All codes
C255
C255 – Limited consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The C25x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
- $125.80
C250 Retinopathy of prematurity assessment
This service is an assessment for retinopathy of prematurity for a non-emergency hospital in-patient, rendered by an ophthalmologist (specialty 23).
Consultations
- $110.15
C255 Limited consultation(this code)
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation.
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation. Otherwise, a limited consultation has the same requirements as a full consultation.
As per , a consultation is an assessment rendered following a written request from a referring physician, <referralSourceType>nurse practitioner</referralSourceType>, or <referralSourceType>dental surgeon</referralSourceType>. It includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring practitioner. The consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A copy of the written request for the consultation, signed by the referring physician, <referralSourceType>nurse practitioner</referralSourceType> or <referralSourceType>dental surgeon</referralSourceType> must be kept in the consulting physician's medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained.
The request must identify the consultant by name, the referring physician, <referralSourceType>nurse practitioner</referralSourceType> or <referralSourceType>dental surgeon</referralSourceType> 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.
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