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A236 – Repeat consultation

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

Levels of this visit

The A23x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A230 Orthoptic assessment

    Orthoptic assessment must include quantitative measurement of all cardinal positions of gaze (straight ahead, left, right, up, down, tilt right and tilt left), sensory testing for…

    $26.20
  • A234 Partial assessment

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

    $31.95
  • A237 Periodic oculo-visual assessment - aged 19 years and below

    A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…

    $59.35
  • A239 Periodic oculo-visual assessment - aged 65 years and above

    A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…

    $59.35
  • A233 Specific assessment

    A specific assessment is a service rendered by a specialist, in a place other than a patient’s home, that requires a full history of the presenting complaint and detailed…

    $60.50

Consultations

  • A236 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…

    $48.00
  • A235 Consultation

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

    $86.25
  • A231 Neuro-ophthalmology consultation

    A consultation rendered by an ophthalmologist with fellowship training in neuro-ophthalmology for a patient with a neuro-ophthalmological disorder, requiring specific documented…

    $155.45
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.
Requires a new written request from a referring physician, nurse practitioner, or dental surgeon.
The consultant must prepare a written report (including findings, opinions, and recommendations) 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.
Usage limits
Not subject to the standard consultation frequency limits (1 per 24 months) if the criteria for a 'repeat' consultation are met (care by another physician in the interval).

If the requirements for a consultation (e.g., written request, report) are not met, the fee will be adjusted to a lesser assessment fee (e.g., A233).

A236 is specifically for the 'same consultant' seeing the patient for the 'same problem' after an interval of care by another physician.

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