OHIP Billing Codes

Specialty: Consultations And Visits

Category: Paediatrics 26

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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

A661 Complex medical specific re-assessment $74.75
A265 Consultation $181.45
K123 Developmental and/or behavioural care - family developmental and/or behavioural care - per unit $101.75
K122 Developmental and/or behavioural care - individual developmental and/or behavioural care - per unit $89.70
A268 Enhanced 18 month well baby visit (see General Preamble GP34) $64.30
A662 Extended special paediatric consultation $401.30
A262 Level 2 - Paediatric assessment $43.45

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A565 Limited consultation $91.35
A263 Medical specific assessment $82.90
A264 Medical specific re-assessment $61.25
A667 Neurodevelopmental consultation $401.30
K119 Paediatric developmental assessment incentive $115.10
K269 Periodic health visit - 12 - 17 years of age $77.20
K267 Periodic health visit - 2 - 11 years of age $41.60
A665 Prenatal consultation $100.55
A266 Repeat consultation $91.35
A260 Special paediatric consultaton $310.45

Non-Emergency Hospital In-Patient Services

H267 Attendance at maternal delivery $63.45
C661 Complex medical specific re-assessment $74.75
C268 Concurrent care - per visit $34.10
C265 Consultation $181.45
C662 Extended special paediatric consultation - subject to the same conditions as A662 $401.30
C565 Limited consultation $91.35
H262 Low birth weight newborn uncomplicated care - initial - per newborn $63.50
H263 Low birth weight newborn uncomplicated care - thereafter - per visit $18.50
C263 Medical specific assessment $82.90
C264 Medical specific re-assessment $61.25
C667 Neurodevelopmental consultation - subject to same conditions as A667 $401.30
H261 Newborn care in hospital or home $60.80
C665 Prenatal consultation - subject to the same conditions as A665 $100.55
C266 Repeat consultation $91.35
C260 Special paediatric consultation - subject to the same conditions as A260 $310.45
C262 Subsequent visits - first five weeks - per visit $34.10

Non-Emergency Long-Term Care In-Patient Services

W562 Admission assessment - Type 1 $69.35
W564 Admission assessment - Type 2 $20.60
W567 Admission assessment - Type 3 $30.70
W265 Consultation $181.45
W662 Extended special paediatric consultation - subject to the same conditions as A662 $401.30
W565 Limited consultation $91.35
W667 Neurodevelopmental consultation - subject to same conditions as A667 $401.30
W269 Periodic health visit $30.70
W266 Repeat consultation $82.90
W260 Special paediatric consultation - subject to the same conditions as A260 $310.45
W261 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit $34.10
W262 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit $34.10

Prenatal Consultation

A261 Level 1 - Paediatric assessment $21.50

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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