OHIP Billing Codes

Specialty: Consultations And Visits

Category: Infectious Disease 46

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Code Description Fee

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

General Listings

A461 Complex medical specific re-assessment $83.85
A460 Comprehensive infectious disease consultation $310.45
A465 Consultation $181.65
A275 Limited consultation $105.25
A463 Medical specific assessment $94.40
A464 Medical specific re-assessment $72.45
A468 Partial assessment $45.00

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A466 Repeat consultation $109.40

Non-Emergency Hospital In-Patient Services

C461 Complex medical specific re-assessment $83.85
C460 Comprehensive infectious disease consultation - subject to the same conditions as A460 $310.45
C468 Concurrent care - per visit $34.10
C465 Consultation $181.65
C275 Limited consultation $105.25
C463 Medical specific assessment $94.40
C464 Medical specific re-assessment $72.45
C466 Repeat consultation $109.40
C469 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit $34.10
C462 Subsequent visits - first five weeks - per visit $34.10
C467 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit $34.10

Non-Emergency Long-Term Care In-Patient Services

W292 Admission assessment - Type 1 $69.35
W294 Admission assessment - Type 2 $20.60
W297 Admission assessment - Type 3 $30.70
W464 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* $20.60
W275 Limited consultation $105.25
W299 Periodic health visit $65.05
W466 Repeat consultation $109.40
W461 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum of 6 per patient per month) - per visit $34.10
W462 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit $34.10
W463 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit $34.10
W468 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum of 3 per patient per month) - per visit $34.10

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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