Fee Navigator®

    Health Service Code 08.19AZ

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

    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, 08.19GB or 08.19GZ 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:

      • Physicians that provide care in publicly funded sites are required to bill the "Z" codes.
      • Publicly funded facility types are: acute care centres, ambulatory care centres, auxiliary hospital, Health Canada Nursing Station, nursing home, regional contracted practitioner office (offices that are contracted by AHS to provide specific services) and subacute auxiliary hospital.
      • Physicians that have an overhead arrangement with AHS and are required to bill the "Z" codes should get in touch with their Zone Medical Director to make arrangements to avoid "paying" overhead twice.
      • Please consult the Alberta Health Facility Directory for information regarding facility designations.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$52.22
    SKLLPSYCReplace Base$147.87
    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: