(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)
