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A210 – Special anaesthetic consultation

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

Levels of this visit

The A21x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

  • A215 Limited consultation for acute pain management

    A limited consultation for acute pain management is a consultation which takes place when a physician is requested by another physician to see a hospital in-patient because of the…

    $69.75
  • A210 Special anaesthetic consultation(this code)

    A special anaesthetic consultation is a consultation rendered by an anaesthesia (01) specialist that includes all appropriate elements of a regular consultation and requires a…

    $163.20
A special anaesthetic consultation is a consultation rendered by an anaesthesia (01) specialist that includes all appropriate elements of a regular consultation and requires a minimum of 50 minutes of direct contact with the patient, exclusive of time spent on other separately billable interventions or non-patient-facing activities.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Minimum of 50 minutes of direct patient contact ().
Start and stop times must be recorded in the patient's permanent medical record ().
Must include a written report with findings, opinions, and recommendations sent to the referring provider ().
The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data ().
Usage limits
Limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician. Consultations for clearly defined unrelated diagnoses are limited to one service every 12 months.

Non-patient-facing time (e.g., chart review, imaging, documentation) is excluded from the 50-minute requirement.

Preoperative consultations for low-risk elective procedures (cataract surgery, colonoscopy, cystoscopy, carpal tunnel surgery, or arthroscopic surgery) are only eligible if medically necessary and documented.

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