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A835
A835 – Comprehensive nuclear medicine consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A comprehensive nuclear medicine consultation is a consultation rendered by a specialist in nuclear medicine who provides all the appropriate elements of a consultation and spends 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 requiredFrom: Physician, NursePractitioner, DentalSurgeon
A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.
The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.
The written request sets out the information relevant to the referral and specifies the service(s) required.
The consultant must provide a written report (findings, opinions, and recommendations) to the referring provider. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable.
Minimum of 75 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 must be recorded in the patient’s permanent medical record.
Must satisfy all the elements of a consultation as defined in the General Preamble ().
Usage limits
Limited to one service per two consecutive 12-month periods for the same diagnosis by the same consultant (general consultation rule). Limited to one service every 12 months for a clearly defined unrelated diagnosis.
The calculation of the 75-minute minimum time excludes non-patient-facing time such as time spent reviewing charts, imaging, or documentation.
If the requirements for a consultation are not met (e.g., no written request), the fee will be adjusted to a lesser assessment fee.
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