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K031

K031Mandatory Blood Testing Act - Physician Report

OHIP Consultation & Visit Premium Codes Code — Family Practice & Practice in General (00) · Schedule of Benefits

Completion of Form 1 - Physician report in accordance with the Mandatory Blood Testing Act.

When to Use

  • Use K031 when completing the mandatory Form 1 following an application by an individual who believes they have been exposed to another person's bodily fluid.
  • Bill K031 specifically for the administrative and clinical time spent completing the mandatory reporting form required by the Mandatory Blood Testing Act, distinct from a standard office visit.

Common Pitfalls

  • Do not bill K031 for routine blood work or general laboratory requisitions; it is strictly for the completion of the specific Form 1 under the Act.
  • Avoid billing K031 in conjunction with a standard assessment code (e.g., A007) if the visit was exclusively for the completion of the form, as this may be flagged as unbundling.

Billing Tips

  • You may bill K031 on the same day as counselling codes like K013 or K033 if the clinical encounter involves both the mandatory reporting process and separate, distinct counselling services.
Provider Fee$105.20

Effective: April 1, 2026

Category

Consultations and Visits

Subcategory

Family Practice & Practice in General (00)

Service Type

Other

Code Classes

Diagnostic and Therapeutic Procedures

Completion of Form 1 - Physician report in accordance with the Mandatory Blood Testing Act.

If rendered by a Medical Trainee, the form must be reviewed and signed by the Supervising Physician.

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