Fee Navigator

    Health Service Code 08.19F

    Formal, scheduled, professional conference related to the care and treatment of a psychiatric patient with other physician(s), and/or direct therapeutic supervision of, allied health professionals, educational, correctional and other community agencies on behalf of a specific patient, provided by the physician most responsible for the patient's care, per 15 minutes or major portion thereof

    NOTE:

    Refer to notes following 08.19H

    Category:V Visit
    Base rate:$42.47

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$43.51
    SKLLGPReplace Base$42.47
    SKLLPEDReplace Base$50.10
    SKLLPSYCReplace Base$46.42
    SKLLSPMHReplace Base$46.42
    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.