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A026 – Repeat consultation

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Levels of this visit

The A02x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A024 Partial assessment

    A limited service constituting a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate record.

    $23.50
  • A023 Specific assessment

    A specific assessment is a service rendered by a specialist in Dermatology (02) in a place other than the patient's home.

    $46.15
  • A020 Complex dermatology assessment

    An assessment for the ongoing management of complex dermatological conditions where the complexity of the condition requires continuing management by a dermatology specialist.

    $60.00

Consultations

  • A026 Repeat consultation(this code)

    An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval…

    $47.75
  • A025 Consultation

    An assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon, including a general, specific or medical specific assessment…

    $77.50
  • A027 Consultation in association with special visit

    Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient.

    $158.15
  • A021 Advanced Dermatology Consultation

    A consultation for the investigation, diagnosis, and management of complex diseases of the integumentary system where the complexity of the condition requires the medical…

    $164.90
An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval following the initial consultation but preceding the repeat consultation.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Must include a history, physical examination, and a written report to the referring physician.
Usage limits
Not subject to the 1 per 24-month limit applicable to initial consultations.

Complexity criteria for Dermatology include >30% BSA involvement, systemic therapy, or 30+ minutes of direct contact.

Start and end times must be recorded if time-based criteria are used.

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