K141 – Chronic disease shared appointment - 3 patients
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Chronic disease shared appointment is a pre-scheduled primary care service rendered for chronic disease management, to two or more patients with the same diagnosis of one of the diseases listed below, that consists of assessment and the provision of advice and information in respect of diagnosis, treatment, health maintenance and prevention. Each patient must have an established diagnosis of one of the following chronic diseases: - Diabetes - Congestive Heart Failure - Asthma - Chronic obstructive pulmonary disease (COPD) - Hypercholesterolemia - Fibromyalgia 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 of the session (for example, a diabetic educator or nurse). In addition, a clinically appropriate assessment must be rendered to each patient by the same physician as a component of the chronic disease shared appointment. This service has the same specific elements as an assessment as described on .
When to Use
- Use K141 when conducting a group session for exactly three patients who all share one of the six eligible chronic disease diagnoses.
- Use this code for structured group education and assessment sessions that replace a standard A007 or K030 visit for chronic disease management.
Common Pitfalls
- Billing K141 when the group size is not exactly three patients; use K140 for two patients or K142 for four patients to avoid automatic rejection.
- Failing to document the individual assessment component for each of the three patients, as the Ministry requires a clinical assessment per patient, not just group education.
- Submitting K141 on the same day as an A007 for the same patient without a distinct, unrelated diagnosis, which will trigger a rejection for duplicate service.
Billing Tips
- Ensure the start and end times of the shared appointment are clearly recorded in each of the three patient charts to satisfy audit requirements for time-based services.
- Verify that all three patients have the same chronic disease diagnosis code on their claim to ensure the group criteria are met for the K141 submission.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Assessments
For time unit-based services, 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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