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W025
W025 – Consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The W02x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
- $47.75
W026 Repeat consultation
A repeat consultation for patients in chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in…
- $158.15
W025 Consultation(this code)
A consultation is an assessment rendered by a specialist for a patient in a long-term care institution following a written request from a referring physician, nurse practitioner…
A consultation is an assessment rendered by a specialist for a patient in a long-term care institution following a written request from a referring physician, nurse practitioner, or dental surgeon. The referral is made due to the complexity, seriousness, or obscurity of the case, or because a second opinion is requested. This service includes a comprehensive assessment, review of all relevant data, and the preparation of a written report containing findings, opinions, and recommendations, which is sent to the referring practitioner. This service applies to patients in chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals, excluding designated palliative care beds. The 'W' prefix codes are used for these non-emergency in-patient services.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A copy of the written request for the consultation, signed by the referring physician, nurse practitioner, or dental surgeon must be kept in the consulting physician's medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.
The request must identify the consultant by name, the referring physician, nurse practitioner, or dental surgeon by name and billing number, and identify the patient by name and health number.
The written request must set out the information relevant to the referral and specify the service(s) required.
The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner, or dental surgeon.
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