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K012 – Group psychotherapy - 4 people per unit

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

Psychotherapy is any form of treatment for mental illness, behavioural maladaptations, and/or other problems that are assumed to be of an emotional nature, where a physician deliberately establishes a professional relationship with a patient with the purpose of removing, modifying or retarding existing symptoms, or attenuating or reversing disturbed patterns of behaviour, and of promoting positive personality growth and development. This service is for group psychotherapy involving 4 people, billed per member, for the first 12 units per day. It is a time-based service where one unit represents ½ hour or a major part thereof.
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.

Psychotherapy outside hospital and hypnotherapy may not be claimed as such when provided in conjunction with a consultation or other assessments rendered by a physician during the same patient visit unless there are clearly defined different diagnoses for the two services.

Unit means ½ hour or major part thereof - see General Preamble , to for definitions and time-keeping requirements.

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