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Billing code

K187A — - Acute Post-discharge Community Psychiatric Care - Add 15%

Post-discharge psychiatry premium

Add K187 (15%) to K195, K196, K197 or K198 in the 4 weeks after the patient's psychiatric hospital discharge.

Watch for: Only payable with K195, K196, K197 or K198; billed alone it rejects.

Code

K187A

Description

- Acute Post-discharge Community Psychiatric Care - Add 15%

FHO+ basket

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

Effective date

Sep 1, 2011

Termination date

No end date

Explanation

Updated October 26, 2026

15% premium on out-patient psychotherapy or psychiatric care in the 4 weeks after a psychiatric hospital discharge.

What it covers

K187 is a premium for a service in the 4 weeks right after discharge, where the patient was a hospital in-patient for a psychiatric condition. It applies only to K195, K196, K197 or K198 (A188).

Billing rules

• Only with K195, K196, K197 or K198 (A188).
• K187 and K188 can both be paid on the same service when it falls in the first 4 weeks after a psychiatric discharge and both sets of requirements are met (A188).
• Payable on comprehensive virtual services (A74).

Often billed with

• K197 or K198 individual out-patient psychotherapy or psychiatric care (A188).
• K188 when the patient also attempted suicide in the past 6 months (A188).

Common rejections

• AD9: OHIP describes this as 'Premium not allowed alone': K187 is paid only with K195, K196, K197 or K198 (A188).

Related codes: K188, K189, K195, K196, K197, K198

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Psychiatry (19), page A188.

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