What is OHIP billing code W510?

W510 is "Complex neuromuscular assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W510 pay?

The current OHIP fee for W510 is $104.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W510 to OHIP?

W510 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W510 claims against the Schedule of Benefits rules before submission.

What codes are related to W510?

Codes related to W510 in the Schedule of Benefits include A510.

All codes

W510

W510 – Complex neuromuscular assessment

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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Levels of this visit

The W51x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W510 Complex neuromuscular assessment(this code)
A complex neuromuscular assessment rendered to a non-emergency in-patient in a Long-Term Care Institution.
$104.85
W511 Complex physiatry assessment
A complex physiatry assessment for a non-emergency in-patient in a Long-Term Care Institution, which includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, and…
$114.80

Consultations

W516 Repeat consultation
A repeat consultation rendered by a Physical Medicine & Rehabilitation (31) specialist for a patient in a non-emergency long-term care institution.
$106.60
W515 Consultation
A consultation rendered in a non-emergency long-term care in-patient setting (e.g., Chronic Care Hospital, Nursing Home, Home for the Aged) by a specialist in Physical Medicine &…
$233.65

A complex neuromuscular assessment rendered to a non-emergency in-patient in a Long-Term Care Institution. This service is subject to the same conditions as A510. In addition to the common elements, this service includes the following specific elements of an assessment as defined on page : • A direct physical encounter with the patient including taking a patient history and performing a physical examination. • Other inquiry (including taking a patient history), carried out to arrive at an opinion as to the nature of the patient's condition. • Performing any procedure(s) during the same encounter as the physical examination, unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with an assessment. • Making arrangements for any related assessments, procedures or therapy, and/or interpreting results. • Making arrangements for follow-up care. • Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient's representative. • When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided. • Providing premises, equipment, supplies, and personnel for the specific elements of the service except for any aspect(s) that is (are) performed in a hospital or nursing home.

A complex neuromuscular assessment must include the elements of a medical specific re-assessment, or the amount payable will be adjusted to lesser assessment fee.

A510

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