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OHIP Billing - Telephone Consultations
OHIP Billing - Telephone Consultations
Megan Halstead avatar
Written by Megan Halstead
Updated over a week ago

Here's a list of Ontario physician to physician telephone consultation codes and comprehensive consultations. If you're looking for Detention codes, please find them in the chart here.
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Physician to Physician Telephone Consultations

K730 - Physician to physician telephone consultation (Referring Physician) - $31.35

K731 - Physician to physician telephone consultation (Consultant Physician) - $40.45

K734 - Physician to physician telephone consultation (Referring Physician) - $31.35

K735 - Physician to physician telephone consultation (Consultant Physician) - $40.45

Note: Both K734 and K735 are used when physicians are working in an emergency department or an urgent care clinic.

All of these codes (K730, K731, K734, K735) are used when there’s a minimum of 10 minutes of patient related discussion. During this discussion, you must record the patient’s name, health number, start and stop times, the name of referring physician (NP or consultant), and the reason for the consultation. You must also include any opinions and recommendations from the consultant physician.

Criticall Telephone Consultation – Must Be Arranged by Criticall Ontario

K732 Criticall telephone consultation (Referring Physician) - $31.35

K733 Criticall telephone consultation (Consultant Physician) - $40.45

K736 Criticall telephone consultation (Referring Physician) - $31.35

K737 Criticall telephone consultation (Consultant Physician) - $40.45

Note: Both K736 and K737 are used when physicians are working in an emergency department or an urgent care clinic.

All of these codes (K732, K733, K736, K737) must be arranged by Criticall Ontario. All parties involved must be present in Ontario and the following information must be recorded: the patient’s name, health number, start and stop times, the name of referring physician (NP or consultant), and the reason for the consultation along with the opinion and any recommendations from the consultant physician.

Comprehensive Consultation

A Comprehensive Consultation has the exact same qualifications as a consultation, but must be a minimum of 75 minutes ($300.70).

K001- $21.10 per 1/hr

Detention can always be added to services when there has been a considerable amount of extra time spent in active treatment.

Click here to see the chart  in which K001 is payable

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