OHIP Billing Codes

Specialty: Rheumatology 48

Code Description Fee
A480 Complex rheumatology assessment $94.05
A481 Complex medical specific reassessment $74.10
A483 Medical specific assessment $83.35
A484 Medical specific reassessment $63.85
A485 Consultation $173.50
A486 Repeat consultation $111.55
A488 Partial assessment $39.90
A590 Comprehensive rheumatology consultation $306.75
A595 Limited consultation $111.55
A765 Consultation, patient 16 years of age and under $168.85

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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
C480 Complex rheumatology assessment subject to the same conditions as A480 $94.05
C481 Complex medical specific reassessment $74.10
C482 Subsequent visits first five weeks per visit $31.60
C483 Medical specific assessment $83.35
C484 Medical specific reassessment $63.85
C485 Consultation $173.50
C486 Repeat consultation $111.55
C488 Concurrent care per visit $31.60
C489 Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit $31.60
C590 Comprehensive rheumatology consultation subject to the same conditions as A590 $306.75
C595 Limited consultation $111.55
C765 Consultation, patient 16 years of age and under $168.85
C982 Palliative care (see General Preamble GP50) per visit $31.60
K480 Physician to allied professional telephone consultation $32.00
K481 Rheumatoid arthritis management by a specialist $76.50

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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