A775

PDF page 246 / A118

CONSULTATIONS AND VISITS
GERIATRICS (07)
   GENERAL LISTINGS
 A075 Consultation............................................................................               223.30
 A070 Consultation in association with special visit to a hospital
        in-patient, long-term care in-patient or emergency
        department patient .............................................................                     255.85
       Claims submission instructions:
       Submit claim using A070 and the appropriate special visit premium beginning with "C" prefix for
       a hospital in-patient, “W” prefix for a long-term care in-patient or “K” prefix for an emergency
       department patient.
     Comprehensive geriatric consultation
       A comprehensive geriatric consultation is a consultation performed by a physician with a
       certificate of special competence in Geriatrics on a patient:
      a. at least 65 years of age; or
      b. when the consultation is for the assessment of dementia; and
     where the physician 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.
 A775 Comprehensive geriatric consultation.....................................      342.25
     [Commentary:
     A775 is eligible for payment when the consultation is for the assessment of dementia
     regardless of the patient's age.]
       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.
       Payment rules:
       A comprehensive geriatric consultation is only eligible for payment if this service has not been
       rendered on the same patient by the same consultant within the previous 2 years.
     Extended comprehensive geriatric consultation
       An extended comprehensive geriatric consultation is a consultation performed by a physician
       with a certificate of special competence in geriatrics on a patient:
      a. at least 65 years of age; or
      b. when the consultation is for the assessment of dementia; and
     where the physician spends a minimum of 90 minutes in direct contact with the patient,
     exclusive of time spent rendering any other separately billable intervention to the patient.
 A770 Extended comprehensive geriatric consultation ....................             442.40
     [Commentary:
      A770 is eligible for payment when the consultation is for the assessment of dementia
     regardless of the patient's age.]
       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.
       Payment rules:
       An extended comprehensive geriatric consultation is only eligible for payment if this service has
       not been rendered on the same patient by the same consultant within the previous 2 years.

PDF page 247 / A119

CONSULTATIONS AND VISITS
 GERIATRICS (07)
          [Commentary:
          Unless otherwise specified in the Schedule, the calculation of time for A775 and A770 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.]

PDF page 249 / A121

CONSULTATIONS AND VISITS
 GERIATRICS (07)
        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.
   C075 Consultation............................................................................  255.85
   C775 Comprehensive geriatric consultation - subject to the same
           conditions as A775 .............................................................       342.25
   C770 Extended comprehensive geriatric consultation - subject to the
           same conditions as A770 ...................................................            442.40
   C375 Limited consultation ................................................................     113.35
   C076 Repeat consultation ................................................................      113.35
   C073 Medical specific assessment - subject to the same conditions
           as A073 ..............................................................................  99.05
   C074 Medical specific re-assessment- subject to the same
           conditions as A074 .............................................................        79.85
   C071 Complex medical specific re-assessment- subject to the same
           conditions as A071 .............................................................       103.80
     Subsequent visits
   C072 - first five weeks........................................................ per visit           40.05
   C077 - sixth to thirteenth week inclusive (maximum 3 per patient
          per week)................................................................ per visit          40.05
   C079 - 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
   C078 Concurrent care .......................................................... per visit           40.05
   C982 Palliative care (see General Preamble GP50)............ per visit                              40.05

PDF page 250 / A122

CONSULTATIONS AND VISITS
      GERIATRICS (07)
                 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.
               W075 Consultation ............................................................................ 249.90
               W775 Comprehensive geriatric consultation - subject to the same
                        conditions as A775 ..............................................................     342.25
               W770 Extended comprehensive geriatric consultation - subject to the
                        same conditions as A770 ....................................................          442.40
               W375 Limited consultation.................................................................     113.35
               W076 Repeat consultation.................................................................      113.35
                 Admission assessment
               W272 - Type 1 .................................................................................                  74.65
               W274 - Type 2 .................................................................................                  20.60
               W277 - Type 3 .................................................................................                  30.70
               W279 Periodic health visit .................................................................                     65.05
               W074 General reassessment 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)

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 293. Record Layout PDF, page 1.

A77520260401999999990000000000000000000000000034225000000000000000000000000

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.