< Billing codes

Billing code

K003A — Interviews With Children's Aid Society (cas) Or Legal Guardian On Be Half Of The Patient In Accordance With The Health Care Consent Act Conducted For A Purpose Other Than To Obtain Consent (per Unit)

Interview with CAS or guardian

Bill K003 per half-hour unit for an interview with the Children's Aid Society or a legal guardian on the patient's behalf, not for consent.

Watch for: Must be a separately booked appointment of at least 20 minutes, or it's paid at a lesser fee.

Code

K003A

Description

Interviews With Children's Aid Society (cas) Or Legal Guardian On Be Half Of The Patient In Accordance With The Health Care Consent Act Conducted For A Purpose Other Than To Obtain Consent (per Unit)

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Interview with the Children's Aid Society or a legal guardian on the patient's behalf, per half-hour unit, for a purpose other than consent.

What it covers

K003 is an interview with the Children's Aid Society (CAS) or a legal guardian acting on behalf of the patient under the Health Care Consent Act, held for a purpose other than obtaining consent (A28).

It covers obtaining information from, discussing with, and advising the interviewee about the patient's condition and care (GP61). It applies when medically necessary information can't be obtained from or given to the patient or guardian, for example because of illness or incompetence (A28). Any specialty may bill interviews (GP9).

Billing rules

• Not for obtaining consent. Claim it under the patient's health number and diagnosis (A28).
• Must be a separately booked appointment of at least 20 minutes; if it isn't separately booked, it is paid at a lesser fee (A28, GP61).
• Not payable when the information gathered is part of the history normally taken in a consultation or assessment (A28, GP61).
• Units are half-hours or major part: 1 unit = at least 20 minutes, 2 = 46, 3 = 76, 4 = 106, then every 30 minutes more, counting direct contact time (GP61). Record start and stop times in the chart, or the service is not eligible for payment (GP7).
• Must be rendered personally by the physician, or it is uninsured (GP61).
• Can be done by video or phone with an existing relationship; add K300A or K301A, and telephone pays 85% (AJ1, A70).
• FHO: K003A is an in-basket core service (Agreement Schedule 2, p.79). It is not on the list of codes that earn the Q012A after-hours premium (Agreement p.68).

Often billed with

• An assessment such as A003 on the same day, when the interview is a separately booked appointment and not history-taking that belongs to the assessment (A28, GP61).
• Counselling (K013, K033) by the same physician the same day: K003 is on the GP58 list of services payable with counselling (GP58).
• K045 or K046 diabetes management by a specialist: K003 counts toward their 4 required services (A99, A100).

Related codes: K002, K008, K013, K015, K300, K301

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), Interviews, page A28; General Preamble GP61 (interviews) and GP7

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing