Billing code
K211A — Group psychotherapy – in-patient, 3 people
In-patient group psychotherapy, 3 people
Bill K211 per member per half-hour unit for in-patient group psychotherapy with 3 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.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $35.80 | $0.00 | $0.00 | $0.00 |
- Code
- K211A
- Description
- Group psychotherapy – in-patient, 3 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 3 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).
K211 is in-patient group psychotherapy when the group has 3 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: K210, K200, K201, K202, K207, K190
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Psychiatry (19), page A190; rules GP54–GP56.
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