OHIP Billing Codes

Specialty: Genetics 22

Code Description Fee
A220 Special genetic consultation* $306.75
A221 Genetic minor assessment $38.80
A223 Extended special genetic consultation* $409.35
A225 Consultation* $170.70
A226 Repeat consultation $107.35
A325 Limited consultation $107.35
A800 Midwiferequested genetic assessment $170.70
A801 Comprehensive midwiferequested genetic assessment $306.75
A802 Extended midwiferequested genetic assessment $409.35
C220 Special genetic consultation* subject to the same conditions as A220 $306.75

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C222 Subsequent visits first five weeks per visit $31.60
C223 Extended special genetic consultation* subject to the same conditions as A223 $409.35
C225 Consultation* $170.70
C226 Repeat consultation $107.35
C227 Subsequent visits sixth to thirteenth week inclusive (maximum 3 per patient per week) per visit $31.60
C229 Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit $31.60
C325 Limited consultation $107.35
C800 Midwiferequested genetic assessment subject to the same conditions as A800 $170.70
C801 Comprehensive midwiferequested genetic assessment subject to the same conditions as A801 $306.75
C802 Extended midwiferequested genetic assessment subject to the same conditions as A802 $409.35
K016 Genetic assessment, patient or family per unit $75.55
K044 Genetic family counselling $64.00
K222 Genetic care, patient or family $77.25
K223 Clinical interpretation $38.95
K224 Clinical interpretation requested by a midwife $38.95
K229 Complex Genetic Test Interpretation $67.15
W121 additional visits due to intercurrent illness (see General Preamble GP49) per visit $31.60
W220 Special genetic consultation* subject to the same conditions as A220 $306.75
W221 Subsequent visits Chronic care or convalescent hospital additional subsequent visits (maximum 6 per patient per month) per visit $21.65
W222 Subsequent visits Chronic care or convalescent hospital first 4 subsequent visits per patient per month per visit $32.85
W223 Extended special genetic consultation* subject to the same conditions as A223 $409.35
W224 Subsequent visits Nursing home or home for the aged first 2 subsequent visits per patient per month per visit $32.85
W225 Consultation* $170.70
W226 Repeat consultation $107.35
W228 Subsequent visits Nursing home or home for the aged subsequent visits per month (maximum 3 per patient per month) per visit $21.65
W325 Limited consultation $107.35
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

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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