All codes
C515
C515 – Limited consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The C51x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
Consultations
- $106.60
C515 Limited consultation(this code)
C515 is a limited consultation for a non-emergency hospital in-patient rendered by a specialist in Physical Medicine & Rehabilitation (31).
`C515` is a limited consultation for a non-emergency hospital in-patient rendered by a specialist in Physical Medicine & Rehabilitation (31). A limited consultation, as defined on , is an assessment that is less demanding and typically requires substantially less physician time than a full consultation (e.g., C315). It must otherwise meet all the requirements for a consultation as outlined on , which includes:
• A written request from a referring physician, nurse practitioner, or dental surgeon.
• Proper identification of the patient, referring practitioner, and consultant.
• A written report of findings, opinions, and recommendations sent back to the referring practitioner.
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 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 consultant must prepare a written report (including findings, opinions, and recommendations) to the referring practitioner.
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation. Otherwise, a limited consultation has the same requirements as a full consultation.
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