All codes
A525
A525 – 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 (written request, assessment, and written report).
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Written request identifying the consultant by name and/or specialty, referring physician, nurse practitioner or dental surgeon by name and billing number, and patient by name and health number.
Written request must be kept in the consulting physician’s medical record (unless common medical records are maintained in hospital/LTC/multi-specialty clinic).
Written request sets out information relevant to the referral and specifies service(s) required.
Written report including findings, opinions, and recommendations sent to the referring physician, nurse practitioner or dental surgeon (and patient's primary care provider if referral by NP).
Performance of a general, specific, or medical specific assessment, including a review of all relevant data.
Usage limits
One service per two consecutive 12 month periods for the same diagnosis; one service every 12 months for a clearly defined unrelated diagnosis.
A525 is the Clinical Immunology specific code for a limited consultation.
For services not listed in the Clinical Immunology section, refer to the Internal Medicine section.
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