OHIP Billing Codes

Specialty: Physical Medicine Rehabilitation 31

Code Description Fee
A310 Medical specific re-assessment 66.3
A311 Complex medical specific re-assessment 72.35
A313 Medical specific assessment 75.5
A315 Consultation 193
A316 Repeat consultation 93.2
A318 Partial assessment 38.8
A425 Comprehensive physical medicine and rehabilitation consultation 306.75
A510 Complex neuromuscular assessment 91.65
A511 Complex physiatry assessment 100.35
A515 Limited consultation 93.2

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C311 Complex medical specific re-assessment 72.35
C312 Subsequent visits - first five weeks - per visit 31.6
C313 Medical specific assessment 75.5
C314 Medical specific re-assessment 66.3
C315 Consultation 204.15
C316 Repeat consultation 93.2
C317 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) - per visit 31.6
C318 Concurrent care - per visit 31.6
C319 Subsequent visits - after thirteenth week (maximum 6 per patient per month) - per visit 31.6
C425 Comprehensive physical medicine and rehabilitation consultation subject to the same conditions as A425 306.75
C510 Complex neuromuscular assessment - subject to the same conditions as A510 91.65
C511 Complex physiatry assessment - subject to the same conditions as A511 100.35
C515 Limited consultation 93.2
H312 Team management in a Rehabilitation Unit - firsttwelve weeks - per visit 43.55
H313 Rehabilitation counselling 85.9
H317 Team management in a Rehabilitation Unit - from thirteenth to twentysixth week (maximum 3 per patient per week) - per visit 43.55
H319 Team management in a Rehabilitation Unit - twentyseventh week onwards (maximum 6 per patient per month) - per visit 43.55
K313 Physiatric management 8.25
W310 Limited consultation 93.2
W311 Subsequent visits - Chronic care or convalescent hospital - additional subsequent visits (maximum 6 per patient per month) - per visit 21.65
W312 Subsequent visits - Chronic care or convalescent hospital - first 4 subsequent visits per patient per month - per visit 32.85
W313 Subsequent visits - Nursing home or home for the aged - first 2 subsequent visits per patient per month - per visit 32.85
W314 General reassessment of patient in nursing home* 21
W318 Subsequent visits - Nursing home or home for the aged - additional subsequent visits (maximum 3 per patient per month) - per visit 21.65
W419 Periodic health visit 66.35
W425 Comprehensive physical medicine and rehabilitation consultation - subject to the same conditions as A425 306.75
W510 Complex neuromuscular assessment - subject to the same conditions as A510 91.65
W511 Complex physiatry assessment - subject to the same conditions as A511 100.35
W512 Admissing assessment - Type 1 70.75
W514 Admissing assessment - Type 2 21
W515 Consultation 204.15
W516 Repeat consultation 93.2
W517 Admissing assessment - Type 3 31.3

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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