All codes
A101
A101 – Limited Virtual Care by Video
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A Limited Virtual Care Service is an assessment which includes at a minimum, history-taking and medically appropriate exam to arrive at a diagnosis and provide an appropriate management plan and/or management, and when provided, the other specific elements of assessments.
Must be initiated by the patient or the patient’s representative, or represent a medically necessary follow-up to a preceding visit initiated by the patient.
The delivery modality (Video) must be documented on the patient's medical record.
The physician must personally perform the service or rendered in accordance with the payment rules regarding supervision of a Medical Trainee.
If it becomes apparent that the service cannot be appropriately completed without a direct physical encounter, the virtual service is not eligible for payment; only the in-person service is eligible.
An 'Existing/Ongoing Patient-Physician Relationship' is defined as: 1) At least one in-person insured service in the preceding 24 months; 2) Patient is enrolled to the physician or their group; 3) A video consultation was provided in the preceding 24 months; or 4) Specific services (e.g., A920, A945) were provided in the preceding 24 months.
If the modality changes during the service (e.g., phone to video), only the modality representing more than 50% of the time is payable.
Physician-initiated 'check-ins' or administrative calls are not eligible for payment.
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