Fee Navigator®

    Health Service Code 08.45A

    Complex assessment or therapy of a family, requiring comprehensive psychiatric or family systems evaluation, first full 45 minutes or major portion thereof for the first call when only one call is claimed

    1. May only be claimed by psychiatrists.
    2. May only be claimed for family therapy where one or more members of the family has a significant personality disorder.
    3. May only be claimed when the purpose of the visit is to provide psychiatric assessment or therapy to deal with systemic issues in the family unit.
    4. Each subsequent 15 minutes, or major portion thereof, may be claimed at the rate specified on the Price List after the first full 45 minutes has elapsed.
    Category:V Visit
    Base rate:$205.24

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM45M151For Each Call Pay Base At100%
    CALLM45M152 - 10For Each Call Increase By$68.41
    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.