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A710 – Comprehensive critical care medicine consultation

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

Levels of this visit

The A71x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A713 Medical specific assessment

    A medical specific assessment is a service rendered by a specialist in a place other than a patient’s home.

    $95.95

Consultations

  • A715 Consultation

    A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon who requests the opinion of a specialist in…

    $196.55
  • A710 Comprehensive critical care medicine consultation(this code)

    A consultation rendered by a specialist in critical care medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…

    $342.25
A consultation rendered by a specialist in critical care medicine 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
Minimum of 75 minutes in direct contact with the patient.
The start and stop times must be recorded in the patient’s permanent medical record.
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.
A written report (including findings, opinions, and recommendations) must be provided to the referring physician, nurse practitioner or dental surgeon. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable.
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 two consecutive 12-month periods for the same diagnosis (except in specific hospital/ED circumstances or if it is a repeat consultation). 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 of time excludes non-patient-facing time such as time spent reviewing charts, imaging, or documentation.

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