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


    Refer to notes following 08.19H

    Category:V Visit
    Base rate:$44.10

    AMA billing tips:

    • This team conference may be claimed when provided via telephone or secure videoconference.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$44.10
    SKLLGPReplace Base$44.10
    SKLLPEDReplace Base$51.13
    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:

    • 2.8.1

      Team conferences related to the care and treatment of a patient with other physician(s), allied health professionals, educational, correctional, and other community agencies may be claimed if provided via telephone or secure videoconference. Such services include 03.05JA, 03.05JD, 03.05JJ, 03.05JM, 03.05JN, 03.05T, 03.05U, 03.05V, 03.05W, 03.05Y, 03.05YM, 08.19F, 08.19H, 08.19J, and 08.19K.

    • 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.