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K142 – Chronic disease shared appointment - 4 patients per unit

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

Chronic disease shared appointment is a pre-scheduled primary care service rendered for chronic disease management, to a group of 4 patients with the same diagnosis of one of the diseases listed below, that consists of assessment and the provision of advice and information in respect of diagnosis, treatment, health maintenance and prevention. Each patient must have an established diagnosis of one of the following chronic diseases: • Diabetes • Congestive Heart Failure • Asthma • Chronic obstructive pulmonary disease (COPD) • Hypercholesterolemia • Fibromyalgia The physician must be in constant personal attendance for the duration of the appointment session, although another appropriately qualified health professional may lead parts of the educational component of the session (for example, a diabetic educator or nurse). In addition, a clinically appropriate assessment must be rendered to each patient by the same physician as a component of the chronic disease shared appointment. This service has the same specific elements as an assessment as outlined in .
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.

OHIP diagnostic codes: Diabetes, Congestive Heart Failure, Asthma, Chronic obstructive pulmonary disease (COPD), Hypercholesterolemia, Fibromyalgia

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