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C325 – Limited consultation

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

Levels of this visit

The C32x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

  • C325 Limited consultation(this code)

    C325 is a limited consultation rendered by a specialist in Genetics (22) for a non-emergency hospital in-patient.

    $119.40
  • C320 Special Medical Assistance in Dying (MAID) consultation

    A special Medical Assistance in Dying (MAID) consultation is a consultation conducted for the purpose of assessing the eligibility for MAID in a patient who has submitted a…

    $174.25
C325 is a limited consultation rendered by a specialist in Genetics (22) for a non-emergency hospital in-patient. The 'C' prefix indicates the service is for an acute care hospital non-emergency in-patient (see ). A limited consultation is defined as an assessment 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, including a written request from a referring practitioner, documentation of the request in the patient's record, and a written report sent back to the referring practitioner (see , ).
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, 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. In such cases, the written request may be contained on the common medical record.
The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.
A consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable.

*A consultation is payable at nil if a genetic assessment (K016) or genetic care (K222) has previously been claimed by the same physician.

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