All codes
A545
A545 – Limited consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A consultation which is less demanding and requires substantially less time than a full consultation, rendered by a Gastroenterology specialist following a written request from a referring provider.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Written request from a referring physician, nurse practitioner, or dental surgeon.
Written report back to the referring provider including findings, opinions, and recommendations.
Medical record must contain the signed request and the report.
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.
OHIP diagnostic codes: 263, 555, 556, 571, 579
Usage limits
One service per two consecutive 12-month periods for the same diagnosis; one service per 12 months for an unrelated diagnosis.
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