Appendix D, Surface Pathology, 8.(b) is changed to include perianal warts:

(b) Removal or treatment of warts by any means is an insured service in the case of plantar warts, perianal and genital warts and all warts in immunocompromised patients.

S. Palliative Care Support
New section on Palliative Care Support added to page A3 as follows:

Palliative Care Support: Palliative Care Support is a time-based all-inclusive visit fee per patient per day for the purpose of providing pain and symptom management, emotional support and counselling to patients with terminal disease in the final year of life. The service includes any combination of common and specific elements of any insured service listed under "Family Practice and Practice In General" in the "Consultations and Visits" section and, in all cases, includes the same minimum time period requirements described for counselling in the General Preamble. When a physician submits a claim for rendering any other consultation or visit to the same patient on the same day for which the physician submits a claim for Palliative Care Support, the Palliative Care Support is included (in addition to the common elements) as a specific element of the other insured service.

Individual care - Unit means ½ hour or major part thereof - see General Preamble for definitions and time-keeping requirements.
K023

-

per unit ......................................................................................... 47.30

T. HIV Primary Care
New sections on HIV Primary Care added to page A3 as follows:

HIV Primary Care: Primary care of patients infected with the Human Immunodeficiency Virus (HIV) is a time-based all-inclusive visit fee per patient per day which includes any combination of common and specific elements of any insured service listed under "Family Practice and Practice In General" in the "Consultations and Visits" section and, in all cases, includes the same minimum time period requirements described for counselling in the General Preamble. When a physician submits a claim for rendering any other consultation or visit to the same patient on the same day for which the physician submits a claim for HIV Primary Care, the HIV Primary Care service is included (in addition to the common elements) as a specific element of the other insured service.

Individual care - Unit means ½ hour or major part thereof - see General Preamble for definitions and time-keeping requirements.
K022

-

per unit ............................................................................................ 47.30

U. Bone Mineral Density Measurements
The Ministry of Health and the Ontario Medical Association have accepted changes recommended by the Physician Services Committee (PSC) regarding payment policy for bone mineral density (BMD) testing. The changes are as follows: testing as an insured service is to be limited to dual energy xray absorptiometry (DXA) using the axial technique on a minimum of two sites including spine and hip; single site axial testing will be insured only when two sites are technically unfeasible; BMD testing of single site by axial DXA technique will be paid at zero; and, peripheral DXA is considered investigational and is therefore an uninsured service.

New fee code definitions for DXA are added to Diagnostic Radiology section page D6:

Dual-energy X-ray Absorptiometry (DXA) - Axial technique only. Maximum one per patient per year (see Diagnostic Radiology Preamble)
H P
X153 - two or more sites (must include hip and spine) 85.00 45.43
X153 - one site (must be either spine or hip, only if two sites technically unfeasible due to prosthesis or deformity) 66.00 38.00
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