OHIP Billing Codes

Specialty: Community Medicine 05

Code	Description	Fee
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A050	Special community medicine consultation	$147.65
A051	Complex medical specific reassessment	$72.35
A053	Medical specific assessment	$81.45
A054	Medical specific reassessment	$62.50
A055	Consultation	$128.10
A056	Repeat consultation	$85.90
A058	Partial assessment	$38.80
A400	Comprehensive community medicine consultation	$245.40
A405	Limited consultation	$85.90
C050	Special community medicine consultation subject to the same conditions as A050	$147.65
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C051	Complex medical specific reassessment	$72.35
C052	Subsequent visits first five weeks per visit	$31.60
C053	Medical specific assessment	$81.45
C054	Medical specific reassessment	$62.50
C055	Consultation	$128.10
C056	Repeat consultation	$85.90
C057	Subsequent visits sixth to thirteenth week (maximum 3 per patient per week) per visit	$31.60
C058	Concurrent care per visit	$31.60
C059	Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit	$31.60
C121	Additional visits due to intercurrent illness (see General Preamble GP43) per visit	$31.60
C122	Subsequent visits by the Most Responsible Physician (MRP) day following the hospital admission assessment	$62.40
C123	Subsequent visits by the Most Responsible Physician (MRP) second day following the hospital assessment	$62.40
C124	Subsequent visits by the Most Responsible Physician (MRP) day of discharge	$62.40
C142	Subsequent visits by the MRP following transfer from an Intensive Care Area first subsequent visit by the MRP following transfer from an Intensive Care Area	$62.40
C143	Subsequent visits by the MRP following transfer from an Intensive Care Area second subsequent visit by the MRP following transfer from an Intensive Care Area	$62.40
C400	Comprehensive community medicine consultation subject to the same conditions as A400	$245.40
C405	Limited consultation	$85.90
C982	Palliative care (see General Preamble GP50) per visit	$31.60
W050	Special community medicine consultation subject to the same conditions as A050	$147.65
W051	Subsequent visits Chronic care or convalescent hospital additional subsequent visits (maximum 6 per patient per month) per visit	$21.65
W052	Subsequent visits Chronic care or convalescent hospital first 4 subsequent visits per patient per month per visit	$32.85
W053	Subsequent visits Nursing home or home for the aged first 2 subsequent visits per patient per month per visit	$32.85
W054	General reassessment of patient in nursing home (as per the Nursing Homes Act)*	$21.00
W055	Consultation	$128.10
W056	Repeat consultation	$85.90
W085	Consultation	$89.45
W121	additional visits due to intercurrent illness (see General Preamble GP49) per visit	$31.60
W400	Comprehensive community medicine consultation subject to the same conditions as A400	$245.40
W402	Admission Assessment Type 1	$70.75
W404	Admission Assessment Type 2	$21.00
W405	Limited consultation	$85.90
W407	Admission Assessment Type 3	$31.30
W409	Periodic health visit	$66.35
W972	Subsequent visits Nursing home or home for the aged palliative care (see General Preamble GP50) per visit	$32.85
W982	Subsequent visits Chronic care or convalescent hospital palliative care (see General Preamble GP50) per visit	$32.85

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