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C180 – Special neurology consultation

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

Levels of this visit

The C18x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C184 Medical specific re-assessment

    A medical specific re-assessment rendered by a neurologist for a non-emergency hospital in-patient.

    $64.95
  • C181 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…

    $75.20
  • C183 Medical specific assessment

    A medical specific assessment rendered by a specialist in Neurology (18) to a non-emergency in-patient in an acute care hospital.

    $82.40

Consultations

  • C186 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…

    $125.50
  • C185 Consultation

    A consultation rendered by a neurologist for a non-emergency hospital in-patient.

    $225.55
  • C180 Special neurology consultation(this code)

    C180 is a special neurology consultation for a non-emergency hospital in-patient.

    $342.25
C180 is a special neurology consultation for a non-emergency hospital in-patient. It is subject to the same conditions as A180. A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon. The consultant's opinion is requested because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient. A special consultation is rendered when a consultant provides all the appropriate elements of a regular consultation and is required to devote a minimum of 75 minutes exclusively to the consultation with the patient. The calculation of the 75-minute minimum excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation. This service includes all common and specific elements of an assessment as outlined in the Schedule of Benefits (-).
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. 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 or 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 specify the service(s) required.
The physician must record on the patient's permanent medical record the time when the insured service started and ended.

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