K140 – Chronic disease shared appointment - 2 patients
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A pre-scheduled primary care service rendered for chronic disease management to 2 patients with the same established diagnosis of Diabetes, Congestive Heart Failure, Asthma, Chronic obstructive pulmonary disease (COPD), Hypercholesterolemia, or Fibromyalgia. The service consists of an assessment and the provision of advice and information regarding diagnosis, treatment, health maintenance, and prevention. The physician must be in constant personal attendance for the duration of the appointment session, although another appropriately qualified health professional may lead parts of the educational component. A clinically appropriate assessment must be rendered to each patient by the same physician as part of the shared appointment. This service has the same specific elements as an assessment as described in .
When to Use
- Use K140 when you conduct a group session for exactly two patients who both share one of the six eligible chronic conditions, such as two patients with Type 2 Diabetes.
- Use this when providing a structured educational and assessment session that replaces a standard A007 office visit for chronic disease management.
Common Pitfalls
- Billing K140 for patients with conditions outside the six specified diagnoses, such as hypertension or depression, will result in automated rejections.
- Failing to document the start and end times for the session in both patients' charts is a primary cause for recovery during OHIP audits.
- Attempting to bill an additional A007 on the same day for the same patient is prohibited unless you are treating a completely unrelated acute issue with a different diagnostic code.
Billing Tips
- Ensure you submit a separate K140 claim for each of the two patients, as the code is per-patient, not per-session.
- If your group size increases to three or four patients, you must switch to K141 or K142 respectively to remain compliant with the group-size specific fee structure.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Assessments
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.
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