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A817
A817 – Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA) by Video
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA) by Video is an assessment of a mother or newborn provided by a physician upon the written request of a midwife or Aboriginal Midwife because of the very complex, obscure, or serious nature of the patient’s problem. It is intended for urgent or emergency assessments of a newborn by a paediatrician, or for complex assessments of a mother or newborn by a family physician or obstetrician.
Referral requiredFrom: Midwife, Aboriginal Midwife
A written request from a midwife or Aboriginal midwife is required. Urgent or emergency requests may be initiated verbally but must be followed by a written request. The written request must be retained on the patient’s permanent medical record.
The physician must spend at least 50 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.
The start and stop times of the assessment must be recorded on the patient’s permanent medical record.
The assessment must include the common and specific elements of a specific assessment (as defined in ) and the constituent elements of A814.
The physician must submit findings, opinions, and recommendations: (1) verbally to the midwife, (2) in writing to the midwife, and (3) in writing to the patient’s primary care physician or nurse practitioner (if applicable).
Calculation of time excludes non-patient-facing time (e.g., reviewing charts, imaging, or documentation).
Payable in any setting.
Eligible for age-based fee premiums as per the Age Premium Table in (e.g., 30% increase for newborns less than 30 days of age).
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