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Fees for Telephone Services During the S.A.R.S. Emergency

2. there is a pre-existing and ongoing professional relationship between the patient and the
    particular physician; and

3. at the time the service is rendered,

(i) the physician is required to or has voluntarily isolated or quarantined him or herself in
    accordance with guidelines, orders, control measures or directives issued by the Medical
    Officer of Health, Chief Medical Officer of Health or the Commissioner of Public Security, in
    connection with SARS;

(ii) the patient is required to isolate or quarantine him or herself pursuant to an order of a
    Court, or an order, control measure or directive issued by the Medical Officer of Health or
    the Chief Medical Officer of Health in connection with SARS;

(iii) the patient has voluntarily isolated or quarantined him or herself pursuant to advice
     rendered personally to the patient in connection with SARS, by the Medical Officer of
     Health, Chief Medical Officer of Health, or the Commissioner of Public Security, or his,
     her or its authorized delegate; or

(iv) a physical encounter between that patient and that physician cannot occur as scheduled
     at a hospital or out-patient clinic of a hospital due to guidelines, directives, control
     measures or orders issued by the Medical Officer of Health, Chief Medical Officer of
     Health or Emergency Measures Ontario in connection with SARS.

K080 – telephone advice or information regarding health maintenance, diagnosis, treatment and/or
           prognosis to patient or patient’s representative including providing a new prescription or
           prescription renewal if rendered where service lasts for 10 minutes or less……………..…… $10.00

K081 – telephone advice or information regarding health maintenance, diagnosis, treatment and/or
           prognosis including providing a new prescription or prescription renewal if rendered, if service
           lasts in excess of 10 minutes but less than one unit as described in K082……………….… $25.00

K082 – psychotherapy, psychiatric or mental health care, counseling or interview conducted by
           telephone per unit (unit means half hour or major part thereof), including providing a new
           prescription or prescription renewal if rendered………….........................…………..per unit $50.00

Documentation of each service may be added to the patient’s medical record at a later date if the medical record is not available to the physician on the date of service providing that the documentation is added to the record within a reasonable period of time following the medical record becoming available to the physician.


Note:
K082 is insured only for services provided to patients who have received the same or similar time-based service that was personally rendered by the same physician in the previous 12 month period.
[Commentary:
1. K080, K081, K082 are insured only for services rendered on or after April 1, 2003, for
    the period that the SARS emergency remains in effect (declared March 26, 2003).
    Services rendered on or after the end of the SARS emergency (the end of the “applicable
    period” referred to above), are not insured.

2. See General Preamble for further requirements for billing of time-based services.

3. If K080, K081 or K082 are claimed, no charge can be submitted to the patient for a
    telephone prescription resulting from the service.]

The updated pages to the Schedule of Benefits will be distributed with the next edition of the Schedule.

 

Ontario Ministry of Health and Long-Term Care
© 2002 Queen's Printer for Ontario  |  Last Modified:  06/27/2012 17:29:42