Fee Navigator®

    Health Service Code 08.19K

    Second and subsequent physician attendance at a formal, scheduled, professional conference related to the care and treatment of multiple psychiatric patients, when discussion occurs on behalf of a specific patient

    1. HSCs 08.19J and 08.19K may only be claimed by general practice physicians, generalists in Mental Health, pediatricians, psychiatrists, community medicine specialists and specialists in Mental Health.
    2. HSCs 08.19J and 08.19K are to be claimed using the Personal Health Number of the patient, naming the personnel, agencies or organizations involved.
    3. Each physician involved in a patient conference may claim for patient services using HSC 08.19J or 08.19K, per patient, to a maximum of 6 patients in a 30-minute period.
    4. HSC 08.19K may be claimed when the physician most responsible for the patient's care has submitted a claim under HSC 08.19J.
    5. HSC 08.19K may be claimed to a maximum of 2 calls per patient, per calendar week, per physician.
    Category:V Visit
    Base rate:$22.93

    AMA billing tips:

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

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    TELETELESYesIncrease Base To120%

    Governing Rules: