OHIP Billing Codes

Specialty: Community Medicine 05

Code Description Fee
A050 Special community medicine consultation 147.65
A051 Complex medical specific re-assessment 72.35
A053 Medical specific assessment 81.45
A054 Medical specific re-assessment 62.5
A055 Consultation 128.1
A056 Repeat consultation 85.9
A058 Partial assessment 38.8
A400 Comprehensive community medicine consultation 245.4
A405 Limited consultation 85.9
C050 Special community medicine consultation subject to the same conditions as A050 147.65

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C051 Complex medical specific re-assessment 72.35
C052 Subsequent visits - first five weeks - per visit 31.6
C053 Medical specific assessment 81.45
C054 Medical specific re-assessment 62.5
C055 Consultation 128.1
C056 Repeat consultation 85.9
C057 Subsequent visits - sixth to thirteenth week (maximum 3 per patient per week) - per visit 31.6
C058 Concurrent care - per visit 31.6
C059 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit 31.6
C400 Comprehensive community medicine consultation subject to the same conditions as A400 245.4
C405 Limited consultation 85.9
W050 Special community medicine consultation subject to the same conditions as A050 147.65
W051 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit 21.65
W052 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 32.85
W053 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit 32.85
W054 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* 21
W055 Consultation 128.1
W056 Repeat consultation 85.9
W058 Nursing home or home for the aged - additional subsequent visits (maximum 3 per patient per month) - per visit 21.65
W085 Consultation 89.45
W400 Comprehensive community medicine consultation subject to the same conditions as A400 245.4
W402 Admission Assessment - Type 1 70.75
W404 Admission Assessment - Type 2 21
W405 Limited consultation 85.9
W407 Admission Assessment - Type 3 31.3
W409 Periodic health visit 66.35
W972 Subsequent visits - Nursing home or home for the aged - palliative care (see General Preamble GP50) per visit 32.85
W982 Subsequent visits - Chronic care or convalescent hospital - palliative care (see General Preamble GP50) per visit 32.85

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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