All codes
K053
K053 – A Limitation to Participation Form
OHIP Appendix F Code — APPENDIX F · Schedule of Benefits
K053 is the fee for completing the MCSS Ontario Works Program (OW) 'A Limitation to Participation Form'.
Note: The MCSS forms are provided to patients exclusively by social services staff. This fee code is specific to this form and cannot be used for any other government document. Forms 4, 5, and the Request for Supplementary Information are obsolete. This payment is considered full payment for the service, and no extra charges may be made to OHIP or the patient. For inquiries, contact the local MCSS office.
The MCSS forms identified above are provided to patients only by social services staff. The fee codes are specific to the applicable form and are not to be claimed for completion of any other government document. Form 4, Form 5 and Request for Supplementary Information are obsolete and will not be accepted by MCSS. Inquiries regarding MCSS forms may be directed to the local MCSS office.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.