K046Diabetes team management
CONSULTATIONS AND VISITS · DIABETES TEAM MANAGEMENT (DTM)
$127.20What this reference tells you
K046 identifies the Ontario insured service described as “Diabetes team management.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 1.A maximum of one K046 is eligible for payment per patient per 12 month period.
- 3.K046 is not eligible for payment unless the physician documents the services rendered by the CDE. The physician must provide such documentation to the ministry, if requested.
- 1.K046 is only eligible for payment when the record includes a flow sheet and/or a diabetic registry record meeting the published Standards of Care as defined in the Canadian Diabetes Association Clinical Practice Guidelines. The minimum required elements of...
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.