< Billing codes

Billing code

H319A — Rehabilitation unit team management – week 27 onwards

Rehab unit care, week 27+

Bill H319 per visit for a physiatrist's in-patient rehabilitation unit management from week 27 of rehab care onward.

Watch for: Maximum 6 per patient per month, including any rehab visits billed with C-codes in an active treatment hospital.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$0.00$50.15$0.00$0.00$0.00
Code
H319A
Description
Rehabilitation unit team management – week 27 onwards
FHO+ basket
Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date
Apr 1, 2026
Termination date
No end date

Explanation

Updated October 26, 2026

Physiatrist's per-visit fee for in-patient rehab unit management from the 27th week of rehab care. Maximum 6 per patient per month.

What it covers

Team management in a Rehabilitation Unit is active in-patient rehabilitation management from the start of rehabilitation care, rendered by one physiatrist (A180).

H319 covers the twenty-seventh week onwards, per visit (A180).

Billing rules

  • Maximum 6 per patient per month (A180).
  • If the same physiatrist gives part of the care in an active treatment hospital (C312, C317, C319) and part in the rehabilitation unit, the weekly and monthly limits apply to the total rehabilitation care; you cannot use up the C-code maximums and then start again under H312, H317 and H319 (A180).
  • Count weeks from the start of rehabilitation care (A180).

Often billed with

  • H313 rehabilitation counselling (A180).

Common rejections

  • AM1: OHIP describes AM1 as 'Service Limit Exceeded': more than 6 H319 visits for this patient in the month (A180).

Related codes: H312, H317, C319, C312, H313

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Physical Medicine & Rehabilitation (31), page A180.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing