Geriatrics OHIP billing codes

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


General Listings

Code Description Amount
A075 Consultation $175.00
A070 Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient $185.00
A775 Comprehensive geriatric consultation $300.70
A770 Extended comprehensive geriatric consultation $395.65
A375 Limited consultation $105.25
A076 Repeat consultation $105.25
A073 Medical specific assessment $79.85
A074 Medical specific re-assessment $61.25
A071 Complex medical specific re-assessment $70.90
A078 Partial assessment $38.05
E078 - chronic disease assessment premium (see General Preamble GP16) … add 50% $0.00
K077 Geriatric telephone support … per unit $35.45

Non Emergency Hospital In Patient Services

Code Description Amount
C075 Consultation $185.00
C775 Comprehensive geriatric consultation - subject to the same conditions as A775 $300.70
C770 Extended comprehensive geriatric consultation - subject to the same conditions as A770 $395.65
C375 Limited consultation $105.25
C076 Repeat consultation $105.25
C073 Medical specific assessment $79.85
C074 Medical specific re-assessment $61.25
C071 Complex medical specific re-assessment $70.90
C072 Subsequent visits - first five weeks … per visit $31.00
C077 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00
C079 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00
C078 Concurrent care … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W075 Consultation $185.00
W775 Comprehensive geriatric consultation - subject to the same conditions as A775 $300.70
W770 Extended comprehensive geriatric consultation - subject to the same conditions as A770 $395.65
W375 Limited consultation $105.25
W076 Repeat consultation $105.25
W272 Admission assessment - Type 1 $69.35
W274 Admission assessment - Type 2 $20.60
W277 Admission assessment - Type 3 $30.70
W279 Periodic health visit $65.05
W074 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* $20.60
W072 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20
W071 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit $21.20
W073 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20
W078 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum 3 per patient per month) … per visit $21.20
W010 Monthly management fee (per patient per month) (see General Preamble GP35 to GP36) $108.85

Other

Code Description Amount
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
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