A002

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A003 General assessment...............................................................           95.60
                   Note:
                   A003 is not eligible for payment for an assessment provided in the patient’s home.
               A004 General re-assessment ..........................................................            39.35
                   Note:
                   The collection of cervical cancer screening specimen(s) is included in the consultation, repeat
                   consultation, general or specific assessment (or re-assessment), or routine postnatal visit when
                   pelvic examination is normal part of the foregoing services. However, the add-on codes E430
                   or E431 can be billed in addition to these services when collection of cervical cancer screening
                   specimen(s) is performed outside of a hospital or ICHSC.
               A001 Minor assessment...................................................................         26.80
               A007 Intermediate assessment or well baby care ...........................                       44.55
               E432     - when pelvic exam including speculum is performed
                          outside of hospital or ICHSC, to A001 and A007 ....... add                             5.00
               A002 Enhanced 18 month well baby visit (see General Preamble
                        GP34) ................................................................................. 73.95
                   Payment rules:
                   1.Special visit premiums listed in Table VI on page GP75 of this Schedule are not eligible for
                     payment with A007 or A001 when rendered in a patient’s home.
                                          2.For A007 or A001 rendered in a patient’s home, travelling to and from the home is included
                                            as a common element of the insured service. See page GP13 of this Schedule.
                                          3.See the Definitions section of this Schedule for the definition of home.
                                          4.E432 is limited to one service per patient per day.
                                          5.E432 is only eligible for payment when the procedure is personally rendered by the
                                            physician.
                                          6.E432 is not eligible for payment with E430, E431, or E542.
                 Mini assessment
                   A mini assessment is rendered when an assessment of a patient for an unrelated non-WSIB
                   problem is performed during the same visit as an assessment of a WSIB related problem for
                   which only a minor assessment was rendered.
               A008 Mini assessment ..................................................................... 13.40
                   [Commentary:
                   A008 is only payable when the WSIB component of the visit is the service described as A001.
                   In circumstances where a different service or a higher level of assessment is claimed, A008 is
                   not payable in addition.]

Master, record 2. Record Layout PDF, page 1.

A00220260401999999990000073950000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.