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Billing code

K124A — LTC Case conf./10 min. unit max. 4/year

Long-term care case conference

Bill K124 per 10-minute unit when the most responsible physician joins a pre-scheduled case conference about a long-term care resident with 2+ other participants.

Watch for: Maximum 4 per patient per physician per 12 months; record the time, participants and outcome.

Code

K124A

Description

LTC Case conf./10 min. unit max. 4/year

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

Pre-scheduled case conference about a long-term care resident, per 10-minute unit. Maximum 4 per patient per physician in 12 months.

What it covers

A case conference is a pre-scheduled meeting, in person, by video or by phone, to discuss and direct the management of an individual patient (A31). K124 is the most responsible physician's participation, with at least 2 other participants (physicians, regulated social workers, Ontario Health atHome employees or regulated health professionals), about an in-patient of a long-term care institution (A38).

Rounds, journal clubs, group learning and other meetings not about directing one patient's care are not case conferences (A31).

Billing rules

• Maximum 4 services per patient, per physician, per 12 months, and maximum 8 units per physician, per patient, per day (A38).
• Units are 10-minute increments of consecutive time: 1 unit = 10 minutes, 2 = 16, 3 = 26, 4 = 36, 5 = 46, 6 = 56, 7 = 66, 8 = 76; at least 10 minutes of patient-related discussion is required (A31, A32).
• Payable only if pre-scheduled and you actively participate, with your participation evident in the record (A32).
• The record must show the patient, the start and stop time of the discussion, the eligible participants and the outcome or decision (A32).
• Any other insured service during the conference is not payable, and it isn't payable if the required participants are paid by you or if you are paid other than fee-for-service for the conference (A32).
• Not payable for radiation treatment planning or for supervision of postgraduate trainees (A38).

Related codes: K705, K121, K700, K707, K708

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), Long-term care/Ontario Health atHome case conference, page A38; Case conferences preamble, pages A31–A32.

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