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C094 – Specific re-assessment

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

Levels of this visit

The C09x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C094 Specific re-assessment(this code)

    A service rendered by a specialist (Cardiac Surgery) in a hospital in-patient setting, requiring a full, relevant history and physical examination of one or more systems.

    $32.70
  • C093 Specific assessment

    A specific assessment is a service rendered by a specialist in Cardiac Surgery for a hospital in-patient, requiring a full history of the presenting complaint and a detailed…

    $55.70

Consultations

  • C096 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…

    $75.20
  • C095 Consultation

    A consultation rendered to a non-emergency hospital in-patient by a Cardiac Surgeon following a written request from a referring physician, nurse practitioner, or dental surgeon.

    $113.15
A service rendered by a specialist (Cardiac Surgery) in a hospital in-patient setting, requiring a full, relevant history and physical examination of one or more systems. This code is typically used for admission assessments when the physician has previously assessed the patient for the same illness within 90 days.
Full, relevant history
Physical examination of one or more systems
Usage limits
Limited to two per patient per physician per consecutive 12 month period, except for specific re-assessments rendered for hospital admissions.

Admission assessments are deemed to be a specific re-assessment (C094) if the physician has previously assessed the patient for the same presenting illness within 90 days of the admission assessment.

Admission assessment by the surgeon is not eligible for payment unless it is the major preoperative visit.

If a specialist assesses a patient in the ED/OPD and subsequently admits them, that initial assessment constitutes the admission assessment.

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