Overview
SOMB code 03.03N is paid for the first patient seen during a home visit. It reflects the additional effort and travel involved in attending the patient at their residence. Subsequent patients at the same location are billed as 03.03P.
Billing Requirements
- Home visit to the patient's residence
- Face-to-face assessment performed and documented
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 03.03N claims:
- Billing 03.03N for each patient at the same home-visit location (use 03.03P for subsequent patients)
- Missing documentation of the clinical reason a home visit was required
Clinical Example
Home visit to a frail elderly patient unable to attend clinic; assessment and plan documented. Bill 03.03N for the first patient.
Documentation Tips (Audit-Proof)
- Document the clinical reason a home visit was required
- Record the address or location, and the assessment and plan
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Related SOMB Codes
Home Visit — Second / Subsequent Patients (Same Location)
Second and subsequent patients seen at the same home-visit location.
Read GuideLimited 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 Guide