Orthopaedic surgery OHIP billing codes


General Listings

Code Description Amount Ans Units Assist Units
A065 Consultation $83.10 N/A N/A
A066 Repeat consultation $51.70 N/A N/A
A063 Specific assessment $42.55 N/A N/A
A064 Partial assessment $24.05 N/A N/A

Non Emergency Hospital In Patient Services

Code Description Amount Ans Units Assist Units
C065 Consultation $83.10 N/A N/A
C066 Repeat consultation $51.70 N/A N/A
C063 Specific assessment $42.55 N/A N/A
C064 Specific re-assessment $25.50 N/A N/A
C062 Subsequent visits - first five weeks … per visit $31.00 N/A N/A
C067 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00 N/A N/A
C069 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00 N/A N/A
C068 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
W065 Consultation $83.10 N/A N/A
W066 Repeat consultation $51.70 N/A N/A
W062 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20 N/A N/A
W061 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit $21.20 N/A N/A
W063 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
W068 Subsequent visits - Nursing home or home for the aged - subsequent visits (maximum of 3 per patient per month) … per visit $21.20 N/A N/A

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
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