These are the most commonly used Obstetrics and gynaecology OHIP billing codes. To find other billing codes search the OHIP fee schedule here .
Code | Description | Amount |
---|---|---|
C205 | Consultation* | $101.70 |
C206 | Repeat consultation* | $54.10 |
C203 | Specific assessment* | $47.45 |
C204 | Specific re-assessment* | $29.65 |
C202 | Subsequent visits - first five weeks … per visit | $31.00 |
C207 | Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit | $31.00 |
C209 | Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit | $31.00 |
C208 | Concurrent care … per visit | $31.00 |
Code | Description | Amount |
---|---|---|
P003 | General assessment (major prenatal visit) | $77.20 |
P005 | Antenatal preventative health assessment | $45.15 |
P004 | Minor prenatal assessment | $33.70 |
P002 | High risk prenatal assessment | $74.70 |
A920 | Medical management of early pregnancy initial service | $161.15 |
A922 | Medical management of ectopic pregnancy initial service | $207.80 |
A921 | Medical management of early or ectopic pregnancy followup visit | $33.70 |
P001 | Medical management of nonviable fetus or intrauterine fetal demise between 14 and 20 weeks gestation | $399.00 |
Code | Description | Amount | Ans Units | Assist Units |
---|---|---|---|---|
P006 | Vaginal | $498.70 | – | – |
P020 | Operative delivery | $535.60 | 6 | – |
E502 - vaginal birth after caesarean section (VBAC) whether successful or unsuccessful | $51.00 | – | – | |
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 | – | – | |
E499 - for the second caesarian delivery, subject to the payment rules set out below, to P018, P041 or P042 | $397.75 | – | – | |
P038 | - when patient transferred to another centre for delivery | $211.20 | – | – |
P009 | Attendance at labour and delivery | $498.70 | – | – |
P010 | Attendance of obstetric consultant(s) at delivery | $211.20 | – | – |
C989 | - 'special visit for first obstetrical delivery with sacrifice of office hours | $76.40 | – | – |
E414 - High risk obstetrical premium | $62.05 | – | – | |
P045 | Repair of third degree tear or episiotomy extension, must include repair of perianal sphincter and perineum | $82.15 | 6 | – |
P046 | Repair of fourth degree tear or episiotomy extension, must include repair of rectal mucosa, perianal sphincter and perineum | $200.00 | 6 | – |
Z774 | Postpartum haemorrhage exploration of vagina and cervix, uterine curettage | $93.80 | 6 | – |
P007 | Postnatal care in hospital and/or home | $55.15 | – | – |
P008 | Postnatal care in office | $33.70 | – | – |
P036 | Repair of laceration - vaginal | $54.40 | 6 | – |
P039 | Repair of laceration - cervical | $54.40 | 6 | – |
P029 | Manual removal of retained placenta | $54.40 | 6 | – |
Code | Description | Amount | Ans Units |
---|---|---|---|
P013 | Obstetrical anaesthesia | $0.00 | 6 |
P014C | - introduction of catheter for labour analgesia including first dose | $0.00 | 6 |
E111 - Combined spinalepidural for labour analgesia, to P014C | $50.00 | – | |
P016C | -maintenance of obstetrical epidural anaesthesia (one unit for each ½ hour to a maximum of 12) | $0.00 | – |
E100 - attendance at delivery per ¼ hour time units only | $0.00 | – |
Code | Description | Amount | Ans Units | Assist Units |
---|---|---|---|---|
Z776 | Fetal blood sampling | $40.80 | – | – |
Z773 | Fetoscopy (may include fetal blood sample, cell harvest or amniocentesis or cordocentesis) | $165.40 | – | – |
Z734 | Double set up examination to rule out placenta previa, or trial of forceps failed leading to caesarean section (same physician) | $58.00 | – | – |
P030 | Cervical ripening using topical, oral or mechanical agents, maximum once per pregnancy. Payable in conjunction with P023 | $58.60 | – | – |
P023 | Oxytocin infusion for induction or augmentation of labour | $67.75 | – | – |
P025 | Non stress test | $9.65 | – | – |
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 | – | – |
Z775 | Pharmacological management of P.I.H. and toxemia by I.V therapy to be billed once per patient, per pregnancy | $67.75 | – | – |
Z778 | Amniocentesis diagnostic or genetic | $102.00 | – | – |
Z779 | Chorionic villus sampling | $153.00 | – | – |
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 | – |
Z777 | Breech presentation external cephalic version with or without tocolysis to be claimed in hospital after 35 weeks, once per pregnancy | $60.35 | – | – |
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 |
Code | Description | Amount |
---|---|---|
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 | |
A935 | Special surgical consultation (see General Preamble GP13) | $160.00 |
C935 | Special surgical consultation (see General Preamble GP13) | $160.00 |