K036 – Completion of Northern Health Travel Grant Application Form
OHIP Consultation & Visit Premium Codes Code — Family Practice & Practice in General (00) · Schedule of Benefits
K036 provides payment for the completion of the northern health travel grant application form. As per the commentary, this fee is payable to both the referring physician and the specialist physician for the same patient.
When to Use
- Use K036 when you are the referring physician completing the Northern Health Travel Grant (NHTG) form to facilitate a patient's travel for insured specialist services.
- Use K036 when you are the consulting specialist completing the same NHTG form for a patient who has traveled to your office for a consultation or follow-up.
Common Pitfalls
- Do not bill K036 if the patient is not eligible for the Northern Health Travel Grant; ensure the patient's residence and the distance traveled meet the Ministry's specific geographic criteria.
- Avoid billing K036 as a substitute for a consultation or assessment code; it is strictly a fee for the administrative completion of the specific travel grant form.
Billing Tips
- You may bill K036 on the same day as a counselling code (e.g., K013) or an office visit (e.g., A007) without triggering a duplicate service rejection.
- Ensure the patient's OHIP number and the specific travel details are clearly documented in the chart to support the claim in the event of a Ministry audit.
Effective: April 1, 2025
Consultations and Visits
Family Practice & Practice in General (00)
Other
Diagnostic and Therapeutic Procedures
An insured service listed in the Schedule that includes the completion of a form is not eligible for payment to a Supervising Physician if rendered by a Medical Trainee unless the form has been reviewed and signed by the Supervising Physician.
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