Fee Navigator®

    Health Service Code 08.44C

    Group psychotherapy, complex group, 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

    NOTE:
    1. May only be claimed by a psychiatrist.
    2. May only be claimed for groups where one or more of the members has a significant personality disorder.
    3. May be claimed for group therapy sessions for patients 18 years of age or younger.
    Category:V Visit
    Base rate:$81.58

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    NBPGNBPGYesReduce Base To
    CALLM151 - 32For 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.