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W536
W536 – Repeat consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Levels of this visit
The W53x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.
- $48.00
W536 Repeat consultation(this code)
A repeat consultation rendered by an ophthalmologist (specialty 23) in a non-emergency long-term care setting.
- $85.90
W535 Consultation
Represents an ophthalmology consultation rendered in a non-emergency long-term care facility.
A repeat consultation rendered by an ophthalmologist (specialty 23) in a non-emergency long-term care setting. 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 the interval following the initial consultation.
Key Requirements:
• As per , a repeat consultation has the same requirements as a regular consultation, which includes a new written request from a referring physician, nurse practitioner, or dental surgeon.
• The written request must be kept in the patient's medical record. If in a facility with a common medical record, the request may be on that record.
• The request must identify the consultant, the referring practitioner (with billing number), and the patient (with health number), and describe the reason for the referral. (See ).
Applicable Locations:
This service is for patients in:
• Chronic Care Hospitals
• Convalescent Hospitals
• Nursing Homes
• Homes for the Aged
• Designated chronic or convalescent care beds in hospitals
This service is not for patients in designated palliative care beds. ()
Billing Note:
For emergency calls or visits qualifying for special visit premiums, use the appropriate 'A' prefix General Listing code, not W536. (, )
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 long-term care institution where common medical records are maintained, 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.
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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