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W096
W096 – Repeat 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 code)
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
A consultation provided by a Cardiac Surgeon to a patient in a non-emergency long-term care setting.
This is a repeat consultation provided by a specialist in Cardiac Surgery (09) for a patient in a non-emergency, long-term care setting. As per , a repeat consultation is an additional consultation for the same presenting problem, rendered after another physician has provided care in the interim since the initial consultation. It requires a new written request from a referring practitioner (as per ). The service is rendered in a setting such as a Chronic Care Hospital, Convalescent Hospital, Nursing Home, or Home for the Aged (, ). The service includes all the constituent elements of a consultation, such as a direct physical encounter, review of data, and a written report to the referring practitioner.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A copy of the new written request for the repeat consultation must be kept in the consultant's medical record, or on the common medical record if in a facility where common records are maintained.
The written 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 information relevant to the referral and specify the service(s) required.
The consultant must prepare a written report of their findings, opinions, and recommendations for the referring practitioner.
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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