K321

PDF page 130 / A2

Payment rules:
     1.With the exception of A945/C945, any other services listed under the "Family Practice &
       Practice in General" in the "Consultations and Visits" section of the Schedule are not eligible
       for payment when rendered with this service.
     2.Start and stop times must be recorded in the patient's permanent medical record or the
       service will be adjusted to a lesser paying fee.
     3.When the duration of A945 or C945 exceeds 50 minutes, one or more units of K023 are
       payable in addition to A945 or C945, provided that the minimum time requirements for K023
       units occurs 50 minutes after the start time for A945 or C945.
     4.This service is claimed in units. Unit means ½ hour or major part thereof - see General
       Preamble GP7, GP55 for definitions and time-keeping requirements.
   Special Medical Assistance in Dying consultation
     A special Medical Assistance in Dying (MAID) consultation is a consultation conducted for the
     purpose of assessing the eligibility for MAID in a patient who has submitted a written request
     for MAID. This service is a consultation rendered by a physician who provides all the elements
     of a consultation and spends a minimum of fifty (50) minutes of direct contact with the patient
     exclusive of time spent rendering any other separately billable intervention to the patient. A320
     includes the preparation and transmission of all necessary documentation.
 A320 Special Medical Assistance in Dying (MAID) consultation ......                  174.25
     Payment rules:
     1.Start and stop times must be recorded in the patient’s permanent medical record.
     2.When the duration of a special MAID consultation (A320 or C320) exceeds 50 minutes, one
       or more units of K321 are payable in addition to A320 or C320, provided that the minimum
       time requirements for K321 are met. The time periods for A320 or C320 and K321 are
       mutually exclusive (i.e. the start time for determination of minimum time requirements for
       K321 occurs 50 minutes after start time for A320 or C320).
   Medical Assistance in Dying support
     Medical Assistance in Dying (MAID) support is a time-based service payable for providing
     MAID assessment, support and counselling to patients requesting MAID, and provision of
     MAID by a physician. MAID support is only eligible for payment when rendered personally by
     the physician.
 K321 Medical Assistance in Dying (MAID) support...............per unit           85.25

PDF page 131 / A3

CONSULTATIONS AND VISITS
 FAMILY PRACTICE & PRACTICE IN GENERAL (00)
          Payment rules:
          1.This service is claimed in units. Unit means ½ hour or major part thereof - see General
            Preamble GP7, GP55 for definitions and time-keeping requirements. Start and stop times
            must be recorded in the patient's permanent medical record. Minimum time requirements can
            be consecutive or non-consecutive time on the same day.
          2.When the duration of A320 or C320 exceeds 50 minutes, one or more units of K321 are
            payable in addition to A320 or C320, provided that the minimum time requirements for K321
            units occurs 50 minutes after the start time for A320 or C320.
          3.K321 is payable to a maximum of two physicians, same patient same day.
          4.With the exception of A320/C320, no other insured services or premiums are eligible for
            payment during the same period of time when MAID support is claimed.
          5.K321 is payable in circumstances where the patient is found to be ineligible for MAID on the
            day of planned MAID intervention or where the patient does not provide consent for MAID
            intervention.
          Claims submission instructions:
          Claims in excess of 12 units by the same physician for the same patient should be submitted
          using the manual review indicator and accompanied by supporting documentation.
          [Commentary:
          1.The CPSO has established guidance, which lay out a number of safeguards for the provision
            of MAID in Ontario. For further information related to the provision of MAID in Ontario,
            physicians should refer to the CPSO’s website (http://www.cpso.on.ca/).]
   A905 Limited consultation ................................................................   80.15
   A006 Repeat consultation ................................................................    47.10

Master, record 3014. Record Layout PDF, page 1.

K32120260401999999990000085250000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.