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K040
K040 – Group counselling - 2 or more persons
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Group Counselling is counselling rendered to two or more patients with a similar medical condition or situation. This service 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. This specific fee, K040, applies where no group members have received more than 3 units of any counselling paid under codes K013 and K040 combined, per provider, per 12 month period. Unit means ½ hour or major part thereof - see General Preamble , to for definitions and time-keeping requirements.
In addition to meeting the usual medical record requirements, the physician must also maintain a separate record (independent of the patient's medical record) of the names and health numbers of all persons in attendance at each group counselling session.
The physician must record the start and end time of the service in the patient's medical record as per time-based service requirements.
The claim must be submitted under the health number of the group member for whom, when the service was rendered, the largest number of counselling units had previously been claimed by the physician during the year in which the service is rendered.
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