Physical medicine & rehabilitation OHIP billing codes

General Listings

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

Non Emergency Hospital In Patient Services

Code	Description	Amount	Ans Units	Assist Units
C315	Consultation	$182.85	N/A	N/A
C425	Comprehensive physical medicine and rehabilitation consultation – subject to the same conditions as A425	$300.70	N/A	N/A
C515	Limited consultation	$91.35	N/A	N/A
C316	Repeat consultation	$91.35	N/A	N/A
C313	Medical specific assessment	$74.00	N/A	N/A
C314	Medical specific re-assessment	$65.00	N/A	N/A
C311	Complex medical specific re-assessment	$70.90	N/A	N/A
C510	Complex neuromuscular assessment - subject to the same conditions as A510	$89.85	N/A	N/A
C511	Complex physiatry assessment - subject to the same conditions as A511	$89.85	N/A	N/A
C312	Subsequent visits - first five weeks … per visit	$31.00	N/A	N/A
C317	Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit	$31.00	N/A	N/A
C319	Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit	$31.00	N/A	N/A
C318	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
W515	Consultation	$182.85	N/A	N/A
W425	Comprehensive physical medicine and rehabilitation consultation - subject to the same conditions as A425	$300.70	N/A	N/A
W310	Limited consultation	$91.35	N/A	N/A
W516	Repeat consultation	$91.35	N/A	N/A
W510	Complex neuromuscular assessment - subject to the same conditions as A510	$89.85	N/A	N/A
W511	Complex physiatry assessment - subject to the same conditions as A511	$89.85	N/A	N/A
W512	Admissing assessment - Type 1	$69.35	N/A	N/A
W514	Admissing assessment - Type 2	$20.60	N/A	N/A
W517	Admissing assessment - Type 3	$30.70	N/A	N/A
W419	Periodic health visit	$65.05	N/A	N/A
W314	General reassessment of patient in nursing home*	$20.60	N/A	N/A
W312	Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit	$32.20	N/A	N/A
W311	Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit	$21.20	N/A	N/A
W313	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
W318	Subsequent visits - Nursing home or home for the aged - additional subsequent visits (maximum 3 per patient per month) … per visit	$21.20	N/A	N/A
H312	Team management in a Rehabilitation Unit - first twelve weeks … per visit	$39.00	N/A	N/A
H317	Team management in a Rehabilitation Unit - from thirteenth to twentysixth week (maximum 3 per patient per week) … per visit	$39.00	N/A	N/A
H319	Team management in a Rehabilitation Unit - twentyseventh week onwards (maximum 6 per patient per month) … per visit	$39.00	N/A	N/A
H313	Rehabilitation counselling	$76.95	N/A	N/A
K313	Physiatric management	$8.10	N/A	N/A

Other

Code	Description	Amount	Ans Units	Assist Units
C122	Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment	$58.80	N/A	N/A
	E083 - Subsequent visit by the MRP Premium	$0.00	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
	E083 - Subsequent visit by the MRP Premium	$0.00	N/A	N/A
C124	Subsequent visits by the Most Responsible Physician (MRP) - day of discharge	$58.80	N/A	N/A
	E083 - Subsequent visit by the MRP Premium	$0.00	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
	E083 - Subsequent visit by the MRP Premium	$0.00	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
	E083 - Subsequent visit by the MRP Premium	$0.00	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	$31.00	N/A	N/A
	E083 - Subsequent visit by the MRP Premium	$0.00	N/A	N/A
W982	Subsequent visits - Chronic care or convalescent hospital - palliative care	$32.20	N/A	N/A
W972	Subsequent visits - Nursing home or home for the aged - palliative care	$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