OHIP billing code for palliative care

Updated October 26, 2026

The main OHIP code for palliative care by a family physician is K023A, palliative care support, $85.25 per half-hour unit (20 minutes or more). The most responsible physician can also bill G512A ($67.75) once a week for palliative case management. Home visits add special visit premiums B998A (or B997A at night) and B966A for travel.

Code	What it is	Fee	When to bill it
K023A	Palliative care support, per unit	$85.25	20 minutes or more of pain and symptom management, emotional support or counselling, instead of the visit code.
G512A	Palliative care case management, per week	$67.75	The most responsible physician supervising palliative care that week.
A945A	Special palliative care consultation	$174.25	A requested consultation of at least 50 minutes. Add K023A for time past 50 minutes.
B998A	Palliative home visit premium, first person, 07:00 to 24:00	$91.80	With a home visit to a palliative patient. B997A ($113.10) from 00:00 to 07:00.
B966A	Palliative home visit travel premium	$37.40	Travel to a palliative home visit, with B998A or B997A.
G511A	Telephone management of a palliative patient at home, per call	$18.20	Phone advice to the patient or family. Maximum 2 a week; not in a G512 week.

How to bill it

Under 20 minutes, bill the visit code you provided (for example A007A, or A900A on a home visit to a frail or housebound patient). At 20 minutes or more of palliative support, bill K023A units instead of the visit (A2; OMA palliative guide pp.5–7).

At home, add B966A for travel and B998A for the first patient (B997A between midnight and 07:00). There are no maximums, and B998A doesn't need you to leave scheduled office hours (GP76).

Each week you're the most responsible physician, bill G512A once. In that week, G511, K071 and K072 aren't payable to anyone, but visits and K023 still are (J102).

In hospital, palliative visits by the most responsible physician are C882A ($40.05); in long-term care, W872A or W882A ($40.05) (A13, A19).

Billing rules

Palliative care means care in the final year of life, with no aggressive treatment of the underlying disease and care directed at comfort (GP5).
No other Family Practice consultation or visit code is payable with K023, except A945/C945 (A2).
K023 units: 1 unit at least 20 minutes, 2 at 46, 3 at 76, 4 at 106. Record start and stop times or it's paid at a lesser fee (A2, GP55).
A945 needs a request from another practitioner, at least 50 minutes, and start and stop times (A1).
G512: once per patient per week, to the most responsible physician or a substitute (J102).
G511: personally given, dated summary in the chart, maximum 2 per week, not the same day as your visit or time-based service (J101).
Death at home: A902A ($64.80) includes the death certificate and counselling the family (A6).
K023 can be billed by video or phone with K300A/K301A; A945 is video only (AJ1, AJ2).
FHO: K023, A945, G512 and the home visit premiums are out of basket; C882, A900, K015 and K730 are in basket. K023, C882, A945, W872, W882, B997 and B998 count toward the palliative care special payment: $2,400 at 4 patients a year, $6,000 at 10 (Agreement §8.6).

Questions

What is the OHIP billing code for palliative care?

Can I bill K023 and A007 at the same visit?

No. K023 replaces the visit code when you spend 20 minutes or more on palliative support. No other Family Practice visit code is payable with it except A945/C945 (A2).

What do I bill for a palliative home visit?

B966A travel + B998A first person (B997A at night), with K023A if you spend 20 minutes or more, or A900A if under 20 minutes and the patient is frail elderly or housebound (GP76, A6; OMA palliative guide pp.6–7).

Does G512 stop me billing visits that week?

No. Assessments, subsequent visits, K023 and special visit premiums are still payable. Only G511, K071 and K072 are barred that week (J102).

Sources

All OHIP billing codes by service · See how APEX works · Pricing