A481 – Complex medical specific re-assessment
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The A48x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
- $44.75
A488 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…
- $72.00
A484 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in rheumatology that requires a full, relevant history and physical examination of one or more systems.
- $83.40
A481 Complex medical specific re-assessment(this code)
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.
- $95.95
A483 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Rheumatology in a place other than a patient's home.
- $113.85
A480 Complex rheumatology assessment
A complex rheumatology assessment is an assessment for the ongoing management of specific complex disorders of the musculoskeletal system where the complexity of the condition…
Consultations
A481 is intended for the ongoing management of complex disorders and is not for the initial evaluation of a patient.
If the usage limit of 4 per 12 months is exceeded, the fee is adjusted to a lesser assessment fee.
A481 is distinct from A480 (Complex rheumatology assessment), which is reserved for specific diseases like systemic vasculitides and has different limits and rules.
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