OHIP fee codeK038

Completion of Long-Term Care health assessment form

CONSULTATIONS AND VISITS · RATC · FAMILY PRACTICE & PRACTICE IN GENERAL (00)

$46.35

What this reference tells you

K038 identifies the Ontario insured service described as “Completion of Long-Term Care health assessment form.” The listed fee and rules are reference data; the clinical record must support the service actually performed.

Loaded billing requirements

1. With the exception of the codes listed in the below, no other services are eligible for payment when rendered by the same physician the same day as any type of counselling service: E080, G010, G039, G040, G041, G042, G043, G202, G205, G365, G372, G384, G38...

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.

Loaded billing requirements

Before using this code

Take the code from reference to reviewed claim.