Psychiatry OHIP billing codes

General Listings

Code	Description	Amount	Ans Units	Assist Units
A195	Consultation	$199.40	N/A	N/A
A895	Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient	$232.70	N/A	N/A
A190	Special psychiatric consultation	$300.70	N/A	N/A
A795	Geriatric psychiatric consultation	$300.70	N/A	N/A
A695	Neurodevelopmental consultation	$395.65	N/A	N/A
A395	Limited consultation	$105.25	N/A	N/A
A196	Repeat consultation	$105.25	N/A	N/A
A193	Specific assessment	$79.85	N/A	N/A
A194	Partial assessment	$38.05	N/A	N/A
A197	Consultative interview on behalf of disturbed patient (including report) - consultative interview with parent(s) or patient representative(s) of patient less than age 22	$212.65	N/A	N/A
A198	Consultative interview on behalf of disturbed patient (including report) - consultative interview with patient less than age 22	$212.65	N/A	N/A
A191	Consultative interview on behalf of disturbed patient (including report) - consultative interview with caregiver(s) of a patient at least 65 years of age, or a patient less than 65 years of age with a diagnosis of dementia	$212.65	N/A	N/A
A192	Consultative interview on behalf of disturbed patient (including report) - consultative interview with patient at least 65 years of age, or a patient less than 65 years of age with a diagnosis of dementia	$212.65	N/A	N/A
K630	Psychiatric consultation extension … per unit	$105.10	N/A	N/A

Non Emergency Hospital Services

Code	Description	Amount	Ans Units	Assist Units
C895	Consultation	$232.70	N/A	N/A
C190	Special psychiatric consultation - subject to the same conditions as A190	$300.70	N/A	N/A
C395	Limited consultation	$105.25	N/A	N/A
C196	Repeat consultation	$105.25	N/A	N/A
C795	Geriatric psychiatric consultation - subject to same conditions as A795	$300.70	N/A	N/A
C695	Neurodevelopmental consultation - subject to same conditions as A695	$395.65	N/A	N/A
C193	Specific assessment	$79.85	N/A	N/A
C194	Specific re-assessment	$61.25	N/A	N/A
C192	Subsequent visits - first five weeks … per visit	$31.00	N/A	N/A
C197	Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit	$31.00	N/A	N/A
C199	Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit	$31.00	N/A	N/A
C198	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
W895	Consultation	$232.70	N/A	N/A
W190	Special psychiatric consultation - subject to the same conditions as A190	$300.70	N/A	N/A
W795	Geriatric psychiatric consultation - subject to same conditions as A795	$300.70	N/A	N/A
W695	Neurodevelopmental consultation - subject to same conditions as A695	$395.65	N/A	N/A
W395	Limited consultation	$105.25	N/A	N/A
W196	Repeat consultation	$105.25	N/A	N/A

Psychiatric Clinical Practice Modifiers/Premiums

Code	Description	Amount	Ans Units	Assist Units
K187	Acute post-discharge community psychiatric care, to K195, K196, K197 or K198 … add 15%	$0.00	N/A	N/A
K188	High risk community psychiatric care, to A190, A191, A192, A195, A197, A198, A695, A795, K195, K196, K197 or K198 … add 15%	$0.00	N/A	N/A
K189	Urgent community psychiatric followup, to A190, A195, A695 or A795 … add	$200.00	N/A	N/A
K620	Consultation for involuntary psychiatric treatment … per unit	$85.00	N/A	N/A
K623	Application for psychiatric assessment	$104.80	N/A	N/A
K624	Certification of involuntary admission	$129.05	N/A	N/A
K629	All other re_certification(s) of involuntary admission including completion of appropriate forms	$38.25	N/A	N/A

Psychotherapy, Family Psychotherapy, Hypnotherapy And Psychiatric Care

Code	Description	Amount	Ans Units	Assist Units
K198	Psychiatric care - out-patient … per unit	$80.30	N/A	N/A
K199	Psychiatric care - in-patient … per unit	$92.60	N/A	N/A
K196	Family psychiatric care - out-patient … per unit	$91.10	N/A	N/A
K191	Family psychiatric care - in-patient … per unit	$105.10	N/A	N/A
K197	Individual out-patient psychotherapy … per unit	$80.30	N/A	N/A
K190	Individual in-patient psychotherapy … per unit	$84.15	N/A	N/A
K195	Family psychotherapy - out-patients (two or more members) … per unit	$91.10	N/A	N/A
K193	Family psychotherapy in-patients (two or more members) … per unit	$95.45	N/A	N/A
K208	Group psychotherapy, out-patients - per member - first 12 units per day - 2 people … per unit	$40.15	N/A	N/A
K209	Group psychotherapy, out-patients - per member - first 12 units per day - 3 people … per unit	$26.75	N/A	N/A
K203	Group psychotherapy, out-patients - per member - first 12 units per day - 4 people … per unit	$20.10	N/A	N/A
K204	Group psychotherapy, out-patients - per member - first 12 units per day - 5 people … per unit	$16.05	N/A	N/A
K205	Group psychotherapy, out-patients - per member - first 12 units per day - 6 to 12 people … per unit	$14.45	N/A	N/A
K206	Group psychotherapy, out-patients - per member - first 12 units per day - additional units - per member (maximum 6 per patient per day) … per unit	$12.85	N/A	N/A
K210	Group psychotherapy, in-patients - per member - first 12 units per day - 2 people … per unit	$42.10	N/A	N/A
K211	Group psychotherapy, in-patients - per member - first 12 units per day - 3 people … per unit	$28.05	N/A	N/A
K200	Group psychotherapy, in-patients - per member - first 12 units per day - 4 people … per unit	$21.00	N/A	N/A
K201	Group psychotherapy, in-patients - per member - first 12 units per day - 5 people … per unit	$16.80	N/A	N/A
K202	Group psychotherapy, in-patients - per member - first 12 units per day - 6 to 12 people … per unit	$15.15	N/A	N/A
K207	Group psychotherapy, in-patients - per member - first 12 units per day - additional units - per member (maximum 6 per patient per day) … per unit	$12.85	N/A	N/A
K192	Hypnotherapy - Individual … per unit	$80.30	N/A	N/A
K194	Hypnotherapy - Group - for induction and training for hypnosis - per member (maximum eight people) … per unit	$14.60	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
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