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.

• 15.9

  The unscheduled service benefit (modifier SURC) may be claimed for the services outlined in GRs 15.9.1 through 15.9.3.

• 15.9.1

  selected "V" category code services:

  1. consultations, including telehealth (except those provided using store and forward videotechnology);
  2. intensive care unit visits (HSC 03.05A);
  3. psychiatric mental status determination requiring complete mental health status examination and investigation (HSC 08.11A);
  4. for complex patient, requiring complete mental status examination and investigation (HSC 08.11C);
  5. certification under the Mental Health Act (HSC 08.12A);
  6. trauma assessment, multiple trauma, severely injured patient (HSC 13.99GA);
  7. hyperbaric oxygen therapy detention time (HSC 13.99I);
  8. medical emergency detention (HSC 13.99J);
  9. management of complex labor, per 15 minutes (HSC 13.99JA);
  10. donor maintenance prior to cadaveric harvesting of organs (HSC 13.99L);
  11. examination and crisis counseling for sexual/physical abuse (HSC 13.99V);
  12. attendance at delivery (HSC 87.98E).