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W682
W682 – Extended special neurology consultation
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
W682 is an extended special neurology consultation rendered to a non-emergency patient in a Long-Term Care Institution, which includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, and designated chronic or convalescent care beds. This service is subject to the same conditions as A682. As per A682, the physician must provide all elements of a consultation (A185) and spend a minimum of 90 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention. The service is only eligible for payment if start and stop times are recorded in the patient's permanent medical record. The calculation of time excludes time devoted to any other separately billable service/procedure and non-patient-facing time (e.g., reviewing charts, imaging, documentation). As a consultation, it must be initiated by a written request from a referring physician, nurse practitioner, or dental surgeon due to the complexity, seriousness, or obscurity of the case. The service includes all constituent elements of a consultation, such as a review of relevant data, an appropriate history and examination, and the preparation of a written report with findings, opinions, and recommendations for the referring practitioner. (Source: , , , , ).
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 facility 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.
The consultant must prepare a written report including findings, opinions, and recommendations to the referring practitioner.
Subject to the same conditions as A682.
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