Internal and occupational medicine OHIP billing codes

These are the most commonly used Internal and occupational medicine OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


General Listings

Code Description Amount
A135 Consultation $157.00
A130 Comprehensive internal medicine consultation $300.70
A435 Limited consultation $105.25
A136 Repeat consultation $105.25
A133 Medical specific assessment $79.85
A134 Medical specific re-assessment $61.25
A131 Complex medical specific re-assessment $70.90
A138 Partial assessment $38.05

Non Emergency Hospital In Patient Services

Code Description Amount
C135 Consultation $157.00
C130 Comprehensive internal medicine consultation $300.70
C435 Limited consultation $105.25
C136 Repeat consultation $105.25
C133 Medical specific assessment $79.85
C134 Medical specific reassessment $61.25
C131 Complex medical specific reassessment $70.90
C132 Subsequent visits - first five weeks … per visit $31.00
C137 Subsequent visits - sixth to thirteenth week inclusive $31.00
C139 Subsequent visits - after thirteenth week $31.00
C138 Concurrent care … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W235 Consultation $157.00
W130 Comprehensive internal medicine consultation $300.70
W435 Limited consultation $105.25
W236 Repeat consultation $105.25
W232 Admission assessment - Type 1 $69.35
W234 Admission assessment - Type 2 $20.60
W237 Admission assessment - Type 3 $30.70
W239 Periodic health visit $65.05
W134 General reassessment of patient in nursing home $20.60
W132 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month $32.20
W131 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits $21.20
W133 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month $32.20
W138 Subsequent visits - Nursing home or home for the aged - additional subsequent visits $21.20

Other

Code Description Amount
A765 Consultation, patient 16 years of age and under $165.50
A120 Colonoscopy assessment, same day as colonoscopy $18.85
K045 Diabetes management by a specialist $75.00
K046 Diabetes team management $115.00
C765 Consultation, patient 16 years of age and under $165.50
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
W765 Consultation, patient 16 years of age and under $167.00
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