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A802
A802 – Extended midwife or aboriginal midwife-requested genetic assessment
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
This service is the 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 90 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.
Referral requiredFrom: Midwife, AboriginalMidwife
The written request from the midwife or aboriginal midwife must be retained on the patient’s permanent medical record, or the amount payable for the service will be reduced to a lesser fee.
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, or the amount payable for the service will be reduced to a lesser fee.
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.
A800Midwife or Aboriginal Midwife-requested genetic assessmentA801Comprehensive midwife or aboriginal midwife-requested genetic assessmentC802Extended midwife or aboriginal midwife-requested genetic assessment (In-patient)K229Complex genetic test interpretationK044Genetic family counsellingK222Genetic care
The calculation of time for A802 excludes (1) time devoted to any other service or procedure for which an amount is payable in addition to the assessment and (2) non-patient-facing time such as time spent reviewing charts, imaging, or documentation, etc.
Eligible for Special Visit Premiums (Travel and First Person Seen) if the visit is non-elective and requires travel to a hospital or patient's home.
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