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C024 – Specific re-assessment

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

Levels of this visit

The C02x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C024 Specific re-assessment(this code)

    A specific re-assessment is a service rendered by a specialist in a hospital in-patient setting (non-emergency) that requires a full, relevant history and physical examination of…

    $27.25
  • C023 Specific assessment

    Specific assessment, Dermatology (02), non-emergency hospital in-patient services (see General Preamble GP40 to GP48).

    $46.15
  • C020 Complex dermatology assessment

    A complex dermatology assessment is an in-patient assessment for the ongoing management of specific complex dermatological diseases where the complexity of the condition requires…

    $60.00

Consultations

  • C026 Repeat consultation

    An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval…

    $47.75
  • C025 Consultation

    A consultation rendered to a non-emergency hospital in-patient by a Dermatology specialist following a written request from a referring physician, nurse practitioner, or dental…

    $158.15
A specific re-assessment is a service rendered by a specialist in a hospital in-patient setting (non-emergency) that requires a full, relevant history and physical examination of one or more systems. It is typically used as an admission assessment when the physician has previously assessed the patient for the same presenting illness within 90 days.
Requires a full, relevant history and physical examination of one or more systems.
Must be a direct physical encounter with the patient (unless billed as virtual care suffix A).
Usage limits
Limited to two per patient per physician per consecutive 12-month period, except for specific re-assessments rendered for hospital admissions. Only one consultation, general or specific assessment, or re-assessment is eligible for payment per patient admission.

C024 is the appropriate code for an admission assessment if the physician has seen the patient for the same illness within the previous 90 days.

If the physician is not the admitting physician but is seeing the patient in the Emergency or OPD, use General Listings (A-prefix) instead of C-prefix codes.

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