For Ontario GPs and family practitioners that manage their own billing, knowing which fee code to use can be a pain. They have more than enough work to do already, and the added complexity of submitting claims to OHIP doesn’t help.
To help save time, we’ve put together a short list of the most common OHIP fee codes for family practice & practice in general. We hope this is a useful resource and lets you spend less time going through the massive fee schedule.
Click here for a printable PDF version »
Consultations & Assessments
A005 Consultation
C005 Consultation (in-patient)
A911 Special family and general practice consultation
C911 Special family and general practice consultation (in-patient)
A912 Comprehensive family and general practice consultation
C912 Comprehensive family and general practice consultation (in-patient)
A945 Special palliative care consultation
C945 Special palliative care consultation (in-patient)
A905 Limited consultation
C905 Limited consultation (in-patient)
A006 Repeat consultation
C006 Repeat consultation (in-patient)
A003 General assessment
C003 General assessment (in-patient)
A004 General re-assessment
C004 General re-assessment (in-patient)
A007 Intermediate assessment or well baby care
Subsequent Visits
C002 First 5 weeks
C007 Sixth to thirteenth week inclusive (maximum 3 per patient per week)
C009 After thirteenth week (maximum 6 per patient per month)
Periodic Health Visits
K017 Child
K130 Adolescent
K131 Adult age 18 to 64 inclusive
K132 Adult 65 years of age and older
Counselling and Meetings
K002 Family meeting, caregiver interview
K005 Primary mental health care – Individual care
K007 Psychotherapy – Individual care
K013 Counselling – Individual care
K014 Counselling for transplant recipients, donors or families of recipients and donors
K015 Counselling of relatives – on behalf of catastrophically or terminally ill patient
K032 Specific neurocognitive assessment
K040 Group counselling
K121 Hospital in-patient case conference
Forms
K035 Mandatory reporting of medical condition to the Ontario Ministry of Transportation
K038 Completion of Long-Term Care health report form
K070 Home ca
re application
K623 Form 1 – Application for psychiatric assessment
C771 Certification of death
C777 Intermediate assessment – Pronouncement of death
Telephone & e-Consultations
K730 Physician to physician telephone consultation – Referring physician
K731 Physician to physician telephone consultation – Consultant physician
K732 CritiCall telephone consultation – Referring physician
K738 Physician to physician e-consultation – Referring physician
Want to maximize your earnings? New to Ontario Billing?
Check out our Ultimate OHIP Billing Guide that takes you through every step for billing successfully in Ontario.
This article offers 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. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.
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