A770 – Extended comprehensive geriatric consultation
OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits
An extended comprehensive geriatric consultation is a consultation performed by a physician with a certificate of special competence in geriatrics on a patient: a. at least 65 years of age; or b. when the consultation is for the assessment of dementia; and where the physician 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.
When to Use
- Bill A770 when a geriatrician spends a minimum of 90 minutes in direct patient contact for a comprehensive assessment of a patient aged 65 or older, excluding any separately billable procedures.
- Utilize A770 for a patient of any age undergoing a comprehensive assessment specifically for dementia, provided the physician spends at least 90 minutes in direct patient contact.
- Choose A770 over A775 when the geriatric consultation requires an extended duration of 90 minutes or more of direct patient interaction.
Common Pitfalls
- Billing A770 when the direct patient contact time is less than 90 minutes, which could lead to claim rejection or require downgrading to A775.
- Including time spent reviewing charts, imaging, or preparing reports in the 90-minute direct contact calculation, as this non-patient-facing time is excluded.
- Failing to document the start and stop times of the 90-minute direct patient contact in the patient's medical record, which is a mandatory documentation requirement.
Billing Tips
- Ensure the patient has a referral from a physician, nurse practitioner, or dental surgeon, as this is a prerequisite for billing A770.
- Remember that A770 is restricted to a maximum of one claim per patient per physician within a 24-month period.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Time-based consultation
Consultation
Minimum of 90 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.
Start and stop times of the service must be recorded in the patient's permanent medical record.
Patient is at least 65 years of age; or When the consultation is for the assessment of dementia
A770 is eligible for payment when the consultation is for the assessment of dementia regardless of the patient's age.
Calculation of time excludes non-patient-facing time such as time spent reviewing charts, imaging, or documentation.
If general consultation requirements (written request/report) are not met, the fee may be reduced to a lesser assessment fee.
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