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Billing K083 - Specialist consultation or visit by telephone or video

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How do I bill service code K083?

K083 would be billed in place of the applicable in-person visit fee for telephone and video visits. According to the OHIP Bulletin #4745, the quantity for K083 = listed fee of the services provided in the SoB, rounded to the nearest $5, divided by 5.

The below table provides an example (for Internal Medicine specialty):

Code

Description

Fee

K083 Units

K083 Fee

A135

Consultation

$157.00

31

$155.00

A435

Limited consultation

$105.25

21

$105.00

A136

Repeat consultation

$105.25

21

$105.00

A133

Medical specific assessment

$79.85

16

$80.00

A134

Medical specific re-assessment

$61.25

12

$60.00

A131

Complex medical specific re-assessment

$70.90

14

$70.00

A138

Partial assessment

$38.05

8

$40.00

 

How to submit K083A with a quantity over 99 units?

The Ministry of Health's system only accepts 2 digits for quantity. As such, a service with over 99 units needs to be broken into two entries. 

For example, if you want to submit a K083 and the total number of units is 128, you need to submit K083A twice - One with 99 units and the other one with 29 units. (see below).   

K083_over_99_units.png

REMINDER: You will need to flag the claim for manual review by checking the "Manual Review" box and submitting your notes to the Ministry of Health (either by fax or via eSubmit).

 

Convert to K083A 

We have developed a new feature "Convert to K083A" that allows you to easily convert regular in-person codes to K083.  With a simple click, convert an in-person consultation or visit code to K083 with the correct quantity.


Depending on your discipline of medicine and practice, you may find the automatic virtual codes A[][]VA or E[][]VA a better solution.

 

Here are the steps:

On the Web portal - NEW CLAIM page

Step 1: Enter the in-person service code and click Add Entry (F7)

Step 2: Click Action on the right-hand side of the service code -> select Convert to K083A

The service code will then be replaced with K083A with the appropriate quantity.

Convert_to_K083__web_.gif

On the MY PATIENT LIST page:

Step 1: Select the in-person service code

Step 2: Click the Edit (pen) button for the service code

Step 3: Check off Convert to K083A and click OK button

The service code box will change to orange, which indicate the code will be converted to K083A.

Convert_to_K083__My_Patient_List_.gif

On the MDBilling.ca Mobile App - Claim screen

Step 1: Enter the in-person visit/assessment code(s)

Step 2: Tap on Service Entered to view the service code(s) entered

Step 3: Swipe right on the code that you wish to be converted to K083 and tap Convert to K083A

The service code will then be replaced with K083A with the appropriate quantity.

Convert_to_K083__app_.gif

 

 

Note: This feature is only available for the A-suffix in-person outpatient Consultation and Visits codes.  

Don't forget to enable the Auto-Populate Virtual Tracking Code feature. This feature will help you automatically add the K300/K301 to your virtual services as per the new rules from OHIP INFOBulletin 210904.

If you have more questions about billing for virtual care, our COVID-19 virtual care billing section has more information.

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