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E078
E078 – Chronic disease assessment premium
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
The chronic disease assessment premium is payable in addition to the amount payable for an assessment when all of the following criteria are met:
a. The assessment is a medical specific assessment; medical specific re-assessment; complex medical specific re-assessment; partial assessment; or level 2 paediatric assessment.
b. The service is rendered by a physician registered with OHIP as having one of the following specialty designations: 07(Geriatrics), 15(Endocrinology & Metabolism), 18(Neurology), 26(Paediatrics), 28(Pathology), 31(Physical Medicine), 34(Therapeutic Radiology), 44(Medical Oncology), 46(Infectious Disease), 47(Respiratory Disease), 48(Rheumatology), 61(Haematology), 62(Clinical Immunology).
c. The assessment is rendered in an office setting or an out-patient clinic located in a hospital, other than an emergency department.
d. The patient has an established diagnosis of a chronic disease, documented in the patient’s medical record.
The patient has an established diagnosis of a chronic disease, documented in the patient’s medical record.
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