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C425
C425 – Comprehensive physical medicine and rehabilitation consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A comprehensive physical medicine and rehabilitation consultation provided to a non-emergency hospital in-patient. The 'C' prefix designates this service for acute care hospital in-patient settings, distinct from general 'A' prefix services. This service is explicitly subject to the same conditions as A425. As a consultation, it must meet the requirements outlined in the General Preamble (), including a written request from a referring practitioner and a subsequent written report. See to for rules on non-emergency hospital in-patient services.
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 where common medical records are maintained, the written request may be contained 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 consultant must prepare a written report including findings, opinions, and recommendations to the referring practitioner.
The start and stop time must be recorded in the patient’s permanent medical record or the payment for the service will be reduced to a lesser fee.
Subject to the same conditions as A425.
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