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C695
C695 – Neurodevelopmental consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A neurodevelopmental consultation for a non-emergency acute care hospital in-patient. This service is subject to the same conditions as the general listing A695. It requires a written request from a referring physician, nurse practitioner, or dental surgeon as per the definition of a consultation on . A written report must be sent to the referring practitioner. This service is intended for non-emergency in-patient services as per .
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.
A written report including findings, opinions, and recommendations must be prepared and sent to the referring physician, nurse practitioner or dental surgeon.
Usage limits
OR([1, "24_months", "per_patient_per_physician", "Consultations rendered to the same patient by the same physician for the same diagnosis are limited to one service per two consecutive 12 month periods."], [1, "12_months", "per_patient_per_physician", "Consultations for a clearly defined unrelated diagnosis are limited to one service every 12 months."], [1, "24_months", "per_patient_per_physician", "An exception allows for a second consultation for the same diagnosis within a two-year period if the patient is a hospital inpatient or in an Emergency Department, and the service occurs more than 12 but less than 24 months after the first consultation."])
Subject to same conditions as A695.
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