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A066 – Repeat consultation

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

Levels of this visit

The A06x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A064 Partial assessment

    Partial assessment rendered by an Orthopaedic Surgeon (Specialty 06).

    $25.95
  • A063 Specific assessment

    A specific assessment is a service rendered by a specialist (Orthopaedic Surgery) in a place other than a patient’s home.

    $45.55

Consultations

  • A066 Repeat consultation(this code)

    A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…

    $55.35
  • A065 Consultation

    A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures).

    $89.80
A repeat consultation is 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
A new written request from the referring provider is mandatory.
The request must identify the consultant, referring provider (name and billing number), and patient (name and health number).
The request must specify relevant clinical information and the service required.
The consultant must prepare a written report (findings, opinions, and recommendations) and send it to the referring provider.
The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.
A copy of the signed written request must be kept in the consultant's medical record (except in settings with common medical records).
Usage limits
Repeat consultations are not subject to the frequency limit of one consultation per two consecutive 12-month periods that applies to standard consultations (A065).

A066 is specifically for Orthopaedic Surgery (06).

Preoperative consultations for low-risk elective procedures (e.g., cataract surgery, colonoscopy, arthroscopic surgery) are only eligible if the medical record demonstrates the consultation is medically necessary.

Eligible for age-based fee premiums as defined in .

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