A264 – Medical specific re-assessment
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The A26x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
- $24.85
A261 Level 1 - Paediatric assessment
A Level 1 paediatric assessment includes one or both of the following: a brief history and examination of the affected part or region or related to a mental or emotional disorder…
- $50.20
A262 Level 2 - Paediatric assessment
A Level 2 paediatric assessment is a paediatric service that requires a more extensive examination than a level 1 paediatric assessment.
- $70.75
A264 Medical specific re-assessment(this code)
A medical specific re-assessment is a service rendered by a specialist in Paediatrics (26) that requires a full, relevant history and physical examination of one or more systems.
- $95.75
A263 Medical specific assessment
A service rendered by a specialist in Paediatrics requiring a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s)…
Consultations
- $104.70
A266 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…
- $190.35
A265 Consultation
A consultation rendered by a Paediatrician following a written request from a referring physician, nurse practitioner, or dental surgeon, requiring a comprehensive assessment and…
- $342.25
A260 Special paediatric consultation
A special paediatric consultation is a consultation in which the physician provides all the elements of a consultation (A265) and spends a minimum of 75 minutes in direct contact…
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.
A264 is listed under the Paediatrics (26) section of the Schedule.
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