All codes
B103
B103 – B103
OHIP Paediatrics Code · Schedule of Benefits
When to Use
- Use B103 when a patient requires a brief, specific assessment for a condition that does not warrant a full intermediate assessment (A007) or general assessment (A001).
- B103 is appropriate for follow-up visits where the physician is primarily assessing the patient's response to a treatment initiated at a previous visit, without introducing new complex issues.
- This code is suitable for consultations requested by another physician for a specific, isolated problem that can be addressed in a short timeframe.
Common Pitfalls
- Billing B103 when the patient encounter involves assessment and management of multiple distinct problems, which would instead qualify for a higher-level assessment code like A007.
- Using B103 for routine follow-up of chronic conditions that require ongoing management and problem-solving, as these typically fall under intermediate (A007) or general (A001) assessments.
- Submitting B103 for visits where significant new history is taken or a new problem is introduced, as this usually indicates a need for a more comprehensive assessment code.
Billing Tips
- Ensure the patient's chart clearly documents the specific, limited nature of the assessment and the reason for choosing B103 over a more comprehensive code.
- Verify that the encounter does not include elements that would typically be billed separately, such as minor procedures or specialized diagnostic tests, unless they are directly integral to the B103 assessment.
Provider Fee$0.00
Effective: December 1, 2022
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