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C476 – Repeat consultation

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

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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(this code)

    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

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

    $342.25
C476 is a repeat consultation provided by a specialist in Respiratory Disease (47). This service is specifically for non-emergency in-patients in an acute care hospital, as indicated by the 'C' prefix (see ). A repeat consultation, as defined in , is an additional consultation rendered by the same consultant for the same presenting problem. A key requirement is that care must have been rendered to the patient by another physician in the interval following the initial consultation but preceding this repeat consultation. Like all consultations, this service requires a new written request from a referring physician, nurse practitioner, or dental surgeon. The consultant must perform an assessment, review relevant data, and provide a written report of findings, opinions, and recommendations to the referring practitioner. For full consultation requirements, see .
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon.
A copy of the written request, signed by the referring practitioner, must be kept in the consulting physician's medical record. In hospitals with a common medical record, the written request may be contained on the common medical record.
The request identifies the consultant by name, 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.
A written report, including findings, opinions, and recommendations, must be provided to the referring practitioner.
Usage limits
OR([1, "12_months", "per_patient_per_physician", "Consultations rendered to the same patient by the same consultant with a clearly defined unrelated diagnosis are limited to one service every 12 months."])
C475C765C470C575C473C474C471C570C472C477C479C122C123C124C142C143C121C478C982C126

See General Preamble to . For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .

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