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K013
K013 – Individual care
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Individual counselling is counselling rendered to a single patient. Counselling is a patient visit dedicated solely to an educational dialogue with a physician for the purpose of developing awareness of the patient's problems or situation and of modalities for prevention and/or treatment, and to provide advice and information in respect of diagnosis, treatment, health maintenance and prevention.
K013 is payable for the first three units of individual counselling (K013) and group counselling (K040) combined, per patient per provider, per 12-month period. Additional units are payable as K033.
In addition to the common elements (see , ), all Counselling services include the specific elements listed on .
For time-based services, 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.
Unit means ½ hour or major part thereof - see General Preamble , to for definitions and time-keeping requirements.
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