K734

PDF page 171 / A43

CONSULTATIONS AND VISITS
 FAMILY PRACTICE & PRACTICE IN GENERAL (00)
          [Commentary:
          Referring and consultant physicians participating in physician to physician telephone
          consultations while on duty in an emergency department or a hospital urgent care clinic should
          submit claims using K734 and K735. K730 and K731 should not be claimed in these
          circumstances.]
          Payment rules:
          1.A maximum of one K730 or K734 service is eligible for payment per patient per day.
          2.A maximum of one K731 or K735 service is eligible for payment per patient per day.
          3.This service is only eligible for payment for a physician to physician telephone consultation
            service:
              a.that includes a minimum of 10 minutes of patient-related discussion for any given patient
              b.where the referring physician/nurse practitioner and consultant physician are physically
                present in Ontario at the time of the service
          4.This service is not eligible for payment to the referring or consultant physicians in the
            following circumstances:
              a.when the purpose of the telephone discussion is to arrange for transfer of the patient’s
                care to any physician;
              b.when rendered in whole or in part to arrange for a consultation, assessment, visit, or K-
                prefix time-based services, procedure(s), or diagnostic investigation(s);
              c.when rendered primarily to discuss results of diagnostic investigation(s); or
              d.when a consultant physician renders a consultation, assessment, visit, or K-prefix time-
                based service, on the same day or next day following the physician to physician
                telephone consultation for the same patient.
          5.In circumstances where a physician receives compensation, other than by fee-for-service
            under this Schedule, for participation in the telephone consultation, this service is not eligible
            for payment to that physician.

Master, record 3047. Record Layout PDF, page 1.

K73420260401999999990000037050000000000000000000000000000000000000000000000

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.