Fee
| Component | Value |
|---|---|
| Specialist fee | $342.25 |
Schedule and sources
- Fee edition
- October 1, 2026
- Record effective
- 2026-04-01
- Schedule edition
- July 22, 2026; effective July 1, 2026
- Official files
- Fee masterSchedule PDFOntario source page
Comprehensive nephrology consultation................................ 342.25
Passages mentioning A160
CONSULTATIONS AND VISITS
NEPHROLOGY (16)
GENERAL LISTINGS
A165 Consultation............................................................................ 180.75
Comprehensive nephrology consultation
This service is a consultation rendered by a specialist in nephrology who provides all the
appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of
direct contact with the patient exclusive of time spent rendering any other separately billable
intervention to the patient.
A160 Comprehensive nephrology consultation................................ 342.25
Medical record requirements:
For A160, the start and stop times must be recorded in the patient’s permanent medical record
or the amount payable for the service will be adjusted to a lesser paying fee.
[Commentary:
1.A160 must satisfy all the elements of a consultation (see page GP16).
2.Unless otherwise specified in the Schedule, the calculation of the 75 minute minimum time
for comprehensive nephrology consultations excludes (1) time devoted to any other service
or procedure for which an amount is payable in addition to the consultation and (2) non-
patient-facing time such as such as time spent reviewing charts, imaging, or documentation,
etc.]
A865 Limited consultation ................................................................ 116.75
A166 Repeat consultation ................................................................ 116.75
A163 Medical specific assessment .................................................. 95.95
A164 Medical specific re-assessment.............................................. 72.00
A161 Complex medical specific re-assessment............................... 83.40
A168 Partial assessment ................................................................. 44.75
Post Renal Transplant Assessment Premium
Post renal transplant assessment premium is payable in addition to the amount payable for an
assessment.
E060 Post Renal Transplant Assessment Premium........... Add 50%
Payment rules:
All of the following criteria apply:
1.The assessment is a:
a.medical specific assessment (A163);
b.medical specific re-assessment (A164);
c.complex medical specific re-assessment (A161); or
d.partial assessment (A168);
2.The service is rendered by a physician with a specialty designation in (16) Nephrology;
3.The assessment is not eligible for payment when rendered in an emergency department or
emergency department equivalent or to a hospital inpatient;
4.The purpose of the assessment is post-transplant care; and
5.The patient is within the first three years of having received their renal transplant.EMERGENCY OR OUT-PATIENT DEPARTMENT (OPD)
Physician in hospital but not on duty in the Emergency Department when seeing patients in the
Emergency or OPD - use General Listings.
NON-EMERGENCY HOSPITAL IN-PATIENT SERVICES
See General Preamble GP40 to GP48. For emergency calls and other special visits to
in-patients, use General Listings and Premiums when applicable - see General Preamble
GP65 to GP78.
C165 Consultation............................................................................ 180.75
C160 Comprehensive nephrology consultation - subject to the same
conditions as A160 ............................................................. 342.25
C865 Limited consultation ................................................................ 116.75
C166 Repeat consultation ................................................................ 116.75
C163 Medical specific assessment .................................................. 95.95
C164 Medical specific re-assessment.............................................. 72.00
C161 Complex medical specific re-assessment............................... 83.40CONSULTATIONS AND VISITS
NEPHROLOGY (16)
Subsequent visits
C162 - first five weeks ....................................................... per visit 40.05
C167 - sixth to thirteenth week inclusive (maximum 3 per patient
per week) ............................................................... per visit 40.05
C169 - after thirteenth week (maximum 6 per patient per month)
.............................................................................. per visit 40.05
Subsequent visits by the Most Responsible Physician (MRP)
See General Preamble GP44 to GP45 for terms and conditions.
C122 - day following the hospital admission assessment............... 71.80
C123 - second day following the hospital assessment ................... 71.80
C124 - day of discharge.................................................................. 71.80
C126 - day of discharge, medically complex patient (see A13 for
terms and conditions).......................................................... 95.10
Subsequent visits by the MRP following transfer from an Intensive Care Area
See General Preamble GP46 for terms and conditions.
C142 - first subsequent visit by the MRP following transfer from an
Intensive Care Area............................................................. 71.80
C143 - second subsequent visit by the MRP following transfer from
an Intensive Care Area........................................................ 71.80
C121 Additional visits due to intercurrent illness (see General
Preamble GP43) ................................................... per visit 40.05
C168 Concurrent care ......................................................... per visit 40.05
C982 Palliative care (see General Preamble GP50) ........... per visit 40.05
NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
convalescent care beds in hospitals and nursing homes or homes for the aged, other than
patients in designated palliative care beds. For emergency calls and other special visits to in-
patients, use General Listings and Premiums when applicable - see General Preamble
GP65 to GP78.
W165 Consultation ............................................................................ 180.75
W160 Comprehensive nephrology consultation - subject to the same
conditions as A160 .............................................................. 342.25
W865 Limited consultation................................................................. 116.75
W166 Repeat consultation................................................................. 116.75
Admission assessment
W862 - Type 1 ................................................................................. 69.35
W864 - Type 2 ................................................................................. 20.60
W867 - Type 3 ................................................................................. 30.70
W869 Periodic health visit ................................................................. 65.05
W164 General re-assessment of patient in nursing home (as per the
Nursing Homes Act)*........................................................... 20.60APPENDIX J
VIDEO ONLY
A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
W795A, W895A, W925AFee master record
Master, record 84. Record Layout PDF, page 1.
A16020260401999999990000000000000000000000000034225000000000000000000000000
Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00000000000 / 0 |
| assistant | 00000000000 / 0 |
| specialist | 00003422500 / 342.25 |
| anaesthetist | 00000000000 / 0 |
| non anaesthetist | 00000000000 / 0 |
Explanation
AI-generated. Unreviewed.
Comprehensive nephrology consultation, listed under General Listings in the Nephrology section. It describes a full consultation in nephrology.
Watch out for
Start and stop times must be recorded in the patient's permanent medical record, or the amount payable will be adjusted to a lesser paying fee. Must satisfy all elements of a consultation (see page GP16). Unless the Schedule says otherwise, the 75 minute minimum time calculation excludes certain time, including time devoted to other services.
Report an issue
Something off?
Report an issue with A160. Do not include patient names, health details or other personal information.