K090

PDF page 182 / A54

Definition/Required elements of service:
                                     Pre-operative medical management of a bariatric surgery patient is the supervision and pre-
                                     operative management of a bariatric surgery patient who is registered with, and, who is
                                     undergoing pre-operative medical evaluation and preparation related to bariatric surgery in a
                                     BCoE or Bariatric RATC. The applicable service is payable only to the physician at the BCoE or
                                     Bariatric RATC who is most responsible for the supervision and medical management of the
                                     patient in the pre-operative period.
                                     In addition to the Common Elements in this Schedule, this service includes the provision of the
                                     following services to the same patient, during the pre-operative period:
                                    a. All medication reviews.
                                          b. All telephone calls involving the staff, patient, patient’s relative(s) or patient’s representative
                                             and the physician in connection with the patient.
               K090 Pre-operative medical management of a bariatric surgery
                       patient in a BCoE or Bariatric RATC...................................    100.00
                   Payment rules:
                   1.K090 is only eligible for payment if the pre-operative period is a minimum of four weeks.
                                          2.K090 is not eligible for payment if a patient is determined not to be a candidate for bariatric
                                            surgery at the time of the initial consultation/assessment in the BCoE or Bariatric RATC.
                                          3.K090 is only eligible for payment to a physician previously registered with the ministry as
                                            providing services in a BCoE or Bariatric RATC.
                                          Note:
                                          1.The pre-operative period for this service is defined as the period between the date the patient
                                            is determined to be a surgical candidate and the date that bariatric surgery is performed.
                                          2.Consultations, assessments and procedures rendered by the physician who is most
                                            responsible for the supervision and management during the pre-operative period may be
                                            eligible for payment in addition to K090.
                                          [Commentary:
                                          1.For the definition of a BCoE or Bariatric RATC, see Definitions in the General Preamble.
                                          2.The physician most responsible for care is anticipated to be a non-surgeon for the purposes
                                            of claiming this code.]

Master, record 2950. Record Layout PDF, page 1.

K09020250401999999990000100000000000000000000000000000000000000000000000000

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.