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Effective December 1, 2022, physicians will continue to use the K300A (Video) or K301A (Telephone) modality indicators to identify the technology used to deliver the service when claiming comprehensive virtual care services. These fee codes must be submitted on the same claim using the same service date as the eligible insured virtual service.
Nov 14, 2022 · The Ontario Virtual Care Program video visit claims submission and payment option will end December 1, 2022; payments will transition to the OHIP insured framework. To: All Physicians Category: Physician Services Written by: Digital Health Program Branch; Digital and Analytics Strategy Division Date issued: November 14, 2022
- OHIP Virtual Care Billing Codes. On March 14, 2020 the MOH and OMA created four temporary OHIP billing codes in the schedule of benefits to facilitate telemedicine and virtual care.
- COVID-19 Diagnostic Code. A new diagnostic code, 080 with the description Coronavirus has been created to be used when the primary purpose for the service is treating patients with a suspected or confirmed case of COVID-19 whether in patient, by telephone, or video.
- COVID-19 Vaccine Fee Codes. On March 6, 2021, the MOH announced new fee codes to support the vaccine roll out. There are three specific codes that you can bill for administering the COVID-19 vaccine.
- COVID-19 Sessional Fee Codes. Two new sessional OHIP fee codes have been announced for physicians supporting vaccination services at hospitals or public health units (PHU) coordinated by COVID-19 Assessment Centres.
Dec 1, 2022 · A psychiatrist, Dr. King, provided a video consultation in November 2022 that established an existing/ongoing relationship with the patient, Mr. Gordon. This service was paid using the K083 fee code. Subsequent video and telephone visits are eligible for payment as comprehensive virtual care services for 24-months after this visit.
Dec 1, 2022 · Most physicians can bill the government up to $80 per video visit with a patient under the Ontario Health Insurance Plan (OHIP). During the pandemic, the province allowed doctors to bill the...
Jun 29, 2021 · If an in-person follow-up is required after a phone or video visit, the charge for the initial virtual visit becomes a 50% code for triage. For example, a phone plus in-person would be the ratio of $6.50 (on our 1:3:5:5 scale) and a video plus in-person would be $7.50.
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Effective December 1, 2022, video visits delivered through the Ontario Virtual Care Program (OVCP) will be transitioned into the OHIP insured framework in accordance with the pricing structure, rates, and payment parameters outlined in the PSA. To learn more about how to bill OTN Codes, read our blog here.
