A270

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CONSULTATIONS AND VISITS
 INFECTIOUS DISEASE (46)
     GENERAL LISTINGS
   A465 Consultation............................................................................   205.90
     Comprehensive infectious disease consultation
       This service is a consultation rendered by a specialist in infectious disease who provides all the
       appropriate 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.
   A460 Comprehensive infectious disease 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.A460 must satisfy all the elements of a consultation (see page GP16).
       2.Unless otherwise specified in the Schedule, the calculation of the 75 minute minimum time
         for comprehensive infectious disease 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.]
   A275 Limited consultation ................................................................ 119.30
   A466 Repeat consultation ................................................................  124.00
   A463 Medical specific assessment ..................................................        107.00
   A464 Medical specific re-assessment..............................................           82.10
   A461 Complex medical specific re-assessment...............................                  95.05
   A468 Partial assessment .................................................................   62.15
   E078          - chronic disease assessment premium (see General
                   Preamble GP25) ................................................ add 50%
     Complex Infectious Disease Assessment
This service is an assessment for the ongoing management of any of the following infectious diseases
where the complexity of the condition requires the continuing management by an infectious disease
specialist and where the visit requires a minimum of 20 minutes in direct contact with the patient,
exclusive of time spent rendering any other separately billable intervention to the patient:
      a. active pulmonary or extrapulmonary disease due to mycobacterial tuberculosis complex
          (latent tuberculosis infection is excluded); or
         b. active pulmonary or extrapulmonary non-tuberculous mycobacterial disease (airway or
            tissue colonization without disease is excluded)
         c. Deep seeded fungal infection (aspergilloma is excluded) - e.g.: dimorphic fungi, candida
            auris infections
         d. Patient with an infection with a multi drug resistant organism (e.g. MDR pseudomonas,
            ESBL, AmpC, CPE, MRSA, VRE) who are currently requiring IV antibiotic (or PO linezolid),
            outside of hospital, supervised by the physician.
   A270 Complex infectious disease assessment................................                       95.05

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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.
 C465 Consultation............................................................................              205.90
 C460 Comprehensive infectious disease consultation - subject to the
         same conditions as A460 ...................................................                        342.25
 C275 Limited consultation ................................................................                 119.30
 C466 Repeat consultation ................................................................                  124.00
 C463 Medical specific assessment ..................................................                        107.00
 C270 Complex infectious disease assessment - subject to the same
         conditions as A270 .............................................................                     95.05
 C464 Medical specific re-assessment..............................................                            82.10
 C461 Complex medical specific re-assessment...............................                                   95.05

Master, record 153. Record Layout PDF, page 1.

A27020260401999999990000000000000000000000000009505000000000000000000000000

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.