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W095
W095 – Consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The W09x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
- $75.20
W096 Repeat consultation
This is a repeat consultation provided by a specialist in Cardiac Surgery (09) for a patient in a non-emergency, long-term care setting.
- $113.15
W095 Consultation(this code)
A consultation provided by a Cardiac Surgeon to a patient in a non-emergency long-term care setting.
A consultation provided by a Cardiac Surgeon to a patient in a non-emergency long-term care setting. This service is rendered following a written request from a referring physician, nurse practitioner, or dental surgeon for an opinion on a complex, serious, or obscure case. The service includes all elements necessary to prepare a written report to the referring practitioner. This code is specifically for use 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. For emergency or special visits, an 'A' prefix code from the General Listings must be used instead.
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. In a facility with common medical records, the written request may be on the common record.
The request must identify the consultant by name, the referring practitioner by name and billing number, and 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.
For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .
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