OHIP Billing Codes

Specialty: Neurology 18

Code Description Fee
A113 Complex neuromuscular assessment $92.85
A180 Special neurology consultation $306.75
A181 Complex medical specific reassessment $74.30
A183 Medical specific assessment $81.40
A184 Medical specific reassessment $64.15
A185 Consultation $182.20
A186 Repeat consultation $86.65
A188 Partial assessment $38.90
A384 Consultation and Management for Acute Cerebral Vascular Syndrome (ACVS) $204.00
A385 Limited consultation $86.65

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A682 Extended special NEUROLOGY consultation $409.35
C113 Complex neuromuscular assessment subject to the same conditions as A113 $92.85
C121 Additional visits due to intercurrent illness (see General Preamble GP43) per visit $31.60
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
C180 Special neurology consultation subject to the same conditions as A180 $306.75
C181 Complex medical specific reassessment $74.30
C182 Subsequent visits first five weeks per visit $31.60
C183 Medical specific assessment $81.40
C184 Medical specific reassessment $64.15
C185 Consultation $182.20
C186 Repeat consultation $86.65
C187 Subsequent visits sixth to thirteenth week inclusive (maximum 3 per patient per week) per visit $31.60
C188 Concurrent care per visit $31.60
C189 Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit $31.60
C384 Consultation and Management for ACVS $204.00
C385 Limited consultation $86.65
C682 Extended special neurology consultation subject to the same conditions as A682 $409.35
C982 Palliative care (see General Preamble GP50) per visit $31.60
K181 Consultation and Management for Acute Cerebral Vascular Syndrome (ACVS) After first 30 minutes, must include intravenous thrombolysis therapy and monitoring, per 30 minute unit (or major part thereof) $91.80
W113 Complex neuromuscular assessment subject to the same conditions as A113 $92.85
W121 additional visits due to intercurrent illness (see General Preamble GP49) per visit $31.60
W180 Special neurology consultation subject to the same conditions as A180 $306.75
W181 Subsequent visits Chronic care or convalescent hospital additional subsequent visits (maximum of 6 per patient per month) per visit $21.65
W182 Subsequent visits Chronic care or convalescent hospital first 4 subsequent visits per patient per month per visit $32.85
W183 Subsequent visits Nursing home or home for the aged first 2 subsequent visits per patient per month per visit $32.85
W184 General reassessment of patient in nursing home (as per the Nursing Homes Act)* $21.00
W185 Consultation $182.20
W186 Repeat consultation $86.65
W188 Subsequent visits Nursing home or home for the aged subsequent visits per month (maximum of 3 per patient per month) per visit $21.65
W385 Limited consultation $86.65
W682 Extended special neurology consultation subject to the same conditions as A682 . $409.35
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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