Psychiatry OHIP billing codes

These are the most commonly used Psychiatry OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


General Listings

Code Description Amount
A195 Consultation $199.40
A895 Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient $232.70
A190 Special psychiatric consultation $300.70
A795 Geriatric psychiatric consultation $300.70
A695 Neurodevelopmental consultation $395.65
A395 Limited consultation $105.25
A196 Repeat consultation $105.25
A193 Specific assessment $79.85
A194 Partial assessment $38.05
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
A198 Consultative interview on behalf of disturbed patient (including report) - consultative interview with patient less than age 22 $212.65
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
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
K630 Psychiatric consultation extension … per unit $105.10

Non Emergency Hospital Services

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

Non Emergency Long Term Care In Patient Services

Code Description Amount
W895 Consultation $232.70
W190 Special psychiatric consultation - subject to the same conditions as A190 $300.70
W795 Geriatric psychiatric consultation - subject to same conditions as A795 $300.70
W695 Neurodevelopmental consultation - subject to same conditions as A695 $395.65
W395 Limited consultation $105.25
W196 Repeat consultation $105.25

Psychiatric Clinical Practice Modifiers/Premiums

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

Psychotherapy, Family Psychotherapy, Hypnotherapy And Psychiatric Care

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

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