Fee Navigator®

    Health Service Code 08.45V

    Assessment or therapy of a family via telephone or secure videoconference, requiring comprehensive psychiatric or family systems evaluation, first full 45 minutes or major portion thereof for the first call when only one call is claimed.

    NOTE:
    1. May only be claimed:
      • when the purpose of the visit is to provide psychiatric assessment or therapy to deal with systemic issues in the family unit;
      • by general practice physicians, generalists in Mental Health, pediatricians (including subspecialties) and psychiatrists.
    2. Each subsequent 15 minutes, or major portion thereof, may be claimed at the rate specified on the Price List after the first full 45 minutes has elapsed.
    3. The patient's record must include a detailed summary of all services provided including time spent and start and stop times.
    4. Only time spent communicating with the patient and/or the parent/guardian of a patient child can be claimed as part of the service. Time spent on administrative tasks cannot be claimed.
    Category:V Visit
    Base rate:$58.78

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$58.78
    SKLLGPReplace Base$155.06
    SKLLNPMReplace Base$172.18
    SKLLPDGEReplace Base$172.18
    SKLLPDNRReplace Base$172.18
    SKLLPDSGReplace Base$172.18
    SKLLPEDReplace Base$172.18
    SKLLPEDCReplace Base$172.18
    SKLLPEDNReplace Base$172.18
    SKLLPSYCReplace Base$213.07
    SESUSESU1 - 32For Each Call Pay Base At100%
    CALLM15NPM1Replace$172.18
    CALLM15NPM2 - 10For Each Call Increase By$46.37
    CALLM15PDC1Replace$172.18
    CALLM15PDC2 - 10For Each Call Increase By$46.37
    CALLM15PDG1Replace$172.18
    CALLM15PDG2 - 10For Each Call Increase By$46.37
    CALLM15PDN1Replace$172.18
    CALLM15PDN2 - 10For Each Call Increase By$46.37
    CALLM15PDS1Replace$172.18
    CALLM15PDS2 - 10For Each Call Increase By$46.37
    CALLM15PED1Replace$172.18
    CALLM15PED2 - 10For Each Call Increase By$46.37
    CALLM15PSY1Replace$213.07
    CALLM15PSY2 - 10For Each Call Increase By$69.75
    CALLM45M151For Each Call Pay Base At100%
    CALLM45M152 - 10For Each Call Increase By$47.36

    Governing Rules:

    No Governing Rules.