OHIP Billing Codes

Specialty: Endocrinology Metabolism 15

Code Description Fee
A150 Comprehensive endocrinology consultation 310.45
A151 Complex medical specific re-assessment 74.8
A153 Medical specific assessment 84.6
A154 Medical specific re-assessment 62.85
A155 Consultation 165.3
A156 Repeat consultation 105.25
A158 Partial assessment 39.1
A255 Limited consultation 105.25
A760 Complex endocrine neoplastic disease assessment 90.75
C150 Comprehensive endocrinology consultation - subject to the same conditions as A150 310.45

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C151 Complex medical specific re-assessment 74.8
C152 Subsequent visits - first five weeks - per visit 34.1
C153 Medical specific assessment 84.6
C154 Medical specific re-assessment 62.85
C155 Consultation 165.3
C156 Repeat consultation 105.25
C157 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit 34.1
C158 Concurrent care 34.1
C159 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit 34.1
C255 Limited consultation 105.25
C760 Complex endocrine neoplastic disease assessment - subject to the same conditions as A760 90.75
K045 Diabetes management by a specialist 76.2
K046 Diabetes team management 115
W150 Comprehensive endocrinology consultation - subject to the same conditions as A150 310.45
W151 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit 34.1
W152 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 34.1
W153 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit 34.1
W154 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* 20.6
W155 Consultation 165.3
W156 Repeat consultation 105.25
W158 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum of 3 per patient per month) - per visit 34.1
W252 Admission assessment - Type 1 69.35
W254 Admission assessment - Type 2 20.6
W255 Limited consultation 105.25
W257 Admission assessment - Type 3 30.7
W259 Periodic health visit 65.05
W760 Complex endocrine neoplastic disease assessment - subject to the same conditions as A760 90.75
W765 Consultation, patient 16 years of age and under 167

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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