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The following changes are being
implemented July 1, 2001 as part of the Ministry's agreement with
the Ontario Medical Association to achieve a $50 million annual
savings through modernization and tightening changes to the
Schedule of Benefits. Transitional
payment provisions will be in place while physicians incorporate
changes into their office practices.
Physicians can call their local district office for
details.
1.
Diagnostic
and Therapeutic Procedures: Physical
Medicine
With the exception of ultraviolet
light therapy (see paragraph “2” below), the therapeutic
modalities listed under G467 -- Miscellaneous therapeutic
procedures are not insured. Uninsured miscellaneous therapeutic procedures are defined as
physical therapy, therapeutic exercise and may include thermal
therapy, ultrasound therapy, hydrotherapy, massage therapy,
electrotherapy, magnetotherapy, transcutaneous nerve stimulation
and biofeedback.
2.
Diagnostic
and Therapeutic Procedures: Dermatology
"Dermatology" is a
new sub-section under Diagnostic and Therapeutic Procedures.
Ultraviolet light therapy and/or
Psoralen plus Ultraviolet A (PUVA), only for treatment of
dermatologic conditions is added in a new Dermatology sub-section
under Diagnostic and Therapeutic Procedures to replace services
that would otherwise be delisted with G467. Conditions regarding
delegation and supervision, as per General Preamble B.10,
Delegated Procedure, apply to this service. The supervising
physician must be present in the office or clinic. If the
supervising physician is not present, the service remains insured
but the amount payable is nil.
3.
Diagnostic and Therapeutic
Procedures: Nerve
Blocks
A maximum of 8 per patient per day
for any combination of nerve blocks. The ninth and subsequent
nerve blocks per patient per day are insured services payable at
nil. Nerve blocks, which are defined as a bilateral procedure, are
counted as two services for the purpose of the overall daily
maximum.
G243,
G244, G241, G242, G231 and/or G223 claimed in addition to or in
lieu of G260 and rendered to the same anatomical site during the
same visit are insured services payable at nil. |
