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K204
K204 – Group psychotherapy, out-patients - 5 people per unit
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Group psychotherapy for 5 out-patients, billed per member, per unit. Psychotherapy is a form of treatment for mental illness, behavioural maladaptations, and/or other problems of an emotional nature (see General Preamble to ). Unit means ½ hour or major part thereof - see General Preamble , for definitions and time-keeping requirements. This fee code is used for the first 12 units per member per day; additional units are claimed under K206 (maximum 6 per patient per day).
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.
For group sessions, the physician must maintain a separate record (independent of the patient's medical record) of the names and health numbers of all persons in attendance at each session.
For conditions and definitions - see General Preamble to .
For electroconvulsive therapy fees, see Diagnostic and Therapeutic Procedures.
When claiming group therapy only services rendered to one group are payable at the same time.
Unit means ½ hour or major part thereof - see General Preamble , for definitions and time-keeping requirements.
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