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C405 – Limited consultation

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

Levels of this visit

The C40x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

  • C405 Limited consultation(this code)

    A limited consultation rendered by a specialist in Community Medicine for a non-emergency hospital in-patient.

    $94.75
  • C400 Comprehensive community medicine consultation

    A comprehensive community medicine consultation provided to a non-emergency hospital in-patient.

    $270.60
A limited consultation rendered by a specialist in Community Medicine for a non-emergency hospital in-patient. A limited consultation is defined as 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 defined in the General Preamble (). The 'C' prefix indicates the service is for a non-emergency acute care hospital in-patient.
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, long-term care institution or multi-specialty clinic with common medical records, the written request may be on the common medical record.
The written request must identify the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number.
The written request must set out information relevant to the referral and specify the service(s) required.

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