A138

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.]

Master, record 75. Record Layout PDF, page 1.

A13820260401999999990000000000000000000000000004475000000000000000000000000

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.