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E088
E088 – Congestive heart failure premium
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Congestive heart failure premium is payable in addition to the amount payable for an assessment by a cardiology specialist (60) when all of the following criteria are met:
a. The assessment is a:
i. medical specific assessment;
ii. medical specific re-assessment;
iii. complex medical specific re-assessment; or
iv. partial assessment.
b. The assessment is rendered in an office setting or an out-patient clinic located in a hospital, other than an emergency department.
c. The patient has an established diagnosis of congestive heart failure, documented in the patient's medical record.
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