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A813 – Midwife or Aboriginal Midwife-Requested Assessment (MAMRA)

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

An assessment of a mother or newborn provided by a physician upon the written request of a midwife or aboriginal midwife because of the complex, obscure or serious nature of the patient’s problem.
Must be requested in writing by a midwife or aboriginal midwife.
Urgent or emergency requests may be initiated verbally but must be followed by a written request.
The written request must be retained in the patient’s permanent medical record.
Must include the common and specific elements of a general or specific assessment.
The physician must submit findings, opinions, and recommendations verbally to the midwife/aboriginal midwife.
The physician must submit findings, opinions, and recommendations in writing to the midwife/aboriginal midwife and the patient’s primary care physician or nurse practitioner (if applicable).
Usage limits
Maximum one per patient per physician per pregnancy (shared with A814).

A813 is the in-person version of the Midwife-Requested Assessment.

For hospital in-patients, use code C813 (subject to the same conditions as A813).

If the assessment is performed via video, use code A814.

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