C411 – Complex medical specific re-assessment
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The C41x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
- $72.00
C414 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist and requires a full, relevant history and physical examination of one or more systems.
- $83.40
C411 Complex medical specific re-assessment(this code)
Complex medical specific re-assessment for a non-emergency hospital in-patient, listed under Gastroenterology (41) Non-Emergency Hospital In-Patient Services.
- $95.95
C413 Medical specific assessment
C413 is a medical specific assessment rendered by a specialist in Gastroenterology (specialty 41) for a non-emergency acute care hospital in-patient, as designated by the 'C'…
Consultations
- $106.90
C416 Repeat consultation
Repeat consultation for a non-emergency hospital in-patient, listed under Gastroenterology (41) Non-Emergency Hospital In-Patient Services.
- $159.45
C415 Consultation
A consultation is an assessment rendered by a specialist in Gastroenterology for a hospital in-patient following a written request from a referring physician, nurse practitioner…
The code C411 represents the Gastroenterology (41) specific version of the generic 'additional visit due to intercurrent illness' service, analogous to C121 described in the General Preamble. The '41' in C411 indicates the specialty.
Per , subsequent visits are limited to one per day for the first 5 weeks, 3 per week from weeks 6 to 13, and 6 per month after 13 weeks. Visits for acute intercurrent illness are payable in excess of these limits after the first 5 weeks of hospitalization.
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