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C575 – Limited consultation

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

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Levels of this visit

The C57x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C570 Complex respiratory assessment

    C570 is a complex respiratory assessment for a non-emergency hospital in-patient, subject to the same conditions as A570.

    $105.25

Consultations

  • C575 Limited consultation(this code)

    A limited consultation is an assessment which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation.

    $115.30
A limited consultation is an assessment which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation. It is rendered to a non-emergency hospital in-patient by a specialist in Respiratory Disease. Otherwise, a limited consultation has the same requirements as a full consultation, which is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon. The consultation is requested because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. It includes the services necessary to prepare a written report to the referring practitioner. The 'C' prefix specifically designates this service for non-emergency in-patient care in an acute care hospital.
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 request must identify the referring physician, nurse practitioner, or dental surgeon by name and billing number.
The request must identify 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.
C475C765C470C476C473C474C471C570

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.

Under the heading of “Family Practice & Practice in General", a limited consultation is the service rendered by any physician who is not a specialist, where the service meets all the requirements for a consultation but, because of the nature of the referral, only those services which constitute a specific assessment are rendered.

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