OHIP Billing Codes

Specialty: Physical Medicine Rehabilitation 31

Code	Description	Fee
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A310	Medical specific reassessment	$66.30
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A311	Complex medical specific reassessment	$72.35
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A313	Medical specific assessment	$75.50
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A315	Consultation	$193.00
A316	Repeat consultation	$93.20
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
A318	Partial assessment	$38.80
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
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
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
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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

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