OHIP Billing Codes

Specialty: Nephrology 16

Code Description Fee
A160 Comprehensive nephrology consultation 310.45
A161 Complex medical specific re-assessment 71.85
A163 Medical specific assessment 80.95
A164 Medical specific re-assessment 62.1
A165 Consultation 162.9
A166 Repeat consultation 105.25
A168 Partial assessment 38.55
A865 Limited consultation 105.25
C160 Comprehensive nephrology consultation - subject to the same conditions as A160 310.45
C161 Complex medical specific re-assessment 71.85

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C162 Subsequent visits - first five weeks - per visit 34.1
C163 Medical specific assessment 80.95
C164 Medical specific re-assessment 62.1
C165 Consultation 162.9
C166 Repeat consultation 105.25
C167 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit 34.1
C168 Concurrent care - per visit 34.1
C169 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit 34.1
C865 Limited consultation 105.25
W160 Comprehensive nephrology consultation - subject to the same conditions as A160 310.45
W161 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum of 6 per patient per month) - per visit 34.1
W162 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 34.1
W163 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit 34.1
W164 General re-assessment of patient in nursing home (as per the Nursing Homes Act)* 20.6
W165 Consultation 162.9
W166 Repeat consultation 105.25
W168 Nursing home or home for the aged - subsequent visits per month (maximum of 3 per patient per month) 34.1
W862 Admission assessment - Type 1 69.35
W864 Admission assessment - Type 2 20.6
W865 Limited consultation 105.25
W867 Admission assessment - Type 3 30.7
W869 Periodic health visit 65.05

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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