A192

PDF page 45 / GP31

2. Detention is not eligible for payment in conjunction with diagnostic procedures, obstetrics, and
       those therapeutic procedures where the fee includes an assessment (e.g. non-IOP surgery).
    3. Detention is not eligible for payment for time spent waiting.
    4. For the purposes of calculation of time units payable for detention, the start time commences
       after the minimum time required for the assessment or consultation listed in the table has
       passed.
    5. K001 is not eligible for payment for same patient same day as A190, A191, A192 A195, A197,
       A198, A695, A795 or A895.
          Claims submission instructions:
          Claims for detention are assessed by a medical consultant on an IC basis and require the
          submission of a written explanation.

PDF page 312 / A184

CONSULTATIONS AND VISITS
PSYCHIATRY (19)
 A395 Limited consultation ................................................................              120.30
 A196 Repeat consultation ................................................................               120.30
 A193 Specific assessment ...............................................................                 98.70
 A194 Partial assessment .................................................................                47.05
   Consultative interview on behalf of disturbed patient (including report)
 A197 - consultative interview with parent(s) or patient
        representative(s) of patient less than age 22 .....................                              271.35
 A198 - consultative interview with patient less than age 22...........                                  271.35
 A191 - consultative interview with caregiver(s) of a patient at least
        65 years of age, or a patient less than 65 years of age with a
        diagnosis of dementia ........................................................                   271.35
 A192 - consultative interview with patient at least 65 years of age,
        or a patient less than 65 years of age with a diagnosis of
        dementia.............................................................................            271.35
        Note:
        1.A191, A192, A197 and A198 are consultations.
        2.A191, A192, A197, A198 are not eligible for payment for the same patient, same day as
          family psychiatric care or family psychotherapy (K191, K193, K195, K196).
        3.For the purpose of A191, A192, A197 and A198, disturbed patient means someone
          experiencing a clinically significant disturbance in their cognition, emotional regulation, or
          behavior which limits their ability to provide a reliable and complete history.
        [Commentary:
        For psychiatric consultation extension with parents or caregivers, see K630.]

PDF page 316 / A188

Acute post-discharge community psychiatric care
     Acute post-discharge community psychiatric care is a premium for a service that occurs during
     the (4) week period immediately following discharge where the patient was a hospital in-patient
     for treatment of a psychiatric condition. The premium is only applicable to K195, K196, K197 or
     K198.
 K187 Acute post-discharge community psychiatric care, to K195,
           K196, K197 or K198 ............................................. add 15%
   High risk community psychiatric care
     High risk community psychiatric care is a premium for a service that occurs during the six (6)
     month period following a suicide attempt. For the purposes of this premium, suicide attempts
     include self-harm attempts with intent to commit suicide or high lethality self-harm attempts, but
     do not include self harm attempts of low lethality with no intent to commit suicide. The premium
     is applicable to A190, A191, A192, A195, A197, A198, A695, A795, K195, K196, K197 and
     K198.
 K188 High risk community psychiatric care, to A190, A191, A192,
          A195, A197, A198, A695, A795, K195, K196, K197 or K198
           ............................................................................. add 15%
     Payment rules:
     1.K187 or K188 are both payable with K195, K196, K197 or K198 when rendered during the
       first four (4) week period following discharge where the patient was a hospital in-patient for
       treatment of a psychiatric condition and the requirements for both K187 and K188 are met.
     2.K188 is not eligible for payment in addition to K189 on the same patient same day.
 K189 Urgent community psychiatric follow-up, to A190, A195, A192,
         A198, A695 or A795 ..................................................... add 216.30
     Payment rules:
     1.K189 is only eligible for payment when the psychiatrist providing the urgent community
       psychiatric follow-up:
        a.renders a service described by A190, A195, A192, A198, A695 or A795 to an out-patient
          on an urgent basis during the four (4) week period immediately following discharge where
          the patient was a hospital in-patient for treatment of a psychiatric condition;
        b.did not provide services to the same patient during the same psychiatric hospital
          admission; and
        c.will continue appropriate care of the out-patient for a minimum of six (6) months as
          required.
     2.K189 is limited to a maximum of one per physician per patient per 12 month period.

PDF page 826 / AJ2

APPENDIX J
VIDEO ONLY
     A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
     A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
     A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
     A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
     A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
     A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
     A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
     A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
     A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
     A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
     A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
     A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
     A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
     A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
     A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
     A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
     A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
     C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
     C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
     C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
     C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
     C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
     C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
     C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
     C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
     C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
     C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
     C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
     C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
     C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
     C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
     C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
     C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
     C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
     C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
     C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
     C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
     C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
     C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
     C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
     C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
     W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
     W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
     W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
     W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
     W795A, W895A, W925A

Master, record 104. Record Layout PDF, page 1.

A19220260401999999990000000000000000000000000027135000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.