Psychiatry Emergency Department Consultation

This service may only be claimed by Psychiatrists and consists of unscheduled evaluation and management of a patient with an acute mental health crisis. This fee code can only be claimed when a patient is assessed in a hospital emergency department on an urgent basis.

DEFINITIONS/REQUIREMENTS OF VISIT CODES OTHER THAN CONSULTATIONS 

Unless otherwise stated, the term visit used in this Schedule means each separate and distinct time a physician provides services to a patient in a given day. To be recorded as separate visits, multiple services provided to a patient may not be initiated by the physician, or may not be a continuation of a service which began earlier in the day. An example of continuation of services is the time spent with a patient to review x-ray or laboratory results ordered during an examination of the patient earlier in the day. If the patient initiates the second and subsequent visit(s) or the physician is requested to attend the patient by hospital or nursing home staff based on medical necessity, additional visits and/or premiums may be claimed.

Add-on Fee for Scheduled After Hours General Practice Clinics  

(a) Fee code 139 can be billed by General Practitioners who see patients in regular scheduled clinics between the hours of 6:00 p.m. and midnight on weekdays, on weekends, or on MCP Statutory Holidays. It can be billed in addition to General Practice fee codes 101, 111, 112, 114, 118, 121, 122, 123, 124, 126, 131, 132, and 136. It is not payable with any other code; 

(b) Fee code 139 is not payable when special visit codes either 50, 52 or 53 are claimed;

 (c) To document this code for services rendered on weekdays between 6:00 p.m. and midnight, the start time for the patient encounter must be entered on the record of service for the associated visit code. For weekends and MCP Statutory Holidays, the date of service is sufficient.

Attendance at High Risk Delivery 

This service may be claimed by a Paediatrician (or by a GP in the absence of a Paediatrician) who is requested by the attending physician to care for the newborn at a high risk operative delivery. In cases of multiple births, 100% is payable for each additional infant being managed by the same physician. Where Preamble requirements are met, claims for consultation and/or assisting at an operative delivery may be payable in addition.

Case Consultation 

This service may be claimed by Psychiatrists who consult a child welfare or correctional worker, teacher, community health nurse, or other allied professional, in person, on behalf of a child or adolescent.