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A270 – Complex infectious disease assessment

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

Levels of this visit

The A27x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A270 Complex infectious disease assessment(this code)

    This service is an assessment for the ongoing management of any of the following infectious diseases where the complexity of the condition requires the continuing management by an…

    $95.05

Consultations

  • A275 Limited consultation

    A consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation.

    $119.30
This service is an assessment for the ongoing management of any of the following infectious diseases where the complexity of the condition requires the continuing management by an infectious disease specialist and where the visit requires a minimum of 20 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient:
Minimum of 20 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.
Must include all elements of a 'specific assessment' (as defined in ).
The start and stop times must be recorded in the patient’s permanent medical record or the amount payable for the service will be adjusted to a lesser paying fee.
Usage limits
Limited to 6 per patient, per physician, per 12-month period. Services in excess of this limit or those not meeting the 20-minute/clinical criteria will be adjusted to a lesser assessment fee (e.g., A464).

If the service does not meet the 20-minute minimum or the specific clinical criteria, it will be adjusted to a lesser assessment fee.

Time spent on other separately billable procedures cannot be counted toward the 20-minute minimum.

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