K045Diabetes management by a specialist
CONSULTATIONS AND VISITS · DIABETES MANAGEMENT BY A SPECIALIST
$80.25What this reference tells you
K045 identifies the Ontario insured service described as “Diabetes management by a specialist.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 1.K045 is limited to a maximum of one service per patient per 12 month period.
- 3.K045 is only eligible for payment when the physician has greater than 100 patients per year with diabetes.
- K045 is only eligible for payment if the flow sheet and/or a diabetic registry record has been completed for the previous 12 month period including the above listed requirements and is maintained in the patient's permanent medical record.
Billing detail
Frequency limit recorded in the structured source: 1 service(s) per 12 month(s).
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.