This service is a consultation rendered by a specialist in respiratory disease who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of direct contact with the patient exclusive of time spent rendering any other separately billable intervention to the patient.
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.
1. A470 must satisfy all the elements of a consultation (see page GP12).
2. The calculation of the 75 minute minimum time for comprehensive respiratory diseases consultations excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation.
Please reference the billing pre-amble for these relevant interpretations of this billing code: