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The Complete List of Psychiatric Procedures: Rates and 2025 Guidelines for Psychiatrists in France

Psychiatric Price Guide

For the attention of psychiatrists practicing in France, this document aims to clarify the tariff structure applicable from 1 November 2024 for various medical procedures. Whether you operate in sector 1 with OPTAM membership, in sector 2 without overpaying fees or in sector 2 with overpaid fees, this guide is designed to help you assess your actions with full knowledge of the facts.

Basic consultation: The CNPSY is the basic act, corresponding to any consultation, regardless of its duration or content. In sector 1/OPTAM and in sector 2 without exceeding the limit, the rate is fixed at €42.50.

Increases: Acts may include surcharges such as the MCS for the coordination of care and the MPC for medical specialization, with specific conditions of accumulation and applicability depending on the sector of practice.

Teleconsultation: Specific rates are provided for remote consultations. It is important to note that telephone consultations without video are not reimbursed, while those with video are rated differently depending on the sector.

Emergencies and occasional advisories: Urgent consultations requested within two working days are billed at a separate rate, and specific instructions concern the writing of letters back to the attending physician.

Paediatrics: Specific increases apply for child care and family consultations, with rates for annual summary consultations for serious pathologies.

Specialized Assessments: The use of rating scales, as for depression, is limited to annual use, with some exceptions.

Fee overruns: In sector 2, overruns are at the discretion of the psychiatrist and must be exercised “with tact and measure”, in accordance with Health Insurance guidelines.

This chart is a practical tool to ensure that your quotes are in accordance with the latest agreements and to facilitate transparent communication with your patients about potential fees and reimbursements. Remember to take into account the coordinated care path of your patients, as this influences the reimbursement rate for Health Insurance.

Code Acte Intitulé Tarif Secteur 1 / OPTAM (€) Tarif Secteur 2 sans dépassement (€) Secteur 2 avec dépassement (€) Remarques
CNPSY Consultation neuro-psychiatrique 42.50 42.50 Variable Base pour toute consultation
MCS Majoration de coordination 5.00 NON NON Cumulable avec MPC, secteur 1/OPTAM
MPC Majoration du médecin spécialisé 4.20 NON NON Non cumulable avec DE
TCS Consultation à distance avec vidéo 50.20 50.20 Variable Tarif inférieur au tarif en présentiel
TC Consultation à distance NON 42.50 Variable Pas de remboursement sans vidéo
APY Avis ponctuel de consultant 64.00 64.00 Variable Dépassements autorisés OPTAM/S2
MCY Consultation d'urgence 85.00 85.00 Variable Doit faire l'objet d'un courrier retour
ZTC Consultation à distance en urgence 85.00 85.00 Variable Idem MCY mais pour téléconsultation
MP Majoration pour enfants 3.00 NON NON Pour les moins de 16 ans
MPF Consultation en présence de la famille 20.00 20.00 Variable Pour enfants avec pathologie grave
MAF Consultation annuelle de synthèse familiale 20.00 20.00 Variable Pour enfants sous ALD
ALQP003 Test d'évaluation d'une dépression 69.12 69.12 Variable Utilisable une fois par an

Notes:

  • Sector 2 rates with overage are variable and at the discretion of the psychiatrist.
  • The rates indicated are for acts without exceeding fees unless otherwise stated.
  • Some quotes are not applicable in teleconsultation or with specific increases.

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