Overview
SOMB code 03.03D is paid for a hospital visit — in-hospital attendance on an admitted patient. It applies to routine subsequent hospital care rather than admission assessments or comprehensive consultations, which use other codes.
Billing Requirements
- Face-to-face attendance on an admitted hospital patient
- Clinical assessment and management documented
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 03.03D claims:
- Billing 03.03D for purely administrative chart reviews with no patient contact
- Double-billing with comprehensive consultation codes on the same day
Clinical Example
Daily in-hospital visit on an admitted patient — focused assessment, progress note, orders updated. Bill 03.03D.
Documentation Tips (Audit-Proof)
- Chart the clinical findings and any changes in management
- Record the date of service clearly
Stop Looking Up Codes Manually.
RevNote AI automatically detects 03.03D and every other applicable modifier from your clinical notes — in under 10 seconds. 99% billing accuracy. Zero PHI stored.
No credit card required · HIA/PHIPA compliant
Related SOMB Codes
Limited Assessment — In Office
Limited assessment of a patient's condition requiring a history related to the presenting problems, a directed examination, and advice. The default GP office visit code.
Read GuideComprehensive Consultation — In Office
Comprehensive in-office consultation performed at the request of another physician. Requires a complete history, complete physical examination, and a written consult report.
Read Guide