K629 – Re-certification of involuntary admission
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A psychiatric assessment under the Mental Health Act (K620, K623, K624, and K629) includes such psychiatric history, inquiry, and examination of the patient, as is appropriate, to enable the physician to complete, and includes completing, the relevant forms and to notify the patient, family, patient representative and relevant authorities under the Mental Health Act, where appropriate.
When to Use
- Use K629 specifically for the renewal of an involuntary patient's status under the Mental Health Act, distinct from the initial certification (K623) or the renewal of a Form 3 (K624).
- Apply this code when the clinical assessment confirms the patient continues to meet the criteria for involuntary admission, necessitating the completion of the required renewal form.
Common Pitfalls
- Billing K629 on the same day as a routine assessment or consultation will result in the latter being paid at nil, as K629 is considered an all-inclusive service for that encounter.
- Failing to document the specific psychiatric inquiry and examination performed during the re-certification process is a frequent cause for clawbacks during OHIP audits.
Billing Tips
- Ensure the date of service matches the date the re-certification form is signed and the patient is formally notified of their status change.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Assessments, Psychotherapy, Psychiatric and Counselling Services
Completion of the appropriate re-certification forms for involuntary admission under the Mental Health Act.
The assessment must include appropriate psychiatric history, inquiry, and examination of the patient to enable the completion of the forms.
Notification of the patient, family, patient representative, and relevant authorities under the Mental Health Act, where appropriate.
A completed Form 1 Application by a Physician For Psychiatric Assessment retained on the patient's medical record is sufficient documentation to indicate that a consultation for involuntary psychiatric treatment has been requested by the referring physician.
Consultations or assessments claimed in addition to certification or re-certification same day are payable at nil.
Interviews with relatives on behalf of a patient, Children's Aid Society (CAS) staff or legal guardian, etc. - see listings in Family Practice & Practice In General.
Certification of incompetence (financial) including assessment to determine incompetence is not an insured benefit.
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