OHIP Billing Codes

Specialty: Consultations And Visits

Category: Family Practice Practice In General 00

Filter by section

Code	Description	Fee
Search a description within this chart
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
The Ultimate OHIP Billing Guide New to billing? Not sure where to start? Our Ultimate Billing Guide outlines every aspect of Ontario billing. View the guide
Complete Study - 1 and 2 dimensions
G571	Professional component	$96.20
	G400 Physician-in-charge - 1st day	$223.10
G570	Technical component	$118.95
	G400 Physician-in-charge - 1st day	$223.10
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.