All codes
W310
W310 – Limited consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The W31x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
Assessments
- $20.60
W314 General re-assessment of patient in nursing home
A general re-assessment of a patient in a nursing home includes all the services of a general assessment, except for the patient's history, which need not include all details from…
Consultations
- $106.60
W310 Limited consultation(this code)
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation.
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation. Otherwise, a limited consultation has the same requirements as a full consultation as defined on page of the Schedule. A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon, requiring the consultant to prepare a written report with findings, opinions, and recommendations 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, other than patients in designated palliative care beds.
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 hospital or long-term care institution 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.
Usage limits
OR([1, "24_months", "per_patient_per_physician", "Limited to one consultation for the same diagnosis per two consecutive 12-month periods, with specific exceptions."], [1, "12_months", "per_patient_per_physician", "Limited to one consultation for a clearly defined unrelated diagnosis per 12-month period."])
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