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K208
K208 – Group psychotherapy - out-patients - 2 people per unit
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Group psychotherapy for 2 out-patients, per member, per unit. A unit is defined as one half-hour or a major part thereof, with a minimum of 20 minutes of direct contact with the patient required for the first unit. Refer to for detailed time requirements for multiple units.
Definition:
Psychotherapy is any 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 ().
Notes from the Schedule:
• For conditions and definitions, see General Preamble to .
• For electroconvulsive therapy fees, see the Diagnostic and Therapeutic Procedures section.
• When claiming group therapy, only services rendered to one group are payable at the same time.
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 ().
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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