OHIP Billing Codes

Specialty: Paediatrics 26

Code	Description	Fee
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A260	Special paediatric consultaton	306.75
A261	Level 1 - Paediatric assessment	21.95
A262	Level 2 - Paediatric assessment	44.3
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
A263	Medical specific assessment	81.65
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
A264	Medical specific re-assessment	62.5
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
A265	Consultation	178.95
A266	Repeat consultation	93.2
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
A268	Enhanced 18 month well baby visit (see General Preamble GP34)	65.6
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
A565	Limited consultation	93.2
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
A661	Complex medical specific re-assessment	73.7
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
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A662	Extended special paediatric consultation	409.35
A665	Prenatal consultation	102.55
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
A667	Neurodevelopmental consultation	409.35
C260	Special paediatric consultation - subject to the same conditions as A260	306.75
C262	Subsequent visits - first five weeks - per visit	31.6
C263	Medical specific assessment	81.65
C264	Medical specific re-assessment	62.5
C265	Consultation	178.95
C266	Repeat consultation	93.2
C268	Concurrent care - per visit	31.6
C565	Limited consultation	93.2
C661	Complex medical specific re-assessment	73.7
C662	Extended special paediatric consultation - subject to the same conditions as A662	409.35
C665	Prenatal consultation - subject to the same conditions as A665	102.55
C667	Neurodevelopmental consultation - subject to same conditions as A667	409.35
H261	Newborn care in hospital or home	62
H262	Low birth weight newborn uncomplicated care - initial - per newborn	62.25
H263	Low birth weight newborn uncomplicated care - thereafter - per visit	18.1
H267	Attendance at maternal delivery	64.75
K119	Paediatric developmental assessment incentive	117.4
K122	Developmental and/or behavioural care - individual developmental and/or behavioural care - per unit	88.6
K123	Developmental and/or behavioural care - family developmental and/or behavioural care - per unit	100.55
K267	Periodic health visit - 2 - 11 years of age	42.45
K269	Periodic health visit - 12 - 17 years of age	78.75
W260	Special paediatric consultation - subject to the same conditions as A260	306.75
W261	Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit	21.65
W262	Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit	32.85
W265	Consultation	178.95
W266	Repeat consultation	84.55
W269	Periodic health visit	31.3
W562	Admission assessment - Type 1	70.75
W564	Admission assessment - Type 2	21
W565	Limited consultation	93.2
W567	Admission assessment - Type 3	31.3
W662	Extended special paediatric consultation - subject to the same conditions as A662	409.35
W667	Neurodevelopmental consultation - subject to same conditions as A667	409.35

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