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A623

A623Medical Specific Assessment

OHIP General Listings Code — Clinical Immunology (62) · Schedule of Benefits

A medical specific assessment is a service rendered by a specialist in a place other than a patient’s home, requiring a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function.

When to Use

  • Use A623 for a specialist's initial, comprehensive evaluation of a patient presenting with a new, complex neurological complaint requiring detailed history and examination of the nervous system.
  • Bill A623 when a cardiologist performs a thorough assessment of a patient's cardiac status, including a full history and focused cardiac examination, to diagnose a new arrhythmia.
  • A623 is appropriate for an endocrinologist's detailed assessment of a patient with newly diagnosed, complex diabetes management issues, including a full history and examination of relevant systems.

Common Pitfalls

  • Billing A623 more than once per patient per physician within 12 months without meeting the criteria for a second assessment (unrelated diagnosis or 90-day lapse for hospital admission assessment) will result in payment adjustment to A628.
  • Submitting A623 for a patient already seen for the same condition within the 12-month period, without fulfilling the criteria for a re-assessment (A624 or A621), will lead to rejection or adjustment.
  • Using A623 for a patient in a hospital bed (unless in the ED or OPD while not on duty) is incorrect; C623 should be used for hospital in-patients.

Billing Tips

  • Ensure the documentation clearly reflects a full history and a detailed examination of the affected part(s), region(s), or system(s) to differentiate it from a limited consultation (A525) or a repeat consultation (A626).
  • A623 can be billed with the E078 Chronic Disease Assessment Premium if the patient has a documented chronic disease and the assessment meets all E078 criteria, including being in an office or out-patient clinic setting.
Provider Fee$0.00
Specialist Fee$80.90

Effective: June 1, 2025

Category

Consultations and Visits

Subcategory

Clinical Immunology (62)

Service Type

Consultations and Visits

Code Classes

Assessment

Physicians in hospital but not on duty in the Emergency Department seeing patients in the Emergency or OPD should use General Listings (A623).

Hospital in-patient version of this service is billed as C623.

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