Fee item 00083 - Crisis Intervention

Fee item 00083 only applies when the attending physician is called upon to provide continuous medical assistance at the exclusion of all other services in periods of personal or family crisis caused by rape, sudden bereavement, suicidal behaviour or acute psychosis. The following information will help you understand fee item 00083.

Fee Item 00083 - Personal or family crisis intervention
  • Is not a stand-alone item. Timing for this fee item begins after the first hour if a consultation or complete physical examination is rendered or after 30 minutes if a regional examination, counselling etc. is rendered. Therefore, a visit fee or consultation must be billed in addition to fee item 00083.
  • May be billed for each continuous half hour or major portion thereof.
  • Is applicable in cases of sudden bereavement. Counselling rendered following death from long-term illness is not billable under fee item 00083, but may be billed under the applicable visit or counselling listing.
  • Should be billed under the Personal Health Number (PHN) of the person who receives the counselling.
  • Is only applicable for the initial crisis, and only for those services specifically mentioned in the description of the fee item. All subsequent care should be billed under the applicable fee(s).
  • Start and end times must be entered in both the billing claims and the patient's chart.

  • In cases of possible sexual assault, time spent collecting legal evidence is not a benefit of MSP and should be billed to the appropriate police agency (i.e. local police station or RCMP). Refer to the Doctors of BC Fee Guide for further information on billing.
  • To ensure prompt payment of your account, provide information regarding the nature of the crisis in your note record.
  • Always include the total time spent with the patient in the "start time" and "end time" fields of your billing for fee item 00083.
  For example:

A 47 year old patient is seen in the office for grief counselling following sudden death of spouse from 10am to 11:10am. Bill as follows:
  Fee Item Time Note Record
  00120 n/a n/a
  00083 X 1 1000 - 1110 sudden death of spouse

Counselling visit (e.g. 00120) is billed for the first half hour. The criteria are met for fee item 00083 (i.e. sudden bereavement and major portion of half hour spent excluding first half hour). Only one unit of fee item 00083 is payable, as the additional 10 minutes spent is not the major portion of a half hour.


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Disclaimer: MSP Tutor is intended to provide a guide for physicians and medical office assistants in billing claims to MSP. For definitive information on fee-for-service fee item codes and amounts, consult the current MSC Payment Schedule. If a discrepancy exists between the information contained in MSP Tutor and the MSC Payment Schedule, the information in the Payment Schedule will prevail.