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Billing code

K703A — Geriatric Out-patient Case (per Unit)

Geriatric out-patient case conference

Bill K703 per 10-minute unit when the most responsible physician joins a pre-scheduled case conference about a geriatric out-patient with 2+ others.

Watch for: Only for geriatricians or Care of the Elderly exemptions; maximum 4 per patient per 12 months and 8 units a day.

Code

K703A

Description

Geriatric Out-patient Case (per Unit)

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

Pre-scheduled case conference on a geriatric out-patient: the most responsible physician plus at least 2 other providers. Billed in 10-minute units.

What it covers

A geriatric out-patient case conference is a pre-scheduled meeting where the physician most responsible for the patient's care and at least 2 other participants (physicians, regulated social workers or regulated health professionals) discuss and direct the management of an out-patient who is at least 65, or younger with dementia (A31, A36).

It can be held in person, by video or by phone, or a mix. Rounds, journal clubs and other educational meetings are not case conferences (A31).

Billing rules

• Only payable to a specialist in Geriatrics (07) or a physician with a Ministry exemption to access bonus impact in Care of the Elderly (A36).
• Billed in 10-minute units of consecutive time: 1 unit = 10 minutes, 2 = 16, 3 = 26, 4 = 36, 5 = 46, 6 = 56, 7 = 66, 8 = 76 (A31).
• Needs at least 10 minutes of patient-related discussion, active participation shown in the record, and a pre-scheduled meeting (A32).
• Maximum 4 services per patient per physician per 12 months, and 8 units per physician per patient per day (A36).
• Not payable with any other case conference or telephone consultation for the same patient on the same day (A36).
• Not payable if the participants you need are paid by you, or if you are paid other than by fee-for-service for the conference. Other insured services during the conference aren't paid (A32).
• Record the patient, start and stop times, the eligible participants and the outcome or decision (A32).

Common rejections

• AM1: OHIP describes this as 'Service limit exceeded': more than 4 services in 12 months or 8 units in a day for this patient (A36).

Related codes: K121, K124, K700, K702, K707, K077

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), page A36. Case conference rules A31–A32.

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