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K730
K730 – Physician to physician telephone consultation - Referring physician
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A physician to physician telephone consultation is a service where the referring physician or nurse practitioner, in light of his/her professional knowledge of the patient, requests the opinion of a physician (the “consultant physician") by telephone who is competent to give advice in the particular field because of the complexity, seriousness, or obscurity of the case. This service is only eligible for payment if the consultant physician has provided an opinion and/or recommendations for patient treatment and/or management.
For the purpose of this service, “relevant data” include family/patient history, history of the presenting complaint, laboratory and diagnostic tests, where indicated and feasible in the circumstances.
Definition/Required elements of service – Referring physician/Nurse Practitioner
The referring physician or nurse practitioner initiates the telephone consultation with the intention of continuing the care, treatment and management of the patient.
In addition to the Constituent and Common Elements of Insured Services described in the General Preamble of this Schedule, this service includes the transmission of relevant data to the consultant physician and all other services rendered by the referring physician or nurse practitioner to obtain the advice of the consultant physician.
The medical record must document the transmission of relevant data to the consultant physician.
The Definition/Required elements of service and payment rules for consultations in the General Preamble are not applicable to physician to physician telephone consultations.
This service is eligible for payment in addition to visits or other services provided to the same patient on the same day by the same referring physician.
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