All codes
C175
C175 – Consultation
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
Consultations
- $66.60
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…
- $125.15
C175 Consultation(this code)
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.
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. The service requires the consultant to provide an opinion due to the complexity, seriousness, or obscurity of the case, or because a second opinion is requested.
Required Elements:
• A written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures) must be kept in the consultant's medical record.
• The request must identify the patient, referring practitioner (with billing number), and consultant by name, and specify the service(s) required.
• The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.
• A written report with findings, opinions, and recommendations must be sent to the referring practitioner.
Failure to meet these requirements may result in the service being paid as a lesser assessment fee.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
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. For common medical records in hospitals, the request may be on the common record.
The request must identify the consultant by name, the referring practitioner 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 practitioner.
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