Physical medicine & rehabilitation OHIP billing codes

These are the most commonly used Physical medicine & rehabilitation OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


General Listings

Code Description Amount
A315 Consultation $172.85
A425 Comprehensive physical medicine and rehabilitation consultation $300.70
A515 Limited consultation $91.35
A316 Repeat consultation $91.35
A313 Medical specific assessment $74.00
A310 Medical specific re-assessment $65.00
A311 Complex medical specific re-assessment $70.90
A318 Partial assessment $38.05
E078 - chronic disease assessment premium (see General Preamble GP16) … add 50% $0.00
A510 Complex neuromuscular assessment $89.85
A511 Complex physiatry assessment $89.85

Non Emergency Hospital In Patient Services

Code Description Amount
C315 Consultation $182.85
C425 Comprehensive physical medicine and rehabilitation consultation – subject to the same conditions as A425 $300.70
C515 Limited consultation $91.35
C316 Repeat consultation $91.35
C313 Medical specific assessment $74.00
C314 Medical specific re-assessment $65.00
C311 Complex medical specific re-assessment $70.90
C510 Complex neuromuscular assessment - subject to the same conditions as A510 $89.85
C511 Complex physiatry assessment - subject to the same conditions as A511 $89.85
C312 Subsequent visits - first five weeks … per visit $31.00
C317 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00
C319 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00
C318 Concurrent care … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W515 Consultation $182.85
W425 Comprehensive physical medicine and rehabilitation consultation - subject to the same conditions as A425 $300.70
W310 Limited consultation $91.35
W516 Repeat consultation $91.35
W510 Complex neuromuscular assessment - subject to the same conditions as A510 $89.85
W511 Complex physiatry assessment - subject to the same conditions as A511 $89.85
W512 Admissing assessment - Type 1 $69.35
W514 Admissing assessment - Type 2 $20.60
W517 Admissing assessment - Type 3 $30.70
W419 Periodic health visit $65.05
W314 General reassessment of patient in nursing home* $20.60
W312 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20
W311 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit $21.20
W313 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20
W318 Subsequent visits - Nursing home or home for the aged - additional subsequent visits (maximum 3 per patient per month) … per visit $21.20
H312 Team management in a Rehabilitation Unit - first twelve weeks … per visit $39.00
H317 Team management in a Rehabilitation Unit - from thirteenth to twentysixth week (maximum 3 per patient per week) … per visit $39.00
H319 Team management in a Rehabilitation Unit - twentyseventh week onwards (maximum 6 per patient per month) … per visit $39.00
H313 Rehabilitation counselling $76.95
K313 Physiatric management $8.10

Other

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
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