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K001 – Detention

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Definition/Required elements of service: Detention is payable following another insured service when a physician is required to spend considerable extra time in active treatment and/or monitoring of the patient to the exclusion of all other work and in this section is based on 15-minute, or major part thereof, time units. The specific elements are those for assessments.
Claims for detention are assessed by a medical consultant on an IC basis and require the submission of a written explanation.
As a time-based service, the physician must record on the patient's permanent medical record or chart the time when the insured service started and ended. If this information is not included, the service is not eligible for payment.

[Commentary from ]: K101 is not applicable to attendance in a vehicle other than an ambulance, in which case K001 may apply.

[Commentary from ]: Detention time may be payable following a consultation or assessment when a physician is required to spend considerable extra time in treatment or monitoring of the patient.

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