Fee Navigator®

    Health Service Code 08.44AV

    Group psychotherapy via telephone or secure videoconference, where all members of the group are receiving therapy in the session, full 15 minutes or major portion thereof for the first call when only one call is claimed

    1. May only be claimed by a physician other than a psychiatrist when a physician assessment has established (during the same or a previous visit) that the patient is suffering from a psychiatric disorder.
    2. For treatment of non-psychiatric disorders, the appropriate HSC should be claimed.
    3. Virtual group therapy services for patients 18 years of age or younger may be claimed using HSC 08.44CV or 08.44DV.
    4. The patient's record must include a detailed summary of all services provided including time spent and start and stop times.
    5. Only time spent communicating with the patients can be claimed as part of the service. Time spent on administrative tasks cannot be claimed.
    Category:V Visit
    Base rate:$43.29

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    SKLLGNMHReplace Base$58.78
    SKLLGPReplace Base$43.29
    SKLLPSYCReplace Base$72.90
    SESUSESU1 - 32For Each Call Pay Base At100%
    NBPGNBPGYesReduce Base To
    CALLM151 - 32For Each Call Pay Base At100%

    Governing Rules:

    No Governing Rules.