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Billing code

K887A — Cto Initiation Including Completion Of The Cto Form And All Preceding Cto Services Directly Related To Cto Initiation (per Unit)

Starting a community treatment order

Bill K887 per half-hour unit for personally initiating a community treatment order, including the CTO form and all the work leading to it.

Watch for: Submit for independent consideration with the Ministry's elapsed-time form, or it pays nil; one initiation per six months.

Code

K887A

Description

Cto Initiation Including Completion Of The Cto Form And All Preceding Cto Services Directly Related To Cto Initiation (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

Initiating a community treatment order (CTO), including the CTO form and all the work leading up to it, billed per half-hour unit.

What it covers

CTO services are time-based, all-inclusive services for personally initiating, supervising and renewing a community treatment order, payable to the most responsible physician and any physician named in the community treatment plan (A26). K887 covers CTO initiation, including completing the CTO form and all preceding CTO services directly related to initiation (A27).

They include all related visits, interviews about rights advice and consent, preparing the plan, case conferences, calls and messages, and CTO forms such as Form 45 and Form 47 (A26).

Billing rules

• One all-inclusive initiation claim per patient per physician per initiation in any six-month period (A27).
• Submit on an Independent Consideration basis with the Ministry's elapsed-time form, and keep a copy in the chart; otherwise the service pays nil (A27).
• Units: add the actual minutes of each insured activity, divide by 30 and round to the nearest whole unit (A27).
• Bill only services you personally rendered; services by others pay nil (A26).
• Travel time units are payable at nil; travel time and expenses for Consent and Capacity Board appearances are not insured (A27).
• Separately billable: emergency ED or in-patient assessments and special visits, Form 1/Form 3 work, unrelated conditions, and in-patient services not tied to initiating the CTO (A26).
• Can be done by video or phone with an existing patient relationship; add K300A or K301A (AJ1, A66).

Related codes: K888, K889, K623, K624

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), page A27. CTO definitions at A26.

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