OHIP Billing Codes

Specialty: Nephrology 16

Code	Description	Fee
Search a description within this chart
A160	Comprehensive nephrology consultation	$306.75
A161	Complex medical specific reassessment	$73.30
	E060 post renal transplant assessment premium add 25%
A163	Medical specific assessment	$82.60
	E060 post renal transplant assessment premium add 25%
A164	Medical specific reassessment	$63.35
	E060 post renal transplant assessment premium add 25%
A165	Consultation	$166.15
A166	Repeat consultation	$107.35
A168	Partial assessment	$39.30
	E060 post renal transplant assessment premium add 25%
A765	Consultation, patient 16 years of age and under	$168.85
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A865	Limited consultation	$107.35
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
C160	Comprehensive nephrology consultation subject to the same conditions as A160	$306.75
C161	Complex medical specific reassessment	$73.30
C162	Subsequent visits first five weeks per visit	$34.65
C163	Medical specific assessment	$82.60
C164	Medical specific reassessment	$63.35
C165	Consultation	$166.15
C166	Repeat consultation	$107.35
C167	Subsequent visits sixth to thirteenth week inclusive (maximum 3 per patient per week) per visit	$34.65
C168	Concurrent care per visit	$31.60
C169	Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit	$34.65
C765	Consultation, patient 16 years of age and under	$168.85
C865	Limited consultation	$107.35
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
W160	Comprehensive nephrology consultation subject to the same conditions as A160	$306.75
W161	Subsequent visits Chronic care or convalescent hospital additional subsequent visits (maximum of 6 per patient per month) per visit	$21.65
W162	Subsequent visits Chronic care or convalescent hospital first 4 subsequent visits per patient per month per visit	$32.85
W163	Subsequent visits Nursing home or home for the aged first 2 subsequent visits per patient per month per visit	$32.85
W164	General reassessment of patient in nursing home (as per the Nursing Homes Act)*	$21.00
W165	Consultation	$166.15
W166	Repeat consultation	$107.35
W765	Consultation, patient 16 years of age and under	$170.35
W862	Admission assessment Type 1	$70.75
W864	Admission assessment Type 2	$21.00
W865	Limited consultation	$107.35
W867	Admission assessment Type 3	$31.30
W869	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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