We’ve noticed that most doctors aren’t billing for telephone calls or consultations, even though these can add up quickly and can be quite lucrative. There’s a ton of activities you can bill for when it comes to managing a patient’s care.
To make things easier for you we’ve compiled a quick guide for any Ontario doctor who request a telephone consultation from another doctor, or vice versa. If you aren’t sure if your telephone call is billable, don’t hesitate to contact our billing team here.
Physician to Physician Telephone Consultations
K730 - Physician to physician telephone consultation (Referring Physician) - $31.35
K731 - Physician to physician telephone consultation (Consultant Physician) - $40.45
K734 - Physician to physician telephone consultation (Referring Physician) - $31.35
K735 - Physician to physician telephone consultation (Consultant Physician) - $40.45
All of these codes (K730, K731, K734, K735) are used when there’s a minimum of 10 minutes of patient related discussion. During this discussion, you must record the patient’s name, health number, start and stop times, the name of referring physician (NP or consultant), and the reason for the consultation. You must also include any opinions and recommendations from the consultant physician.
Criticall Telephone Consultation – Must Be Arranged by Criticall Ontario
K732 Criticall telephone consultation (Referring Physician) - $31.35
K733 Criticall telephone consultation (Consultant Physician) - $40.45
K736 Criticall telephone consultation (Referring Physician) - $31.35
K737 Criticall telephone consultation (Consultant Physician) - $40.45
All of these codes (K732 , K733, K736, K737) must be arranged by Criticall Ontario. All parties involved must be present in Ontario and the following information must be recorded: the patient’s name, health number, start and stop times, the name of referring physician (NP or consultant), and the reason for the consultation along with the opinion and any recommendations from the consultant physician.
A Comprehensive Consultation has the exact same qualifications as a consultation, but must be a minimum of 75 minutes ($300.70).
K001- $21.10 per 1/hr
Detention can always be added to services when there has been a considerable amount of extra time spent in active treatment.
K001 is payable under the following circumstances:
|Service||Minimum time required in delivery of services before detention is payable|
|Minor, partial, multiple systems assessment, level 1 and level 2 pediatric assessments, intermediate assessment, focused practice assessment or subsequent hospital visit||30 minutes|
|Specific or general re-assessment||40 minutes|
|Consultation, repeat consultation, specific or general assessment, complex dermatology assessment, complex endocrine neoplastic disease assessment, complex neuromuscular assessment, complex physiatry assessment, complex respiratory assessment, enhanced 18 month well baby visit, midwife-requested anesthesia assessment, midwife-requested assessment, midwife-requested genetic assessment or optometrist-requested assessment.||60 minutes|
|Initial assessment-substance abuse, special community medicine consultation, special family and general practice consultation, special optometrist-requested assessment, special palliative care consultation, special surgical consultation or midwife-requested special assessment.||90 minutes|
|Comprehensive cardiology consultation, comprehensive community medicine consultation, comprehensive endocrinology consultation, comprehensive family and general practice consultation, comprehensive geriatric consultation, comprehensive infectious disease consultation, comprehensive internal medicine consultation, comprehensive midwife-requested genetic assessment, comprehensive nephrology consultation, comprehensive respiratory disease consultation, comprehensive physical medicine and rehabilitation consultation, comprehensive rheumatology consultation, special pediatric consultation, special genetic consultation or special neurology consultation||120 minutes|
|Extended comprehensive geriatric consultation, extended midwife-requested genetic assessment, extended special genetic consultation, extended special pediatric consultation, or pediatrics neurodevelopmental consultation||180 minutes|