All categories
OHIP billing code sets by specialty
The Schedule of Benefits has thousands of codes; a physician bills a few dozen. These sets are the few dozen — for each practice setting and specialty, the consultation and visit codes the Schedule restricts to it, its premiums and diagnostics, and the procedures that fill a week — sectioned the way a shift sheet reads. 41 sets covering 2366 codes, fees from the current Schedule.
By practice setting
Where you are working today.
- Emergency MedicineShift sheet for Emergency Department Physicians: assessments by time tier, premiums, critical care and the procedures that come through the door.35 sections · 244 codes
- Family Practice — officeOffice visits, periodic health visits, counselling, common procedures, forms, and the special-visit and after-hours premiums that ride along with them.12 sections · 51 codes
- Hospital in-patientAdmissions, subsequent visits, MRP premiums and hospital special-visit premiums for physicians rounding on admitted patients.6 sections · 26 codes
- Long-term careNursing home and long-term care visits, the monthly management fee, and LTC special-visit premiums.3 sections · 12 codes
- Special visit & travel premiumsFirst-person-seen and travel premiums for non-elective visits, by setting and time of day. Not payable to Emergency Department Physicians on duty.7 sections · 38 codes
Medical specialties
Consultations, visits, premiums and the diagnostics each specialty owns.
- PaediatricsPaediatric consultations and assessments, periodic health visits, newborn care, neonatal intensive care and in-patient visits.7 sections · 46 codes
- PsychiatryPsychiatric consultations, psychotherapy and psychiatric care by setting, group therapy, Mental Health Act forms, community care premiums and ECT.11 sections · 62 codes
- Internal MedicineGeneral internal medicine consultations and assessments, in-patient visits, MRP premiums, diabetes management and bedside diagnostics.7 sections · 42 codes
- CardiologyCardiology consultations, the heart failure premium, ECG and ambulatory monitoring, echocardiography, stress testing, the cath lab and devices.9 sections · 66 codes
- GastroenterologyGI consultations, the chronic disease premium, upper and lower endoscopy with add-ons, ERCP, motility studies and tubes.8 sections · 73 codes
- NeurologyNeurology consultations and complex assessments, stroke management, EEG, EMG and nerve conduction, botulinum toxin, movement disorder procedures.10 sections · 61 codes
- Endocrinology & MetabolismEndocrinology consultations, diabetes management and insulin initiation, dynamic endocrine testing and thyroid procedures.7 sections · 51 codes
- NephrologyNephrology consultations, the post-transplant premium, dialysis and haemofiltration, transplant management and vascular access.7 sections · 45 codes
- RespirologyRespiratory consultations, pulmonary function and sleep studies, bronchoscopy, pleural procedures and ventilatory care.8 sections · 60 codes
- RheumatologyRheumatology consultations and complex assessments, rheumatoid arthritis management, joint injections and infusions.5 sections · 30 codes
- Geriatric MedicineGeriatric consultations including comprehensive and extended forms, in-patient and long-term care visits, home visits, cognitive assessment and case conferences.6 sections · 45 codes
- Critical Care MedicineICU consultations and visits, per-diem critical care and ventilatory support, life-threatening critical care, and ICU procedures.6 sections · 43 codes
- Infectious DiseasesInfectious disease consultations and assessments across office, hospital and long-term care.4 sections · 31 codes
- HaematologyHaematology consultations, bone marrow procedures, transfusion and haemophilia support, infusions and laboratory interpretation.5 sections · 31 codes
- Clinical Immunology & AllergyImmunology consultations, allergy skin testing and challenge, desensitisation and immunotherapy.5 sections · 32 codes
- Medical OncologyMedical oncology consultations and visits, chemotherapy and biologic supervision, and long-term care visits.5 sections · 26 codes
- DermatologyDermatology assessments including e-assessments, skin biopsy and lesion removal, intralesional and light therapy, Mohs surgery and nail procedures.9 sections · 49 codes
- Physical Medicine & RehabilitationPhysiatry consultations and complex assessments, rehabilitation unit team management, electrodiagnostics, chemodenervation and injections.8 sections · 54 codes
- Medical GeneticsGenetic consultations including extended and midwife-requested forms, in-patient visits, family counselling, genetic care and test interpretation.3 sections · 25 codes
- Community MedicineCommunity medicine consultations and assessments across office, hospital and long-term care.3 sections · 31 codes
Surgical specialties & anaesthesia
Consultations, visits and the procedures by region.
- AnaesthesiaAnaesthesia consultations, after-hours and special visit premiums, the patient and procedure modifiers that add units, obstetric anaesthesia and regional blocks.7 sections · 62 codes
- General SurgeryGeneral surgery consultations and visits, and the abdominal, colorectal, endoscopic, breast, endocrine and skin procedures that fill a general surgeon's week.10 sections · 102 codes
- Orthopaedic SurgeryOrthopaedic consultations and visits, arthroplasty, arthroscopy, fracture fixation by region, hand surgery, foot and ankle, casts, injections and amputations.14 sections · 136 codes
- Obstetrics & GynaecologyPrenatal care, labour and delivery with premiums, repairs and postnatal care; office gynaecology, hysteroscopy, laparoscopy, hysterectomy and pelvic floor surgery.12 sections · 105 codes
- OphthalmologyEye consultations and assessments, office diagnostics, injections and laser, cataract, cornea, eyelid and lacrimal, retina, strabismus and glaucoma surgery.14 sections · 131 codes
- Otolaryngology — Head & NeckENT consultations, audiology and balance testing, office ear, nose and throat procedures, tonsils, sinus and nasal surgery, ear surgery, airway and neck.11 sections · 111 codes
- UrologyUrology consultations, office cystoscopy and urodynamics, cystoscopic procedures, stones, prostate, kidney and ureter, scrotal and penile surgery, bladder and urethra.10 sections · 107 codes
- Plastic SurgeryPlastic surgery consultations, skin lesions and biopsy, lacerations and scars, grafts and flaps, hand surgery, breast, face and burns.11 sections · 106 codes
- NeurosurgeryNeurosurgery consultations, acute brain injury management, cranial procedures, CSF shunts, spinal decompression, fusion and fracture care, peripheral nerves, pain and stimulators, and neurovascular.10 sections · 91 codes
- Vascular SurgeryVascular surgery consultations and visits, aortic and peripheral arterial reconstruction, endarterectomy and thrombectomy, venous surgery and dialysis access.8 sections · 65 codes
- Cardiovascular & Thoracic SurgeryCardiac surgery consultations and visits, coronary and valve surgery, aortic surgery, arrhythmia and device procedures, congenital repairs and support devices.9 sections · 70 codes
- General Thoracic SurgeryThoracic surgery consultations and visits, lung resection, pleural and chest wall procedures, mediastinal staging and oesophageal surgery.7 sections · 51 codes
Diagnostic & laboratory specialties
Component-billed services: the study or specimen, not a visit.
- Diagnostic RadiologyRadiology consultations, second opinions and after-hours premiums, then the imaging services by modality: plain film by region, CT, MRI, ultrasound, mammography, fluoroscopy, contrast studies and bone density.13 sections · 161 codes
- Nuclear MedicineNuclear medicine consultations and premiums, then scintigraphy by system: cardiac, bone, endocrine, gastrointestinal, renal, pulmonary, haematopoietic and PET.10 sections · 79 codes
- Radiation OncologyRadiation oncology consultations and visits, treatment planning levels, teleradiotherapy, brachytherapy and unsealed radioisotope therapy.7 sections · 43 codes
- Laboratory MedicineAnatomical pathology levels, cytology, haematopathology interpretation, operative consultation and frozen section, special stains and flow cytometry.5 sections · 30 codes
How the sets were built
A code is in a set because the Schedule of Benefits restricts it to that specialty — its own consultation, assessment and visit codes, its premiums and the diagnostics only it can bill — or because it is a bread-and-butter procedure for that practice. Sets are deliberately not exhaustive; the full Schedule is one search away, and every specialty page lists everything the Schedule ties to that designation.
Fees are read from the current Schedule and refreshed hourly. Time-tiered codes, such as emergency department assessments, are shown by tier with the tier that applies right now in Ontario highlighted.