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OHIP Billing Codes Sheet for Anaesthesia

Courtney Marie L.
May. 30, 2017
5-minute read
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For Ontario anesthesiologists 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 anaesthesia. 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

A015 Consultation C015 Consultation (in-patient) A016 Repeat consultation C016 Repeat consultation (in-patient) A215 Limited consultation for acute pain management C215 Limited consultation for acute pain management (in-patient) A013 Specific assessment C013 Specific assessment (in-patient) A014 Partial assessment C014 Specific re-assessment (in-patient)

Subsequent Visits

C012 First 5 weeks C017 Sixth to thirteenth week inclusive (maximum 3 per patient per week) C019 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 C018 Concurrent care

Want to maximize your earnings? New to Ontario Billing?

Check out our Ultimate OHIP Billing Guide that takes you through every step for billing successfully in Ontario.

Dr. Bill - Anesthesia
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  This article offers 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. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.

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OHIP Billing Tips for Anesthesia Age Premiums

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In this series, we’re going to cover common ‘Anesthesia Age Premiums’ for Ontario Physicians. This is mainly for physicians who are providing anaesthesia services, which allows them to claim additional units based on certain patient characteristics. These additional units are outlined in the Schedule of Benefits.   The following codes are now automated for payment

Courtney Marie L
Writer and editor with a demonstrated history of working in the Canadian healthcare sector and the publishing industry. Skilled in writing, editing, proofreading, Spanish to English translation, and teaching English as a second language. Strong communications professional with a Bachelor of Arts in Geography and Political Science from the University of Manitoba.
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