May only be claimed in addition to HSCs 03.04A, 03.04AZ, 03.04C, 03.07B, 03.08A, and 03.08AZ when these services exceed 30 minutes.
| Category: | V Visit |
|---|---|
| Base rate: | $40.24 |
| Type | Code | # of calls | Explicit | Action | Amount |
|---|---|---|---|---|---|
| SKLL | CARD | Replace Base | $42.51 | ||
| SKLL | CLIM | Replace Base | $48.71 | ||
| SKLL | E/M | Replace Base | $54.63 | ||
| SKLL | GAST | Replace Base | $42.75 | ||
| SKLL | HEM | Replace Base | $48.71 | ||
| SKLL | IDIS | Replace Base | $50.89 | ||
| SKLL | INMD | Replace Base | $48.71 | ||
| SKLL | MDON | Replace Base | $48.71 | ||
| SKLL | NEPH | Replace Base | $52.73 | ||
| SKLL | NEUR | Replace Base | $45.51 | ||
| SKLL | PHMD | Replace Base | $50.12 | ||
| SKLL | RHEU | Replace Base | $40.24 | ||
| SKLL | RSMD | Replace Base | $55.24 | ||
| CALL | M15 | 1 - 6 | For Each Call Pay Base At | 100% | |
| TELE | TELES | Yes | Increase Base To | 120% |
An "in office" service is defined as a service that is not provided in the following publically funded facility types: Active Treatment Centre, Ambulatory Care Centre, Auxiliary Hospital, Health Canada Nursing Station, Community Ambulatory Care Centre, Community Mental Health Clinic, Nursing Home, Regional Contracted Practitioner Office and Subacute Auxiliary Hospitals. The following Health Service Codes are designated as "in office": 03.03A, 03.03B, 03.03F, 03.04A, 03.05I, 03.07A, 03.08A, 03.08B, 03.08I, 03.08J, 08.19A, 08.19G, 08.19GA, and 08.45.
An "out of office" service is defined as a service that is provided in the following publically funded facility types: Active Treatment Centre, Ambulatory Care Centre, Auxiliary Hospital, Health Canada Nursing Station, Community Ambulatory Care Centre, Community Mental Health Clinic, Nursing Home, Regional Contracted Practitioner Office and Subacute Auxiliary Hospitals. The following Health Service Codes are designated as "out of office": 03.03AZ, 03.03BZ, 03.03FZ, 03.04AZ 03.05IZ, 03.07AZ, 03.08AZ, 03.08BZ, 03.08IZ, 03.08JZ, 08.19AZ, 08.19GZ, and 08.45Z
In the context of GR 4, complete physical examination shall include examination of each organ system of the body, except in psychiatry, dermatology and the surgical specialties. "Complete physical examination" shall encompass all those organ systems which customarily and usually are the standard complete examination prevailing within the practice of the respective specialty. What is customary and usual may be judged by peer review.
In this Schedule "consultation" means that situation where a physician, audiologist, midwife, chiropractor, podiatrist, dentist, optometrist, physical therapist or nurse practitioner after an appropriate examination of the patient, requests the opinion of a consultant physician, and the consultant does a history, an examination and a review of the diagnostic data and provides a written opinion with recommendations as to the treatment, to the referring physician, audiologist, midwife, chiropractor, podiatrist, dentist, optometrist, physical therapist or nurse practitioner. Consultations may not be claimed for the transfer of care alone.
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