Penny (MDBilling.ca Support)How do I bill service code K083?
Question: How to bill K083 - Specialist consultation or visit by telephone or video?
Answer: 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 |
Related: How to bill K083 for virtual follow-up/assessments effectively
Related: How to bill virtual follow-up/assessments with E078 premium effectively
If you have more questions about billing for virtual care, our COVID-19 virtual care billing section has more information.