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W150 – Comprehensive endocrinology consultation

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Levels of this visit

The W15x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • W154 General re-assessment of patient in nursing home

    A general re-assessment of a patient in a nursing home as defined by the Nursing Homes Act.

    $20.60

Consultations

  • W156 Repeat consultation

    A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…

    $110.15
  • W155 Consultation

    A consultation provided by a specialist in Endocrinology & Metabolism (15) for a patient in a non-emergency long-term care (LTC) setting.

    $172.95
  • W150 Comprehensive endocrinology consultation(this code)

    A comprehensive endocrinology consultation provided by a specialist in Endocrinology & Metabolism for a patient in a non-emergency, long-term care setting.

    $342.25
A comprehensive endocrinology consultation provided by a specialist in Endocrinology & Metabolism for a patient in a non-emergency, long-term care setting. This service is explicitly subject to the same conditions as A150. As a 'W' prefix service, it is intended for patients in Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, or designated chronic or convalescent care beds in hospitals. It is not payable for patients in designated palliative care beds. For emergency calls to these locations, A prefix codes and special visit premiums apply (see to ). As a consultation, this service must follow a written request from a referring physician, nurse practitioner, or dental surgeon, and the consultant must provide a written report back to the referring provider as detailed in . The service includes all the specific elements of an assessment as per , such as a direct physical encounter, history taking, performing necessary procedures not separately billable, arranging related assessments or therapy, arranging follow-up, and discussion with the patient or their representative.
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 identifies the consultant by name, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.
The written request sets out the information relevant to the referral and specifies the service(s) required.
A written report (including findings, opinions, and recommendations) must be prepared and sent to the referring physician, nurse practitioner or dental surgeon.

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