OHIP Billing Codes

Specialty: Infectious Disease 46

Code Description Fee
A275 Limited consultation 107.35
A460 Comprehensive infectious disease consultation 306.75
A461 Complex medical specific re-assessment 82.3
A463 Medical specific assessment 92.7
A464 Medical specific re-assessment 71.1
A465 Consultation 182.25
A466 Repeat consultation 107.35
A468 Partial assessment 44.15
C275 Limited consultation 107.35
C460 Comprehensive infectious disease consultation - subject to the same conditions as A460 306.75

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C461 Complex medical specific re-assessment 82.3
C462 Subsequent visits - first five weeks - per visit 31.6
C463 Medical specific assessment 92.7
C464 Medical specific re-assessment 71.1
C465 Consultation 182.25
C466 Repeat consultation 107.35
C467 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit 31.6
C468 Concurrent care - per visit 31.6
C469 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit 31.6
W275 Limited consultation 107.35
W292 Admission assessment - Type 1 70.75
W294 Admission assessment - Type 2 21
W297 Admission assessment - Type 3 31.3
W299 Periodic health visit 66.35
W461 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum of 6 per patient per month) - per visit 21.65
W462 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 32.85
W463 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit 32.85
W464 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* 21
W466 Repeat consultation 107.35
W468 Subsequent visits - Nursing home or home for the aged - subsequent visits per month (maximum of 3 per patient per month) - per visit 21.65

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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