< Billing codes

Billing code

K058A — ODSP Completion of medical Form Part B - Both HSR & ADLI

ODSP review, full Part B

Bill K058 for Medical Form Part B in the ODSP Medical Review, covering both the Health Status Report and daily living index.

Watch for: Don't also bill K059 or K060 for the same Part B; if only one part is done, bill that code instead.

Code

K058A

Description

ODSP Completion of medical Form Part B - Both HSR & ADLI

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 Medical Form Part B in the ODSP Medical Review process, covering both the Health Status Report and the ADL Index.

What it covers

K058 is the fee for completing Medical Form Part B for the Ontario Disability Support Program (ODSP) Medical Review process, including both the Health Status Report and the Activities of Daily Living Index (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

• K058 includes both parts of Part B. When only one is completed, bill K059 (Health Status Report, completed separately) or K060 (ADL Index, completed separately) instead (AF1).
• Medical Form Part A is a separate listing, K057 (AF1).
• The initial ODSP application uses K050 for the amalgamated forms, not K058 (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, K058 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

• K057A for Medical Form Part A of the same Medical Review; Part A and Part B are listed as separate services (AF1).

Common rejections

• ADH: OHIP's description is 'cannot be billed together'. The Schedule doesn't name the conflicting code; since K058 already includes both the Health Status Report and the ADL Index of Part B, check the claim for K059 or K060 for the same Part B and bill K058 alone for it (AF1).

Related codes: K057, 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

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