Fee Navigator®

    Health Service Code 08.19CV

    Telephone or secure videoconference with a patient for psychiatric treatment (including medical psychotherapy and medication prescription), psychiatric reassessment, patient education and/or psychiatric counseling, per 15 minutes or major portion thereof

    NOTE:
    1. May only be claimed by a psychiatrist (PSYC), a generalist in Mental Health (GNMH) or by a specialist in Mental Health (SPMH).
    2. May be claimed for both referred and non-referred patients with psychiatric disorders.
    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.
    5. May not be claimed on the same day as other virtual care services or other in-person visit or consultation services by the same physician for the same patient.
    Common terms:
    • virtual
    Category:V Visit
    Base rate:$44.04

    AMA billing tips:

    • Effective February 1, 2022, Physicians may claim for time spent discussing a child's treatment with a parent or guardian due to the child's inability to participate in the videoconference or telephone conversation.

      • Group therapy to be claimed using this HSC. Choose one patient and claim the total time providing group therapy under the one patient's PHN.
      • Services for chronic pain and palliative care may be claimed using 08.19CV, See MED 222 and MED 228
      • Record the start and stop time of the service in the patient record
      • Time premium is NOT billable in addition to this service.
      • Service must be provided by a physician
      • Patient initiated means that the patient or their agent requested to see the physician. If there are accommodations that need to be made in order to facilitate the request such as the physician calling the patient at a specific time, the service can still be claimed.
      • Will not count towards the daily cap.
      • Other than patients located in NWT at the time of the service, virtual care codes cannot be claimed for patients located outside of AB at the time of the service.
      • Virtual care codes cannot be claimed under the medical reciprocal agreement.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$44.04
    SKLLPSYCReplace Base$57.85
    SKLLSPMHReplace Base$57.85
    SESUSESU1 - 32For Each Call Pay Base At100%
    CALLM151 - 12For Each Call Pay Base At100%

    Governing Rules:

    No Governing Rules.