New insured Virtual Care Services are effective December 1, 2022

As part of the 2021-2024 Physician Services Agreement, the Ministry of Health (MOH) and the Ontario Medical Association (OMA) agreed to a new virtual care funding framework that adds certain services provided by video and telephone as insured services under OHIP.

This new framework replaces the temporary virtual care codes introduced in March 2020. However, it is not intended to replace existing Schedule fee codes that were in place prior to March 2020 for services that were eligible for payment if provided virtually. Insured physician services that can be provided virtually can be found in Appendix J of the Schedule of Benefits (the Schedule) and are also listed at the end of this EPC Billing Brief.

Important Note: Virtual care codes that were introduced in March 2020 (K080, K081, K082, K083, K092, K093, K094, K095) may not be submitted for payment for insured services provided on or after December 1, 2022.

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