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 | $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 |
| 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 |
| 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 |
| 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 | $31.00 |
| E083 - Subsequent visit by the MRP Premium (30%) | $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 GP49) per visit | $31.00 |