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Billing code

K188A — - High Risk Community Psychiatric Care - Add 15%

Post-suicide-attempt psychiatry premium

Add K188 (15%) to listed psychiatric consultations or K195–K198 within 6 months after the patient's suicide attempt.

Watch for: Not payable with K189 for the same patient on the same day, and only with the listed codes.

Code

K188A

Description

- High Risk 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 listed psychiatric consultations and out-patient psychotherapy within 6 months after a suicide attempt.

What it covers

K188 is a premium for a service in the 6 months after a suicide attempt. It applies to A190, A191, A192, A195, A197, A198, A695, A795, K195, K196, K197 and K198 (A188).

Suicide attempts include self-harm with intent to die and high-lethality self-harm, but not low-lethality self-harm with no intent to die (A188).

Billing rules

• Only with A190, A191, A192, A195, A197, A198, A695, A795, K195, K196, K197 or K198 (A188).
• Not payable with K189 for the same patient on the same day (A188).
• May be paid together with K187 on K195–K198 in the first 4 weeks after a psychiatric discharge when both sets of requirements are met (A188).
• Payable on comprehensive virtual services (A74).

Often billed with

• A195 or A190 consultation (A188).
• K197 or K198 out-patient psychotherapy or psychiatric care (A188).

Common rejections

• AD9: OHIP describes this as 'Premium not allowed alone': K188 is paid only with one of the listed consultations or K195–K198 (A188).
• ADH: OHIP describes this as 'Cannot be billed together': K188 and K189 were billed for the same patient on the same day (A188).

Related codes: K187, K189, A195, A190, K197, K198

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

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