K014 – Counselling for transplant recipients, donors or families of recipients and donors
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
K014 is for transplant counselling, payable in circumstances where transplant or donation is imminent. The purpose is to provide the recipient, donor, or a family member with adequate information and clinical data to enable an informed decision regarding organ transplantation. The service can be provided to one or more persons. It is a time-based service, calculated in units of 1/2 hour or major part thereof, with a minimum of 20 minutes of direct contact with the patient/relative/representative required for the first unit. Claims for this service must be submitted under the health number of the recipient or donor. A pre-booked appointment is required.
When to Use
- Use K014 when conducting a dedicated, pre-booked session to explain the risks, benefits, and clinical data of an imminent organ transplant to a recipient or potential donor.
- Use K014 when providing specialized counselling to family members of a patient facing an imminent transplant to facilitate their informed decision-making process.
Common Pitfalls
- Billing K014 on the same day as a standard consultation or assessment code is prohibited; the Ministry will reject the claim as these are mutually exclusive.
- Failing to document exact start and end times in the chart is a common audit failure, as K014 is strictly a time-based service requiring a minimum of 20 minutes for the first unit.
- Attempting to bill K014 for routine post-transplant follow-up or general education that is already captured within the scope of a standard office visit (A007/A001) will result in recovery.
Billing Tips
- Always bill K014 under the health number of the actual recipient or donor, even if the counselling session was conducted exclusively with a family member.
- Ensure the appointment is clearly marked as 'pre-booked' in your scheduling system to avoid automatic payment adjustments to a lower assessment fee.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Counselling
Psychotherapy, Psychiatric and Counselling Services
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.
Unit means ½ hour or major part thereof - see General Preamble , to for definitions and time-keeping requirements.
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