K709 – MCC Chairperson, per patient
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A multidisciplinary cancer conference (MCC) is a service conducted for the purpose of discussing and directing the management of one or more cancer patients where the physician is in attendance either in person, by telephone or videoconference as a participant or chairperson in accordance with the defined roles and minimum standards established by Ontario Health.
When to Use
- Use K709 when you are the designated chairperson facilitating a formal MCC for a cancer patient, provided you meet the Ontario Health minimum standards.
- Select K709 instead of K708 when your specific role in the conference is that of the chairperson rather than a participating physician.
Common Pitfalls
- Billing K709 alongside any other insured service on the same day will result in a rejection, as MCC codes are mutually exclusive with all other clinical services.
- Exceeding the daily maximum of 8 services for K709 will trigger automatic claim rejections for the ninth service and beyond.
- Failing to document the specific names of other physician participants or the total duration of the conference is a frequent cause for audit recovery.
Billing Tips
- Ensure your documentation explicitly states your role as 'Chairperson' to distinguish your claim from K708, K710, or K711 participants.
- Verify that the conference meets the formal Ontario Health MCC standards, as billing K709 for informal hallway consultations or routine team meetings is an audit risk.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Other
Hospital and Institutional Consultations and Assessments
identification of the patient and physician participants;
total time of discussion for all patients discussed; and
the outcome or decision of the case conference related to each of the patients discussed.
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