Community medicine OHIP billing codes

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


General Listings

Code Description Amount
A055 Consultation $125.60
A050 Special community medicine consultation $144.75
A400 Comprehensive community medicine consultation $240.55
A405 Limited consultation $84.20
A056 Repeat consultation $84.20
A053 Medical specific assessment $79.85
A054 Medical specific re-assessment $61.25
A051 Complex medical specific re-assessment $70.90
A058 Partial assessment $38.05

Non Emergency Hospital In Patient Services

Code Description Amount
C055 Consultation $125.60
C050 Special community medicine consultation – subject to the same conditions as A050 $144.75
C400 Comprehensive community medicine consultation – subject to the same conditions as A400 $240.55
C405 Limited consultation $84.20
C056 Repeat consultation $84.20
C053 Medical specific assessment $79.85
C054 Medical specific re-assessment $61.25
C051 Complex medical specific re-assessment $70.90
C052 Subsequent visits - first five weeks … per visit $31.00
C057 Subsequent visits - sixth to thirteenth week (maximum 3 per patient per week) … per visit $31.00
C059 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00
C058 Concurrent care … per visit $31.00

Non Emergency Long Term Care In Patient Services

Code Description Amount
W055 Consultation $125.60
W050 Special community medicine consultation – subject to the same conditions as A050 $144.75
W400 Comprehensive community medicine consultation – subject to the same conditions as A400 $240.55
W405 Limited consultation $84.20
W056 Repeat consultation $84.20
W402 Admission Assessment - Type 1 $69.35
W404 Admission Assessment - Type 2 $20.60
W407 Admission Assessment - Type 3 $30.70
W409 Periodic health visit $65.05
W054 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* $20.60
W052 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20
W051 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit $21.20
W982 Subsequent visits - Chronic care or convalescent hospital - palliative care $32.20
W053 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20
W058 Subsequent visits - Nursing home or home for the aged - additional subsequent visits (maximum 3 per patient per month) … per visit $21.20
W972 Subsequent visits - Nursing home or home for the aged - palliative care $32.20
W121 Additional visits due to intercurrent illness (see General Preamble GP33) per visit $31.00

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