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Fee item 00083 - Crisis Intervention

Question 1

A physician provides counselling to a patient's relative from Alberta regarding unexpected death of the patient. The person (age 40) receiving the counselling is extremely upset, and the counselling (in the office) lasts for one hour. How should this visit be billed?

(a) Bill counselling visit (e.g. 00120) for the first half hour and fee item 00083 for the second half hour. Bill both services under the PHN of the deceased patient.
(b) Bill fee item 00083 X 2. Bill both services under the Alberta Health number of the person receiving the counselling using the reciprocal billing format.
(c) Bill counselling visit (e.g. 00120) for the first half hour and fee item 00083 for the second half hour. Bill both services under the Alberta Health number of the person receiving the counselling using the reciprocal billing format.

Question 2

A patient (age 35) sees a physician for 50 minutes regarding extreme stress from recent job loss. The physician bills a counselling visit (e.g. 00120). Can fee item 00083 be billed in addition?

(a) Yes
(b) No

Question 3

A physician spends 40 minutes with a 32 year old patient with an acute psychotic episode prior to admission to hospital. How should this service be billed?

(a) Counselling (e.g. 00120) visit only.
(b) Counselling visit for the first 20 minutes, and fee item 00083 for the second 20 minutes.
(c) Fee item 00083 only.


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.