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C356 – Repeat consultation

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

Levels of this visit

The C35x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C354 Specific re-assessment

    C354 is a specific re-assessment for a non-emergency, acute care hospital in-patient, as indicated by the 'C' prefix (GP12:26).

    $29.35
  • C353 Specific assessment

    C353 is for a specific assessment rendered by a specialist in Urology (35) to a non-emergency hospital in-patient.

    $51.45

Consultations

  • C356 Repeat consultation(this code)

    A hospital in-patient repeat consultation by a urologist, which is an additional consultation rendered by the same consultant for the same presenting problem.

    $64.90
  • C355 Consultation

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

    $93.15
A hospital in-patient repeat consultation by a urologist, which is an additional consultation rendered by the same consultant for the same presenting problem. This service is appropriate only after another physician has provided care in the interval following the initial consultation but preceding the repeat consultation. It requires a new written request from a referring physician, nurse practitioner, or dental surgeon as defined in . The service includes all the specific elements of an assessment as outlined in , including a direct physical encounter, history, and examination. A written report with findings, opinions, and recommendations must be sent to the referring practitioner. The 'C' prefix indicates this service is for non-emergency, acute care hospital in-patients. For payment requirements and documentation, see and .
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 (unless in a common medical record where 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 a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

The asterisk * next to the listing indicates that age-based fee premiums may apply to this service as per .

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