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W395
W395 – Limited consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A limited consultation is a consultation service rendered by a psychiatrist in a non-emergency long-term care setting. According to , it is a consultation that is less demanding and normally requires substantially less of the physician's time than a full consultation. However, it must otherwise meet all the requirements of a full consultation as outlined in , including a written request from a referring practitioner and a written report of findings and recommendations sent back to the referring practitioner. The 'W' prefix designates this service for patients in settings such as Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, and Homes for the Aged, as specified on page of the Schedule.
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 settings with a common medical record (e.g., long-term care institution), 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.
A written report including findings, opinions, and recommendations must be provided to the referring practitioner.
Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or convalescent care beds in hospitals and nursing homes or homes for the aged, other than patients in designated palliative care beds.
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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