A801

PDF page 195 / A67

CONSULTATIONS AND VISITS
 VIRTUAL CARE SERVICES
                    • A801 – Comprehensive midwife or Aboriginal Midwife-requested genetic
                      assessment by Video,
                 • A800 – Midwife or Aboriginal Midwife-requested genetic assessment by Video,
                 • A253 – Optometrist-Requested Assessment (ORA) by Video,
                 • A256 – Special optometrist-requested assessment by Video,
                 • A957 – Addiction medicine FPA by Video,
                 • K680 – Substance abuse – extended assessment by Video.
          [Commentary:
          1.Follow-up Virtual Care Services provided in the 24-months subsequent to the services listed
            in 3 or 4 may be claimed as Comprehensive Virtual Care Services.]
          GP Focused Practice Physician means, for the purpose of eligibility to provide a focused
          practice consultation by Video (A010, A011, A906, A913, A914), a physician who has been
          designated by the bi-lateral MOH-OMA GP Focused Practice Review Committee or a physician
          who is eligible for the focused practice psychotherapy premium.
          Limited Virtual Care Service means a Virtual Care Service rendered where an Existing/
          Ongoing Patient-Physician Relationship does not exist, and in the physicians’ professional
          opinion in accordance with accepted professional standards and practice, the person's care
          and support requirements can be effectively and appropriately delivered by Video or
          Telephone.
          Verified-Virtual Visit Solution means virtual service delivery platforms listed on Ontario
          Health’s public list of verified solutions.
          Virtual Care Service means a service provided using information technologies to render
          eligible services to patients remotely.

PDF page 240 / A112

Comprehensive midwife or aboriginal midwife-requested genetic assessment
     This service is an assessment provided by a geneticist upon the written request of a midwife or
     aboriginal midwife because of the complex, obscure or serious nature of the patient’s problem.
     This service includes the specific elements of an assessment and the physician must spend a
     minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any
     other separately billable intervention to the patient.
 A801 Comprehensive midwife or aboriginal midwife-requested
          genetic assessment............................................................ 342.25
     Payment rules:
     1.This service is limited to one per patient, per physician, per 24 month period.
     2.The geneticist must submit his/her findings, opinions and recommendations in writing to both
       the midwife or aboriginal midwife and the patient’s primary care physician or nurse
       practitioner, if applicable, or the amount payable for the service will be reduced to a lesser
       fee.
     Medical record requirements:
     1.The service is eligible for payment only if start and stop times of the service are recorded in
       the patient's permanent medical record.
     2.The written request from the midwife or aboriginal midwife must be retained on the patient’s
       permanent medical record, or the amount payable for the service will be reduced to a lesser
       fee.
   Extended midwife or aboriginal midwife-requested genetic assessment
     This service is the assessment provided by a geneticist upon the written request of a midwife or
     aboriginal midwife because of the complex, obscure or serious nature of the patient’s problem.
     This service includes the specific elements of an assessment and the physician must spend a
     minimum of 90 minutes in direct contact with the patient, exclusive of time spent rendering any
     other separately billable intervention to the patient.
 A802 Extended midwife or aboriginal midwife-requested genetic
          assessment ........................................................................ 442.40

PDF page 241 / A113

CONSULTATIONS AND VISITS
 GENETICS (22)
          Payment rules:
          1.This service is limited to one per patient, per physician, per 24 month period.
          2.The geneticist must submit his/her findings, opinions and recommendations in writing to both
            the midwife or aboriginal midwife and the patient’s primary care physician or nurse
            practitioner, if applicable, or the amount payable for the service will be reduced to a lesser
            fee.
          Medical record requirements:
          1.The service is eligible for payment only if start and stop times of the service are recorded in
            the patient's permanent medical record.
          2.The written request from the midwife or aboriginal midwife must be retained on the patient’s
            permanent medical record, or the amount payable for the service will be reduced to a lesser
            fee.
          [Commentary:
          Unless otherwise specified in the Schedule, the calculation of time for A801 and A802 excludes
          (1) time devoted to any other service or procedure for which an amount is payable in addition to
          the assessment and (2) non-patient-facing time such as such as time spent reviewing charts,
          imaging, or documentation, etc.]

PDF page 244 / A116

CONSULTATIONS AND VISITS
GENETICS (22)
     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.
 C225 Consultation* ..........................................................................                    190.50
 C220 Special genetic consultation* - subject to the same conditions
        as A220 ..............................................................................                    342.25
 C223 Extended special genetic consultation* - subject to the same
         conditions as A223 .............................................................                         442.40
 C325 Limited consultation ................................................................                       119.40
 C226 Repeat consultation ................................................................                        119.40
 C800 Midwife or Aboriginal Midwife-requested genetic assessment –
         subject to the same conditions as A800 .............................                                     167.35
 C801 Comprehensive midwife or aboriginal midwife-requested
         genetic assessment – subject to the same conditions as
         A801 ...................................................................................                 342.25
 C802 Extended midwife or aboriginal midwife-requested genetic
         assessment – subject to the same conditions as A802 ......                                               442.40

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 297. Record Layout PDF, page 1.

A80120260401999999990000000000000000000000000034225000000000000000000000000

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.