OHIP Billing Codes

Specialty: Paediatrics 26

Code Description Fee
A260 Special paediatric consultaton 310.45
A261 Level 1 - Paediatric assessment 21.5
A262 Level 2 - Paediatric assessment 43.45
A263 Medical specific assessment 82.9
A264 Medical specific re-assessment 61.25
A265 Consultation 181.45
A266 Repeat consultation 91.35
A268 Enhanced 18 month well baby visit (see General Preamble GP34) 64.3
A565 Limited consultation 91.35
A661 Complex medical specific re-assessment 74.75

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A662 Extended special paediatric consultation 401.3
A665 Prenatal consultation 100.55
A667 Neurodevelopmental consultation 401.3
C260 Special paediatric consultation - subject to the same conditions as A260 310.45
C262 Subsequent visits - first five weeks - per visit 34.1
C263 Medical specific assessment 82.9
C264 Medical specific re-assessment 61.25
C265 Consultation 181.45
C266 Repeat consultation 91.35
C268 Concurrent care - per visit 34.1
C565 Limited consultation 91.35
C661 Complex medical specific re-assessment 74.75
C662 Extended special paediatric consultation - subject to the same conditions as A662 401.3
C665 Prenatal consultation - subject to the same conditions as A665 100.55
C667 Neurodevelopmental consultation - subject to same conditions as A667 401.3
H261 Newborn care in hospital or home 60.8
H262 Low birth weight newborn uncomplicated care - initial - per newborn 63.5
H263 Low birth weight newborn uncomplicated care - thereafter - per visit 18.5
H267 Attendance at maternal delivery 63.45
K119 Paediatric developmental assessment incentive 115.1
K122 Developmental and/or behavioural care - individual developmental and/or behavioural care - per unit 89.7
K123 Developmental and/or behavioural care - family developmental and/or behavioural care - per unit 101.75
K267 Periodic health visit - 2 - 11 years of age 41.6
K269 Periodic health visit - 12 - 17 years of age 77.2
W260 Special paediatric consultation - subject to the same conditions as A260 310.45
W261 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit 34.1
W262 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 34.1
W265 Consultation 181.45
W266 Repeat consultation 82.9
W269 Periodic health visit 30.7
W562 Admission assessment - Type 1 69.35
W564 Admission assessment - Type 2 20.6
W565 Limited consultation 91.35
W567 Admission assessment - Type 3 30.7
W662 Extended special paediatric consultation - subject to the same conditions as A662 401.3
W667 Neurodevelopmental consultation - subject to same conditions as A667 401.3

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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