A911

PDF page 129 / A1

Consultations and VisitsJ uly 22, 2026 (effective July 1, 2026)
                                                                  CONSULTATIONS AND VISITS
      FAMILY PRACTICE & PRACTICE IN GENERAL (00)
                 GENERAL LISTINGS
               A005 Consultation............................................................................               95.60
                 Special family and general practice consultation
                   This service is a consultation rendered by a GP/FP physician who provides all the elements of
                   a consultation and spends a minimum of 50 minutes in direct contact with the patient, exclusive
                   of time spent rendering any other separately billable intervention to the patient.
               A911 Special family and general practice consultation....................            164.95
                 Comprehensive family and general practice consultation
                   This service is a consultation rendered by a GP/FP physician who provides all the 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.
               A912 Comprehensive family and general practice consultation ......                   247.40
                   Payment rules:
                   1.For A911 and A912, 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.
                                            2.No other consultation, assessment, visit or counselling service is eligible for payment when
                                              rendered the same day as one of A911 or A912 to the same patient by the same physician.
                                            [Commentary:
                                            1.A911 and A912 must satisfy all the elements of a consultation (see page GP16).
                                            2.Unless otherwise specified in the Schedule, the calculation of the 50 minute and 75 minute
                                              minimum for special and comprehensive consultations respectively 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.]
                 Special palliative care consultation
                   A special palliative care consultation is a consultation requested because of the need for
                   specialized management for palliative care where the physician spends a minimum of 50
                   minutes in direct contact with the patient and/or patient's representative/family in consultation
                   (majority of time must be spent in consultation with the patient) exclusive of time spent
                   rendering any other separately billable intervention to the patient. In addition to the general
                   requirements for a consultation, the service includes a psychosocial assessment,
                   comprehensive review of pharmacotherapy, appropriate counselling and consideration of
                   appropriate community services, where indicated.
               A945 Special palliative care consultation.........................................    174.25
                   Payment rules:
                   1.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.
                                            2.When the duration of a palliative care consultation (A945 or C945) exceeds 50 minutes, one
                                              or more units of K023 are payable in addition to A945 or C945, provided that the minimum
                                              time requirements for K023 are met. The time periods for A945 or C945 and K023 are
                                              mutually exclusive (i.e. the start time for determination of minimum time requirements for
                                              K023 occurs 50 minutes after start time for A945 or C945).

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 318. Record Layout PDF, page 1.

A91120260401999999990000164950000000000000000000000000000000000000000000000

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.