A775 – Comprehensive geriatric consultation
OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A comprehensive geriatric consultation is a consultation performed by a physician with a certificate of special competence in Geriatrics on a patient who is either at least 65 years of age or being assessed for dementia. The physician must spend a minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention.
When to Use
- Bill A775 for a patient aged 70+ presenting with new-onset confusion and falls, requiring a comprehensive assessment of their geriatric needs, provided you spend at least 75 minutes in direct patient contact.
- Use A775 when a patient, regardless of age, is referred specifically for a dementia workup, and the physician dedicates a minimum of 75 minutes to direct patient interaction.
- A775 is appropriate for a patient over 65 with multiple chronic conditions and functional decline, where a detailed geriatric assessment is performed, exceeding 75 minutes of direct patient time.
Common Pitfalls
- Billing A775 when the direct patient contact time is less than 75 minutes; consider A075 for shorter consultations.
- Submitting A775 if the same consultant has billed this code for the patient within the last 2 years; this will result in a rejection.
- Including time spent reviewing external records or dictating the report in the 75-minute calculation; only direct patient contact time is billable.
Billing Tips
- Ensure the patient's chart clearly documents the start and end times of the 75-minute direct patient contact to support the A775 claim.
- Always send a comprehensive written report to the referring physician, detailing findings and recommendations, as this is a mandatory component of A775.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Consultations and Visits
Consultation
Start and stop times of the service must be recorded in the patient's permanent medical record.
A written report (including findings, opinions, and recommendations) must be prepared and sent to the referring provider.
The 2-year limit applies to the specific consultant, not the specialty as a whole.
Non-patient-facing time is strictly excluded from the 75-minute requirement.
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