K481Rheumatoid arthritis management by a specialist
CONSULTATIONS AND VISITS · GENERAL LISTINGS · RHEUMATOLOGY (48)
$85.35What this reference tells you
K481 identifies the Ontario insured service described as “Rheumatoid arthritis 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.K481 is limited to a maximum of one service per patient per 12 month period.
- K481 is only eligible for payment when the following information is recorded in the patient's permanent medical r ecord for the previous 12 month period:
- 1.Measurement of tender joint count;
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.