Neurology OHIP billing codes

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


General Listings

Code Description Amount
A185 Consultation $178.60
A180 Special neurology consultation $300.70
A385 Limited consultation $84.95
A186 Repeat consultation $84.95
A183 Medical specific assessment $79.80
A184 Medical specific re-assessment $62.90
A181 Complex medical specific re-assessment $72.85
A188 Partial assessment $38.15
E078 - chronic disease assessment premium (see General Preamble GP16) … add 50% $0.00
A113 Complex neuromuscular assessment $91.00

Non Emergency Hospital In Patient Services

Code Description Amount
C185 Consultation $178.60
C180 Special neurology consultation - subject to the same conditions as A180 $300.70
C385 Limited consultation $84.95
C186 Repeat consultation $84.95
C183 Medical specific assessment $79.80
C184 Medical specific re-assessment $62.90
C181 Complex medical specific re-assessment $72.85
C113 Complex neuromuscular assessment - subject to the same conditions as A113 $91.00
C182 Subsequent visits - first five weeks … per visit $31.00
C187 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00
C189 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00
C188 Concurrent care … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W185 Consultation $178.60
W180 Special neurology consultation - subject to the same conditions as A180 $300.70
W385 Limited consultation $84.95
W186 Repeat consultation $84.95
W113 Complex neuromuscular assessment - subject to the same conditions as A113 $91.00
W184 General reassessment of patient in nursing home (as per the Nursing Homes Act)* $20.60
W182 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20
W181 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum of 6 per patient per month) … per visit $21.20
W183 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20
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

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