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C930 – Uveitis and ocular inflammatory diseases consultation

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

Levels of this visit

The C93x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

  • C930 Uveitis and ocular inflammatory diseases consultation(this code)

    A consultation rendered by an ophthalmologist for a hospital in-patient regarding uveitis and ocular inflammatory diseases.

    $157.00
  • C935 Special surgical consultation

    A special surgical consultation is rendered when a surgeon provides all the appropriate elements of a regular consultation and is required to devote at least fifty minutes…

    $194.65
A consultation rendered by an ophthalmologist for a hospital in-patient regarding uveitis and ocular inflammatory diseases. As a consultation, it must be initiated by a written request from a referring physician, nurse practitioner, or dental surgeon who, due to the complexity, seriousness, or obscurity of the case, seeks the opinion of a specialist. The service includes a comprehensive assessment of the patient, a review of all relevant data, and the preparation of a written report with findings, opinions, and recommendations for the referring practitioner. This service is explicitly subject to the same conditions as A930.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record (unless in a setting with a common medical record where the request may be on the common 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.
Dilated examination of the fundus;
Analysis of laboratory testing, radiological and ocular imaging studies performed for investigation of the patient’s ocular inflammatory disease.
Usage limits
OR([1, "24_months", "per_patient_per_physician", "Limited to one service per two consecutive 12 month periods for the same diagnosis. An exception allows for a second consultation for a hospital inpatient or ED patient if rendered more than 12 months but less than 24 months after the first."], [1, "12_months", "per_patient_per_physician", "Limited to one service every 12 months for a clearly defined unrelated diagnosis."])

Subject to the same conditions as A930.

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