All codes
K715
K715 – Multidisciplinary respiratory case conference
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
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 patient with interstitial lung disease.
The meeting must be pre-scheduled.
The purpose must be for discussing and directing the management of an individual patient.
Minimum of 10 minutes of patient-related discussion is required.
The physician must actively participate, and this participation must be evident in the record.
Medical record must include: patient identification, start and stop times of the discussion, identification of eligible participants, and the outcome or decision of the conference.
Usage limits
Limited to a maximum of 4 services per patient, per physician, per 12 month period. A maximum of 8 units are payable per physician, per patient, per day.
K700Palliative care out-patient case conferenceK701Mental health out-patient case conferenceK702Bariatric out-patient case conferenceK703Geriatric out-patient case conferenceK704Paediatric out-patient case conferenceK707Chronic pain out-patient case conferenceK121Hospital in-patient case conferenceK705Long-term care – high risk patient conferenceK124Long-term care/Ontario Health atHome case conference
Services described in the supervision of postgraduate medical trainees section are not eligible for payment as K715.
Not eligible for payment if the required participants receive remuneration from the physician claiming the service.
Not eligible for payment to a physician who receives payment other than fee-for-service (e.g., salary, APP, AFP) for the preparation or participation in the conference.
Not eligible if the case conference is an included element of another service (e.g., chronic dialysis team fees).
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