Fee
| Component | Value |
|---|---|
| Specialist fee | $102.60 |
Schedule and sources
- Fee edition
- October 1, 2026
- Record effective
- 2026-04-01
- Schedule edition
- July 22, 2026; effective July 1, 2026
- Official files
- Fee masterSchedule PDFOntario source page
Medical specific assessment .................................................. 102.60
Passages mentioning A473
GENERAL LISTINGS
A475 Consultation............................................................................ 192.30
Comprehensive respiratory disease consultation
This service is a consultation rendered by a specialist in respiratory 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.
A470 Comprehensive respiratory 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.A470 must satisfy all the elements of a consultation (see page GP16).
2.Unless otherwise specified in the Schedule, the calculation of time for comprehensive
respiratory diseases consultations excludes (1) time devoted to any other service or
procedure for which an amount is payable in addition to the consultationand (2) non-patient-
facing time such as such as time spent reviewing charts, imaging, or documentation, etc.]
A575 Limited consultation ................................................................ 119.35
A476 Repeat consultation ................................................................ 119.35
A473 Medical specific assessment .................................................. 102.60
A474 Medical specific re-assessment.............................................. 75.30
A471 Complex medical specific re-assessment............................... 89.40
A478 Partial assessment ................................................................. 45.25
E078 - chronic disease assessment premium (see General
Preamble GP25) ................................................ add 50%
Complex respiratory assessment
This service is an assessment for the ongoing management of the following conditions of the
respiratory system where the complexity of the condition requires the continuing management
by a respirology specialist (47):
a. chronic respiratory failure (i.e. a symptomatic patient with a PaO2 <60mmHg and/or or a
PaCO2 >50mmHg);
b. bronchiectasis with frequent infections;
c. cystic fibrosis;
d. active pulmonary or extrapulmonary disease due to mycobacterial tuberculosis complex
(latent tuberculosis infection is excluded); or
e. active pulmonary or extrapulmonary non-tuberculous mycobacterial disease (airway or
tissue colonization without disease is excluded).
A570 Complex respiratory assessment ........................................... 108.95
Payment rules:
1.A570 must include the elements of a medical specific re-assessment, or the amount payable
will be adjusted to a lesser assessment fee.Fee master record
Master, record 212. Record Layout PDF, page 1.
A47320260401999999990000000000000000000000000010260000000000000000000000000
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.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00000000000 / 0 |
| assistant | 00000000000 / 0 |
| specialist | 00001026000 / 102.6 |
| anaesthetist | 00000000000 / 0 |
| non anaesthetist | 00000000000 / 0 |
Explanation
AI-generated. Unreviewed.
A medical specific assessment listed under Consultations and Visits, in the Respiratory Disease section, General Listings.
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