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A675 – Limited consultation

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

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, it has the same requirements as a full consultation, including a written request and report.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Written request from referring provider identifying the consultant and patient
Written report sent to the referring provider
A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.
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: 428

Usage limits
One per two consecutive 12-month periods for the same diagnosis; one every 12 months for an unrelated diagnosis.

If consultation requirements are not met, the fee is adjusted to a lesser assessment fee.

A675 is specifically for the Cardiology specialty.

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