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Billing code

K206A — Group psychotherapy – out-patient, additional units

Out-patient group psychotherapy, extra units

Bill K206 per member for each out-patient group psychotherapy unit after the first 12 in a day.

Watch for: Maximum 6 K206 units per patient per day; more are rejected.

Code

K206A

Description

Group psychotherapy – out-patient, additional units

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

Out-patient group psychotherapy units beyond the first 12 in a day, per member, up to 6 more units per patient per day.

What it covers

Out-patient group psychotherapy is paid per member per unit at a rate set by group size (K208, K209, K203, K204, K205) for the first 12 units per day. K206 is each additional unit per member (A190).

Billing rules

• Maximum 6 K206 units per patient per day (A190).
• Only services to one group at a time are payable (A190).
• Billed in ½-hour units: 1 unit = at least 20 minutes, 2 = 46, 3 = 76, 4 = 106, then every 30 minutes more; count only direct contact time, excluding other separately billed services (GP54–GP55).
• Time must be consecutive (GP55).
• Record start and stop times in the chart, or the service is not payable (GP7).
• Not payable the same day as an obstetrical delivery by you for the same patient (GP56).
• Not payable the same day as a consultation or assessment by you for the same patient, unless the two have clearly different diagnoses (GP55).
• Can be done by video or phone with an existing relationship; add K300A or K301A (Appendix J, A70).

Often billed with

• K208, K209, K203, K204 or K205 for the first 12 units (A190).

Common rejections

• A3H: OHIP describes this as 'Maximum Number Services per the Fee Schedule Master': more than 6 additional units were billed for the patient that day (A190).
• AT3: Billed as virtual care (K300A/K301A) and OHIP found no existing patient-physician relationship, such as an in-person service by you in the past 24 months (A66).

Related codes: K208, K209, K203, K204, K205, K207

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Psychiatry (19), page A190; rules GP54–GP56.

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