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K211
K211 – Group psychotherapy, in-patients - 3 people
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
This service is for group psychotherapy provided to an in-patient in a group setting with 3 people, billed per member, per unit. A unit is defined as a half-hour or major part thereof (see time-keeping requirements in the General Preamble on page ). Psychotherapy is defined as 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 for 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 limited to the first 12 units per day per member; additional units (up to a maximum of 6 per patient per day) must be claimed using K207. For full conditions and definitions, see General Preamble pages to .
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.
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 group psychotherapy session or 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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