All codes
W130
W130 – Comprehensive internal medicine consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The W13x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
- $20.60
W134 General re-assessment of patient in nursing home
A general re-assessment rendered to a patient in a nursing home, as per the Nursing Homes Act.
Consultations
- $342.25
W130 Comprehensive internal medicine consultation(this code)
A comprehensive internal medicine consultation provided to a non-emergency in-patient in a Long-Term Care Institution.
A comprehensive internal medicine consultation provided to a non-emergency in-patient in a Long-Term Care Institution. Per the Schedule, this service is subject to the same conditions as A130. A consultation is an assessment rendered following a written request from a referring practitioner for an expert opinion on a patient's condition due to its complexity, seriousness, or obscurity. The consulting physician must provide a written report of findings, opinions, and recommendations to the referring practitioner. For payment, the written request must be kept in the patient's medical record.
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 a common medical record, the written request may be contained on the common medical 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.
The consultant must prepare a written report including findings, opinions, and recommendations to the referring physician, nurse practitioner or dental surgeon.
Subject to the same conditions as A130.
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