Neurology OHIP billing codes


General Listings

Code Description Amount Ans Units Assist Units
A185 Consultation $176.35 N/A N/A
A180 Special neurology consultation $300.70 N/A N/A
A385 Limited consultation $84.95 N/A N/A
A186 Repeat consultation $84.95 N/A N/A
A183 Medical specific assessment $78.80 N/A N/A
A184 Medical specific re-assessment $62.10 N/A N/A
A181 Complex medical specific re-assessment $71.90 N/A N/A
A188 Partial assessment $37.65 N/A N/A
E078 - chronic disease assessment premium (see General Preamble GP16) … add 50% $0.00 N/A N/A
A113 Complex neuromuscular assessment $89.85 N/A N/A

Non Emergency Hospital In Patient Services

Code Description Amount Ans Units Assist Units
C185 Consultation $176.35 N/A N/A
C180 Special neurology consultation - subject to the same conditions as A180 $300.70 N/A N/A
C385 Limited consultation $84.95 N/A N/A
C186 Repeat consultation $84.95 N/A N/A
C183 Medical specific assessment $78.80 N/A N/A
C184 Medical specific re-assessment $62.10 N/A N/A
C181 Complex medical specific re-assessment $71.90 N/A N/A
C113 Complex neuromuscular assessment - subject to the same conditions as A113 $89.85 N/A N/A
C182 Subsequent visits - first five weeks … per visit $31.00 N/A N/A
C187 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00 N/A N/A
C189 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00 N/A N/A
C188 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
W185 Consultation $176.35 N/A N/A
W180 Special neurology consultation - subject to the same conditions as A180 $300.70 N/A N/A
W385 Limited consultation $84.95 N/A N/A
W186 Repeat consultation $84.95 N/A N/A
W113 Complex neuromuscular assessment - subject to the same conditions as A113 $89.85 N/A N/A
W184 General reassessment of patient in nursing home (as per the Nursing Homes Act)* $20.60 N/A N/A
W182 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20 N/A N/A
W181 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum of 6 per patient per month) … per visit $21.20 N/A N/A
W183 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
W188 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum of 3 per patient per month) … per visit $21.20 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