OHIP Billing Guide📋 AssessmentPublished 2026
K730

K730 OHIP Billing Code: Enhance Patient Care through Collaborative Consultation

The K730 billing code enables referring physicians to seek advice from consultants by telephone to improve patient management and continuity of care.

For Ontario Physicians & Billing StaffOHIP Schedule of Benefits Reference37.05 CAD~3 min read

1What Is the K730 OHIP Code?

The K730 billing code is intended for use by referring physicians who need to consult with a specialist by telephone. This service facilitates collaboration between physicians to enhance the care, treatment, and management of patients. The code is especially useful for family physicians working from their offices who require specialist input to continue managing a patient's care effectively.

Unlike in-person consultations, the K730 code highlights the importance of telephone-based clinical collaboration, ensuring that physicians can obtain timely expert advice without requiring the patient to attend another appointment. However, this code can often be overlooked as physicians may not be aware that telephone consultations are billable separately from other services provided on the same day.

2Related Codes

CodeNameFrequencyDescription
A914GP focused practice comprehensive consultation by VideoRefer to Schedule for frequencyComprehensive video consultation service by a GP.
A006Repeat consultationRefer to Schedule for frequencyFollow-up in-person consultation service.
A010GP focused practice consultation by VideoRefer to Schedule for frequencyVideo consultation service by a GP.
A011GP focused practice repeat consultation by VideoRefer to Schedule for frequencyFollow-up video consultation service by a GP.

3Eligibility Requirements

To be eligible for billing the K730 code, the telephone consultation must be initiated by the referring physician or nurse practitioner, with the intention to continue managing the patient's care. Importantly, this code can be billed in addition to other services rendered to the same patient on the same day by the referring physician. The referring physician is responsible for transmitting all relevant data to the consultant physician to obtain advice. Unlike in-person consultations, the General Preamble consultation definitions and payment rules do not apply to this telephone service.

4What Your Clinical Note Must Show

1Documentation Essentials for K730

Ensure all relevant information regarding the consultation is documented thoroughly.

  • Date and time of the telephone consultation.
  • Consultant physician's name and specialty.
  • Patient's clinical information and reason for referral.
  • Details of conversation and advice received.

5Weak vs. Strong Note Examples

The strong note succeeds by providing specific details about the consultation, including the advice given and the follow-up plan, whereas the weak note lacks sufficient detail to justify the service billed.

Weak Note

Discussed patient case with Dr. Smith for management options.

Strong Note

Telephonic consultation with Dr. Smith, Cardiologist, on April 5, 2023, regarding patient John's treatment plan for hypertension management. Discussed possible adjustment in medication. Advised to monitor blood pressure bi-weekly and follow up in one month.

  • Date and time of consultation
  • Consultant's specialty
  • Detailed discussion points
  • Advice given and follow-up plan

6Common Reasons This Code Is Missed

1
Lack of awareness
Physicians may not be aware that telephone consultations are separately billable, leading to missed billing opportunities.
2
Insufficient documentation
Failure to thoroughly document the consultation details can result in rejected claims.
3
Misunderstanding eligibility
Confusion about the eligibility criteria and applicability of the code can hinder accurate billing.
Document K730 correctly — every time
Empathia's templates automatically structure your notes to capture every required element for audit-proof billing.

8Frequently Asked Questions

What is the fee for billing code K730?
The fee for the K730 code is CAD 37.05.
Can K730 be billed on the same day as other services?
Yes, K730 can be billed alongside other services provided by the referring physician on the same day.
What typical cases in family practice justify using K730?
Cases involving chronic disease management or complex treatment plans typically require specialist consultation and justify using K730 in family practice.
How does a family physician initiate a valid K730 consultation?
The family physician should call a specialist to discuss the patient's case with the intent to continue managing the patient's treatment.
Can K730 be used for emergency department consultations?
No, K730 is intended for use by physicians outside emergency department settings.
What patient scenarios typically involve K730 billing in family practice?
The code is often used when a family physician needs additional guidance from a specialist regarding ongoing patient management strategies, such as adjusting medication.
Is prior authorization needed to bill K730?
No prior authorization is required to bill K730, but proper documentation of the consultation is necessary to meet billing eligibility.
Disclaimer: This article is intended as a general educational resource for physicians and billing staff. It does not constitute billing advice or a definitive interpretation of the OHIP Schedule of Benefits. Always verify current billing codes, eligibility criteria, and documentation requirements directly against the official Schedule of Benefits or consult with a qualified medical billing specialist.
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