Fee Navigator

    Health Service Code 08.19D

    Professional interview with relative(s) in connection with the management of a patient with a psychiatric disorder, but without the patient being present during the interview, per 15 minutes or major portion thereof

    NOTE:
    1. This service is to be claimed using the Personal Health Number of the patient.
    2. The relationship of the patient to the person interviewed, must be indicated.
    3. The maximum benefit to be claimed by a physician other than a psychiatrist, pediatrician, or a generalist mental health is 2 hours per patient, per benefit year.
    Category:V Visit
    Base rate:$43.51

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$43.51
    SKLLGPReplace Base$51.98
    SKLLPEDReplace Base$50.10
    SKLLPSYCReplace Base$53.13
    SESUSESU1 - 32For Each Call Pay Base At100%
    CALLM151 - 8For Each Call Pay Base At100%
    TELETELESYesIncrease Base To120%

    Governing Rules:

    • 4.11.1

      A physician may submit claims for group psychotherapy, psychiatric management and/or indirect services for the same patient on the same day.