A777

PDF page 135 / A7

CONSULTATIONS AND VISITS
 FAMILY PRACTICE & PRACTICE IN GENERAL (00)
        On-call admission assessment
          On-call admission assessment is the first hospital in-patient admission general assessment per
          patient per 30-day period if:
         a. the physician is a general practitioner or family physician participating in the hospital’s on-
            call roster whether or not the physician is on-call the day the service is rendered;
         b. the admission is non-elective; and
      c. the physician is the most responsible physician with respect to subsequent in-patient care.
       The amount payable for any additional on-call admission assessment rendered by the same
       physician to the same patient in the same 30-day period is reduced to the amount payable for a
       general re-assessment.
   A933 On-call admission assessment ...............................................  82.00
     General/Family physician emergency department assessment
       General/Family physician emergency department assessment is an assessment of a patient
       that satisfies as a minimum the requirements of an intermediate assessment and is rendered
       by the patient's general/family physician in an emergency department funded under an
       Emergency Department Alternative Funding Agreement (ED-AFA). For that visit, the service
       includes any re-assessment of the patient by the general/family physician in the emergency
       department and any appropriate collaboration with the emergency department physician.
       The service is only eligible for payment when the general/family physician's attendance is
       required because of the complexity, obscurity or seriousness of the patient's condition.
   A100 General/Family physician emergency department assessment                        78.95
       Payment rules:
       No other service (including special visit or other premiums) rendered by the same physician to
       the same patient during the same visit to the emergency department is eligible for payment with
       this service.
          Claims submission instructions:
          For claims payment purposes, the hospital master number associated with the emergency
          department must be submitted on the claim.
          [Commentary:
          1.Services described as A100 rendered in an emergency department not funded under an ED-
            AFA may be payable under other existing fee schedule codes.
          2.In the event the patient is subsequently admitted to hospital, and the general/family physician
            remains the MRP for the patient, the General/Family Physician emergency department
            assessment constitutes the admission assessment. see General Preamble GP41 for
            additional information.]
     Certification of death
       Certification of death is payable to the physician who personally completes the death certificate
       on a patient who has been pronounced dead by another physician, medical resident or other
       authorized health professional. Claims submitted for this service must include the diagnostic
       code for the underlying cause of death as recorded on the death certificate. The service may
       include any counselling of relatives that is rendered at the same visit. Certification of death
       rendered in conjunction with A902 or A777/C777 is an insured service payable at nil.
   A771 Certification of death............................................................... 24.20

PDF page 140 / A12

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.
 C005 Consultation............................................................................  95.60
 C911 Special family and general practice consultation - subject to the
          same conditions as A911....................................................          164.95
 C912 Comprehensive family and general practice consultation -
          subject to the same conditions as A912 .............................                 247.40
 C945 Special palliative care consultation - subject to the same
          conditions as A945 .............................................................     174.25
 C320 Special Medical Assistance in Dying (MAID) consultation -
          subject to the same conditions as A320 .............................                 174.25
 C905 Limited consultation ................................................................     81.25
 C006 Repeat consultation ................................................................      47.10
 C003 General assessment...............................................................         89.65
 C004 General re-assessment ..........................................................          38.35
 C813 Midwife or Aboriginal Midwife-Requested Assessment -
        subject to the same conditions as A813 .............................                                 111.70
 C815 Midwife or Aboriginal Midwife-Requested Special Assessment
        - subject to the same conditions as A815...........................                                  186.95
 C933 On-call admission assessment - subject to the same conditions
        as A933 ..............................................................................                 82.00
 C777 Intermediate assessment - Pronouncement of death - subject
         to the same conditions as A777 .........................................                              44.55
 C771 Certification of death - subject to the same conditions as A771                                          24.20

PDF page 147 / A19

CONSULTATIONS AND VISITS
      FAMILY PRACTICE & PRACTICE IN GENERAL (00)
                                      EMERGENCY OR OUT-PATIENT DEPARTMENT (OPD)
                                       Physician in hospital but not on duty in the Emergency Department when seeing patient(s) in
                                       the Emergency or OPD - use General Listings.
                 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.
               W105 Consultation ............................................................................  95.60
               W911 Special family and general practice consultation - subject to
                       the same conditions as A911 ..............................................             164.95
               W912 Comprehensive family and general practice consultation -
                       subject to the same conditions as A912 .............................                   247.40
               W106 Repeat consultation ................................................................       45.90
                 Admission assessment
               W102 - Type 1 .................................................................................     71.20
               W104 - Type 2 .................................................................................     20.60
               W107 - Type 3 .................................................................................     30.70
               W109 Periodic health visit .................................................................        72.35
               W777 Intermediate assessment - Pronouncement of death - subject
                       to the same conditions as A777 ..........................................                   44.55
               W771 Certification of death - subject to same conditions as A771....                                24.20
               W004 General re-assessment of patient in nursing home (per the
                      Nursing Homes Act)............................................................ 38.35
                  Note:
                  W004 may be claimed 6 months after Periodic health visit (per the Nursing Homes Act).

Master, record 294. Record Layout PDF, page 1.

A77720260401999999990000044550000000000000000000000000000000000000000000000

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.