Genetics OHIP billing codes

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


General Listings

Code Description Amount
A225 Consultation* $165.00
A220 Special genetic consultation* $300.70
A223 Extended special genetic consultation* $395.65
A325 Limited consultation $105.25
A226 Repeat consultation $105.25
A221 Genetic minor assessment $38.05
K016 Genetic assessment, patient or family … per unit $74.05
A800 Midwife-requested genetic assessment $165.00
A801 Comprehensive midwife-requested genetic assessment $300.70
A802 Extended midwife-requested genetic assessment $395.65
K222 Genetic care, patient or family $74.70
K223 Clinical interpretation $37.65
K224 Clinical interpretation requested by a midwife $37.65
K044 Genetic family counselling $62.75

Non Emergency Hospital In Patient Services

Code Description Amount
C225 Consultation* $165.00
C220 Special genetic consultation* - subject to the same conditions as A220 $300.70
C223 Extended special genetic consultation* - subject to the same conditions as A223 . $395.65
C325 Limited consultation $105.25
C226 Repeat consultation $105.25
C800 Midwife-requested genetic assessment – subject to the same conditions as A800 $165.00
C801 Comprehensive midwife-requested genetic assessment – subject to the same conditions as A801 $300.70
C802 Extended midwife-requested genetic assessment – subject to the same conditions as A802 $395.65
C222 Subsequent visits - first five weeks … per visit $31.00
C227 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00
C229 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W225 Consultation* $165.00
W220 Special genetic consultation* - subject to the same conditions as A220 $300.70
W223 Extended special genetic consultation* - subject to the same conditions as A223 $395.65
W325 Limited consultation $105.25
W226 Repeat consultation $105.25
W222 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20
W221 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit $21.20
W224 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20
W228 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum 3 per patient per month) … per visit $21.20

Other

Code Description Amount
W982 Subsequent visits - Chronic care or convalescent hospital - palliative care $32.20
W972 Subsequent visits - Nursing home or home for the aged - palliative care $32.20
W121 Additional visits due to intercurrent illness (see General Preamble GP33) per visit $31.00