What are the common Obstetrics and Gynaecology OHIP billing codes?

Free Obstetrics and Gynaecology OHIP billing cheat sheet (specialty 20) with 2026 fees: prenatal or postnatal visit, delivery, colposcopy.

Obstetrics and Gynaecology OHIP Billing Cheat Sheet

Updated October 10, 2026

OHIP specialty 20. Prenatal or postnatal visit · Delivery · Colposcopy.

Download the Obstetrics and Gynaecology cheat sheet (PDF)

Pick the visit, tick what you did, bill the codes at the bottom. Ontario fees effective July 1, 2026.

Office consultation

A205A Consultation ($134.25): Written referral from a physician or NP; send a written report back. Includes a cervical biopsy, Pap/HPV specimen and wet mount if done (A151). Limit: 1 per patient per 2 years for the same diagnosis (GP17).
A935A Long consultation, 50+ minutes ($194.65): Special surgical consultation: every part of a consult plus 50+ minutes face to face, not counting procedures or chart review. Chart start and stop times (GP19–GP20).
A206A Repeat consultation ($71.45): Same problem, new written referral, after another physician cared for the patient in between (GP19).

Tips

50+ minutes face to face? A935A pays $194.65, $60.40 more than A205A. Time spent on procedures and charting doesn't count (GP19–GP20).
A second consult for the same diagnosis within 2 years is paid as a specific assessment, unless it's a repeat consult or an in-patient/ED consult 12–24 months later (GP17).
A cervical biopsy at a consult or specific assessment is included (A151 note). Bill biopsies through colposcopy codes instead.
Pregnant patient referred for complexity: bill the consult, then P004A for each prenatal visit (K2).
Pelvic exam with speculum in the office adds E432A ($5.00). Not when you bill E430A, E431A or E542A that day (A150).

Office follow-up

A204A Follow-up visit ($40.50): History of the problem, the exam needed, advice. Partial assessment.
A203A Full work-up of one problem ($62.65): Full history of the complaint and detailed exam of the affected system. Specific assessment. Limit: 1 per patient per 12 months (2 if a clearly different diagnosis), then paid as a lesser fee (GP23).
A920A Medical management of early pregnancy loss or termination ($193.70): Assessment plus giving the medication (drug cost not included). No consult, assessment or counselling the same day (K4).
A922A Medical management of ectopic pregnancy ($249.75): Assessment plus giving methotrexate or similar. No consult, assessment or counselling the same day (K4).
A921A Follow-up after A920A or A922A ($44.55): By you or another physician. No other assessment the same day. Limit: 2 per pregnancy (K5).

Tips

Your office has no specific re-assessment code: routine follow-ups are A204A. A203A is limited to 1 a year per patient (2 for a clearly different diagnosis) (GP23).
Pap at an A204A: bill G365A + E430A ($23.95), or G394A + E431A for an additional screen. At an A203A the specimen is included: bill E430A or E431A alone (A150, J47).
Doing a procedure today you decided on at an earlier visit? A204A is the only visit payable before a Z-code procedure that day (SP4 §13).
A920A or A922A replaces the visit: nothing else for assessment or counselling that day (K4).
E078A (chronic disease premium) isn't payable to obstetrics and gynaecology (20): GP25 limits it to geriatrics, endocrinology, neurology, paediatrics, pathology, physical medicine, radiation oncology, medical oncology, infectious disease, respirology, rheumatology, haematology and clinical immunology, so OHIP won't pay it.

Prenatal or postnatal visit

P004A Routine prenatal visit ($44.55): Monthly to 28 weeks, every 2 weeks to 36, then weekly (K2).
P003A First prenatal visit, full exam ($93.85): Full history and exam of all systems. For a patient transferred to you for uncomplicated care, or whose care you start. Not after another general assessment for this pregnancy (K2).
P002A High-risk prenatal visit (MFM) ($87.25): Maternal-fetal medicine specialist, 20+ minutes face to face for a documented significant risk. Chart start and stop times (K4).
P008A Postnatal visit in the office ($43.80): Pap specimen at this visit is included; E430A still applies.
P007A Postnatal care in hospital or at home ($65.55): First postpartum check of a well patient, plus later ones until the first office visit (K1).

Tips

P005A ($55.70) pays $0 on the same day as a consult or any visit other than P003A or P004A. If you saw her today as a consult, do the risk review at the next P004A (K4).
Paid on top of the prenatal visit: a non-stress test for a high-risk pregnancy (P025A, written report), a urine dip read in your office (G010A, result and decision charted), and each injection given (G372A) (K10, J65, J54).
Pregnancy-related illness or false labour visits are billed as assessments per visit, even if she delivers within 2 days. Not when she's admitted in first-stage labour (K2 §3, §6).
A visit for a problem unrelated to the pregnancy, apart from a routine prenatal visit, is billed as the usual assessment (K2 §4).
Referred for complexity? The first visit is your consultation (Office consultation tile), then P004A for each prenatal visit (K2 §2).

Delivery

P006A Vaginal delivery ($512.65): Includes 1st and 2nd degree tear or episiotomy repair (K6).
P020A Operative vaginal delivery ($535.60): Forceps or vacuum, breech, or shoulder dystocia with advanced maneuvers (K6).
P018A Caesarean section ($579.80)
P041A Caesarean section with tubal ligation ($609.20): Don't add S741A separately.
P042A Caesarean hysterectomy ($1,004.60)
P010A Attended another physician's delivery as the obstetric consultant ($211.20): Called to attend. Not when the patient was transferred to that physician for normal care (K3 §10).

Tips

Delivery between 17:00 and 07:00, or on a weekend or holiday? Tick E409A (+50%) or E410A (+75% at night) on the delivery fee (GP103–GP104).
Weekday daytime and you left booked office patients? Add C989A ($78.55) for the first delivery of the day (K7).
Your only delivery today? E411A doubles the delivery fee, up to 25 per fiscal year (K7).
Twins: second vaginal baby is 85% of P006A or P020A; second baby by C-section is E499A ($397.75); each baby from the third is E500A ($148.60). At 20–23 weeks: one fee only (K6).
3rd degree tear P045A ($82.15), 4th degree P046A ($200.00). Superficial transverse perineal muscle repair is a 2nd degree tear and is included (K8).

Colposcopy

Z731A First colposcopy for an abnormal screen or lesion ($53.50): Cervix, vagina or vulva, with or without biopsies (V6).
Z787A Follow-up colposcopy with biopsy ($53.50)
Z730A Follow-up colposcopy, no biopsy ($28.35)

Tips

Colposcopy includes the Pap/HPV specimen: G365A and G394A are not paid, but the E430A or E431A add-on is ($11.95) (V6, J47).
Cervical biopsy Z720A is not paid with a colposcopy code (V6).
First visit from the referral: bill the consult as well when it's the visit where you decided on colposcopy. At a later colposcopy, only a partial assessment (A204A) can go before it that day (SP4 §13).
A colposcopic look done only as part of your exam (screening) is included in the assessment (V6).
LEEP (Z766A), laser or cryo conization (Z729A) and cryotherapy (Z732A) are in the procedure list below.

Procedure only

Tips

Planned procedure, decided at an earlier visit: only a partial assessment (A204A) is payable before a Z-code procedure that day (SP4 §13).
Pap, contraceptive implant or laminaria the only reason for the visit: add G700A ($8.80) once. Not for an IUD, pessary or biopsy alone (not (+) procedures), and not with an assessment that day (J3).
Endometrial biopsy in the office with a paracervical block: Z770A + E542A + E861A = $60.50 (V7).
Tray fee E542A ($12.65) goes on listed codes only (IUD, endometrial, vulvar and vaginal biopsy, Bartholin I&D) and only outside hospital.
IUD removal isn't paid the same day as an insertion (J46).

Called to ED, L&D or ward

A205A Consultation ($134.25): Requested by the ED or ward physician. Written report.
A935A Long consultation, 50+ minutes ($194.65): 50+ minutes face to face, excluding procedures (GP19).
A206A Repeat consultation ($71.45): Same problem, new request, after another physician's care in between.
A203A Full work-up, your own patient ($62.65): Specific assessment.
A204A Brief assessment ($40.50): Partial assessment.

Tips

Use A-prefix codes plus the premiums when called in non-electively, not C-codes (GP43, GP65).
The premiums shown are the ED table (I). For an in-patient on a ward (table III, C9xx) or out-patient/L&D triage (table II, U9xx) the amounts are the same; bill that table's codes (GP71–GP72).
No premiums for patients you see on rounds, for elective admissions, or for non-referred obstetric patients; C989A is the only exception (GP65).
Took her to the OR from here? Bill the procedure from the Surgery or Delivery tile too, with E409A/E410A after hours (SP2 §2).

In-patient consult

C205A Consultation ($134.25): Requested by the attending physician, routine (not a called-in visit).
C935A Long consultation, 50+ minutes ($194.65): 50+ minutes face to face (GP19).
C206A Repeat consultation ($71.45)
C203A Full work-up ($62.65): Specific assessment.
C204A Re-assessment ($44.30): Specific re-assessment. 2 per 12 months except admissions (GP23).

Tips

Your admission assessment for surgery is only payable when it's the visit where you decided to operate (SP2, GP40).
Elective surgical admission and you did a pre-op assessment in the last 30 days: no admission assessment (GP41).
Called in urgently instead? Use the ED, L&D or ward tile for A-codes and premiums.

Hospital rounds

C122A Day after admission, you're the MRP ($71.80): Once per admission. Not for delivery admissions (GP44).
C123A Second day after admission, you're the MRP ($71.80): Once per admission. Not for delivery admissions (GP44).
C202A Routine daily visit ($31.00): 1 a day in weeks 1–5; then C207A (3 a week) and C209A (6 a month).
C124A Discharge day, you're the MRP ($71.80): Stay over 48 hours; discharge summary within 48 hours. Not for delivery admissions unless she was in ICU (GP45).
C126A Discharge day, complex patient ($95.10): Stay of 7+ days, 3+ contributing diagnoses, 45+ minutes (A13).
C142A First visit after transfer out of the ICU, you're the MRP ($71.80): She got critical care, ventilatory or comprehensive care just before transfer (not monitoring only), and you didn't give it. Instead of C122A: one of C122A/C142A per admission (GP46).
C143A Second visit after transfer out of the ICU, you're the MRP ($71.80): Instead of C123A: one of C123A/C143A per admission. Not the same day as C124A or C126A (GP46).
C208A Concurrent care ($31.00): You follow the patient while another physician is the MRP.

Tips

As MRP after surgery, C122A and C123A pay $71.80 instead of $31.00 for the first two days (GP44). Came to you from the ICU? C142A/C143A take their place (GP46).
E083A adds 30% to your MRP visits; surgeons qualify (GP47). E084A weekend premium is not open to Obstetrics and Gynaecology (GP47).
Post-op visits are billable: the surgical fee only covers care until the first post-op visit (SP1).
Delivery admissions don't get C122A, C123A or C124A (GP44–GP45); use C202A or P007A.
After week 5, an acute intercurrent illness is C121A ($40.05), outside the weekly limits (GP43). Palliative care visits as MRP: C982A $40.05, and E083A applies to it (GP47, GP50).

Surgery (OR)

S757A Abdominal hysterectomy ($643.35): Total or subtotal, with or without adnexa. Laparoscopic: tick E862A.
S816A Vaginal hysterectomy ($643.35): With or without adnexa. Laparoscopic-assisted: tick E862A.
S738A Salpingectomy or salpingo-oophorectomy ($366.20): One or both sides. Not with a hysterectomy (V8).
Z587A Hysteroscopic resection of polyps or fibroids ($206.35): With or without D&C. One hysteroscopy code per day (V7).
S784A Ectopic pregnancy, surgical ($462.20): Any technique. D&C not paid with it (V1).
S768A D&C for incomplete miscarriage ($113.40)

Tips

Laparoscopic or laparoscopic-assisted hysterectomy: E862A adds 25% (V8).
Salpingectomy, oophorectomy, tubal ligation and vault repairs aren't paid with a hysterectomy (V8). Composite operations pay the major procedure only (V1).
The decision-to-operate visit is always billed separately, whenever it was. The day-surgery or admission assessment isn't, unless it was that visit (SP2).
Second procedure under the same anaesthetic: 85% of its fee (SP2 §3). Converted from laparoscopy to laparotomy: add E860A (SP5 §23).
Non-elective case started after 17:00 weekdays, on a weekend or holiday: E409A +50%; 00–07: E410A +75% (GP104). E400/E401 are the assistant's and anaesthetist's versions, not yours.

Phone or e-consult

K731A A doctor or NP phoned you for advice ($47.75): 10+ min of patient discussion, start and stop times charted, their billing number on the claim. Not to arrange a visit, transfer or test, or mainly to go over results (A42–A44). Limit: 1 per patient per day; $0 if you see the patient that day or the next.
K739A You answered an e-consult ($20.50): Request and answer through a secure server, answer within 30 days, the requester's billing number on the claim (A48–A50). Limit: 1 a day and 6 per patient per 12 months, any physician; $0 if you see the patient that day or the next.
K730A You phoned another doctor for advice ($37.05): You keep caring for the patient. 10+ min, times charted. Also paid on top of a visit the same day (A42–A43). Limit: 1 per patient per day.
K738A You sent an e-consult ($16.45): Paid once the other doctor answers within 30 days. Also paid on top of a visit the same day (A48). Limit: 1 a day and 6 per patient per 12 months.

Tips

A family doctor's call about a patient you don't see: K731A pays $47.75 for 10+ minutes. Chart start and stop times and put their billing number on the claim (A43–A44).
See the patient that day or the next and K731A or K739A pays $0; bill the consult or visit instead (A43, A49).
Not paid when the call or e-consult is mainly to book a consult or procedure, arrange a transfer, or discuss test results (A43, A48–A49).
Calling or e-consulting someone else about your own patient: K730A or K738A is paid on top of that day's visit (A42, A48).

Also bill, if it's true

E432A Pelvic exam with speculum in the office ($5.00): With A203A–A206A, outside hospital, done personally. Once a day. Not with E430A, E431A or E542A (A150).
G365A + E430A Pap / HPV screen ($23.95): Age 25+, none in the last 33 months (J47).
E430A Pap / HPV screen (specimen included in this visit) ($11.95): Only the out-of-hospital add-on is paid with a consult, specific assessment, postnatal visit or colposcopy (A150, J47).
E431A Extra cervical screen for a listed reason (specimen included) ($11.95): Follow-up after low grade or HPV result, immunocompromised, invalid test, post-hysterectomy dysplasia. Chart the reason (J47).
G394A + E431A Extra cervical screen for a listed reason ($23.95): Follow-up after low grade or HPV result, immunocompromised, invalid test, post-hysterectomy dysplasia. Chart the reason. A partial assessment or minor prenatal visit doesn't include the specimen, so G394A is paid too (J47).
G365A + E430A Pap / HPV screen ($23.95): Age 25+, none in the last 33 months. The only reason for the visit: add G700A (J3, J47).
G394A + E431A Extra cervical screen for a listed reason ($23.95): Follow-up after low grade or HPV result, immunocompromised, invalid test, post-hysterectomy dysplasia. Chart the reason (J47).
G700A The Pap, implant or laminaria was the only reason for the visit ($8.80): Once per visit, with procedures marked (+): Pap G365A/G394A, implant G318A, laminaria G362A. Not for an IUD, pessary or biopsy alone; not in hospital; not when you bill an assessment that day (J3).
K730A Phoned another doctor for advice, 10+ min ($37.05): You keep caring for the patient. Not to arrange a referral, visit or test, or mainly to discuss results. Paid on top of the visit (A42–A43).
K738A Sent an e-consult ($16.45): Paid once the other doctor answers within 30 days. Max 1 a day and 6 per patient per 12 months. Paid on top of the visit (A48).
K036A Filled in a Northern Health Travel Grant form ($10.25): Payable to the specialist as well as the referring doctor (A60).
K070A Filled in a home care referral form ($34.75): You're the most responsible physician and give ongoing care. Once per Ontario Health atHome admission; not if already on home care. Paid on top of the visit (A58–A59).
K121A Hospital in-patient case conference, per 10-min unit ($37.05): Pre-booked, MRP plus 2+ others (physicians, regulated social workers or health professionals). 10 min = 1 unit, 16 = 2, 26 = 3, 36 = 4. Max 4 per 12 months, 8 units a day. Your visit that day is paid too, if not during the conference (A31–A33).
P005A Did the antenatal risk review ($55.70): Psychosocial, genetic and medical, written in the chart. Once per pregnancy, by the MRP (K4).
P025A Non-stress test with interpretation ($9.65): High-risk pregnancy only; written report. 1 a day (K10).
C989A Left booked office patients to do this delivery ($78.55): Weekday 07–17, first delivery of the day. Also allowed for a transferred patient (K7, GP78).
E409A Started 17:00–24:00 weekday, or weekend/holiday day or evening (+50%): Non-elective (or delayed by an emergency). +50% of this procedure and any procedure ticked below (GP104).
E409A Procedure started 17:00–24:00 weekday, or weekend/holiday day or evening (+50%): Non-elective. +50% of the procedures ticked below, not the consult (GP103–GP104).
E410A Started at night, 00:00–07:00 (+75%): Non-elective (or delayed by an emergency). +75% of this procedure and any procedure ticked below (GP104).
E410A Procedure started at night, 00:00–07:00 (+75%): Non-elective. +75% of the procedures ticked below, not the consult (GP103–GP104).
E411A Your only delivery today (+100%): +100% of the delivery fee (and of E414A). Max 25 per fiscal year (K7).
E414A High-risk delivery ($62.05): Under 32 weeks, severe PIH, IUGR under 10th percentile, or absent/reversed umbilical flow (K8).
E502A Trial of labour after caesarean (VBAC) ($51.00): Successful or not (K6).
P006A Second baby delivered vaginally (+85%): 85% of that baby's own code (P006A or P020A). Not counted if stillborn (K6).
E499A Second baby by caesarean ($397.75): K6.
E500A Third and each further baby ($148.60): Each baby. Not at 20–23 weeks (K6).
P045A Repaired a 3rd degree tear ($82.15): Must include the anal sphincter and perineum (K8).
P046A Repaired a 4th degree tear ($200.00): Rectal mucosa, sphincter and perineum (K8).
Z774A Postpartum haemorrhage: explored and curetted ($113.65): Exploration of vagina and cervix, uterine curettage (K8).
E082A You admitted the patient and are the MRP (+30%): This consult is your admission assessment. Once per admission; not for delivery admissions or day surgery; not if the hospital pays you for in-patient work (GP42).
E083A You're the MRP (+30%): +30% on MRP subsequent visits, C121A, C122A–C126A, C142A, C143A and C982A. Not if the hospital pays you for in-patient work, unless reduced to match (GP47).
A205A Also the referral consult (decided on colposcopy today) ($134.25): Payable with the colposcopy when this is the decision visit (SP4 §13).
A204A Also a brief assessment before the procedure ($40.50): Partial assessment. The only visit allowed before a planned Z-code procedure when you decided on it at an earlier visit (SP4 §13).
A205A Decided to operate at a consult today ($134.25): The major pre-op visit is paid on top of the surgery (SP2). Nothing else before the procedure that day.
A204A Brief assessment before a planned Z-code procedure ($40.50): Decision visit was in the last 12 months (SP4 §13).
E862A Done laparoscopically or laparoscopic-assisted (+25%): +25% (V8).
E090A Removed ovaries for moderate or severe endometriosis ($260.80): With S757A, S758A or S759A (V8).
E854A Ureterolysis, each side ($170.00): Pararectal and paravesical spaces defined, uterine vessels identified, pelvic ureter mobilised (V1).
E860A Started laparoscopically, converted to open ($131.45): Or diagnostic laparoscopy before laparotomy (SP5 §23, V1).
E676A BMI over 40, general anaesthetic (+25%): +25%, once per patient. BMI charted; open or laparoscopic pelvic surgery (SP6–SP7).
E673A 60+ minutes of adhesiolysis ($124.10): Less than 60 minutes is included (SP7).

Did a procedure?

G378A + E542A IUD insertion ($60.15)
G552A + E542A IUD removal ($36.45): Not the same day as an insertion (J46).
Z770A + E542A Endometrial biopsy ($51.50)
Z770A + E542A + E861A Endometrial biopsy with paracervical block ($60.50): E861A is paid for your own block in the office (V7).
Z720A Cervical biopsy or polyp, not at colposcopy ($20.00): Included in a consult or specific assessment (A151).
Z477A + E542A Vulvar biopsy, local ($52.25)
Z722A + E542A Vaginal biopsy, local ($52.25)
Z714A + E542A Bartholin or vulvar abscess drained, local ($38.05)
Z733A Vulvar warts, chemical or cryo ($12.00): One or more.
Z736A Vulvar warts, excision or laser, local ($32.60)
G398A Pessary fitting ($65.35): 1 per 12 months (J48).
G550A Pessary care: removed, cleaned, reinserted ($10.00): Up to 6 per 12 months; not with G398A (J48).
Z766A LEEP ($85.65)
Z729A Cryo, electro or laser conization ($38.35): Premalignant lesion, out-patient.
Z732A Cervical cryotherapy ($17.30)
Z724A Cervical electrocautery ($8.55)
G318A Contraceptive implant insertion ($42.00): Removal: Z114A (M1).
Z114A + E542A Contraceptive implant removal ($40.30): M1.
Z778A Amniocentesis ($102.00)
Z777A External cephalic version ($60.35): In hospital, after 35 weeks, once per pregnancy (K10).
P023A Oxytocin induction or augmentation ($67.75): Once per pregnancy, for a recognized complication; no detention (K2 §9).
P030A Cervical ripening ($58.60): Once per pregnancy; $0 with a consult or visit the same day (K10).
G372A Injection with the visit ($4.55): Each intramuscular, subcutaneous or intradermal injection, on top of the visit (J54).
G373A Injection was the only reason for the visit ($7.90): First injection; each extra one is G372A ($4.55). Not with an assessment (J54).
G010A Urine dip read in your office ($2.64): No microscopy. Chart the result, your reading and the treatment decision (J65, J68).
G012A Wet mount read in your office ($1.93): Included in a consultation, repeat consultation or specific assessment (A151 note); paid with A204A, prenatal visits and procedures. Chart the result and decision (J65, J68).
G005A Office pregnancy test ($3.88): Only when an immediate answer is needed to prevent imminent physical harm (J67).

Can I bill these together?

J168 with J157, J158, J159, J160, J162, J163, J138, J161, J164: No. No other abdominal, pelvic or pregnancy ultrasound is paid the same day as the nuchal translucency scan, by any physician (G5).
J165 with J138, J161: No. J138 and J161 with sonohysterography are paid at nil (G6).
E078A with A203A, A204A, A920A, A921A, A922A: No. E078A is only paid to the specialties listed in GP25; Obstetrics and Gynaecology (20) isn't one of them (GP25).
E432A with E430A, E431A, E542A: No. E432A is not paid with E430A, E431A or E542A (A150).
E432A with A205A, A206A, A203A, A204A: Yes. E432A adds to A203A, A204A, A205A and A206A when the pelvic exam is done outside hospital (A150).
G365A,G394A with A205A, A935A, A206A, A203A, P003A, P008A, Z731A, Z787A, Z730A: No. The Pap specimen is included in this service; bill the E430A or E431A add-on alone (A150, J47, V6).
G365A,G394A with A204A, P004A: Yes. A partial assessment and a minor prenatal visit aren't on the J47 list of services that include the specimen, so G365A or G394A is paid with its add-on (J47 rule 4).
G012A with A205A, A206A, A203A, C205A, C206A, C203A, C204A, W305A, W306A: No. Examining a trichomonas (wet) preparation is included in this consultation or assessment (A151 note).
G700A with A205A, A935A, A206A, A203A, A204A, P002A, P003A, P004A, P008A, A920A, A921A, A922A: No. G700A is only for a visit where a (+) procedure was the sole reason; not when a consultation or assessment is paid that day (J3).
G373A with A205A, A935A, A206A, A203A, A204A, P002A, P003A, P004A, P008A: No. G373A is for an injection that was the only reason for the visit; with a visit, bill G372A (J54).
G373A with G372A: Yes. Sole-reason visit: G373A for the first injection, G372A for each additional one (J54).
K731A,K739A with A205A, A935A, A206A, A203A, A204A, P002A, P003A, P004A, P008A, A920A, A921A, A922A, C205A, C935A, C206A, C203A, C204A: No. Phone or e-consult advice pays $0 when you see the patient for a consultation, assessment or visit the same day or the next (A43, A49).
K730A,K738A with A205A, A935A, A206A, A203A, A204A, P002A, P003A, P004A, P008A, C202A, C122A, C123A, C124A, C126A: Yes. The referring doctor's phone or e-consult is paid in addition to visits the same day (A42, A48).
P025A with P004A, P003A, P002A, A203A, A204A: Yes. The non-stress test is its own listed service, not part of the visit: high-risk pregnancy, trace interpreted, written report, 1 a day (K10).
P030A with P023A: Yes. Cervical ripening is payable in conjunction with P023A (K10).
P023A with P006A, P020A, P018A, P041A, P042A: Yes. Medical induction or augmentation is listed separately from the delivery: once per pregnancy, for a recognized obstetrical complication, no detention (K2 §9, K10).
Z774A with P006A, P020A: Yes. Exploration and curettage for postpartum haemorrhage is a separate listed service, not part of the delivery fee (SP2 §1, K8).
E430A with A205A, A206A, A203A, P008A, Z731A, Z787A, Z730A: Yes. The add-on is paid when the screen is collected outside hospital, even though the specimen itself is included (J47).
Z720A with A205A, A206A, A203A: No. Cervical biopsy is included in the consultation, repeat consultation and specific assessment (A151 note).
Z720A with Z731A, Z787A, Z730A: No. Z720A is not paid with a colposcopy code (V6).
Z731A,Z787A with Z730A: No. One colposcopy per visit; Z787A is the follow-up with biopsy, Z730A without (V6).
A205A,A206A,A203A,A935A with Z731A, Z787A, Z730A, Z770A, Z766A, Z729A, Z587A, Z722A, Z477A: Sometimes. Only when this visit is where you decided on the procedure. If you decided in the last 12 months, only a partial assessment (A204A) is payable before it that day (SP4 §13).
A204A with Z731A, Z787A, Z730A, Z770A, Z766A, Z729A, Z722A, Z477A: Yes. A partial assessment is allowed before a planned Z-code procedure (SP4 §13).
G552A with G378A: No. IUD removal isn't paid the same day as an insertion (J46).
G398A with G550A: No. Pessary care isn't paid the same day as a fitting (J48).
P005A with A205A, A206A, A203A, A204A, P002A, P008A: No. P005A pays $0 with any consult or visit the same day except P003A and P004A (K4).
P005A with P003A, P004A: Yes. P005A can go with P003A or P004A (K4).
A920A,A922A,A921A with A205A, A206A, A203A, A204A, P004A: No. No consultation, assessment or counselling the same day as A920A, A921A or A922A (K4–K5).
P030A with A205A, A203A, A204A, P004A: No. Cervical ripening pays $0 with a consult or visit by you the same day (K10).
C989A with E409A, E410A: No. C989A is for weekday daytime deliveries (07–17); E409A and E410A cover evenings, nights, weekends and holidays (GP78, GP104).
E409A with E410A: No. One after-hours premium per case, by the time the procedure started (GP104).
E411A with P042A: No. E411A adds to P006A, P009A, E414A, P018A, P020A, P038A or P041A only (K7).
E499A with P006A, P020A: No. E499A is the second caesarean baby, only with P018A, P041A or P042A (K6).
P045A,P046A with P006A, P020A: Yes. 3rd and 4th degree repairs are paid on top; 1st and 2nd degree are included in the delivery (K6, K8).
S738A,S741A,S745A with S757A, S816A: No. Salpingectomy, oophorectomy and tubal occlusion are not paid with a hysterectomy (V8).
E862A with S757A, S816A: Yes. +25% when the hysterectomy is laparoscopic or laparoscopic-assisted (V8).
Z587A with Z582A, Z583A, S772A: No. Only one hysteroscopy code per day, and none with endometrial ablation (V7).
S754A with S757A, S816A, S784A: No. A D&C is not paid with a hysterectomy or with surgery for ectopic pregnancy (V1).
C122A with C124A, C126A, C202A: No. One subsequent visit a day, and C122A/C123A aren't paid the same day as C124A or C126A (GP43–GP44).
C123A with C124A, C126A: No. C122A and C123A aren't paid the same day as C124A or C126A (GP44).
C142A,C143A with C124A, C126A: No. C142A and C143A aren't paid the same day as C124A or C126A (GP46).
C122A with C142A: No. Only one of C122A or C142A per hospital admission (GP44, GP46).
C123A with C143A: No. Only one of C123A or C143A per hospital admission (GP44, GP46).
C124A with C126A: No. Only one of C124A or C126A per hospital admission (A13).
S724A with P006A, P020A, S716A, S717A, S718A, S719A, S722A: No. Perineorrhaphy isn't paid with a delivery or other vaginal surgery (V4).
E083A with C208A: No. E083A is only for the MRP's own subsequent visits (GP47).
E084A with C202A, C122A, C123A, C124A: No. E084A is only for MRPs in the specialties listed on GP47; Obstetrics and Gynaecology isn't one.

Fees and rules from the Ontario Schedule of Benefits (July 1, 2026); pages in brackets. Ultrasound fees shown are the reading (professional) part, billed with suffix C; the technical part is paid only at a hospital or a hospital-run site (G1–G2). Totals are your fee only (suffix A): the surgical assistant bills the Asst units × $12.91 and the anaesthetist the Anae units × $15.96, plus time units, with suffix B or C (GP85, GP92). Totals leave out the 85% rule for a second procedure under the same anaesthetic (SP2) and any procedure entered outside the procedure list. Age premiums for patients under 16 on consults and surgery are added by OHIP on the remittance (GP64).

Other disciplines

All OHIP billing cheat sheets