the distant hospital is reached.

 

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