Fee Navigator

    Health Service Code 08.19A

    Formal major psychiatric consultation, first full 30 minutes or major portion thereof for the first call when only one call is claimed

    NOTE:
    1. Each subsequent 15 minutes, or major portion thereof, may be claimed at the rate specified on the Price List after the first full 30 minutes has elapsed.
    2. HSCs 08.19GA or 08.19GB may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.
    Category:V Visit
    Base rate:$52.22

    AMA billing tips:

    • For clarity, if the patient had a comprehensive May 16th, 2018, the next comprehensive by the same physician is not technically eligible until May 16th of 2019.

      Alberta Health has relaxed the system rules to 345 days, be advised that this adjustment to the payment processing rules is intended to accommodate a small variance in patient/physician schedules; and not as permission to bill a comprehensive more frequently.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$52.22
    SKLLPSYCReplace Base$189.58
    SESUSESU1 - 32For Each Call Pay Base At100%
    CALLM30M151For Each Call Pay Base At100%
    CALLM30M152 - 11For Each Call Increase By$52.95
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    TELETELESYesIncrease Base To120%

    Governing Rules: