OHIP Billing Codes 

Long-Term Care Application - Code K038

The service rendered by the most responsible physician for the completion and submission of a Long-Term Care Health Assessment Form on behalf of a patient for whom the physician provides on-going medical care. The amount payable for completion of the Long-Term Care Health Assessment Form if completed, in whole or in part, by a person other than the physician is nil.

Home Care Application - Code K070

The service rendered by the most responsible physician for completion and submission of a home care service request form on behalf of a patient for whom the physician provides on-going medical care. The amount payable for this service is in addition to the assessment fee payable, where applicable. The amount payable for completion of the home care service request form if completed in whole or in part by a person other than the physician or the physician’s employee is nil.

Home Care Supervision - K071 & K072 & K124

The service rendered by the most responsible physician for personally providing medical advice, direction or information to health care staff of home and community care or home and community care contractor on behalf of a patient for whom the physician provides on-going medical care. The date, question, response and identity of the health care staff must be recorded in the patient’s medical record. The amount payable for home care supervision without the required record of service in the patient’s medical record is nil. The amount payable for home care supervision rendered on the same day as a consultation or visit by the same physician with the same patient is nil.

K071 for Acute home care supervision (maximum 1 every week for the first 8 weeks following admission to home care program)

K072 for Chronic home care supervision (maximum 2 per month commencing in the 9th week following admission to the home care program) K124 for a case conference regarding a home and community care patient.

K124 requires participation by the physician most responsible for the care of the patient and at least 2 other participants that include physicians, regulated social workers, employees of home and community care support services and/or regulated health professionals.

*Schedule of Benefits for Physician Services under the Health Insurance Act