A130

PDF page 257 / A129

CONSULTATIONS AND VISITS
      INTERNAL MEDICINE (13)
                 GENERAL LISTINGS
               A135 Consultation............................................................................               192.85
                 Comprehensive internal medicine consultation
                   This service is a consultation rendered by a specialist in internal medicine who provides all the
                   appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of
                   direct contact with the patient exclusive of time spent rendering any other separately billable
                   intervention to the patient.
               A130 Comprehensive internal medicine consultation ......................           342.25
                   Medical record requirements:
                   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.
                                          [Commentary:
                                          1.A130 must satisfy all the elements of a consultation (see page GP16).
                                          2.Unless otherwise specified in the Schedule, the calculation time for comprehensive internal
                                            medicine consultations 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.]
               A435 Limited consultation ................................................................                  123.10
               A136 Repeat consultation ................................................................                   123.10
               A133 Medical specific assessment ..................................................                          95.95
               A134 Medical specific re-assessment..............................................                            72.00
               A131 Complex medical specific re-assessment...............................                                   83.40
               A138 Partial assessment .................................................................                    44.75
               A120 Colonoscopy assessment, same day as colonoscopy ...........                        18.85
                   Note:
                   1.A120 is the only assessment service eligible for payment on the same day as a colonoscopy
                     if a major pre-operative visit has been rendered by any physician in the 12 month period prior
                     to the date of the colonoscopy service.
                   2.A120 is not eligible for payment if a major pre-operative visit is eligible for payment on the
                     same day as colonoscopy.
                   3.A120 is only eligible for payment to physicians in the following specialties: Internal Medicine
                     (13) and Gastroenterology (41).
                                          [Commentary:
                                          For the definition of major pre-operative visit, see the definition page GP4.]
               K045 Diabetes management by a specialist ....................................     80.25
               K046 Diabetes team management................................................... 127.20
                   [Commentary:
                   For K045 and K046 definition/required elements, payment rules and record keeping
                   requirements see Endocrinology and Metabolism section.]

PDF page 258 / A130

CONSULTATIONS AND VISITS
INTERNAL MEDICINE (13)
     EMERGENCY OR OUT-PATIENT DEPARTMENT (OPD)
      Physician in hospital but not on duty in the Emergency Department when seeing patients in the
      Emergency or OPD - use General Listings.
   NON-EMERGENCY HOSPITAL IN-PATIENT SERVICES
    See General Preamble GP40 to GP48. For emergency calls and other special visits to in-
    patients, use General Listings and Premiums when applicable - see General Preamble GP65 to
    GP78.
 C135 Consultation............................................................................ 192.85
 C130 Comprehensive internal medicine consultation - subject to the
         same conditions as A130 ...................................................           342.25
 C435 Limited consultation ................................................................    123.10
 C136 Repeat consultation ................................................................     123.10
 C133 Medical specific assessment ..................................................            95.95
 C134 Medical specific re-assessment..............................................              72.00
 C131 Complex medical specific re-assessment...............................                     83.40
   Subsequent visits
 C132 - first five weeks........................................................ per visit                         40.05
 C137 - sixth to thirteenth week inclusive (maximum 3 per patient
        per week)................................................................ per visit                        40.05
 C139 - after thirteenth week (maximum 6 per patient per month)
         ............................................................................... per visit                 40.05
   Subsequent visits by the Most Responsible Physician (MRP)
    See General Preamble GP44 to GP45 for terms and conditions.
 C122 - day following the hospital admission assessment..............                                              71.80
 C123 - second day following the hospital assessment ..................                                            71.80
 C124 - day of discharge .................................................................                         71.80
 C126 - day of discharge, medically complex patient (see A13 for
        terms and conditions) .........................................................                            95.10
   Subsequent visits by the MRP following transfer from an Intensive Care Area
    See General Preamble GP46 for terms and conditions.
 C142 - first subsequent visit by the MRP following transfer from an
        Intensive Care Area............................................................ 71.80
 C143 - second subsequent visit by the MRP following transfer from
        an Intensive Care Area.......................................................   71.80
 C121 Additional visits due to intercurrent illness (see General
        Preamble GP43)..................................................... per visit                              40.05
 C138 Concurrent care .......................................................... per visit                         40.05
 C982 Palliative care (see General Preamble GP50)............ per visit                                            40.05

PDF page 259 / A131

CONSULTATIONS AND VISITS
      INTERNAL MEDICINE (13)
                 NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
                  Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
                  Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
                  convalescent care beds in hospitals and nursing homes or homes for the aged, other than
                  patients in designated palliative care beds. For emergency calls and other special visits to in-
                  patients, use General Listings and Premiums when applicable - see General Preamble GP65
                  to GP78.
               W235 Consultation............................................................................ 192.85
               W130 Comprehensive internal medicine consultation - subject to the
                        same conditions as A130....................................................          342.25
               W435 Limited consultation ................................................................    123.10
               W236 Repeat consultation ................................................................     123.10
                 Admission assessment
               W232   - Type 1.................................................................................        69.35
               W234   - Type 2.................................................................................        20.60
               W237   - Type 3.................................................................................        30.70
               W239 Periodic health visit.................................................................             65.05
               W134 General re-assessment of patient in nursing home (as per the
                      Nursing Homes Act)* ..........................................................                   20.60
                                          Note:
                                          *May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act).

PDF page 826 / AJ2

APPENDIX J
VIDEO ONLY
     A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
     A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
     A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
     A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
     A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
     A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
     A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
     A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
     A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
     A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
     A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
     A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
     A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
     A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
     A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
     A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
     A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
     C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
     C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
     C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
     C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
     C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
     C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
     C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
     C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
     C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
     C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
     C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
     C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
     C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
     C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
     C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
     C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
     C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
     C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
     C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
     C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
     C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
     C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
     C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
     C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
     W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
     W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
     W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
     W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
     W795A, W895A, W925A

Master, record 69. Record Layout PDF, page 1.

A13020260401999999990000000000000000000000000034225000000000000000000000000

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.