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A136 – Repeat consultation

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

Levels of this visit

The A13x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A138 Partial assessment

    A partial assessment is the limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient and appropriate…

    $44.75
  • A134 Medical specific re-assessment

    A service rendered by a specialist in Internal Medicine requiring a full, relevant history and physical examination of one or more systems.

    $72.00
  • A131 Complex medical specific re-assessment

    A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition.

    $83.40
  • A133 Medical specific assessment

    A service rendered by a specialist in a place other than a patient’s home, requiring a full history of the presenting complaint and detailed examination of the affected part(s)…

    $95.95

Consultations

  • A136 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…

    $123.10
  • A135 Consultation

    A consultation is an assessment rendered following a written request from a referring: physician 2.

    $192.85
  • A130 Comprehensive internal medicine consultation

    A consultation rendered by a specialist in internal medicine who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of…

    $342.25
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
Requires a new written request from a referring physician, nurse practitioner, or dental surgeon.
Must include all elements of a full consultation: history, physical examination, review of relevant data, and a written report to the referring provider.
The patient must have received care from another physician in the interval between the initial consultation and the repeat consultation for the same problem.
Usage limits
Exception to the standard consultation limit of one per 24 months for the same diagnosis by the same physician.

If the requirements for a repeat consultation are not met (e.g., no new referral or no intervening care by another physician), the service will be adjusted to a lesser assessment fee.

Eligible for age-based fee premiums for patients under 16 years of age (10% to 30% increase).

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