K887 – CTO initiation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A single all-inclusive claim for CTO Initiation or CTO Renewal is submitted once per patient per physician per initiation or renewal in any six month period on an Independent Consideration basis.
A single all-inclusive claim for CTO Supervision is submitted once per patient per month on an Independent Consideration basis.
The form provided by the MOH for elapsed times must be completed and submitted with each claim and a copy retained on the patient's permanent medical record.
The total number of allowable units rendered per claim shall be determined by adding the actual elapsed time of each insured activity rounded to the nearest minute, dividing by 30 and rounding to the nearest whole unit.
Travel to visit an insured person within the usual geographic area of the physician's practice is a common element of insured services. Time units for any CTO services based in whole or in part on travel time are therefore insured but payable at nil.
Travel time and expenses related to appearances before the Consent and Capacity Board are not insured.
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