OHIP Billing Codes

Specialty: Consultations And Visits

Category: Nephrology 16

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Code Description Fee

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

General Listings

A161 Complex medical specific re-assessment $71.85
A160 Comprehensive nephrology consultation $310.45
A165 Consultation $162.90
A865 Limited consultation $105.25
A163 Medical specific assessment $80.95
A164 Medical specific re-assessment $62.10
A168 Partial assessment $38.55

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A166 Repeat consultation $105.25

Non-Emergency Hospital In-Patient Services

C161 Complex medical specific re-assessment $71.85
C160 Comprehensive nephrology consultation - subject to the same conditions as A160 $310.45
C168 Concurrent care - per visit $34.10
C165 Consultation $162.90
C865 Limited consultation $105.25
C163 Medical specific assessment $80.95
C164 Medical specific re-assessment $62.10
C166 Repeat consultation $105.25
C169 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit $34.10
C162 Subsequent visits - first five weeks - per visit $34.10
C167 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit $34.10

Non-Emergency Long-Term Care In-Patient Services

W862 Admission assessment - Type 1 $69.35
W864 Admission assessment - Type 2 $20.60
W867 Admission assessment - Type 3 $30.70
W160 Comprehensive nephrology consultation - subject to the same conditions as A160 $310.45
W165 Consultation $162.90
W164 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* $20.60
W865 Limited consultation $105.25
W168 Nursing home or home for the aged - subsequent visits per month (maximum of 3 per patient per month) $34.10
W869 Periodic health visit $65.05
W166 Repeat consultation $105.25
W161 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum of 6 per patient per month) - per visit $34.10
W162 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit $34.10
W163 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit $34.10

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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