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A414 – Medical specific re-assessment

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

Levels of this visit

The A41x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A418 Partial assessment

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

    $44.75
  • A414 Medical specific re-assessment(this code)

    A medical specific re-assessment is a service rendered by a specialist requiring a full, relevant history and physical examination of one or more systems.

    $72.00
  • A411 Complex medical specific re-assessment

    A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.

    $83.40
  • A413 Medical specific assessment

    A medical specific assessment is a service rendered by a specialist in a place other than a patient’s home.

    $95.95

Consultations

  • A416 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…

    $106.90
  • A415 Consultation

    A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon who requests the opinion of a…

    $159.45
A medical specific re-assessment is a service rendered by a specialist requiring a full, relevant history and physical examination of one or more systems.
Requires a full, relevant history and physical examination of one or more systems.

OHIP diagnostic codes: 263, 555, 556, 571, 579

Usage limits
Limited to two per patient per physician per consecutive 12 month period (except for hospital admissions). Services in excess of this limit are adjusted to a lesser assessment fee.

Admission assessments are deemed to be a specific re-assessment or medical specific re-assessment under either of the following circumstances: 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 for those patients who have been assessed by a physician and subsequently admitted to the hospital for the same illness by the same physician.

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