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W445 – Consultation

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

Levels of this visit

The W44x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • W444 General re-assessment of patient in nursing home

    A general re-assessment conducted for a patient in a nursing home.

    $20.60

Consultations

  • W446 Repeat consultation

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

    $115.95
  • W445 Consultation(this code)

    W445 is a consultation rendered by a Medical Oncology specialist for a patient in a long-term care institution.

    $183.40
W445 is a consultation rendered by a Medical Oncology specialist for a patient in a long-term care institution. This service is provided following a written request from a referring practitioner (physician, nurse practitioner, or dental surgeon) due to the complexity, seriousness, or obscurity of the case, or at the patient's request for a second opinion. The service includes a comprehensive assessment, review of all relevant data, and preparation of a written report for the referring practitioner. Per and , 'W' prefix codes apply specifically to non-emergency services for in-patients of chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record (unless in a facility with a 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.
Age

Patient is 17 years of age or older. For patients 16 and under, see W765.

Applies to Non-Emergency Long-Term Care In-Patient Services which 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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