Instructions for Use of the Medical Nutrition Therapy Codes This code is to be used only once a year, for initial assessment of a new patient. All subsequent individual visits including reassessments and interventions ; are to be coded as 97803. All subsequent Group Visits are to be billed as 97804. This code is to be billed for all individual reassessments and all interventions after the initial visit see 97802 ; . This code should also be used when there is a change in the patient's medical condition that affects the nutritional status of the patient see the heading, Additional Covered Hours for Reassessments and Interventions ; . This code is to be billed for all group visits, initial and subsequent. This code can also be used when there is a change in a patient's condition that affects the nutritional status of the patient and the patient is attending in a group.
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As 2250 kVA 3 x 750 kVA transformers ; as against 8114 kVA insisted for by the KSEB. 1.3. The petition was notified to the Kerala State Electricity Board, the respondent on 4.6.2003. The reply from the Board was received vide letter No. KSEB TRAC SERC AIMS 284 dated 18th July, 2003. The Board contented that originally the electricity connection to AIMS was effected for the purpose of construction, which as per the tariff that existed then came under HT-II category. Subsequently, the tariff was revised in 1997, 1999 and 2001. As per tariff order dated 7-8-2001, the tariff applicable to Government hospitals and private hospitals were segregated. The tariff applicable to private hospitals came under category HT-IV Commercial, and the change from HT-II to HT-IV was based on appropriate Gazette notifications. The Board further stated that the private medical colleges and hospitals attached thereto are institutions working on commercial basis with charges rates fixed by the management for giving medical education as well as for giving medical services. Hence the electricity tariff applicable to Government medical colleges and hospitals cannot be extended to private medical colleges and hospitals attached thereto. The Board further stated that separate tariff of HT-II for medical college and HT-IV Tariff for hospital can be considered if the consumer avail separate service connections for the stated purposes. 1.4. As regards the issue regarding service connection charges, the Board stated that as per the definition for connected load, it is calculated not on the basis of transformer capacity or capacity of any energy transforming device used at the supply point, but based on the capacities of all equipment connected at the consumers' premises. Further, the transformer which is an energy transforming device can be overloaded to the permissible limit and therefore the capacity of the transformer is not indicative of the total connected load in the premises of the consumer. It was further contented that the connected load has to be computed as defined in the Conditions of Supply for Electrical Energy which formed part and parcel of the agreement. The Board has therefore pleaded that the request of the consumer should be rejected as there was no merit in the same. 1.5. The reply of the KSEB was notified to the petitioner on 19.7.2003. The response to the reply of KSEB was received from the petitioner on 30.7.2003. The petitioner has reiterated that the connection to AIMS was effected in December 1994 at HT-II. The tariff was changed to HT-IV during August, 1999 without notice to the petitioner. The tariff applicable to Government hospitals and private hospitals were segregated by the Board as per tariff order dated 7.8.2001, and in the case of AIMS the change was made much earlier to the notification of this change. The petitioner stated that they were not informed about the change nor was it explained to them as was.
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