What is OHIP billing code K480?

K480 is "Physician to allied professional telephone consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does K480 pay?

The current OHIP fee for K480 is $31.35, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill K480 to OHIP?

K480 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates K480 claims against the Schedule of Benefits rules before submission.

All codes

K480

K480 – Physician to allied professional telephone consultation

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

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This is the service where the rheumatologist participates in a telephone consultation with one or more of the following allied professionals who is funded by and affiliated with the Arthritis Society, Ontario Division: • a physiotherapist who is a member of the College of Physiotherapists of Ontario; • an occupational therapist who is a member of the College of Occupational Therapists of Ontario; or • a social worker who is a member of the Ontario College of Social Workers and Social Service Workers.

Patient's name and health number

Start and stop times of the discussion

Name(s) of the allied professional participating in the telephone consultation

Reason for the consultation

The opinion and recommendations of the physician

A maximum of one K480 service is eligible for payment per patient per day.

A maximum of two K480 services are eligible for payment per patient per 12 month period.

K480 is only eligible for payment for a physician to allied professional telephone consultation that includes a minimum of 10 minutes of patient-related discussion and where there is an established physician-patient relationship.

K480 is not eligible for payment to the physician in the following circumstances: - when the purpose of the telephone discussion is to arrange for an evaluation of the patient by the physician; or - in circumstances where a physician receives compensation, other than by fee-for-service under this Schedule, for participation in the telephone consultation.

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