A486 – Repeat consultation
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
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
- $125.10
A486 Repeat consultation(this code)
Repeat consultation rendered by a specialist in Rheumatology.
- $202.40
A485 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 rheumatologist…
Maximum 6 per 12_months (per patient per physician). Services in excess of this limit will be adjusted to a lesser assessment fee.
Examples of systemic vasculitides include Churg-Strauss angiitis, polyarteritis nodosa, Wegener’s granulomatosis, Takayasu’s vasculitis, microscopic polyangiitis, and temporal arteritis.
A consultation or assessment service, as appropriate, may be claimed for the initial evaluation of a patient.
This service is not eligible for payment to a physician for the initial evaluation of the patient by that physician.
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