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C156 – Repeat 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 code)

    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

    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
This service is a repeat consultation for a non-emergency hospital in-patient, rendered by a specialist in Endocrinology & Metabolism (15). The 'C' prefix indicates the service location is an acute care hospital for a non-emergency in-patient service (). A repeat consultation is defined as 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 (). It requires a new written request from the referring physician, nurse practitioner, or dental surgeon. All requirements for a consultation, as detailed in , apply, including the specific elements of assessments outlined in .
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 physician/nurse practitioner/dental surgeon 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 specifies the service(s) required.
The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

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