K887

PDF page 155 / A27

CONSULTATIONS AND VISITS
 FAMILY PRACTICE & PRACTICE IN GENERAL (00)
Unit means ½ hour or major part thereof - see General Preamble GP7, GP54 to GP61 for Definitions
and time-keeping requirements. A single all-inclusive claim for CTO Initiation or CTO Renewal is
submitted once per patient per physician per initiation or renewal in any six month period on an
Independent Consideration basis. A single all-inclusive claim for CTO Supervision is submitted once
per patient per month on an Independent Consideration basis. The form provided by the MOH for
elapsed times must be completed and submitted with each claim and a copy retained on the patient’s
permanent medical record. The total number of allowable units rendered per claim shall be
determined by adding the actual elapsed time of each insured activity rounded to the nearest minute,
dividing by 30 and rounding to the nearest whole unit. In the absence of a claim in accordance with
these requirements, the amount payable for CTO services is nil.
   K887 CTO initiation including completion of the CTO form and all
            preceding CTO services directly related to CTO initiation..
             ............................................................................... per unit 107.90
   K888 CTO supervision including all associated CTO services except
            those related to initiation or renewal....................... per unit                    107.90
   K889 CTO renewal including completion of the CTO form and all
            preceding CTO services directly related to CTO renewal .
             ............................................................................... per unit 107.90
       Note:
       1.Travel to visit an insured person within the usual geographic area of the physician’s practice
         is a common element of insured services. Time units for any CTO services based in whole or
         in part on travel time are therefore insured but payable at nil.
       2.Travel time and expenses related to appearances before the Consent and Capacity Board
         are not insured.

Master, record 3053. Record Layout PDF, page 1.

K88720260401999999990000107900000000000000000000000000000000000000000000000

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.