OHIP Billing Codes

Specialty: Genetics 22

Code Description Fee
A220 Special genetic consultation* 310.45
A221 Genetic minor assessment 38.05
A223 Extended special genetic consultation* 401.3
A225 Consultation* 167.9
A226 Repeat consultation 105.25
A325 Limited consultation 105.25
A800 Midwife-requested genetic assessment 167.35
A801 Comprehensive midwife-requested genetic assessment 300.7
A802 Extended midwife-requested genetic assessment 401.3
C220 Special genetic consultation* - subject to the same conditions as A220 310.45

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C222 Subsequent visits - first five weeks - per visit 34.1
C223 Extended special genetic consultation* - subject to the same conditions as A223 401.3
C225 Consultation* 167.9
C226 Repeat consultation 105.25
C227 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit 34.1
C229 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit 34.1
C325 Limited consultation 105.25
C800 Midwife-requested genetic assessment subject to the same conditions as A800 167.35
C801 Comprehensive midwife-requested genetic assessment subject to the same conditions as A801 300.7
C802 Extended midwife-requested genetic assessment subject to the same conditions as A802 401.3
K044 Genetic family counselling 62.75
K222 Genetic care, patient or family 79.3
K223 Clinical interpretation 40
K224 Clinical interpretation requested by a midwife 38.2
K229 Complex Genetic Test Interpretation 65.85
W220 Special genetic consultation* - subject to the same conditions as A220 310.45
W221 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit 34.1
W222 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 34.1
W223 Extended special genetic consultation* - subject to the same conditions as A223 401.3
W224 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit 34.1
W225 Consultation* 167.9
W226 Repeat consultation 105.25
W228 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum 3 per patient per month) - per visit 34.1
W325 Limited consultation 105.25

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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