Geriatrics OHIP billing codes


General Listings

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

Non Emergency Hospital In Patient Services

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

Non Emergency Long Term Care In Patient Services

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

Other

Code Description Amount Ans Units Assist Units
C122 Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment $58.80 N/A N/A
C123 Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment $58.80 N/A N/A
C124 Subsequent visits by the Most Responsible Physician (MRP) - day of discharge $58.80 N/A N/A
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 N/A N/A
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 N/A N/A
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 N/A N/A
C982 Palliative care (see General Preamble GP34) … per visit $31.00 N/A N/A
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