OHIP Billing Codes

Specialty: Paediatrics 26

Code Description Fee
A260 Special paediatric consultaton 306.75
A261 Level 1 - Paediatric assessment 21.95
A262 Level 2 - Paediatric assessment 44.3
A263 Medical specific assessment 81.65
A264 Medical specific re-assessment 62.5
A265 Consultation 178.95
A266 Repeat consultation 93.2
A268 Enhanced 18 month well baby visit (see General Preamble GP34) 65.6
A565 Limited consultation 93.2
A661 Complex medical specific re-assessment 73.7

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A662 Extended special paediatric consultation 409.35
A665 Prenatal consultation 102.55
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

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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