• MDMax Team

Chronic Diagnostic Codes OHIP

The following disease diagnostic codes are eligible for the E078 premium. The E078 premium is a 50% bonus applied against one of the following visit codes:


1) Medical specific assessment

2) Medical specific re-assessment

3) Complex medical specific re-assessment

4) Partial assessment

5) Level 2 paediatric assessment


Note that E078 chronic disease premium bonus code only applies to the following specialties:


07(Geriatrics), 15(Endocrinology & Metabolism), 18(Neurology), 26(Paediatrics), 28(Pathology), 31(Physical Medicine), 34(Therapeutic Radiology), 44(Medical Oncology), 46(Infectious Disease), 47(Respiratory Disease), 48(Rheumatology), 61(Haematology), 62(Clinical Immunology).


Also note that these premium codes can only be applied in out-patient settings


  • 042 AIDS

  • 043 AIDS-related complex

  • 044 Other human immunodeficiency virus infection

  • 250 Diabetes mellitus, including complications

  • 286 Coagulation defects (e.g. haemophilia, other factor deficiencies)

  • 287 Purpura, thrombocytopenia, other haemorrhagic conditions

  • 290 Senile dementia, presenile dementia

  • 299 Child psychoses or autism

  • 313 Behavioural disorders of childhood and adolescence

  • 315 Specified delays in development (e.g. dyslexia, dyslalia, motor retardation)

  • 332 Parkinson's Disease

  • 340 Multiple Sclerosis

  • 343 Cerebral Palsy

  • 345 Epilepsy

  • 402 Hypertensive Heart Disease

  • 428 Congestive Heart Failure

  • 491 Chronic Bronchitis

  • 492 Emphysema

  • 493 Asthma, Allergic Bronchitis

  • 515 Pulmonary Fibrosis

  • 555 Regional Enteritis, Crohn's Disease

  • 556 Ulcerative Colitis

  • 571 Cirrhosis of the Liver

  • 585 Chronic Renal Failure, Uremia

  • 710 Disseminated Lupus Erythaematosus, Generalized Scleroderma, Dermatomyositis

  • 714 Rheumatoid Arthritis, Still's Disease

  • 720 Ankylosing Spondylitis

  • 721 Other seronegative spondyloarthropathies

  • 758 Chromosomal Anomalies

  • 765 Prematurity, low-birthweight infant

  • 902 Educational problems


MDMax is an Ontario based-company that provides medical billing software to physicians and clinics, secure instant message software (KareChat), On-Call Scheduling Software (MDMax On-Call), and custom mobile solutions for your practice. Our modern platform is built on the same technology as Gmail. Our team consists of software developers and highly skilled Accountants and will work with you as a partner to maximize your income. If you are interested in learning more about our products or need help streamlining your process, please reach out to info@mdmax.ca.


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