Rheumatology OHIP billing codes

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


General Listings

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

Non Emergency Hospital In Patient Services

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

Other

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