Genetics OHIP billing codes


General Listings

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

Non Emergency Hospital In Patient Services

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

Non Emergency Long Term Care In Patient Services

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

Other

Code Description Amount Ans Units Assist Units
W982 Subsequent visits - Chronic care or convalescent hospital - palliative care (see General Preamble GP34) … per visit $32.20 N/A N/A
W972 Subsequent visits - Nursing home or home for the aged - palliative care (see General Preamble GP34) … per visit $32.20 N/A N/A
W121 Additional visits due to intercurrent illness (see General Preamble GP33) per visit $31.00 N/A N/A