Overview
SOMB code 03.05JB is paid for a formal, scheduled family conference that relates to a specific patient. It is billed per 15 minutes (or major portion thereof). Unlike informal family discussions during a routine visit, 03.05JB requires that the conference was scheduled in advance and was the primary purpose of the encounter.
Billing Requirements
- Formal, scheduled family conference relating to a specific patient
- Start and end times documented, billed per 15-minute unit or major portion
- Physician participation throughout the billed time
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 03.05JB claims:
- Billing 03.05JB for informal family discussions that occurred during a regular visit
- Claiming more units than the documented conference time supports
- Failing to record who attended the conference and why
Clinical Example
Scheduled 30-minute family conference to discuss goals of care for an elderly patient with multiple attendees. Document attendees and content; bill 03.05JB × 2 units.
Documentation Tips (Audit-Proof)
- Record start and end times of the conference
- Document the attendees and the clinical topics discussed
- Summarise decisions made and any follow-up arranged
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Related SOMB Codes
Comprehensive Assessment — In Office
Comprehensive in-office assessment requiring a complete history and a complete physical examination. Use only when documentation actually supports a full workup.
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