OHIP Billing Codes

Specialty: Consultations And Visits

Category: Family Practice Practice In General 00

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Code Description Fee

Case Conferences

K702 Bariatric out-patient case conference (per unit) $32.45
K707 Chronic pain out-patient case conference (per unit) $32.45
K706 Convalescent care program case conference $32.45
K703 Geriatric out-patient case (per unit) $32.45
K121 Hospital in-patient case conference $32.45
K705 Long-term care - high risk patient conference (per unit) $32.45
K124 Long-term care/CCAC case (per unit) $32.45
K701 Mental health out-patient case conference (per unit) $32.45
K704 Paediatric out-patient case conference (per unit) $32.45
K700 Palliative care out-patient case conference (per unit) $32.45

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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

Emergency Department Physician

H102 Comprehensive assessment and care - Monday to Friday - Daytime (08:00h to 17:00h) $43.05
H132 Comprehensive assessment and care - Monday to Friday - Evenings (17:00h to 24:00h) $52.55
H122 Comprehensive assessment and care - Nights (00:00h to 08:00h) $76.95
H152 Comprehensive assessment and care - Saturdays, Sundays and Holidays - Daytime and Evenings (08:00h to 24:00h) $66.15
H065 Consultation in Emergency Medicine $81.25
H100 Emergency department investigative ultrasound $19.65
H105 In-patient interim admission orders $26.25
H101 Minor assessment - Monday to Friday - Daytime (08:00h to 17:00h) $17.10
H131 Minor assessment - Monday to Friday - Evenings (17:00h to 24:00h) $20.95
H121 Minor assessment - Nights (00:00h to 08:00h) $30.70
H151 Minor assessment - Saturdays, Sundays and Holidays - Daytime and Evenings (08:00h to 24:00h) $26.35
H103 Multiple systems assessment - Monday to Friday - Daytime (08:00h to 17:00h) $40.00
H133 Multiple systems assessment - Monday to Friday - Evenings (17:00h to 24:00h) $47.45
H123 Multiple systems assessment - Nights (00:00h to 08:00h) $68.00
H153 Multiple systems assessment - Saturdays, Sundays and Holidays - Daytime and Evenings (08:00h to 24:00h) $58.90
H113 Other service rendered by Emergency Department Physician in premium hours - daytime and evenings (08:00h to 24:00h) on Saturdays, Sundays or Holidays $20.35
H112 Other service rendered by Emergency Department Physician in premium hours - nights (00:00h to 08:00h) $35.15
H134 Re-assessment - Monday to Friday - Evenings (17:00h to 24:00h) $20.95
H124 Re-assessment - Nights (00:00h to 08:00h) $30.70
H154 Re-assessment - Saturdays, Sundays and Holidays - Daytime and Evenings (08:00h to 24:00h) $26.35

General Listings

A771 Certification of death $20.60
A900 Complex house call assessment $54.50
A912 Comprehensive family and general practice consultation $226.05
A005 Consultation $87.90
A888 Emergency department equivalent - partial assessment $37.95
A002 Enhanced 18 month well baby visit $62.20
A003 General assessment $87.35
A004 General re-assessment $38.35
A100 General/Family physician emergency department assessment $76.90
A902 House call assessment - Pronouncement of death in the home $54.50
E077 Identification of patient for a major eye examination $10.25
A007 Intermediate assessment or well baby care $37.95
A777 Intermediate assessment Pronouncement of death $37.95
A905 Limited consultation $73.25
A115 Major eye examination $51.10
A815 Midwife-Requested Special Assessment (MRSA) $186.95
A816 Midwife-RequestedAnaesthesia Assessment (MRAA) $106.80
A813 Midwife-RequestedAssessment (MRA) $111.70
A008 Mini assessment $13.05
A001 Minor assessment $23.75
A933 On-call admission assessment $79.90
K130 Periodic health visit - adolescent $77.20
K132 Periodic health visit - adult 65 years of age and older $80.95
K131 Periodic health visit - adult age 18 to 64 inclusive $56.95
K017 Periodic health visit - child $45.25
A110 Periodic oculo-visual assessment - aged 19 years and below $48.90
A112 Periodic oculo-visual assessment - aged 65 years and above $48.90
A006 Repeat consultation $45.90
A911 Special family and general practice consultation $150.70
A945 Special palliative care consultation $159.20

Non-Emergency Hospital In-Patient Services

C121 Additional visits due to intercurrent illness (see General Preamble GP43) - per visit $34.10
H007 Attendance at maternal delivery for care of high risk baby(ies) $61.65
C771 Certification of death - subject to the same conditions as A771 $20.60
C912 Comprehensive family and general practice consultation subject to the same conditions as A912 $226.05
C005 Consultation $87.90
C003 General assessment $87.35
C004 General re-assessment $38.35
C777 Intermediate assessment - Pronouncement of death - subject to the same conditions as A777 $37.95
C905 Limited consultation $74.25
H002 Low birth weight baby care (uncomplicated) - initial visit (per baby) $34.10
H003 Low birth weight baby care (uncomplicated) - subsequent visit - per visit $16.90
C816 Midwife-Requested Anaesthesiologist Assessment (MRAA) - subject to the same conditions as A816 $106.80
C813 Midwife-Requested Assessment - subject to the same conditions as A813 $111.70
C815 Midwife-Requested Special Assessment - subject to the same conditions as A815 $186.95
H001 Newborn care in hospital and/or home $52.20
C933 On-call admission assessment - subject to the same conditions as A933 $79.90
C904 Pre-dental/pre-operative assessment $33.70
C903 Pre-dental/pre-operative general assessment (maximum of 2 per 12 month period) $65.05
C006 Repeat consultation $45.90
C911 Special family and general practice consultation, subject to the same conditions as A911 $150.70
C945 Special palliative care consultation - subject to the same conditions as A945 $159.20
C009 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit $34.10
C002 Subsequent visits - First 5 Weeks - per visit $34.10
C007 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit $34.10
C122 Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment $61.15
C124 Subsequent visits by the Most Responsible Physician (MRP) - day of discharge $61.15
C123 Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment $61.15
C008 Subsequent visits by the MRP following transfer from an Intensive Care Area - Concurrent care - per visit $34.10
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 $61.15
C882 Subsequent visits by the MRP following transfer from an Intensive Care Area - Palliative care (see General Preamble GP34) - per visit $34.10
C010 Subsequent visits by the MRP following transfer from an Intensive Care Area - Supportive care - per visit $34.10
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 $61.15

Non-Emergency Long-Term Care In-Patient Services

W121 additional visits due to intercurrent illness (see General Preamble GP49) per visit $34.10
W102 Admission assessment - Type 1 $69.35
W104 Admission assessment - Type 2 $20.60
W107 Admission assessment - Type 3 $30.70
K629 All other re-certification(s) of involuntary admission including completion of appropriate forms $42.70
K623 Application for psychiatric assessment $117.05
W771 Certification of death - subject to same conditions as A771 $20.60
K624 Certification of involuntary admission $144.15
W001 Chronic care or convalescent hospital - additional subsequent visits (maximum 4 per patient per month) per visit $34.10
W002 Chronic care or convalescent hospital - first 4 subsequent visits per patient per month (per visit) $34.10
W882 Chronic care or convalescent hospital - palliative care (see General Preamble GP50) per visit $34.10
K140 Chronic disease shared appointment - 2 patients (per unit) $35.10
K141 Chronic disease shared appointment - 3 patients (per unit) $23.35
K142 Chronic disease shared appointment - 4 patients (per unit) $17.65
K143 Chronic disease shared appointment - 5 patients (per unit) $14.55
K144 Chronic disease shared appointment - 6 to 12 patients (per unit) $12.35
W912 Comprehensive family and general practice consultation - subject to the same conditions as A912 $226.05
W105 Consultation - Long-Term Care In-Patient $87.75
K014 Counselling for transplant recipients, donors or families of recipients and donors $70.10
K015 Counselling of relatives - on behalf of catastrophically or terminally ill patient $70.10
K887 CTO initiation including completion of the CTO form and all preceding CTO services directly related to CTO initiation (per unit) $94.55
K889 CTO renewal including completion of the CTO form and all preceding CTO services directly related to CTO renewal (per unit) $94.55
K888 CTO supervision including all associated CTO services except those related to initiation or renewal (per unit) $94.55
K008 Diagnostic interview and/or counselling with child and/or parent for psychological problem or learning disabilities (per unit) $70.10
K002 Family meeting, caregiver interview $70.10
W004 General re-assessment of patient in nursing home (per the Nursing Homes Act) $38.35
K006 Hypnotherapy - Individual care $70.10
W777 Intermediate assessment - Pronouncement of death - subject to the same conditions as A777 $37.95
K003 Interviews with Children's Aid Society (CAS) or legal guardian on be half of the patient in accordance with the Health Care Consent Act conducted for a purpose other than to obtain consent (per unit) $70.10
K709 MCC Chairperson, per patient $41.85
K708 MCC Participant, per patient $32.45
K710 MCC Radiologist Participant, per patient $32.45
W010 Monthly management fee (per patient per month) (see General Preamble GP51 to GP52) $115.25
W008 Nursing home or home for the aged - additional subsequent visits (maximum 2 per patient per month) per visit $34.10
W003 Nursing home or home for the aged - first 2 subsequent visits per patient per month (per visit) $34.10
W872 Nursing home or home for the aged - palliative care (see General Preamble GP50) per visit $34.10
W109 Periodic health visit $70.50
W904 Pre-dental/pre-operative assessment $33.70
W903 Pre-dental/pre-operative general assessment (maximum of 2 per 12 month period) $65.05
K005 Primary mental health care - Individual care $70.10
K010 Psychotherapy - additional units per member (maximum 6 units per patient per day) $11.20
K004 Psychotherapy - Family (2 or more family members in attendance at the same time) per unit $76.10
K019 Psychotherapy - Group 2 people (per unit) $35.10
K012 Psychotherapy - Group 3 people (per unit) $17.65
K020 Psychotherapy - Group 3 people (per unit) $23.35
K024 Psychotherapy - Group 5 people (per unit) $14.55
K025 Psychotherapy - Group 6 to 12 people (per unit) $12.35
K007 Psychotherapy - Individual care $70.10
W106 Repeat consultation $45.90
W911 Special family and general practice consultation - subject to the same conditions as A911 $150.70

Physician / Nurse Practitioner to Physician E-Consultation

Q040 Diabetes management incentive $60.00
K030 Diabetic Management Assessment $40.55
K037 Fibromyalgia/chronic fatigue syndrome care (per unit) $70.10
K016 Genetic assessment, patient or family - per unit $74.05
K022 HIV primary care (per unit) $70.10
K029 Insulin therapy support (ITS) $70.10
K023 Palliative care support (per unit) $74.70
K739 Physician to physician e-consultation - Consultant physician $20.50
K738 Physician to physician e-consultation Referring physician $16.00
K028 STD management $70.10

Physician / Nurse Practitioner to Physician Telephone Consultation

K071 Acute home care supervision (first 8 weeks following admission to the home care program) $21.40
K026 Certification of Medical Eligibility for OHCAP $54.70
K027 Certification of Medical Eligibility for OHCAP - includes only completion of Application for OHCAP - Physician's Form without an associated consultation or visit on the same day. $21.85
K072 Chronic home care supervision (after the 8th week following admission to the home care program) $21.40
K399 Clinical interpretation by an immunologist $29.05
K031 Completion of Form 1 - Physician report in accordance with the Mandatory Blood Testing Act $102.50
K038 Completion of Long-Term Care health report form $45.15
K036 Completion of northern health travel grant application form $10.25
K733 CritiCall telephone consultation - Consultant physician $41.85
K737 CritiCall telephone consultation - Consultant physician (Physician on duty in an emergency department or a hospital urgent care clinic) $41.85
K732 CritiCall telephone consultation - Referring physician $32.45
K736 CritiCall telephone consultation - Referring physician (Physician on duty in an emergency department or a hospital urgent care clinic) $32.45
K070 Home care application $31.75
A680 Initial assessment - substance abuse $144.75
C680 Initial assessment - substance abuse - subject to the same conditions as A680 $144.75
E079 Initial discussion with patient, to eligible services $15.55
K035 Mandatory reporting of medical condition to the Ontario Ministry of Transportation $36.25
K682 Opioid Agonist Maintenance Program monthly management fee - intensive, per month $45.00
K683 Opioid Agonist Maintenance Program monthly management fee - maintenance, per month $38.00
K731 Physician to physician telephone consultation - Consultant physician $41.85
K735 Physician to physician telephone consultation - Consultant physician (Physician on duty in an emergency department or a hospital urgent care clinic) $41.85
K730 Physician to physician telephone consultation - Referring physician $32.45
K734 Physician to physician telephone consultation - Referring physician (Physician on duty in an emergency department or a hospital urgent care clinic) $32.45
K091 Post-operative monthly management of a bariatric surgery patient in a Bariatric RATC $25.00
K090 Pre-operative medical management of a bariatric surgery patient in a Bariatric RATC $100.00
K018 Sexual assault examination - female $326.00
K021 Sexual assault examination - male $257.15
K039 Smoking cessation follow-up visit $33.45
K032 Specific neurocognitive assessment $70.10
K680 Substance abuse - extended assessment (per unit) $70.10
K034 Telephone reporting - specified reportable disease to a MOH $36.00

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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