All codes
A375
A375 – Limited consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation. Otherwise, a limited consultation has the same requirements as a full consultation, including a written request and a written report.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Written request from a referring physician, nurse practitioner, or dental surgeon.
Written report including findings, opinions, and recommendations sent to the referring provider.
A copy of the written request must be kept in the consultant's medical record.
The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.
The written request sets out the information relevant to the referral and specifies the service(s) required.
Usage limits
One service per two consecutive 12-month periods for the same patient by the same physician for the same diagnosis (subject to specific exceptions for hospital/ED settings).
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