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C044 – Specific re-assessment

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

Levels of this visit

The C04x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C044 Specific re-assessment(this code)

    A specific re-assessment is an admission assessment rendered for the purpose of admitting a patient to a hospital or long-term care facility when the admitting physician has…

    $33.40
  • C043 Specific assessment

    Specific assessment is a service rendered by specialists, in a place other than a patient’s home, and requires a full history of the presenting complaint and detailed examination…

    $64.90

Consultations

  • C046 Repeat consultation

    A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…

    $64.85
  • C045 Consultation

    A consultation provided to a non-emergency hospital in-patient by a neurosurgeon (Specialty 04) following a written request from a referring physician, nurse practitioner, or…

    $145.60
A specific re-assessment is an admission assessment rendered for the purpose of admitting a patient to a hospital or long-term care facility when the admitting physician has previously assessed the patient for the same presenting illness within 90 days of the admission.
Direct physical encounter with the patient.
Taking a patient history and performing a physical examination.
Inquiry carried out to arrive as an opinion as to the nature of the patient’s condition.
Making arrangements for follow-up care.
Discussion with and providing advice/information to the patient or representative.
Usage limits
Limited to one consultation, general or specific assessment, or re-assessment per patient per hospital admission. If a patient is transferred between physicians, only one such assessment is eligible for payment per admission.

Non-Emergency Long-Term Care includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, and Homes for the Aged.

For emergency calls and other special visits to in-patients, use General Listings and Premiums ( to ) when applicable.

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