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A801 – Comprehensive midwife or aboriginal midwife-requested genetic assessment

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

This service is an assessment provided by a geneticist upon the written request of a midwife or aboriginal midwife because of the complex, obscure or serious nature of the patient’s problem. This service includes the specific elements of an assessment and 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 to the patient.
Referral required
The geneticist must submit his/her findings, opinions and recommendations in writing to both the midwife or aboriginal midwife and the patient’s primary care physician or nurse practitioner, if applicable.
The written request from the midwife or aboriginal midwife must be retained on the patient’s permanent medical record.
The service is eligible for payment only if start and stop times of the service are recorded in the patient's permanent medical record.
Usage limits
Limited to one per patient, per physician, per 24 month period.

Calculation of time excludes time devoted to any other separately billable service or procedure.

Calculation of time excludes non-patient-facing time (e.g., chart review, imaging, documentation).

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