K121Hospital in-patient case conference per unit
CONSULTATIONS AND VISITS · PREAMBLE · FAMILY PRACTICE & PRACTICE IN GENERAL (00)
$37.05What this reference tells you
K121 identifies the Ontario insured service described as “Hospital in-patient case conference per unit.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 1.K121 is eligible for payment for a case conference regarding a hospital in-patient at an acute care hospital, chronic care hospital, or rehabilitation hospital. K121 is not eligible for payment for a resident in a long term care institution.
- 2.K121 is limited to a maximum of 4 services per patient, per physician, per 12 month period.
- 3.A maximum of 8 units of K121 are payable per physician, per patient, per day.
Billing detail
Frequency limit recorded in the structured source: 4 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.