For Ontario anesthesiologists that manage their own billing, knowing which fee code to use can be a pain. They have more than enough work to do already, and the added complexity of submitting claims to OHIP doesn’t help.
To help save time, we’ve put together a short list of the most common OHIP fee codes for anaesthesia. We hope this is a useful resource and lets you spend less time going through the massive fee schedule.
Consultations & Assessments
C015 Consultation (in-patient)
A016 Repeat consultation
C016 Repeat consultation (in-patient)
A215 Limited consultation for acute pain management
C215 Limited consultation for acute pain management (in-patient)
A013 Specific assessment
C013 Specific assessment (in-patient)
A014 Partial assessment
C014 Specific re-assessment (in-patient)
C012 First 5 weeks
C017 Sixth to thirteenth week inclusive (maximum 3 per patient per week)
C019 After thirteenth week (maximum 6 per patient per month)
Subsequent Visits by the Most Responsible Physician (MRP)
C122 Day following the hospital admission assessment
C123 Second day following the hospital assessment
C124 Day of discharge
Subsequent Visits by the MRP Following Transfer from an Intensive Care Area
C142 First subsequent visit
C143 Second subsequent visit
C121 Additional visits due to intercurrent illness
C018 Concurrent care
Want to maximize your earnings? New to Ontario Billing?
Check out our Ultimate OHIP Billing Guide that takes you through every step for billing successfully in Ontario.
This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.
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