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C445 – Consultation

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

Levels of this visit

The C44x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C444 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.

    $72.00
  • C441 Complex medical specific re-assessment

    A complex medical specific re-assessment is a re-assessment of a patient by a Medical Oncology specialist because of the complexity, obscurity, or seriousness of the patient's…

    $83.40
  • C443 Medical specific assessment

    A medical specific assessment for a non-emergency hospital in-patient, rendered by a specialist in Medical Oncology.

    $95.95

Consultations

  • C446 Repeat consultation

    A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…

    $115.95
  • C445 Consultation(this code)

    A consultation is an assessment rendered by a specialist in Medical Oncology for a non-emergency hospital in-patient, following a written request from a referring physician, nurse…

    $183.40
A consultation is an assessment rendered by a specialist in Medical Oncology for a non-emergency hospital in-patient, following a written request from a referring physician, nurse practitioner, or dental surgeon (for an insured dental procedure in a hospital). The consultant's opinion is sought due to the complexity, seriousness, or obscurity of the case, or at the request of the patient or their representative. The service includes all necessary work to prepare a written report with findings, opinions, and recommendations for the referring practitioner. A general, specific, or medical specific assessment, including a review of all relevant data, is required.
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.
The written request sets out the information relevant to the referral and specifies the service(s) required.
The consultant is required to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

See General Preamble to for rules regarding non-emergency hospital in-patient services.

For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable - see General Preamble to .

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