K0042 or more family members in attendance at the same time per unit
CONSULTATIONS AND VISITS · NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES · FAMILY PRACTICE & PRACTICE IN GENERAL (00)
$86.85What this reference tells you
K004 identifies the Ontario insured service described as “2 or more family members in attendance at the same time per unit.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- For the 12 month period following the date of determination of eligibility for the premium, the amount payable to a physician shall be automatically increased by 17% for each of the following services rendered by the physician: K004, K006, K007, K010, K012, K...
- 1. when the sum of all payments made to the physician for the qualifying services rendered in the qualifying year exceeds 50% of the sum of all payments made to the physician in the qualifying year; or
Billing detail
This service is billed by unit.
Before using this code
Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.