Dermatology OHIP billing codes


General Listings

Code Description Amount Ans Units Assist Units
A025 Consultation $72.15 N/A N/A
A027 Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient $147.30 N/A N/A
A026 Repeat consultation $44.45 N/A N/A
A023 Specific assessment $38.70 N/A N/A
A024 Partial assessment $21.90 N/A N/A
U025 Initial e-assessment $44.45 N/A N/A
U023 Repeat e-assessment $29.00 N/A N/A
U026 Follow-up e-assessment $21.90 N/A N/A
U021 Minor e-assessment $11.00 N/A N/A
A020 Complex dermatology assessment $49.95 N/A N/A

Non Emergency Hospital In Patient Services

Code Description Amount Ans Units Assist Units
C025 Consultation $147.30 N/A N/A
C026 Repeat consultation $44.45 N/A N/A
C023 Specific assessment $38.70 N/A N/A
C024 Specific re-assessment $25.40 N/A N/A
C020 Complex dermatology assessment - subject to same conditions as A020 $49.95 N/A N/A
C022 Subsequent visits - first five weeks … per visit $31.00 N/A N/A
C027 Subsequent visits - sixth to thirteenth week (maximum 3 per patient per week) … per visit $31.00 N/A N/A
C029 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00 N/A N/A
C028 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
W025 Consultation $147.30 N/A N/A
W026 Repeat consultation $44.45 N/A N/A
W022 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month … per visit $32.20 N/A N/A
W021 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) … per visit $21.20 N/A N/A
W023 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month … per visit $32.20 N/A N/A
W028 Subsequent visits - Nursing home or home for the aged - additional subsequent visits (maximum 3 per patient per month) … per visit $21.20 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
W982 Subsequent visits - Chronic care or convalescent hospital - palliative care (see General Preamble GP34) … per visit $32.20 N/A N/A
W972 Subsequent visits - Nursing home or home for the aged - palliative care (see General Preamble GP34) … per visit $32.20 N/A N/A
W121 Additional visits due to intercurrent illness (see General Preamble GP33) per visit $31.00 N/A N/A