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