K188High risk community psychiatric care, to A190, A191, A192, A195, A197, A198, A695, A795, K195, K196, K197 or K198 add 15%
CONSULTATIONS AND VISITS · PSYCHIATRIC CLINICAL PRACTICE MODIFIERS/PREMIUMS · PSYCHIATRY (19)
No listed feeWhat this reference tells you
K188 identifies the Ontario insured service described as “High risk community psychiatric care, to A190, A191, A192, A195, A197, A198, A695, A795, K195, K196, K197 or K198 add 15%.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 1.K187 or K188 are both payable with K195, K196, K197 or K198 when rendered during the first four (4) week period following discharge where the patient was a hospital i n-patient for treatment of a psychiatric condition and the requirements for both K187 and...
- 2.K188 is not eligible for payment in addition to K189 on the same patient same day.
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.