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C066 – Repeat consultation

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

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Levels of this visit

The C06x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C064 Specific re-assessment

    A specific re-assessment is a service rendered by a specialist in a non-emergency hospital in-patient setting.

    $27.30

  • C063 Specific assessment

    A specific assessment rendered by a specialist in Orthopaedic Surgery for a non-emergency hospital in-patient.

    $45.55

Consultations

  • C066 Repeat consultation(this code)

    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…

    $55.35

  • C065 Consultation

    A consultation rendered to a hospital in-patient by an Orthopaedic Surgeon (specialty 06) following a written request from a referring physician, nurse practitioner, or dental…

    $89.80
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 physician in the interval following the initial consultation but preceding the repeat consultation. A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, <medicalTerm>nurse practitioner</medicalTerm> or <medicalTerm>dental surgeon</medicalTerm>. A consultation is an assessment rendered following a written request from a referring provider who, in light of his/her professional knowledge of the patient, requests the opinion of a physician (the 'consultant physician') competent to give advice in this field because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. A consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring provider. Except where otherwise specified, the consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data. This service is for a non-emergency repeat consultation rendered to a hospital in-patient by a specialist in Orthopaedic Surgery.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon.
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. In a hospital where common medical records are maintained, the written request may be contained on the common medical record.
The request must identify the consultant by name, the referring provider by name and billing number, and the patient by name and health number.
The written request must set out the information relevant to the referral and specify the service(s) required.
The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring provider.
A066

NON-EMERGENCY HOSPITAL IN-PATIENT SERVICES. For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable.

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