K061 – Taking of blood samples in a hospital setting at the request of a police officer
OHIP Consultation & Visit Premium Codes Code — APPENDIX F · Schedule of Benefits
The service covers the taking of blood samples in a hospital setting when requested by a police officer. According to , this payment is considered full compensation, and no extra charges may be made to OHIP or the patient. The service is listed in Appendix F, which is noted as not being a formal part of the Schedule of Benefits under the Health Insurance Act.
When to Use
- Use K061 when a police officer formally requests a blood sample collection for legal purposes, such as impaired driving investigations, within a hospital facility.
- Use this code exclusively for the procedure of blood collection; it is the sole billing item permitted for that patient encounter on that calendar day.
Common Pitfalls
- Submitting any other service code (such as an A007 assessment or a minor procedure) on the same day as K061 will trigger an automatic rejection due to the 'no other service' restriction.
- Attempting to bill the patient or police service directly for the collection is prohibited, as K061 is considered full compensation under Appendix F.
Billing Tips
- Ensure the claim includes the police officer's request details in the medical record to justify the service, as K061 is subject to strict audit scrutiny regarding the necessity of the procedure.
- If the patient is under 30 days of age, apply the 30% age premium to the K061 base fee to ensure accurate reimbursement.
Effective: April 1, 2026
AF. Appendix F
APPENDIX F
Procedure
Diagnostic and Therapeutic Procedures
In accordance with , all insured services must be documented in appropriate records. The record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.