K700 – Palliative care out-patient case conference
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A palliative care out-patient case conference is a time-based service for a palliative care patient, defined as a terminally ill patient in the final year of life receiving comfort care (). The conference requires participation by the physician most responsible for the patient's care and at least 2 other participants, which can include other physicians, regulated social workers, and/or regulated health professionals. It is billed in units, where case conferences are time based services calculated in time units of 10 minute increments. In calculating time unit(s), the minimum time required is based upon consecutive time spent participating in the case conference as follows: 1 unit | 10 minutes, 2 units | 16 minutes, 3 units | 26 minutes, 4 units | 36 minutes, 5 units | 46 minutes, 6 units | 56 minutes, 7 units | 66 minutes [1h 6m], 8 units | 76 minutes [1h 16m], with a maximum of 8 units per day. This service must adhere to the general requirements for Case Conferences outlined in the Schedule Preamble.
When to Use
- Use K700 when coordinating care for a community-based palliative patient with a multidisciplinary team, such as a home care nurse and a social worker, to discuss complex symptom management.
- Use K700 for interdisciplinary meetings involving a pharmacist and a community palliative physician to adjust medication regimens for a patient transitioning to end-of-life care at home.
Common Pitfalls
- Billing K700 for an in-patient in an acute care or long-term care facility, which instead requires K121, K124, or K705.
- Failing to document the specific start and stop times, which leads to automatic rejection or clawbacks during audits.
- Including non-regulated staff as participants, as the code strictly requires at least two other participants who are physicians, regulated social workers, or regulated health professionals.
Billing Tips
- Ensure the note explicitly lists the names and professional designations of the two required participants to satisfy the documentation audit criteria.
- Calculate time units based on the specific thresholds provided (e.g., 16 minutes for 2 units, 26 minutes for 3 units) rather than simple 10-minute increments to avoid under-billing or rejection.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Other
Assessments
A case conference is only eligible for payment where the case conference record includes all of the following elements: 1. identification of the patient; 2. start and stop time of the discussion regarding the patient; 3. identification of the eligible participants, and 4. the outcome or decision of the case conference.
The record must document the participation by the physician most responsible for the care of the patient and at least 2 other participants that include physicians, regulated social workers and/or regulated health professionals regarding a palliative care out-patient.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.