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C470 – Comprehensive respiratory disease consultation

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

Levels of this visit

The C47x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C474 Medical specific re-assessment

    A medical specific re-assessment is a service rendered by a specialist for a hospital in-patient.

    $72.80
  • C471 Complex medical specific re-assessment

    A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the…

    $86.40
  • C473 Medical specific assessment

    A medical specific assessment is a service rendered by a specialist in a hospital in-patient setting.

    $99.15

Consultations

  • C476 Repeat consultation

    C476 is a repeat consultation provided by a specialist in Respiratory Disease (47).

    $115.30
  • C475 Consultation

    A consultation is an assessment rendered to a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon.

    $185.80
  • C470 Comprehensive respiratory disease consultation(this code)

    A comprehensive respiratory disease consultation for a patient in a non-emergency hospital in-patient setting.

    $342.25
A comprehensive respiratory disease consultation for a patient in a non-emergency hospital in-patient setting. This service is subject to the same conditions as A470. As per , a consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon, due to the complexity, seriousness, or obscurity of the case, or because a second opinion is requested. The service includes a review of all relevant data and a written report to the referring practitioner. This service is a consultation rendered by a specialist in respiratory disease who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A written report, including findings, opinions, and recommendations, must be provided to the referring practitioner.
A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record. In a hospital with common medical records, the request may be on the common 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 the information relevant to the referral and specify the service(s) required.
The start and stop times must be recorded in the patient’s permanent medical record or the amount payable for the service will be adjusted to a lesser paying fee.

Subject to the same conditions as A470.

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