K056 – Application for Pregnancy/Breast-feeding Nutritional Allowance
OHIP Consultation & Visit Premium Codes Code — APPENDIX F · Schedule of Benefits
This service covers the completion of the 'Application for Pregnancy/Breast-feeding Nutritional Allowance' form. As detailed in Appendix F of the Schedule of Benefits, this is not an 'insured service' as defined by the Health Insurance Act. Payments for this service are administered by the Ministry of Health, which acts as a paying agent for the Ministry of Children, Community and Social Services (MCCSS).
When to Use
- Use K056 specifically when completing the MCCSS Pregnancy/Breast-feeding Nutritional Allowance application form for a patient receiving social assistance.
- Bill this code when the patient requires medical verification of pregnancy or breastfeeding status to qualify for the provincial nutritional supplement program.
Common Pitfalls
- Do not bill K056 in conjunction with a standard office visit (A007) for the same encounter, as the form completion is a distinct administrative service.
- Avoid using K056 for general prenatal forms or private insurance disability certificates, as it is strictly restricted to the MCCSS nutritional allowance application.
Billing Tips
- Ensure the patient's MCCSS status is confirmed, as this code is not an insured service under the Health Insurance Act and is only payable when the specific ministry criteria are met.
Effective: April 1, 2026
AF. Appendix F
APPENDIX F
Other
Diagnostic and Therapeutic Procedures
Completion of the 'Application for Pregnancy/Breast-feeding Nutritional Allowance' form.
Female
The services set out below are not 'insured services' within the meaning of the Health Insurance Act but are paid by the Ministry of Health, acting as paying agent on behalf of the Ministry of Children, Community and Social Services (MCCSS), the Ministry of the Attorney General, the Ministry of the Solicitor General, and the Workplace Safety and Insurance Board (WSIB).
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