COVID Billing Tip #4 - Automatic Code E[][]VA


How to bill virtual follow-up/assessments with E078 premium effectively


IMPORTANT: The new virtual care funding framework set out in the PSA will take effect on December 1, 2022. Therefore, the temporary virtual code K083 will remain in place until November 30, 2022. See OHIP bulletin 220901 for more details.

If you are eligible for Chronic disease assessment premium E078 (please refer to the OHIP Schedule of Benefits, page GP25), you can use automatic code E[][]VA, which resolves to service code K083 at the value of the equivalent in-person the assessment codes plus the value of the equivalent E078 premium, rounded to the nearest $5.00.

Noted: E[][]VA follows the same rules as A[][]XA

As an example, for Medical Oncology (44), the automatic code is E44VA. The algorithm will bill K083A with quantities as follows:

The automatic code E[][]VA is available for the following disciplines:

  • Geriatrics (07)
  • Endocrinology & Metabolism (15)
  • Neurology (18)
  • Physical Medicine & Rehabilitation (31)
  • Radiation Oncology (34)
  • Medical Oncology (44)
  • Infectious Disease (46)
  • Respiratory Disease (47)
  • Rheumatology (48)
  • Haematology (61)
  • Clinical Immunology (62)

For more billing tips, please check out our Billing Tip Library.

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