Rule

Rule Description

A

Psychology services account must be accompanied by a referral letter from the treating principal doctor indicating the condition of the employee and  the need for such services.

An overall event limit of ten (10) sessions including group therapy is allowed.

One session is allowable per day.

Motivation letter is required for sessions more than 10 (ten).

B

Modifier 0003 must be quoted after the appropriate code number(s) to indicate that this rule is applicable.

Where emergency treatment is provided:

C

Compilation of reports: Reports are required after every consultation, counselling and/or therapy including group therapy.

D

Unless timely steps are taken (at least two hours) to cancel an appointment for a consultation the relevant consultation fee shall be payable by the employee.