OHIP Billing Codes

Specialty: Infectious Disease 46

Code Description Fee
A275 Limited consultation $107.35
A460 Comprehensive infectious disease consultation $306.75
A461 Complex medical specific reassessment $82.30
A463 Medical specific assessment $92.70
A464 Medical specific reassessment $71.10
A465 Consultation $182.25
A466 Repeat consultation $107.35
A468 Partial assessment $44.15
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
C275 Limited consultation $107.35
C460 Comprehensive infectious disease consultation subject to the same conditions as A460 $306.75
C461 Complex medical specific reassessment $82.30
C462 Subsequent visits first five weeks per visit $31.60
C463 Medical specific assessment $92.70
C464 Medical specific reassessment $71.10
C465 Consultation $182.25
C466 Repeat consultation $107.35
C467 Subsequent visits sixth to thirteenth week inclusive (maximum 3 per patient per week) per visit $31.60
C468 Concurrent care per visit $31.60
C469 Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit $31.60
C765 Consultation, patient 16 years of age and under $168.85
C982 Palliative care (see General Preamble GP50) per visit $31.60
W121 additional visits due to intercurrent illness (see General Preamble GP49) per visit $31.60
W275 Limited consultation $107.35
W292 Admission assessment Type 1 $70.75
W294 Admission assessment Type 2 $21.00
W297 Admission assessment Type 3 $31.30
W299 Periodic health visit $66.35
W461 Subsequent visits Chronic care or convalescent hospital additional subsequent visits (maximum of 6 per patient per month) per visit $21.65
W462 Subsequent visits Chronic care or convalescent hospital first 4 subsequent visits per patient per month per visit $32.85
W463 Subsequent visits Nursing home or home for the aged first 2 subsequent visits per patient per month per visit $32.85
W464 General reassessment of patient in nursing home (as per the Nursing Homes Act)* $21.00
W466 Repeat consultation $107.35
W468 Subsequent visits Nursing home or home for the aged subsequent visits per month (maximum of 3 per patient per month) per visit $21.65
W645 Consultation $100.55
W760 Complex endocrine neoplastic disease assessment subject to the same conditions as A760 $92.55
W765 Consultation, patient 16 years of age and under $170.35
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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