Want to know how to maximize your Ontario Billing? Check out our Ultimate OHIP Billing Guide.

​E078 is the premium fee code for Chronic Disease Assessment. OHIP first added this premium  to the Schedule of Benefits back in 2005. The idea behind it was to reimburse doctors who work with chronic disease, as it typically requires more out-patient follow up and overall care and management.    
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E078 is only payable on certain out-patient assessments and is a percentage-based premium. This means you need to add it to another code in order for it to work. It will then apply 50% to the assessment code you’ve added it to.
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For example, let’s say you bill A263 (Medical Specific Assessment) which is $77.70. By adding E078, you’ll get an extra 50%, which will bring the entire assessment to $116.55 (meaning the premium added an extra $38.85).
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Of course, there are some restrictions when using it; such as location, specialty, and diagnostic code. For instance, it can only be added as a premium to out-patient assessments only. It’s therefore not applicable for any admitted inpatients, long-term care facility patients or patients in the emergency department.
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 It’s only eligible under the following specialties:
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​Geriatrics
Endocrinology & Metabolism
Neurology
Pediatrics
Pathology
Physical
Medicine Therapeutic
Radiology
Medical Oncology
Infectious Disease
Respiratory Disease
Rheumatology
Hematology
Clinical Immunology
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​Additionally, in order to use E078, you have to use it with one of the following diagnostic codes:
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​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 hemorrhagic 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
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Billing E078 on your iPhone is easy, just follow these steps: 

3. Click on the arrow for “Billing Code.”
4. Select your Assessment Code (our example is A263) and then the premium E078A. 

5. Fill out the rest of the claim as normal (Diagnoses, Location, Facility #, etc.) Click Save.
6. This will bring you to a “Confirmation” page, click “save” again. 

Now if you go back to the home page and click on “Claims” you should be able to see the assessment code with the premium below it.