Obstetrics and gynaecology OHIP billing codes


General Listings

Code Description Amount Ans Units Assist Units
A205 Consultation* $101.70 N/A N/A
A206 Repeat consultation* $54.10 N/A N/A
A203 Specific assessment* $47.45 N/A N/A
A204 Partial assessment $26.35 N/A N/A

Non Emergency Hospital In Patient Services

Code Description Amount Ans Units Assist Units
C205 Consultation* $101.70 N/A N/A
C206 Repeat consultation* $54.10 N/A N/A
C203 Specific assessment* $47.45 N/A N/A
C204 Specific re-assessment* $29.65 N/A N/A
C202 Subsequent visits - first five weeks … per visit $31.00 N/A N/A
C207 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00 N/A N/A
C209 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00 N/A N/A
C208 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
W305 Consultation* $101.70 N/A N/A
W306 Repeat consultation* $54.10 N/A N/A

Prenatal Care

Code Description Amount Ans Units Assist Units
P003 General assessment (major prenatal visit) $77.20 N/A N/A
P005 Antenatal preventative health assessment $45.15 N/A N/A
P004 Minor prenatal assessment $33.70 N/A N/A
P002 High risk prenatal assessment $74.70 N/A N/A
A920 Medical management of early pregnancy initial service $161.15 N/A N/A
A922 Medical management of ectopic pregnancy initial service $207.80 N/A N/A
A921 Medical management of early or ectopic pregnancy followup visit $33.70 N/A N/A
P001 Medical management of nonviable fetus or intrauterine fetal demise between 14 and 20 weeks gestation $399.00 N/A N/A

Labour Delivery

Code Description Amount Ans Units Assist Units
P006 Vaginal $498.70 N/A N/A
P020 Operative delivery $535.60 6 N/A
E502 - vaginal birth after caesarean section (VBAC) whether successful or unsuccessful $51.00 N/A N/A
P018 Caesarean section $579.80 7 6
P041 Caesarean section including tubal interruption $609.20 7 6
P042 Caesarean section including hysterectomy $837.25 8 8
E500 - for the third and each subsequent delivery, subject to the payment rules set out below, for each additional delivery, to P006, P018, P020, P041 or P042, add $148.60 N/A N/A
E499 - for the second caesarian delivery, subject to the payment rules set out below, to P018, P041 or P042 $397.75 N/A N/A
P038 - when patient transferred to another centre for delivery $211.20 N/A N/A
P009 Attendance at labour and delivery $498.70 N/A N/A
P010 Attendance of obstetric consultant(s) at delivery $211.20 N/A N/A
C989 - 'special visit for first obstetrical delivery with sacrifice of office hours $76.40 N/A N/A
E414 - High risk obstetrical premium $62.05 N/A N/A
P045 Repair of third degree tear or episiotomy extension, must include repair of perianal sphincter and perineum $82.15 6 N/A
P046 Repair of fourth degree tear or episiotomy extension, must include repair of rectal mucosa, perianal sphincter and perineum $200.00 6 N/A
Z774 Postpartum haemorrhage exploration of vagina and cervix, uterine curettage $93.80 6 N/A
P007 Postnatal care in hospital and/or home $55.15 N/A N/A
P008 Postnatal care in office $33.70 N/A N/A
P036 Repair of laceration - vaginal $54.40 6 N/A
P039 Repair of laceration - cervical $54.40 6 N/A
P029 Manual removal of retained placenta $54.40 6 N/A

Obstetrical Anasthesia

Code Description Amount Ans Units Assist Units
P013 Obstetrical anaesthesia $0.00 6 N/A
P014C - introduction of catheter for labour analgesia including first dose $0.00 6 N/A
E111 - Combined spinalepidural for labour analgesia, to P014C $50.00 N/A N/A
P016C -maintenance of obstetrical epidural anaesthesia (one unit for each ½ hour to a maximum of 12) $0.00 N/A N/A
E100 - attendance at delivery per ¼ hour time units only $0.00 N/A N/A

High Risk Pregnancies

Code Description Amount Ans Units Assist Units
Z776 Fetal blood sampling $40.80 N/A N/A
Z773 Fetoscopy (may include fetal blood sample, cell harvest or amniocentesis or cordocentesis) $165.40 N/A N/A
Z734 Double set up examination to rule out placenta previa, or trial of forceps failed leading to caesarean section (same physician) $58.00 N/A N/A
P030 Cervical ripening using topical, oral or mechanical agents, maximum once per pregnancy. Payable in conjunction with P023 $58.60 N/A N/A
P023 Oxytocin infusion for induction or augmentation of labour $67.75 N/A N/A
P025 Non stress test $9.65 N/A N/A
Z721 Pharmacological suppression of premature labour by I.V. therapy to be claimed once per physician after 3 hours of supervision in same institution $67.75 N/A N/A
Z775 Pharmacological management of P.I.H. and toxemia by I.V therapy to be billed once per patient, per pregnancy $67.75 N/A N/A
Z778 Amniocentesis diagnostic or genetic $102.00 N/A N/A
Z779 Chorionic villus sampling $153.00 N/A N/A
P031 Prophylactic cervical cerclage any technique $145.10 6 6
P032 Emergency cervical cerclage when the external os is open to 2 cm or more and the membranes visible or prolapsed, any technique $250.00 6 6
P034 Uterine inversion, manual replacements $125.75 6 N/A
Z777 Breech presentation external cephalic version with or without tocolysis to be claimed in hospital after 35 weeks, once per pregnancy $60.35 N/A N/A

Maternal Fetal Procedures

Code Description Amount Ans Units Assist Units
P050 Therapeutic amnioreduction $248.85 6 6
P051 Percutaneous fetal blood transfusion into fetal hepatic vein $348.40 8 8
P052 Percutaneous fetal blood sample from umbilical cord or fetal hepatic vein $199.10 6 6
P060 Percutaneous amnioinfusion $248.85 6 6
P053 - selective fetal reduction of one or more fetuses by bipolar or unipolar cautery of umbilical cord $248.85 6 6
P054 - selective fetal reduction of one or more fetuses by intracardiac potassium chloride injection $248.85 6 6
P055 - bladder to amniotic cavity $398.10 8 8
P056 - chest to amniotic cavity $398.10 8 8
P057 Fine needle fetal body cavity aspiration from fetal abdomen, chest, heart, bladder and/ or renal tract $199.10 6 6
P058 Inutero ligation of umbilical cord vessels $464.45 8 8
P059 Inutero placental vessel ablation by YAG laser $464.45 8 8

Other

Code Description Amount Ans Units Assist Units
A935 Special surgical consultation (see General Preamble GP13) $160.00 N/A N/A
C935 Special surgical consultation (see General Preamble GP13) $160.00 N/A N/A
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