A760

PDF page 226 / A98

CONSULTATIONS AND VISITS
ENDOCRINOLOGY & METABOLISM (15)
   GENERAL LISTINGS
 A155 Consultation............................................................................              172.95
   Comprehensive endocrinology consultation
     This service is a consultation rendered by a specialist in endocrinology who provides all the
     appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes in
     direct contact with the patient, exclusive of time spent rendering any other separately billable
     intervention to the patient.
 A150 Comprehensive endocrinology 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.A150 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 endocrinology 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.]
 A255 Limited consultation ................................................................ 110.15
 A156 Repeat consultation ................................................................  110.15
 A153 Medical specific assessment ..................................................         95.95
 A154 Medical specific re-assessment..............................................           72.00
 A151 Complex medical specific re-assessment...............................                  83.40
 A158 Partial assessment .................................................................   44.75
 E078         - chronic disease assessment premium (see General
                Preamble GP25) ................................................ add 50%
   Complex endocrine neoplastic disease assessment
     This service is an assessment in relation to one or more of the following diseases where the
     complexity of the condition requires the ongoing management by an endocrinologist:
        a.thyroid neoplasm;
        b.parathyroid neoplasm;
        c.pituitary neoplasm; or
        d.adrenal neoplasm.
 A760 Complex endocrine neoplastic disease assessment ..............               102.95
     Payment rules:
     1.A760 must include the elements of a medical specific re-assessment, or the amount payable
       will be adjusted to a lesser assessment fee.
        2.A760 is limited to 6 per patient, per physician, per 12 month period and up to 12 per patient
          per physician for 24 consecutive months. Services in excess of this limit will be adjusted to a
          lesser assessment fee.
        3.E078 is not eligible for payment with A760.
        [Commentary:
        A760 is not payable for the evaluation and/or management of uncomplicated endocrine
        disorders.]

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CONSULTATIONS AND VISITS
ENDOCRINOLOGY & METABOLISM (15)
     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.
 C155 Consultation............................................................................                  172.95
 C150 Comprehensive endocrinology consultation - subject to the
         same conditions as A150 ...................................................                            342.25
 C255 Limited consultation ................................................................                     110.15
 C156 Repeat consultation ................................................................                      110.15
 C153 Medical specific assessment ..................................................                             95.95
 C154 Medical specific re-assessment..............................................                               72.00
 C151 Complex medical specific re-assessment...............................                                      83.40
 C760 Complex endocrine neoplastic disease assessment - subject
         to the same conditions as A760 .........................................                               102.95
   Subsequent visits
 C152 - first five weeks........................................................ per visit                        40.05
 C157 - sixth to thirteenth week inclusive (maximum 3 per patient
        per week................................................................ per visit                        40.05
 C159 - 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
 C158 Concurrent care ......................................................... per visit                         40.05
 C982 Palliative care (see General Preamble GP50)........... per visit                                            40.05

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CONSULTATIONS AND VISITS
      ENDOCRINOLOGY & METABOLISM (15)
                                  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.
               W155 Consultation............................................................................          172.95
               W150 Comprehensive endocrinology consultation - subject to the
                       same conditions as A150....................................................                    342.25
               W255 Limited consultation ................................................................             110.15
               W156 Repeat consultation ................................................................              110.15
               W760 Complex endocrine neoplastic disease assessment - subject
                       to the same conditions as A760..........................................                       102.95
                 Admission assessment
               W252 - Type 1.................................................................................          69.35
               W254 - Type 2.................................................................................          20.60
               W257 - Type 3.................................................................................          30.70
               W259 Periodic health visit.................................................................             65.05
               W154 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).

Master, record 288. Record Layout PDF, page 1.

A76020260401999999990000000000000000000000000010295000000000000000000000000

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.