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K200 – Group psychotherapy, in-patients - 4 people per unit

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

K200 is group psychotherapy for in-patients with 4 people in the group, claimed per member per unit, for the first 12 units per day. Additional units are claimed with K207 (maximum 6 per patient per day). Unit means ½ hour or major part thereof; one unit requires a minimum of 20 minutes of direct contact (see General Preamble and for definitions and time-keeping requirements, and to for conditions). When claiming group therapy, only services rendered to one group are payable at the same time.
For any service where the amount is based upon the number of 'units' of service rendered, the physician must record on the patient's permanent medical record or chart the time when the insured service started and ended. If the patient's permanent medical record or chart does not include this required information, the service is not eligible for payment.
Usage limits
[12, "day", "per_patient_per_physician", "First 12 units per member per day; additional units are claimed with K207."]

1. For conditions and definitions - see General Preamble to .

2. For electroconvulsive therapy fees, see Diagnostic and Therapeutic Procedures.

3. When claiming group therapy only services rendered to one group are payable at the same time.

4. Unit means ½ hour or major part thereof - see General Preamble , for definitions and time-keeping requirements.

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