As a family physician, you have enough to manage without spending extra time searching for the right OHIP fee codes.
That's why we've compiled commonly used family practice OHIP billing codes so you can quickly find the code you need and get back to caring for your patients.
Want more billing tips? Download our Family Practice Billing Guide. Or, watch our information-packed Introduction to OHIP Billing for Family Physicians and Am I Underbilling? webinars hosted by Dr. Stephanie Zhou.
Consultations
| A005 | Consultation |
| A911 | Special family and general practice consultation |
| A912 | Comprehensive family and general practice consultation |
| A945 | Special palliative care consultation |
| A905 | Limited consultation |
| A006 | Repeat Consultation |
| A815 | Midwife or Aboriginal Midwife-Requested Special Assessment |
Assessments
| A003 | General assessment |
| A004 | General re-assessment |
| A001 | Minor assessment |
| A007 | Intermediate assessment or well baby care |
| A002 | Enhanced 18 month well baby visit |
| A008 | Mini assessment |
| A888 | Emergency department equivalent: partial assessment |
| A900 | Complex house call assessment |
| A902 | House call assessment: pronouncement of death in the home |
| A903 | Pre-dental/pre-operative general assessment |
| A904 | Pre-dental/ pre-operative assessment |
| A933 | On-call admission assessment |
| A100 | General/family physician emergency department assessment |
| A771 | Certification of death |
| A777 | Intermediate assessment: pronouncement of death |
| A772 | Certification of stillbirth |
| A813 | Midwife or Aboriginal Midwife-Requested Assessment |
Focused Practice Assessment
| A917 | Sport medicine FPA |
| A927 | Allergy FPA |
| A937 | Pain management FPA |
| A947 | Sleep medicine FPA |
| A957 | Addiction medicine FPA |
| A967 | Care of the elderly FPA |
Screening and Health Management
| K017 | Periodic health visit: child |
| K130 | Periodic health visit: adolescent |
| K131 | Periodic health visit: adult age 18 to 64 inclusive |
| K132 | Periodic health visit: adult 65 years of age and older |
| E089 (Premium) | When rendered to a cisgender female or a transgender, nonbinary, gender fluid or agender patient, to K131 and K132. |
| K133 | Periodic health visit for adults with Intellectual and Developmental Disabilities (IDD) |
| A110 | Periodic oculo-visual assessment: aged 19 years and below |
| A112 | Periodic oculo-visual assessment: aged 65 years and above |
| E077 | Identification of patient for a major eye examination |
| A115 | Major eye examination |
| K030 | Diabetic management assessment |
| K032 | Specific neurocognitive assessment |
| K042 | Extended specific neurocognitive assessment |
| K037 | Fibromyalgia/chronic fatigue syndrome care (per unit) |
Vaccinations
| G590 | Influenza agent |
| G593 | Covid-19 |
| G842 | Hepatitis B (HB) |
| G843 | Human Papillomavirus (HPV) |
| G845 | Measles, Mumps, Rubella (MMR) |
Mental Health
| K005 | Primary Mental Health Care |
| K002 | Interview with authorized individual |
| K007 | Psychotherapy |
| K623 | Form 1 Application for Psychiatric Assessment |
Forms
| K070 | Completion of home care referral form |
| K071 | Acute Home Care Supervision (1 per patient per week per MD for 8 weeks) |
| K072 | Chronic Home Care Supervision (2 per month per patient per MD after 8 weeks) |
| K035 | Mandatory reporting of medical condition to the Ontario Ministry of Transportation |
MCSS Ontario Disability Support Program Forms (paid by Ministry of Health, not OHIP)
| K050 | Health Status Report and Activities of Daily Living Index (completion of amalgamated forms for initial ODSP application) |
| K051 | Health Status Report (completed separately) for initial ODSP application |
| K052 | Activities of Daily Living Index (completed separately) for initial ODSP application |
| K057 | Medical Form Part A for Medical Review process |
| K058 | Medical Form Part B including both Health Status Report and Activities of Daily Living Index for Medical Review process |
| K059 | Health Status Report of Part B (completed separately) for Medical Review process |
| K060 | Activities of Daily Living Index of Part B (completed separately) for Medical Review process |
| K054 | Mandatory Special Necessities Benefit Request Form |
| K055 | Application for Special Diet Allowance |
| K056 | Application for Pregnancy/Breast-feeding Nutritional Allowance |
MAID (Medical Assistance in Dying)
| A320 | Special Medical Assistance in Dying (MAID) consultation |
| K321 | Medical Assistance in Dying (MAID) support |
| K023 | Palliative care support (per unit) |
Many additional codes may be billed for MAID. See the OMA Quick Reference Guide to MAID Payments.
Virtual Care
| A101 | Limited Virtual Care by Video |
| A102 | Limited Virtual Care by Telephone |
| K300 | Identifies video technology used during service |
| K301 | Identifies telephone technology used during service |
Download our Free Family Practice Billing Guide
Our Family Physician's Guide to Billing in Ontario goes beyond codes to cover:
• Family physician salaries
• Different types of billing
• Remittance and claim reports
• When to bill consultations vs. assessments
• OHIP premiums
• Virtual care
• And more
Have a specific billing question or want a demo of how Dr.Bill works for family and general practice? We'd love to chat!
