Nephrology OHIP billing codes

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


General Listings

Code Description Amount
A165 Consultation $157.00
A160 Comprehensive nephrology consultation $300.70
A865 Limited consultation $105.25
A166 Repeat consultation $105.25
A163 Medical specific assessment $79.85
A164 Medical specific re-assessment $61.25
A161 Complex medical specific re-assessment $70.90
A168 Partial assessment $38.05

Non Emergency Hospital In Patient Services

Code Description Amount
C165 Consultation $157.00
C160 Comprehensive nephrology consultation - subject to the same conditions as A160 $300.70
C865 Limited consultation $105.25
C166 Repeat consultation $105.25
C163 Medical specific assessment $79.85
C164 Medical specific re-assessment $61.25
C161 Complex medical specific re-assessment $70.90
C162 Subsequent visits - first five weeks … per visit $31.00
C167 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00
C169 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00
C168 Concurrent care … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W165 Consultation $157.00
W160 Comprehensive nephrology consultation - subject to the same conditions as A160 $300.70
W865 Limited consultation $105.25
W166 Repeat consultation $105.25
W862 Admission assessment - Type 1 $69.35
W864 Admission assessment - Type 2 $20.60
W867 Admission assessment - Type 3 $30.70
W869 Periodic health visit $65.05
W164 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* $20.60
W162 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20
W161 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum of 6 per patient per month) … per visit $21.20
W163 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20
W168 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum of 3 per patient per month) … per visit $21.20

Other

Code Description Amount
A765 Consultation, patient 16 years of age and under $165.50
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