OHIP Billing Codes

Specialty: Physical Medicine Rehabilitation 31

Code Description Fee
A310 Medical specific reassessment $66.30
A311 Complex medical specific reassessment $72.35
A313 Medical specific assessment $75.50
A315 Consultation $193.00
A316 Repeat consultation $93.20
A318 Partial assessment $38.80
A425 Comprehensive physical medicine and rehabilitation consultation $306.75
A510 Complex neuromuscular assessment $91.65
A511 Complex physiatry assessment $100.35
A515 Limited consultation $93.20

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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
C311 Complex medical specific reassessment $72.35
C312 Subsequent visits first five weeks per visit $31.60
C313 Medical specific assessment $75.50
C314 Medical specific reassessment $66.30
C315 Consultation $204.15
C316 Repeat consultation $93.20
C317 Subsequent visits sixth to thirteenth week inclusive (maximum 3 per patient per week) per visit $31.60
C318 Concurrent care per visit $31.60
C319 Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit $31.60
C425 Comprehensive physical medicine and rehabilitation consultation subject to the same conditions as A425 $306.75
C510 Complex neuromuscular assessment subject to the same conditions as A510 $91.65
C511 Complex physiatry assessment subject to the same conditions as A511 $100.35
C515 Limited consultation $93.20
C982 Palliative care (see General Preamble GP50) per visit $31.60
H312 Team management in a Rehabilitation Unit firsttwelve weeks per visit $43.55
H313 Rehabilitation counselling $85.90
H317 Team management in a Rehabilitation Unit from thirteenth to twentysixth week (maximum 3 per patient per week) per visit $43.55
H319 Team management in a Rehabilitation Unit twentyseventh week onwards (maximum 6 per patient per month) per visit $43.55
K313 Physiatric management $8.25
W121 additional visits due to intercurrent illness (see General Preamble GP49) per visit $31.60
W310 Limited consultation $93.20
W311 Subsequent visits Chronic care or convalescent hospital additional subsequent visits (maximum 6 per patient per month) per visit $21.65
W312 Subsequent visits Chronic care or convalescent hospital first 4 subsequent visits per patient per month per visit $32.85
W313 Subsequent visits Nursing home or home for the aged first 2 subsequent visits per patient per month per visit $32.85
W314 General reassessment of patient in nursing home* $21.00
W318 Subsequent visits Nursing home or home for the aged additional subsequent visits (maximum 3 per patient per month) per visit $21.65
W419 Periodic health visit $66.35
W425 Comprehensive physical medicine and rehabilitation consultation subject to the same conditions as A425 $306.75
W510 Complex neuromuscular assessment subject to the same conditions as A510 $91.65
W511 Complex physiatry assessment subject to the same conditions as A511 $100.35
W512 Admissing assessment Type 1 $70.75
W514 Admissing assessment Type 2 $21.00
W515 Consultation $204.15
W516 Repeat consultation $93.20
W517 Admissing assessment Type 3 $31.30
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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