Rheumatology OHIP billing codes


General Listings

Code Description Amount Ans Units Assist Units
A485 Consultation $157.00 N/A N/A
A590 Comprehensive rheumatology consultation $300.70 N/A N/A
A595 Limited consultation $105.25 N/A N/A
A486 Repeat consultation $105.25 N/A N/A
A483 Medical specific assessment $79.85 N/A N/A
A484 Medical specific re-assessment $61.25 N/A N/A
A481 Complex medical specific re-assessment $70.90 N/A N/A
A488 Partial assessment $38.05 N/A N/A
E078 - chronic disease assessment premium (see General Preamble GP16) … add 50% $0.00 N/A N/A
A480 Complex rheumatology assessment $89.85 N/A N/A
K481 Rheumatoid arthritis management by a specialist $75.00 N/A N/A
K480 Physician to allied professional telephone consultation $31.35 N/A N/A

Non Emergency Hospital In Patient Services

Code Description Amount Ans Units Assist Units
C485 Consultation $157.00 N/A N/A
C590 Comprehensive rheumatology consultation - subject to the same conditions as A590 $300.70 N/A N/A
C595 Limited consultation $105.25 N/A N/A
C486 Repeat consultation $105.25 N/A N/A
C483 Medical specific assessment $79.85 N/A N/A
C484 Medical specific re-assessment $61.25 N/A N/A
C481 Complex medical specific re-assessment $70.90 N/A N/A
C480 Complex rheumatology assessment - subject to the same conditions as A480 $89.85 N/A N/A
C482 Subsequent visits - first five weeks … per visit $31.00 N/A N/A
C487 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00 N/A N/A
C489 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00 N/A N/A
C488 Concurrent care … per visit $31.00 N/A N/A

Other

Code Description Amount Ans Units Assist Units
A765 Consultation, patient 16 years of age and under $165.50 N/A N/A
C765 Consultation, patient 16 years of age and under $165.50 N/A N/A
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