A005

PDF page 129 / A1

Consultations and VisitsJ uly 22, 2026 (effective July 1, 2026)
                                                                  CONSULTATIONS AND VISITS
      FAMILY PRACTICE & PRACTICE IN GENERAL (00)
                 GENERAL LISTINGS
               A005 Consultation............................................................................               95.60
                 Special family and general practice consultation
                   This service is a consultation rendered by a GP/FP physician who provides all the elements of
                   a consultation and spends a minimum of 50 minutes in direct contact with the patient, exclusive
                   of time spent rendering any other separately billable intervention to the patient.
               A911 Special family and general practice consultation....................            164.95
                 Comprehensive family and general practice consultation
                   This service is a consultation rendered by a GP/FP physician who provides all the elements of
                   a consultation and spends a minimum of 75 minutes in direct contact with the patient, exclusive
                   of time spent rendering any other separately billable intervention to the patient.
               A912 Comprehensive family and general practice consultation ......                   247.40
                   Payment rules:
                   1.For A911 and A912, the start and stop times must be recorded in the patient’s permanent
                     medical record or the amount payable for the service will be adjusted to a lesser paying fee.
                                            2.No other consultation, assessment, visit or counselling service is eligible for payment when
                                              rendered the same day as one of A911 or A912 to the same patient by the same physician.
                                            [Commentary:
                                            1.A911 and A912 must satisfy all the elements of a consultation (see page GP16).
                                            2.Unless otherwise specified in the Schedule, the calculation of the 50 minute and 75 minute
                                              minimum for special and comprehensive consultations respectively excludes (1) time
                                              devoted to any other service or procedure for which an amount is payable in addition to the
                                              consultation and (2) non-patient-facing time such as such as time spent reviewing charts,
                                              imaging, or documentation, etc.]
                 Special palliative care consultation
                   A special palliative care consultation is a consultation requested because of the need for
                   specialized management for palliative care where the physician spends a minimum of 50
                   minutes in direct contact with the patient and/or patient's representative/family in consultation
                   (majority of time must be spent in consultation with the patient) exclusive of time spent
                   rendering any other separately billable intervention to the patient. In addition to the general
                   requirements for a consultation, the service includes a psychosocial assessment,
                   comprehensive review of pharmacotherapy, appropriate counselling and consideration of
                   appropriate community services, where indicated.
               A945 Special palliative care consultation.........................................    174.25
                   Payment rules:
                   1.Start and stop times must be recorded in the patient’s permanent medical record or the
                     amount payable for the service will be adjusted to a lesser paying fee.
                                            2.When the duration of a palliative care consultation (A945 or C945) exceeds 50 minutes, one
                                              or more units of K023 are payable in addition to A945 or C945, provided that the minimum
                                              time requirements for K023 are met. The time periods for A945 or C945 and K023 are
                                              mutually exclusive (i.e. the start time for determination of minimum time requirements for
                                              K023 occurs 50 minutes after start time for A945 or C945).

PDF page 184 / A56

CONSULTATIONS AND VISITS
FAMILY PRACTICE & PRACTICE IN GENERAL (00)
   Initial discussion with patient re: smoking cessation
     Initial discussion with patient re: smoking cessation is the service rendered to a patient who
     currently smokes tobacco by the primary care physician most responsible for their patient’s
     ongoing care, in accordance with the guidelines and subject to the conditions below.
 E079 Initial discussion with patient, to eligible services ............. add         15.95
     Payment rules:
     1.E079 is only eligible for payment when rendered in conjunction with one of the following
        services: A001, A003, A004, A005, A006, A007, A008, A905, K005, K007, K013, K017,
        K130, K131, K132, K133, P003, P004, P005, P008, W001, W002, W003, W004, W008,
        W010, W102, W104, W107, W109 or W121.
     2.E079 is limited to a maximum of one service per patient per 12 month period.
     Medical record requirements:
     The medical record for this service must document that an initial smoking cessation discussion
     has taken place, by either completion of a flow sheet or other documentation consistent with
     the most current guidelines of the “Clinical Tobacco Intervention” (CTI) program, or the service
     is not eligible for payment.
     [Commentary:
     1.Physicians may complete a flow sheet or alternatively document that an initial discussion
       consistent with the 5A's model of the CTI program has taken place.
     2.E079 is not eligible for payment for discussions related to cannabis smoking or discussions
       related to vaping, including vaping tobacco.]
   Smoking cessation follow-up visit
     Smoking cessation follow-up visit is the service rendered by a primary care physician in the 12
     months following E079 that is dedicated to a discussion of tobacco smoking cessation, in
     accordance with the guidelines and subject to the conditions below.
 K039 Smoking cessation follow-up visit ........................................... 39.25
     Payment rules:
     1.K039 is only eligible for payment when E079 is payable to the same physician in the
       preceding 12 month period.
     2.K039 is limited to a maximum of two services in the 12 months following E079.
     Medical record requirements:
     The medical record for this service must document that a follow-up visit regarding smoking
     cessation has taken place, by either completion of a flow sheet or other documentation
     consistent with the most current guidelines of the “Clinical Tobacco Intervention” (CTI)
     program, or the service is not eligible for payment.
     [Commentary:
     1.Physicians may complete a flow sheet or alternatively document that an initial discussion
       consistent with the 5A's model of the CTI program has taken place.
     2.K039 is not eligible for payment for discussions related to cannabis smoking or discussions
       related to vaping, including vaping tobacco.]

Master, record 5. Record Layout PDF, page 1.

A00520260401999999990000095600000000000000000000000000000000000000000000000

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.