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A914
A914 – GP focused practice comprehensive consultation by Video
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A consultation rendered by a GP Focused Practice Physician who completes a full, relevant history of the presenting complaint and detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function and who 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.
Consultant must prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon. 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.
Usage limits
Limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician (except for repeat consultations or specific hospital/ED circumstances).
Time calculation 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, insufficient time), the amount payable will be adjusted to a lesser assessment fee.
Consultations rendered to the same patient by the same consultant with a clearly defined unrelated diagnosis are limited to one service every 12 months.
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