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K192 – Hypnotherapy - individual

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Hypnotherapy is a form of treatment that has the same goals as psychotherapy but is rendered with the patient under hypnosis. In addition to the common elements, all Psychotherapy, Hypnotherapy, Counselling, Primary Mental Health, and Psychiatric Care include the following specific elements (from ): A. Performing the appropriate therapy or interaction with the patient(s) or, in the case of K014, K015, and H313, the patient’s relative(s) or patient’s representative, which may include the appropriate inquires (including obtaining a patient history, and a brief physical examination) carried out in order to arrive at an opinion as to the nature of the patient’s condition (whether such inquiry takes place before, during or after the encounter during which the therapy or other interaction takes place); any appropriate procedure(s), related service(s), and/or follow-up care. B. Performing any procedure(s) during the same encounter as the therapy or other interaction unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with the therapy or interaction. C. Making arrangements for any related assessments, procedures, or therapy. D. Making arrangements for follow-up care. E. Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient’s representative, whether by telephone or otherwise, on matters related to: a. the service; and b. in circumstances in which it would be professionally appropriate that results can be reported upon prior to any further patient visit, the results of related procedure(s) and/or assessment(s). F. When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is rendered. G. Providing premises, equipment, supplies, and personnel for the specific elements of the service. While no occasion may arise for performing elements B, C, D and F, when performed in connection with the other specific elements they are included in the service. Payment rules (from ): 2. Except for in-patient individual psychotherapy by a psychiatrist or in-patient individual psychiatric care for which the time can be consecutive or non-consecutive, for all other services in this section the time units must be calculated based upon consecutive time spent rendering the service. Commentary (from ): 1. Except as noted in payment rule #2 (where non-consecutive services can be cumulated), services less than 20 minutes do not constitute any of the services defined in this section and constitute the type of assessment rendered in the circumstances.
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.

Services less than 20 minutes in duration do not constitute any of the services defined in this section and constitute the type of assessment rendered in the circumstances.

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