All codes
A010
A010 – GP focused practice consultation by Video
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A consultation rendered by a GP Focused Practice Physician who completes a full, relevant history of the presenting complaint and detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function, provided via video.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.
The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.
The written request sets out the information relevant to the referral and specifies the service(s) required.
A written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.
The service must be rendered using a 'Verified-Virtual Visit Solution' (audio and video visualization).
The physician must complete a full, relevant history and a detailed examination of the affected parts/systems as medically appropriate via video.
Usage limits
Consultations rendered to the same patient by the same physician for the same diagnosis are limited to one service per two consecutive 12-month periods. Consultations for a clearly defined unrelated diagnosis are limited to one service every 12 months.
A010 is designated as a 'Video Only' service in Appendix J.
If the requirements for a consultation (e.g., written request/report) are not met, the amount payable will be reduced to a lesser assessment fee.
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