A154 – Medical specific re-assessment
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The A15x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
- $44.75
A158 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…
- $72.00
A154 Medical specific re-assessment(this code)
A service rendered by a specialist in Endocrinology & Metabolism requiring a full, relevant history and physical examination of one or more systems.
- $83.40
A151 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.
- $95.95
A153 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Endocrinology & Metabolism (15) in a place other than a patient’s home.
Consultations
- $110.15
A156 Repeat consultation
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…
- $172.95
A155 Consultation
A consultation rendered by a specialist in Endocrinology & Metabolism following a written request from a referring physician, nurse practitioner, or dental surgeon, including a…
- $342.25
A150 Comprehensive endocrinology consultation
A consultation rendered by a specialist in endocrinology who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes in direct…
Services in excess of the 12-month limit are adjusted to a lesser assessment fee
Admission assessments are deemed to be a specific re-assessment or medical specific re-assessment under either of the following circumstances: 1. for those procedures prefixed with a “Z” or noted as an IOP, by a surgical specialist who has assessed the patient prior to admission in respect of the same illness; or 2. for those patients who have been assessed by a physician and subsequently admitted to the hospital for the same illness by the same physician.
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