All codes
K735
K735 – Physician to physician telephone consultation - Consultant physician
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
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 – Consultant physician
This service includes all services rendered by the consultant physician to provide opinion/advice/recommendations on patient care, treatment and management to the referring physician. The consultant physician is required to review all relevant data provided by the referring physician or nurse practitioner.
K735 applies when the service is rendered by a physician on duty in an emergency department or a hospital urgent care clinic.
Referral requiredFrom: Physician, NursePractitioner
The consultant physician is required to review all relevant data provided by the referring physician or nurse practitioner.
A service rendered by a Medical Trainee is only eligible for payment to the Supervising Physician when the medical record of the patient(s) identifies the Supervising Physician, the Medical Trainee and level of training, the description of the insured service performed, patient consent for supervision, and the Supervising Physician has reviewed the service and signed off on the patient's medical record.
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