Billing code
K480A — Physician To Allied Professional Telephone Consultation
Rheumatology call with Arthritis Society
Bill K480 for a rheumatologist's phone consultation with an Arthritis Society physiotherapist, occupational therapist or social worker about a patient.
Watch for: Needs at least 10 minutes of discussion; maximum one per patient per day and two per 12 months.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $31.35 | $0.00 | $0.00 | $0.00 |
- Code
- K480A
- Description
- Physician To Allied Professional Telephone Consultation
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Telephone consultation between a rheumatologist and an Arthritis Society physiotherapist, occupational therapist or social worker about a patient.
What it covers
K480 is a telephone consultation where the rheumatologist discusses a patient with an allied professional funded by and affiliated with the Arthritis Society, Ontario Division: a registered physiotherapist, occupational therapist or social worker (A203).
The General Preamble consultation rules don't apply to this service (A204).
Billing rules
- Maximum one per patient per day and two per patient per 12 months (A203).
- Needs at least 10 minutes of patient-related discussion and an established physician-patient relationship; time can be cumulative with the same professional that day (A203).
- Not payable when the call is to arrange for you to evaluate the patient, or when you are paid other than fee-for-service for the call (A203).
- Chart must include patient name and health number, start and stop times, the allied professional's name(s), the reason, and your opinion and recommendations (A203).
- Payable in addition to visits or other services to the same patient on the same day (A204).
Common rejections
- AM1: OHIP describes this as 'Service Limit Exceeded': more than one K480 per day or two per patient per 12 months (A203).
Related codes: K481, A484, A483, A485
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Rheumatology (48), page A203.
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