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A662 – Extended special paediatric consultation

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

Levels of this visit

The A66x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A661 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 and includes all the…

    $86.35

Consultations

  • A665 Prenatal consultation

    A prenatal consultation is the service rendered by a paediatrician upon request of a physician or nurse practitioner who considers a fetus of greater than 20 weeks gestation to be…

    $105.50
  • A662 Extended special paediatric consultation(this code)

    A consultation in which the physician provides all the elements of a consultation (A265) and spends a minimum of 90 minutes in direct contact with the patient, exclusive of time…

    $442.40
  • A667 Neurodevelopmental consultation

    A consultation in which the physician provides all the elements of a consultation (A265) for an infant, child or adolescent with complex neurodevelopmental conditions (e.g.

    $456.80
A consultation in which the physician provides all the elements of a consultation (A265) and spends a minimum of 90 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
Must meet all requirements of a consultation (A265), including a written request from a referring physician, nurse practitioner, or dental surgeon.
A written report (including findings, opinions, and recommendations) must be provided to the referring provider.
Minimum of 90 minutes in direct contact with the patient.
Start and stop times of the service must be recorded in the patient's permanent medical record.
Age

Paediatrics general listings (A167): adult patient eligible only if seen by the paediatrician in the 12 months before age 18 with ongoing chronic condition management and less than 22 years of age - older patients need written MOH prior approval

Usage limits
Limited to one service per two consecutive 12-month periods for the same patient by the same physician for the same diagnosis (general consultation limit). Consultations for a clearly defined unrelated diagnosis are limited to one service every 12 months.

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 of time excludes non-patient-facing time such as time spent reviewing charts, imaging, or documentation.

If consultation requirements (e.g., written request, report, or time) are not met, the amount payable will be adjusted to a lesser assessment fee.

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