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A600 – Comprehensive cardiology consultation

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

Levels of this visit

The A60x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A608 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…

    $49.80
  • A604 Medical specific re-assessment

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

    $72.65
  • A601 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.

    $84.10
  • A603 Medical specific assessment

    A medical specific assessment is a specialist service requiring a full history of the presenting complaint and a detailed examination of the affected systems to make a diagnosis…

    $96.70

Consultations

  • A606 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…

    $105.25
  • A605 Consultation

    A consultation rendered by a specialist in cardiology following a written request from a referring physician, nurse practitioner, or dental surgeon.

    $188.45
  • A600 Comprehensive cardiology consultation(this code)

    This service is a consultation rendered by a specialist in cardiology who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct…

    $342.25
This service is a consultation rendered by a specialist in cardiology who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact with the patient exclusive of time spent rendering any other separately billable intervention to the patient.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Requires a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures).
The consultant must spend a minimum of 75 minutes in direct contact with the patient.
The start and stop times of the direct contact must be recorded in the patient's permanent medical record.
A written report including findings, opinions, and recommendations must be sent to the referring provider.
The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.
Usage limits
Limited to one service per patient per two consecutive 12-month periods for the same diagnosis by the same physician (subject to exceptions for hospital inpatients or emergency department visits between 12 and 24 months). Limited to one service every 12 months for a clearly defined unrelated diagnosis.

The calculation of time excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation.

The calculation time also excludes non-patient-facing time such as time spent reviewing charts, imaging, or documentation, etc.

Age-based fee premiums () apply to this code for patients under 16 years of age.

Special visit premiums (-) may be applicable if the criteria for a non-elective visit or sacrifice of office hours are met.

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