OHIP Billing Codes

Specialty: Paediatrics 26

Code	Description	Fee
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A260	Special paediatric consultaton	$306.75
A262	Level 2 Paediatric assessment	$44.30
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A263	Medical specific assessment	$81.65
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A264	Medical specific reassessment	$62.50
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A265	Consultation	$178.95
A266	Repeat consultation	$93.20
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A268	Enhanced 18 month well baby visit (see General Preamble GP34)	$65.60
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A565	Limited consultation	$93.20
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A661	Complex medical specific reassessment	$73.70
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A662	Extended special paediatric consultation	$409.35
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A665	Prenatal consultation	$102.55
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A667	Neurodevelopmental consultation	$409.35
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
C260	Special paediatric consultation subject to the same conditions as A260	$306.75
C262	Subsequent visits first five weeks per visit	$31.60
C263	Medical specific assessment	$81.65
C264	Medical specific reassessment	$62.50
C265	Consultation	$178.95
C266	Repeat consultation	$93.20
C268	Concurrent care per visit	$31.60
C565	Limited consultation	$93.20
C661	Complex medical specific reassessment	$73.70
C662	Extended special paediatric consultation subject to the same conditions as A662	$409.35
C665	Prenatal consultation subject to the same conditions as A665	$102.55
C667	Neurodevelopmental consultation subject to same conditions as A667	$409.35
C982	Palliative care (see General Preamble GP50) per visit	$31.60
H261	Newborn care in hospital or home	$62.00
H262	Low birth weight newborn uncomplicated care initial per newborn	$62.25
H263	Low birth weight newborn uncomplicated care thereafter per visit	$18.10
H267	Attendance at maternal delivery	$64.75
K045	Diabetes management by a specialist	$76.50
K119	Paediatric developmental assessment incentive	$117.40
K122	Developmental and/or behavioural care individual developmental and/or behavioural care per unit	$88.60
K123	Developmental and/or behavioural care family developmental and/or behavioural care per unit	$100.55
K267	Periodic health visit 2 11 years of age	$42.45
K269	Periodic health visit 12 17 years of age	$78.75
W260	Special paediatric consultation subject to the same conditions as A260	$306.75
W261	Subsequent visits Chronic care or convalescent hospital additional subsequent visits (maximum 6 per patient per month) per visit	$21.65
W262	Subsequent visits Chronic care or convalescent hospital first 4 subsequent visits per patient per month per visit	$32.85
W265	Consultation	$178.95
W266	Repeat consultation	$84.55
W562	Admission assessment Type 1	$70.75
W564	Admission assessment Type 2	$21.00
W565	Limited consultation	$93.20
W565	Limited Consultation	$93.20
W567	Admission assessment Type 3	$31.30
W662	Extended special paediatric consultation subject to the same conditions as A662	$409.35
W667	Neurodevelopmental consultation subject to same conditions as A667	$409.35
W982	Subsequent visits Chronic care or convalescent hospital palliative care (see General Preamble GP50) per visit	$32.85

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