OHIP Billing Codes Sheet for Internal Medicine

For Ontario internal medicine specialists that manage their own billing, knowing which fee code to use can be a pain. They have more than enough work to do already, and the added complexity of submitting claims to OHIP doesn't help.

To help save time, we've put together a short list of the most common OHIP fee codes for internal med. We hope this is a useful resource and lets you spend less time going through the massive fee schedule.

Click here for a printable PDF version »

 

Consultations & Assessments

A135 Consultation

C135 Consultation (in-patient)

A130 Comprehensive internal medicine consultation

C130 Comprehensive internal medicine consultation (in-patient)

A435 Limited consultation

C435 Limited consultation (in-patient)

A136 Repeat consultation

C136 Repeat consultation (in-patient)

A133 Medical specific assessment

C133 Medical specific assessment (in-patient)

A134 Medical specific re-assessment

C134 Medical specific reassessment (in-patient)

A131 Complex medical specific re-assessment

C131 Complex medical specific reassessment (in-patient)

A138 Partial assessment

Subsequent Visits

C132 First 5 weeks

C137 Sixth to thirteenth week inclusive (maximum 3 per patient per week)

C139 After thirteenth week (maximum 6 per patient per month)

Subsequent Visits by the Most Responsible Physician (MRP)

C122 Day following the hospital admission assessment

C123 Second day following the hospital assessment

C124 Day of discharge

Subsequent Visits by the MRP Following Transfer from an Intensive Care Area

C142 First subsequent visit

C143 Second subsequent visit

C121 Additional visits due to intercurrent illness

C138 Concurrent care

Counselling and Meetings

K002 Family meeting, caregiver interview

K013 Counselling - Individual care

K014 Counselling for transplant recipients, donors or families of recipients and donors

K015 Counselling of relatives - on behalf of catastrophically or terminally ill patient

K040 Group counselling

K121 Hospital in-patient case conference