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C150 – Comprehensive endocrinology consultation

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

Levels of this visit

The C15x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C154 Medical specific re-assessment

    A medical specific re-assessment is a service rendered by a specialist (Endocrinology & Metabolism) for a hospital in-patient, requiring a full, relevant history and physical…

    $72.00
  • C151 Complex medical specific re-assessment

    A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition and includes all the…

    $83.40
  • C153 Medical specific assessment

    A medical specific assessment rendered by a specialist in Endocrinology & Metabolism to a hospital in-patient.

    $95.95

Consultations

  • C156 Repeat consultation

    This service is a repeat consultation for a non-emergency hospital in-patient, rendered by a specialist in Endocrinology & Metabolism (15).

    $110.15
  • C155 Consultation

    A consultation rendered to a hospital in-patient by a specialist in Endocrinology & Metabolism (15) following a written request from a referring physician, nurse practitioner, or…

    $172.95
  • C150 Comprehensive endocrinology consultation(this code)

    A consultation rendered by a specialist in endocrinology who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes in direct…

    $342.25
A consultation rendered by a specialist in endocrinology who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Requires a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures).
Requires a written report (including findings, opinions, and recommendations) to be sent to the referring provider.
The physician must spend a minimum of 75 minutes in direct contact with the patient.
The start and stop times of the consultation must be recorded in the patient's permanent medical record.
The 75-minute minimum excludes time spent on other separately billable services and non-patient-facing time (e.g., chart review, documentation).
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, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained.
The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.
The written request sets out the information relevant to the referral and specifies the service(s) required.
Usage limits
Limited to one service per patient per two consecutive 12-month periods for the same diagnosis (general consultation limit), unless the second service is rendered more than 12 months after the first and the patient is a hospital in-patient or in the Emergency Department.

C150 is the in-patient equivalent of A150 and is subject to the same clinical and time conditions.

Age-based premiums apply for patients under 16 years of age (10% to 30% increase).

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