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C174 – Specific re-assessment

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

Levels of this visit

The C17x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C174 Specific re-assessment(this code)

    A specific re-assessment rendered by a vascular surgery specialist for a non-emergency hospital in-patient.

    $28.80
  • C173 Specific assessment

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

    $49.30

Consultations

  • C176 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…

    $66.60
  • C175 Consultation

    A consultation is an assessment provided by a specialist (Vascular Surgery) for a non-emergency hospital in-patient, following a written request from a referring practitioner.

    $125.15
A specific re-assessment rendered by a vascular surgery specialist for a non-emergency hospital in-patient. This service requires a full, relevant history and physical examination of one or more systems. As per , the 'C' prefix indicates the service is for an acute care hospital non-emergency in-patient. In addition to the common elements, this assessment includes the following specific elements as defined on : • A. A direct physical encounter with the patient including taking a patient history and performing a physical examination. • B. Other inquiry (including taking a patient history), carried out to arrive at an opinion as to the nature of the patient's condition, (whether such inquiry takes place before, during or after the encounter during which the physical examination takes place) and/or follow-up care. • C. Performing any procedure(s) during the same encounter as the physical examination, unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with an assessment. • D. Making arrangements for any related assessments, procedures or therapy, and/or interpreting results. • E. Making arrangements for follow-up care. • F. Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient's representative, whether by telephone or otherwise, on matters related to the service and results. • G. When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided. • H. Providing premises, equipment, supplies, and personnel for the specific elements of the service except for any aspect(s) that is (are) performed in a hospital or nursing home.
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

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