OHIP Billing Codes

Specialty: Gastroenterology 41

Code Description Fee
A120 Colonoscopy assessment, same day as colonoscopy $19.25
A411 Complex medical specific reassessment $72.35
A413 Medical specific assessment $81.45
A414 Medical specific reassessment $62.50
A415 Consultation $160.15
A416 Repeat consultation $107.35
A418 Partial assessment $38.80
A545 Limited consultation $107.35
A765 Consultation, patient 16 years of age and under $168.85
C121 Additional visits due to intercurrent illness (see General Preamble GP43) per visit $31.60

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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
C411 Complex medical specific reassessment $72.35
C412 Subsequent visits first five weeks per visit $31.60
C413 Medical specific assessment $81.45
C414 Medical specific reassessment $62.50
C415 Consultation $160.15
C416 Repeat consultation $107.35
C417 Subsequent visits sixth to thirteenth week inclusive (maximum 3 per patient per week) per visit $31.60
C418 Concurrent care per visit $31.60
C419 Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit $31.60
C545 Limited consultation $107.35
C765 Consultation, patient 16 years of age and under $168.85
C982 Palliative care (see General Preamble GP50) per visit $31.60

The information presented on this page is 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. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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