Orthopaedic surgery OHIP billing codes

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


General Listings

Code Description Amount
A065 Consultation $83.10
A066 Repeat consultation $51.70
A063 Specific assessment $42.55
A064 Partial assessment $24.05

Non Emergency Hospital In Patient Services

Code Description Amount
C065 Consultation $83.10
C066 Repeat consultation $51.70
C063 Specific assessment $42.55
C064 Specific re-assessment $25.50
C062 Subsequent visits - first five weeks … per visit $31.00
C067 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00
C069 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00
C068 Concurrent care … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W065 Consultation $83.10
W066 Repeat consultation $51.70
W062 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20
W061 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit $21.20
W063 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20
W068 Subsequent visits - Nursing home or home for the aged - subsequent visits (maximum of 3 per patient per month) … per visit $21.20

Other

Code Description Amount
A935 Special surgical consultation (see General Preamble GP13) $160.00
C935 Special surgical consultation (see General Preamble GP13) $160.00
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
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