Fee Navigator®

    Health Service Code 03.01BB

    Patient care advice provided to community mental health care workers, child protection workers, group home staff, or educational personnel any day 2200 to 0700 hours in relation to the care and treatment of a patient receiving community mental health care services under the Alberta community mental health care program.

    1. HSCs 03.01B, 03.01BA, 03.01BB are to be claimed using the Personal Health Number of the patient.
    2. May only be claimed when the request for advice is initiated by the community mental health care worker, child protection worker, group home staff, or educational personnel.
    3. May be claimed:
      • for advice provided in person or via telephone or other telecommunication methods.
      • in addition to visits or other services provided on the same day by the same physician.
    4. A maximum of two (any combination of HSC 03.01B, 03.01BA, 03.01BB) claims may be claimed per patient, per physician, per day.
    5. Documentation of the request and advice must be recorded by both the physician and the community mental health care worker in their respective patient records.
    Category:V Visit
    Base rate:$24.68

    AMA billing tips:

    • This code may be claimed when the physician receives the request and or responds by fax, email or telephone.

      GR 1.26 Telecommunications means communication via telephone, facsimile or email.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$35.54
    SKLLPSYCReplace Base$35.23

    Governing Rules:

    No Governing Rules.