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K002 – Interviews with relatives or substitute decision-maker

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Interviews are not eligible for payment when the information being obtained is part of the history normally included in the consultation or assessment of the patient. The interview must be a booked, separate appointment lasting at least 20 minutes. This service is for interviews with relatives or a person authorized to make a treatment decision on behalf of the patient under the Health Care Consent Act. It applies to situations where medically necessary information cannot be obtained from or given to the patient or guardian, for reasons such as illness or incompetence. The service is claimed using the patient's health number and diagnosis. For detailed time calculation rules, see General Preamble pages - and .
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.
The physician must be able to demonstrate that the purpose of the interview is not for the sole purpose of obtaining consent.

K002 and K003 are claimed using the patient's health number and diagnosis. These listings apply to situations where medically necessary information cannot be obtained from or given to the patient or guardian, e.g. because of illness, incompetence, etc.

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