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C185 – 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(this code)

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

    $225.55
  • C180 Special neurology consultation

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

    $342.25
A consultation rendered by a neurologist for a non-emergency hospital in-patient. A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon who, in light of their professional knowledge of the patient, requests the opinion of a specialist competent to give advice in this field because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. The service includes all elements necessary to prepare a written report to the referring practitioner, including a review of relevant data and a general, specific, or medical specific assessment. A copy of the written request must be kept in the medical record, and it must identify the patient, the referring practitioner, and the consultant, and set out the reason for the referral. Failure to meet these requirements may result in the service fee being reduced to that of a lesser assessment.
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 identify 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 and provide a written report, including findings, opinions, and recommendations, to the referring practitioner.

C prefix codes are for non-emergency hospital in-patient services. See General Preamble to for details.

For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .

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