How is diagnostic code 917 used in billing?

Periodic health visit fee codes: K017 child, K130 adolescent, K131 adult 18 to 64, K132 adult 65 and older, K133 adult with intellectual and developmental disability; paediatricians bill K267 (2 to 11 years) and K269 (12 to 17 years) (GP22). One periodic health visit per patient per physician per 12 months; visits over the limit aren't insured (GP21). The Schedule says no diagnostic code is required on a periodic health visit claim unless one is specifically listed (GP21).

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Diagnostic code

917 — Other: Annual health examination adolescent/adult Well Vision Care

Q: What is OHIP diagnostic code 917?

917 is the OHIP diagnostic code for an annual health examination of an adolescent or adult: a check-up with no acute complaint.

917 is an OHIP diagnostic code used on Ontario Health Insurance Plan claims. Other: Annual health examination adolescent/adult Well Vision Care.

Code: 917
Classification: Supplementary classification. Diagnostic codes for special circumstances and specialist services. Normally not compatible with a regular A007A intermediate assessment.
Description: Other: Annual health examination adolescent/adult Well Vision Care

Updated October 26, 2026

917 is the OHIP diagnostic code for an annual health examination of an adolescent or adult: a check-up with no acute complaint.

Conditions billed under this code

Annual physical

What it covers

The Ministry's list describes 917 as 'Annual health examination adolescent/adult' and files it under Supplementary Classifications, with other codes that describe the reason for a visit rather than a disease. The same entry also names well vision care.

It fits the visit the Schedule calls a periodic health visit: a check-up for a patient over two who has no apparent acute physical or mental illness, with an age- and gender-appropriate history, examination, screening and counselling (GP21).

For a baby's well visit in the first two years, use 916 (well baby care). If the patient comes in with a problem, the visit isn't a periodic health visit; bill the assessment with the code for the problem.

Billing notes

Periodic health visit fee codes: K017 child, K130 adolescent, K131 adult 18 to 64, K132 adult 65 and older, K133 adult with intellectual and developmental disability; paediatricians bill K267 (2 to 11 years) and K269 (12 to 17 years) (GP22).
One periodic health visit per patient per physician per 12 months; visits over the limit aren't insured (GP21).
The Schedule says no diagnostic code is required on a periodic health visit claim unless one is specifically listed (GP21).
K133 is the exception: the claim must carry one of 299, 319, 343, 741 or 758 for the patient's condition (A8–A9).

Related codes: 916, 895, 896, 799

Sources

APEX flags claims whose diagnostic code does not fit the service billed before they come back rejected. See how APEX works · Pricing