K125Intellectual and Developmental Disability Primary Care per unit
CONSULTATIONS AND VISITS · PHYSICIAN/NURSE PRACTITIONER TO PHYSICIAN E-CONSULTATION · FAMILY PRACTICE & PRACTICE IN GENERAL (00)
$80.00What this reference tells you
K125 identifies the Ontario insured service described as “Intellectual and Developmental Disability Primary Care per unit.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- K125 is only eligible for payment when the patient has Intellectual and Developmental Disability associated with one of the following conditions (listed with ministry diagnostic codes): a.Autism spectrum disorder (299) b.Intellectual disability or Fetal Alcoh...
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.