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Billing code

K057A — ODSP Completion of medical Form Part A

ODSP Medical Review, Part A

Bill K057 for completing Medical Form Part A in the ODSP Medical Review process.

Watch for: Part B is billed separately (K058, K059 or K060), and initial ODSP applications use K050 to K052.

Code

K057A

Description

ODSP Completion of medical Form Part A

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Fee for completing Medical Form Part A in the ODSP Medical Review process. Part B is billed separately with K058, K059 or K060.

What it covers

K057 is the fee for completing Medical Form Part A for the Ontario Disability Support Program (ODSP) Medical Review process (AF1).

Appendix F is not part of the Schedule of Benefits and is reproduced for information only. Its services are not insured services under the Health Insurance Act; the Ministry of Health pays them as paying agent for the Ministry of Children, Community and Social Services (MCCSS) (AF1).

Billing rules

• Part A has its own listing. Part B is billed with K058 (Health Status Report and ADL Index together), K059 (Health Status Report alone) or K060 (ADL Index alone) (AF1).
• The initial ODSP application uses different codes, K050 to K052, not K057 (AF1).
• The MCCSS forms are given to patients only by social services staff. Each fee code is specific to its form and can't be claimed for completing any other government document (AF2).
• Unlike K050 to K056, K057 isn't on the FHO agreement's list of codes Income Stabilization physicians may bill at full fee-for-service value (FHO agreement p.99, Appendix J §3.6).

Often billed with

• K058A or K060A for Part B of the same Medical Review; Part A and Part B are listed as separate services (AF1).

Related codes: K058, K059, K060, K050

Source: Schedule of Benefits (July 1, 2026), Appendix F (information only; not insured services), MCSS Ontario Disability Support Program (ODSP), page AF1; MCCSS forms note, page AF2

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