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Billing code

K121A — In-Hospital Case Conference - acute, chronic or rehab (per unit)

Hospital in-patient case conference

Bill K121 per 10-minute unit when the most responsible physician joins a pre-scheduled case conference about a hospital in-patient with 2+ other participants.

Watch for: Not for long-term care residents (use K124); maximum 4 per patient per physician per 12 months, with the conference documented.

Code

K121A

Description

In-Hospital Case Conference - acute, chronic or rehab (per unit)

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

Case conference about a hospital in-patient, led by the most responsible physician with at least 2 other participants. Billed per 10-minute unit.

What it covers

K121 is a pre-scheduled case conference about a hospital in-patient, with the physician most responsible for the patient's care and at least 2 other participants who are physicians, regulated social workers and/or regulated health professionals (A31, A33).

A case conference discusses and directs the management of one patient, in person, by video or by phone. Educational rounds and journal clubs are not case conferences (A31).

Billing rules

• For in-patients of an acute care, chronic care or rehabilitation hospital; not for long-term care residents (use K124) (A33).
• Units: 1 unit = 10 minutes, 2 = 16, 3 = 26, 4 = 36, then every 10 minutes more, based on consecutive time (A31).
• Maximum 4 services per patient per physician per 12 months, and 8 units per physician per patient per day (A33).
• Must be pre-scheduled, with at least 10 minutes of patient-related discussion and your active participation shown in the record (A32).
• Record the patient, start and stop times, the participants and the outcome or decision (A32).
• No other insured service during the conference is payable; not payable if participants are paid by you, or if you are paid other than fee-for-service for it (A32).
• Not for radiation treatment planning, and not billable through medical trainees (A33).

Related codes: K124, K700, K701, K702, K704, K705, K707

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), page A33; case conference rules A31–A32.

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