Billing code
K035A — MTO Mandatory Reporting Medical Condition
Medical report to Transportation
Bill K035 for giving the Ministry of Transportation the medical information the Highway Traffic Act requires about a patient.
Watch for: A second K035 for the patient within 12 months needs the manual review indicator and supporting documents.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $36.25 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- K035A
- Description
- MTO Mandatory Reporting Medical Condition
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Mandatory report of a medical condition to the Ontario Ministry of Transportation. More than one per patient in 12 months needs manual review.
What it covers
K035 pays for giving the Ministry of Transportation (MTO) the information required by the Highway Traffic Act or its regulations about a patient's medical condition. It also covers sending MTO any additional information about a previous report on the same condition (A59).
Billing rules
- Claims for more than one K035 per 12 months by the same physician for the same patient should be sent with the manual review indicator and supporting documentation (A59).
- Payable the same day as a counselling service by you, since K035 is on the counselling same-day list (GP58).
- FHO: out of basket (not on Agreement Schedule 2, p.79).
Often billed with
- K013 counselling the same day; K035 is one of the services allowed with counselling (GP58).
Related codes: K034, K031, K038, K070, K036
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), Mandatory reporting of medical condition to the Ontario Ministry of Transportation (MTO), page A59.
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