OHIP Billing Codes

Specialty: Community Medicine 05

Code Description Fee
A050 Special community medicine consultation 144.75
A051 Complex medical specific re-assessment 70.9
A053 Medical specific assessment 79.85
A054 Medical specific re-assessment 61.25
A055 Consultation 125.6
A056 Repeat consultation 84.2
A058 Partial assessment 38.05
A400 Comprehensive community medicine consultation 240.55
A405 Limited consultation 84.2
C050 Special community medicine consultation subject to the same conditions as A050 144.75

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C051 Complex medical specific re-assessment 70.9
C052 Subsequent visits - first five weeks - per visit 34.1
C053 Medical specific assessment 79.85
C054 Medical specific re-assessment 61.25
C055 Consultation 125.6
C056 Repeat consultation 84.2
C057 Subsequent visits - sixth to thirteenth week (maximum 3 per patient per week) - per visit 34.1
C058 Concurrent care - per visit 34.1
C059 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit 34.1
C400 Comprehensive community medicine consultation subject to the same conditions as A400 240.55
C405 Limited consultation 84.2
W050 Special community medicine consultation subject to the same conditions as A050 144.75
W051 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit 34.1
W052 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 34.1
W053 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit 34.1
W054 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* 20.6
W055 Consultation 125.6
W056 Repeat consultation 84.2
W058 Nursing home or home for the aged - additional subsequent visits (maximum 3 per patient per month) - per visit 34.1
W085 Consultation 91.35
W400 Comprehensive community medicine consultation subject to the same conditions as A400 240.55
W402 Admission Assessment - Type 1 69.35
W404 Admission Assessment - Type 2 20.6
W405 Limited consultation 84.2
W407 Admission Assessment - Type 3 30.7
W409 Periodic health visit 65.05
W972 Subsequent visits - Nursing home or home for the aged - palliative care (see General Preamble GP50) per visit 34.1
W982 Subsequent visits - Chronic care or convalescent hospital - palliative care (see General Preamble GP50) per visit 34.1

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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