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K684
K684 – OAMP - team premium
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
K684 is a premium added to the monthly management fee for a patient in an Opioid Agonist Maintenance Program (OAMP), specifically K682 or K683, to support team-based care. As per the requirements for the underlying service on page , the physician must have an active general exemption for methadone maintenance treatment for opioid dependence.
When to Use
- Use K684 as an add-on premium when billing the intensive monthly management fee (K682) for patients requiring high-frequency monitoring or complex stabilization.
- Apply K684 when billing the maintenance monthly management fee (K683) for stable patients who require ongoing team-based coordination as part of their OAMP care plan.
Common Pitfalls
- Billing K684 without a corresponding K682 or K683 claim in the same calendar month will result in an automatic rejection.
- Attempting to bill K684 more than once per patient per month will lead to a rejection, as it is strictly limited to a single monthly occurrence.
- Failure to maintain an active general exemption for methadone maintenance treatment will trigger audit flags, as this is a mandatory prerequisite for all OAMP monthly management fees.
Billing Tips
- Since K684 is exempt from the same-day counselling restriction, you can safely bill it alongside K013 or K040 without triggering a service conflict error.
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