K112 – Trip to collect patient or return trip without patient to place of origin following air or ground ambulance transfer
OHIP Consultation & Visit Premium Codes Code — GENERAL PREAMBLE · Schedule of Benefits
Detention-in-Ambulance, return trip without patient to place of origin following air or ground ambulance transfer, per 15 minutes or major part thereof. This service is part of Detention-in-Ambulance and is payable for constant attendance with a patient in an ambulance to provide all aspects of care to the patient. Time is calculated only for that period during which the physician is in constant attendance with the patient in the ambulance. The service includes an initial examination and ongoing monitoring of the patient's condition and all interventions, except in those circumstances in which the Schedule provides for separate or additional payment for the intervention. Specifically, K112 covers the time for the return trip without the patient to the place of origin after completing a transfer using K101 or K111. Claims submission instruction: Claims for Detention-in-Ambulance are assessed by a medical consultant on an IC basis and require the submission of a written explanation.
When to Use
- Use K112 specifically for the return leg of an ambulance transfer where you are traveling back to your home facility without the patient after completing a K101 or K111 transfer.
- Apply this code when you are required to remain in the ambulance for the duration of the return trip to the place of origin following an air or ground transfer.
Common Pitfalls
- Submitting K112 without a detailed written explanation will result in an automatic rejection, as all IC (Individual Consideration) claims require manual review by a medical consultant.
- Attempting to bill K112 for time spent in a non-ambulance vehicle will lead to denial; use K001 for non-ambulance transport scenarios.
- Failing to clearly distinguish the time spent on the return trip (K112) from the active patient care time (K101/K111) in your documentation often leads to audit adjustments.
Billing Tips
- Always attach a clear, concise log of the start and end times for the return trip to your claim to justify the number of 15-minute units billed.
- Ensure you append the appropriate after-hours premium (E409, E410, E412, or E413) if the return trip commences during the specified time windows, as these are eligible for the percentage increase.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.