These are the most commonly used Physical medicine & rehabilitation OHIP billing codes. To find other billing codes search the OHIP fee schedule here .
Code | Description | Amount |
---|---|---|
A315 | Consultation | $189.20 |
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 | $98.35 |
Code | Description | Amount |
---|---|---|
C315 | Consultation | $200.15 |
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 | $98.35 |
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 |
Code | Description | Amount |
---|---|---|
W515 | Consultation | $200.15 |
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 | $98.35 |
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 - firsttwelve weeks … per visit | $42.70 |
H317 | Team management in a Rehabilitation Unit - from thirteenth to twentysixth week (maximum 3 per patient per week) … per visit | $42.70 |
H319 | Team management in a Rehabilitation Unit - twentyseventh week onwards (maximum 6 per patient per month) … per visit | $42.70 |
H313 | Rehabilitation counselling | $84.20 |
K313 | Physiatric management | $8.10 |
Code | Description | Amount |
---|---|---|
C122 | Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
C123 | Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
C124 | Subsequent visits by the Most Responsible Physician (MRP) - day of discharge | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $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 | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $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 | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
C121 | Subsequent visits by the MRP following transfer from an Intensive Care Area - Additional visits due to intercurrent illness (see General Preamble GP43) … per visit | $31.00 |
C982 | Palliative care (see General Preamble GP50) per visit | $31.00 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
W982 | Subsequent visits - Chronic care or convalescent hospital - palliative care (see General Preamble GP50) per visit | $32.20 |
W972 | Subsequent visits - Nursing home or home for the aged - palliative care (see General Preamble GP50) per visit | $32.20 |
W121 | Additional visits due to intercurrent illness (see General Preamble GP49) per visit | $31.00 |