All codes
K005
K005 – Individual care
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Primary mental health care is a service for individual patients encompassing any combination or form of assessment and treatment by a physician for mental illness, behavioural maladaptations, and/or other problems that are assumed to be of an emotional nature, where there is consideration of the patient's biological and psychosocial functioning.
In addition to the common elements, this service includes the specific elements for Psychotherapy, Psychiatric and Counselling Services as outlined in of the Schedule of Benefits.
This service is calculated in time units of ½ hour or major part thereof. See the time-keeping requirements in , , and .
Note: K005 is not to be billed in conjunction with other consultations and visits rendered by a physician during the same patient visit unless there are clearly different diagnoses for the two services.
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended. If the patient's permanent medical record or chart does not include this required information, the service is not eligible for payment.
Unit means ½ hour or major part thereof - see , to for definitions and time-keeping requirements.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.