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K205 – Group psychotherapy, out-patients - 6 to 12 people per unit

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

Group psychotherapy for out-patients, applicable when the group size is between 6 and 12 people. The service is billed per member per time unit. A time unit is defined as half an hour or a major part thereof, with specific minimum time requirements detailed in the General Preamble (e.g., 20 minutes for the first unit). This fee code applies to the first 12 units claimed per patient, per day. For additional units, see K206. Refer to General Preamble pages through for comprehensive definitions, conditions, and time-keeping requirements for psychotherapy services.
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended. If this information is not included, the service is not eligible for payment.

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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