OHIP Billing Codes

Specialty: Family Practice Practice In General 00

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Code	Description	Fee
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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
	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

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