OHIP Billing Specialty Codes
- 2 min read
What is an OHIP Specialty Code?
An OHIP Specialty Code is a physician’s designation for the specific area of medicine they are practising in and is recognized by the College of Physician and Surgeons of Ontario (CPSO). Specialty codes are assigned by the MOH when physicians register for a billing number and must be used when submitting claims. Physicians can have multiple specialty designations. Your specialty recognition is separate from your registration.
How the Specialty Code is used for billing
In the Schedule of Benefits, you can find your specialty specific billing codes that will outline all the consultations, assessments and in-patient visits specific to that specialty. These codes are required by the Ministry when billing for those types of visits. Below are some examples of different specialty specific codes that would be used for billing an out-patient consultation.
| Cardiology (60) | A605 |
| Dermatology (02) | A025 |
| Endocrinology (15) | A155 |
| Internal Medicine (13) | A135 |
| Nephrology (16) | A165 |
| Neurology (18) | A185 |
| Orthopaedic Surgery (06) | A065 |
Are you an RMA physician? You can reach out to your Billing Advisor representative, and they can help you with any further questions or provide assistance.
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