Codes by service
OHIP billing codes by service
Which OHIP code do you bill for a well baby visit, a flu shot or a phone visit? Pick a service for its codes, 2026 fees, the Schedule's billing rules and the rejections to watch for.
Assessments and consultations
- Well baby visit: A007A
- Minor assessment: A001A
- General assessment: A003A
- Periodic health visit (annual physical): K130A, K131A, K132A
- Consultation: A005A, A905A
- Pelvic exam: E432A, A007A, A001A, H264A
- Palliative care: K023A, G512A, A945A, B998A, B966A, G511A
- Cognitive assessment: K032A, A007A, K002A, K035A
Counselling and mental health
- Counselling: K013A, K040A
- Psychotherapy: K007A
- Primary mental health care: K005A
- Form 1 (Mental Health Act): K623A
- Family meeting: K002A
- ADHD: A007A, K005A, K013A, K008A, K002A
- Bipolar disorder: K005A, K007A, A007A, Q020A
- Form 3: K624A, K629A
Prevention and screening
- Pap test: G365A
- Flu shot: G590A, G700A
- Other immunizations: G538A, G700A
- Smoking cessation: E079A, K039A
- Diabetes management: K030A, Q040A
- FIT test: Q150A, Q152A, Q133A, Q142A
- Pneumonia vaccine: G846A, G700A, G538A
- RSV vaccine: G849A, G700A
- Rotavirus vaccine: G462A, G700A
- Shingles vaccine: G538A, G700A
- STI testing: K028A, A007A, E432A, G489A
- Varicella vaccine: G848A, G700A
Procedures in the office
- Joint injection: G370A, G371A
- Skin biopsy: Z113A
- Foreign body removal: Z114A
- ECG: G313A
- Ear wax removal: G420A
- Injection: G373A, G372A, G538A, G700A, G384A
- Laceration repair: Z176A, Z154A, Z175A, Z177A, Z179A, Z190A, Z191A, Z192A, Z187A, Z188A, E542A
- Urinalysis: G010A, G009A
Virtual care
- Comprehensive virtual care: K300A, K301A
- Limited virtual care: A101A, A102A
- Telephone consultation: K730A
- E-consultation: K738A
- Phone visit: K301A, A007A, A001A, K005A, A102A
Premiums
- After-hours premium: Q012A
- Special visit premium: B990A
- Holiday billing: Q012A, B990A
- Chronic disease premium: E078A
FHO+ and roster
- FHO+ hourly billing: Q310A, Q311A, Q312A, Q313A
- Roster code: Q200A
- Q codes: Q012A, Q040A, Q200A
Forms and uninsured services
- Disability tax credit form:
- Home care referral: K070A, K071A, K072A
- ODSP forms: K050A, K051A, K052A, K057A, K058A, K059A, K060A, K054A, K055A, K056A
H409 and H410 were sessional codes for COVID-19 assessment centres (H409 weekday daytime; H410 evenings, nights, weekends and holidays), billed under the centre's group number. They are not in the April 1, 2026 Schedule of Benefits.
Updated October 26, 2026.