A256

PDF page 195 / A67

CONSULTATIONS AND VISITS
 VIRTUAL CARE SERVICES
                    • A801 – Comprehensive midwife or Aboriginal Midwife-requested genetic
                      assessment by Video,
                 • A800 – Midwife or Aboriginal Midwife-requested genetic assessment by Video,
                 • A253 – Optometrist-Requested Assessment (ORA) by Video,
                 • A256 – Special optometrist-requested assessment by Video,
                 • A957 – Addiction medicine FPA by Video,
                 • K680 – Substance abuse – extended assessment by Video.
          [Commentary:
          1.Follow-up Virtual Care Services provided in the 24-months subsequent to the services listed
            in 3 or 4 may be claimed as Comprehensive Virtual Care Services.]
          GP Focused Practice Physician means, for the purpose of eligibility to provide a focused
          practice consultation by Video (A010, A011, A906, A913, A914), a physician who has been
          designated by the bi-lateral MOH-OMA GP Focused Practice Review Committee or a physician
          who is eligible for the focused practice psychotherapy premium.
          Limited Virtual Care Service means a Virtual Care Service rendered where an Existing/
          Ongoing Patient-Physician Relationship does not exist, and in the physicians’ professional
          opinion in accordance with accepted professional standards and practice, the person's care
          and support requirements can be effectively and appropriately delivered by Video or
          Telephone.
          Verified-Virtual Visit Solution means virtual service delivery platforms listed on Ontario
          Health’s public list of verified solutions.
          Virtual Care Service means a service provided using information technologies to render
          eligible services to patients remotely.

PDF page 287 / A159

Special optometrist-requested assessment
         A Special Optometrist-Requested Assessment is an assessment in which the ophthalmologist
         provides all the elements of an Optometrist-Requested Assessment (A253) 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.
   A256 Special optometrist-requested assessment............................           194.65
       Payment rules:
       This service is limited to one per patient, per physician, per 24 month period.
          Medical record requirements:
          The service is eligible for payment only if start and stop times of the service are recorded in the
          patient's permanent medical record.

PDF page 289 / A161

CONSULTATIONS AND VISITS
 OPHTHALMOLOGY (23)
    b. provision of appropriate information to the patient’s health care team regarding the patient’s
       vision to allow them to better prepare both general and academic plans; and
         c. reporting the findings, opinions or recommendations in writing to other health care team
            members regarding this evaluation and future planning.
   A251 Special ophthalmologic assessment.......................................  125.80
       Payment rules:
       1.No other assessment or consultation is eligible for payment when rendered by the same
         physician to the same patient the same day as A251.
          2.This service is limited to a maximum of 2 services per patient per physician per 12 month
            period.
          Medical record requirements:
          1.The start/stop time of the service must be documented in the patient’s medical record or the
            amount payable for the service will be reduced to a lesser fee.
          2.A statement of the medical condition and how it limits the patient’s ability to participate in the
            assessment with the physician must be documented in the patient’s medical record or the
            amount payable for the service will be reduced to a lesser fee.
          3.A copy of the letter to other health care team members must be maintained in the patient’s
            medical record or the service will be reduced to a lesser fee.
          [Commentary:
          1.Examples of medical conditions that may qualify for A251 include certain chromosomal
            abnormalities, autism, cerebral palsy etc. or evaluation of children/infants with low vision
            associated with or resulting in developmental delay.
          2.Unless otherwise specified in the Schedule, the calculation of time for A256 and A251
            excludes (1) time devoted to any other service or procedure for which an amount is payable
            in addition to the assessment and (2) non-patient-facing time such as such as time spent
            reviewing charts, imaging, or documentation, etc.]

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 144. Record Layout PDF, page 1.

A25620260401999999990000000000000000000000000019465000000000000000000000000

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.