< Billing codes

Billing code

K210A — Group psychotherapy – in-patient, 2 people

In-patient group psychotherapy, 2 people

Bill K210 per member per half-hour unit for in-patient group psychotherapy with 2 people, for the first 12 units per day.

Watch for: Use the code for the actual group size; units after 12 are K207, and only one group at a time.

Code

K210A

Description

Group psychotherapy – in-patient, 2 people

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

Group psychotherapy for in-patients in a group of 2 people, paid per member per half-hour unit.

What it covers

Psychotherapy is treatment for mental illness, behavioural maladaptations or emotional problems where the physician deliberately builds a professional relationship to remove, modify or slow symptoms and promote personal growth (GP56).

K210 is in-patient group psychotherapy when the group has 2 people, billed per member for the first 12 units per day (A190).

Billing rules

• Paid per group member per ½-hour unit; the code depends on the number of people in the group (A190).
• The group-size rates cover the first 12 units per day; further units are K207, maximum 6 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, and start and stop times must be in the chart or the service is not payable (GP55, GP7).
• Not payable the same day as an obstetrical delivery by you for the same patient (GP56).
• Not on the Appendix J virtual care list (Appendix J).

Often billed with

• K207 for additional units beyond the first 12 per day (A190).

Related codes: K211, K200, K201, K202, K207, K190

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

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing