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K197
K197 – Individual out-patient psychotherapy
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Psychotherapy is a form of treatment for mental illness, behavioural maladaptations, and/or other problems that are assumed to be of an emotional nature, where a physician deliberately establishes a professional relationship with a patient with the purpose of removing, modifying or retarding existing symptoms, or attenuating or reversing disturbed patterns of behaviour, and of promoting positive personality growth and development. This service is provided to an individual patient in an out-patient setting. In addition to the - common elements, this service includes the following specific elements as per :
• Performing the appropriate therapy or interaction with the patient, which may include inquiries like history taking and a brief physical examination.
• Performing any procedure(s) during the same encounter unless separately listed and payable.
• Making arrangements for related assessments, procedures, or therapy.
• Arranging follow-up care.
• Discussion with, and providing advice and information to the patient or the patient's representative.
• When medically indicated, monitoring the patient's condition and intervening until the next insured service is provided.
• Providing premises, equipment, supplies, and personnel 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 .
For electroconvulsive therapy fees, see Diagnostic and Therapeutic Procedures.
Unit means ½ hour or major part thereof - see General Preamble , for definitions and time-keeping requirements.
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