Fee Navigator®

    Health Service Code 08.11B

    Evidence from a psychiatrist at a Review Panel on behalf of a specific patient, as required under section 37(3) of the Mental Health Act, per 15 minutes or portion thereof

    NOTE:
    1. This service is to be claimed using the Personal Health Number of the patient.
    2. May only be claimed by a psychiatrist or a generalist in mental health.
    3. Time spent completing and reviewing relevant forms and documents may be claimed using this code. Time spent may occur on a separate date of service as the hearing, and must be recorded on a session by session basis in the patient record. A maximum of 30 minutes of preparation time may be claimed.
    4. Benefit does not include travel time.
    Category:V Visit
    Base rate:$50.33

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SESUSESU1 - 32For Each Call Pay Base At100%
    CALLM151 - 12For Each Call Pay Base At100%
    TELETELESYesIncrease Base To120%

    Governing Rules:

    • 4.11.1

      A physician may submit claims for group psychotherapy, psychiatric management and/or indirect services for the same patient on the same day.