Respiratory disease OHIP billing codes

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


General Listings

Code Description Amount
A475 Consultation $169.65
A470 Comprehensive respiratory disease consultation $300.70
A575 Limited consultation $105.25
A476 Repeat consultation $105.25
A473 Medical specific assessment $84.65
A474 Medical specific re-assessment $63.70
A471 Complex medical specific re-assessment $73.75
A478 Partial assessment $38.25
E078 - chronic disease assessment premium (see General Preamble GP16) … add 50% $0.00
A570 Complex respiratory assessment $89.85

Non Emergency Hospital In Patient Services

Code Description Amount
C475 Consultation $169.65
C470 Comprehensive respiratory disease consultation - subject to the same conditions as A470 $300.70
C575 Limited consultation $105.25
C476 Repeat consultation $105.25
C473 Medical specific assessment $84.65
C474 Medical specific re-assessment $63.70
C471 Complex medical specific re-assessment $73.75
C570 Complex respiratory assessment - subject to the same conditions as A570 $89.85
C472 Subsequent visits - first five weeks … per visit $33.30
C477 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $33.30
C479 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $34.10
C478 Concurrent care … per visit $34.10

Other

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
A765 Consultation, patient 16 years of age and under $165.50
C765 Consultation, patient 16 years of age and under $165.50