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C724 – Medical specific re-assessment

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

Levels of this visit

The C72x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C724 Medical specific re-assessment(this code)

    Medical specific re-assessment (Occupational Medicine)

    $72.00
  • C721 Complex medical specific re-assessment

    A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.

    $83.40
  • C723 Medical specific assessment

    A medical specific assessment is a service rendered by a specialist in Occupational Medicine to a hospital in-patient.

    $95.95

Consultations

  • C726 Repeat consultation

    A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…

    $123.10
  • C725 Consultation

    A consultation rendered to a hospital in-patient by a specialist in occupational medicine following a written request from a referring physician, nurse practitioner, or dental…

    $192.85
  • C720 Comprehensive occupational medicine consultation

    A consultation rendered by a specialist in occupational medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…

    $342.25
Medical specific re-assessment (Occupational Medicine)
Requires a full, relevant history and physical examination of one or more systems.
If billed as an admission assessment, it must be the initial assessment for the purpose of admitting the patient to the hospital.
If the admitting physician has previously assessed the patient for the same illness within 90 days, the admission assessment must be billed as a re-assessment (C724) rather than a consultation or specific assessment.
Usage limits
Limited to two per patient per physician per consecutive 12-month period, except for specific re-assessments rendered for hospital admissions. Additionally, any combination of medical specific assessments and complex medical specific re-assessments are limited to 4 per patient per physician per 12-month period.

Admission assessments are deemed to be a medical specific re-assessment if the physician has assessed the patient prior to admission in respect of the same illness ().

If the physician is not the MRP but is asked to perform the admission assessment, C724 may still be billed but E082 would not apply.

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