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 $183.30
A070 Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient $203.30
A775 Comprehensive geriatric consultation $300.70
A770 Extended comprehensive geriatric consultation $401.30
A375 Limited consultation $105.25
A076 Repeat consultation $105.25
A073 Medical specific assessment $90.45
A074 Medical specific re-assessment $72.90
A071 Complex medical specific re-assessment $84.35
A078 Partial assessment $45.30
E078 - chronic disease assessment premium (see General Preamble GP16) … add 50% $0.00
K077 Geriatric telephone support … per unit $40.05

Non Emergency Hospital In Patient Services

Code Description Amount
C075 Consultation $203.30
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 $401.30
C375 Limited consultation $105.25
C076 Repeat consultation $105.25
C073 Medical specific assessment $90.45
C074 Medical specific re-assessment $84.35
C071 Complex medical specific re-assessment $70.90
C072 Subsequent visits - first five weeks … per visit $34.10
C077 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $34.10
C079 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $34.10
C078 Concurrent care … per visit $34.10

Non Emergency Long Term Care In Patient Services

Code Description Amount
W075 Consultation $203.30
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 $401.30
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 GP51 to GP52) $108.85

Other

Code Description Amount
C122 Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment $61.15
E083 - Subsequent visit by the MRP Premium (30%) $0.00
C123 Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment $61.15
E083 - Subsequent visit by the MRP Premium (30%) $0.00
C124 Subsequent visits by the Most Responsible Physician (MRP) - day of discharge $61.15
E083 - Subsequent visit by the MRP Premium (30%) $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 $61.15
E083 - Subsequent visit by the MRP Premium (30%) $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 $61.15
E083 - Subsequent visit by the MRP Premium (30%) $0.00
C121 Subsequent visits by the MRP following transfer from an Intensive Care Area - Additional visits due to intercurrent illness (see General Preamble GP43) … per visit $31.00
C982 Palliative care (see General Preamble GP50) per visit $31.00
E083 - Subsequent visit by the MRP Premium (30%) $0.00
W982 Subsequent visits - Chronic care or convalescent hospital - palliative care (see General Preamble GP50) per visit $32.20
W972 Subsequent visits - Nursing home or home for the aged - palliative care (see General Preamble GP50) per visit $32.20
W121 Additional visits due to intercurrent illness (see General Preamble GP49) per visit $31.00