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K196
K196 – Family psychiatric care - out-patient
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Family psychiatric care, as defined in , is a service for out-patients that encompasses any combination or form of assessment and treatment by a physician for mental illness, behavioural maladaptations, and/or other problems that are assumed to be of an emotional nature, where there is consideration of the patient's biological and psychosocial functioning. This service is carried out by the physician in the presence of one or more family members or in the presence of professional caregivers not on staff at the facility where the patient is receiving the care. This service is time-based, calculated in units of ½ hour (30 minutes) or major part thereof. For detailed conditions, definitions, and time-keeping requirements, see General Preamble to .
In addition to the common elements, this service includes the following specific elements as per :
• Performing the appropriate therapy or interaction.
• Performing any procedures during the same encounter unless separately payable.
• Arranging for related assessments, procedures, therapy, and follow-up care.
• Discussing and providing advice/information to the patient or representative.
• Monitoring the patient's condition as medically indicated.
• Providing premises, equipment, and supplies for the service.
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.
For conditions and definitions - see General Preamble to .
Unit means ½ hour or major part thereof - see General Preamble , for definitions and time-keeping requirements.
Family psychotherapy is claimed against the patient's health number and diagnosis.
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