Gastroenterology OHIP billing codes

These are the most commonly used Gastroenterology OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


General Listings

Code Description Amount
A415 Consultation $157.00
A545 Limited consultation $105.25
A416 Repeat consultation $105.25
A413 Medical specific assessment $79.85
A414 Medical specific re-assessment $61.25
A411 Complex medical specific re-assessment $70.90
A418 Partial assessment $38.05
A120 Colonoscopy assessment, same day as colonoscopy $18.85

Non Emergency Hospital In Patient Services

Code Description Amount
C415 Consultation $157.00
C545 Limited consultation $105.25
C416 Repeat consultation $105.25
C413 Medical specific assessment $79.85
C414 Medical specific re-assessment $61.25
C411 Complex medical specific re-assessment $70.90
C412 Subsequent visits - first five weeks … per visit $31.00
C417 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00
C419 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00
C418 Concurrent care … per visit $31.00

Other

Code Description Amount
A765 Consultation, patient 16 years of age and under $165.50
C765 Consultation, patient 16 years of age and under $165.50
C122 Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment $58.80
E083 - Subsequent visit by the MRP Premium $0.00
C123 Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment $58.80
E083 - Subsequent visit by the MRP Premium $0.00
C124 Subsequent visits by the Most Responsible Physician (MRP) - day of discharge $58.80
E083 - Subsequent visit by the MRP Premium $0.00
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 $58.80
E083 - Subsequent visit by the MRP Premium $0.00
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 $58.80
E083 - Subsequent visit by the MRP Premium $0.00
C121 Subsequent visits by the MRP following transfer from an Intensive Care Area - Additional visits due to intercurrent illness (see General Preamble GP28) … per visit $31.00
C982 Palliative care $31.00
E083 - Subsequent visit by the MRP Premium $0.00