Supervision and administration - Fee Code 54494

(a) When fee code 54494 is billed, the claim date must be the last date of each completed week or supervision where a week begins 12:00 a.m. Monday and ends 11:59 p.m. Sunday. 

(b) If the billing physician provides in person dialysis services to the patient at the satellite site, the amount that can be claimed for fee code 54494 that week must be reduced by 50%.

Teledialysis Assessment with Patient, Once Per Week, Per Patient - Fee Code 54496

(a) “Teledialysis Assessment” is a medical service provided to a chronic haemodialysis patient present at a DHCS approved satellite haemodialysis site in Newfoundland and Labrador, through a direct interactive video link with a receiving physician at an approved telemedicine site in Newfoundland and Labrador. The patient must be present at the same time as the physician. The physician may initiate the service. This code is payable to a maximum of one physician per patient, per week. 

(b) The record of a teledialysis assessment must include the findings through history, observations from visual inspection (if any), and plan of investigation or treatment. It is understood that the diagnosis is chronic renal failure and that the reason for the visit is review of the dialysis patient’s status. 

(c) When fee code 54496 is billed, the date of service must be the actual date the physician-patient teledialysis encounter took place. For the purpose of billing this code, a week begins 12:00 a.m. Monday and ends 11:59 p.m. Sunday. 

Electrophysiologic Pacing, Mapping and Ablation

Fee Code 54333 is billable under the following conditions: The advanced mapping system is used in hospital for mapping the following arrhythmias:

Atrial arrhythmia 

Atrial fibrillation 

Atypical atrial flutter 

Post-surgical atrial flutter 

Atrial tachycardia 

Redo typical atrial flutter 

Redo reentrant tachycardia (accessory pathways, AV nodal reentry)

Ventricular arrhythmia 

Ischemic ventricular tachycardia/premature ventricular ectopics 

Non-ischemic ventricular tachycardia/premature ventricular ectopics

Idiopathic ventricular tachycardia/premature ventricular ectopics 

(e.g. fascicular, ARVD, bundle branch reentry, aortic cusp, outflow tract, etc.) 

Other 

Congenital heart disease arrhythmia 

Examples of procedures lasting more than 4 hours and not utilizing the advanced mapping system are mapping and ablation of multiple accessory pathways and/or thick band accessory pathway(s).