Addition of 2 new diagnostic codes, deletion of 2 codes, and updated descriptions for 41 existing codes

To: Physicians and Software Vendors
Category: Physician services, Billing software specifications
Written by: Claims Services Branch, Health Programs and Delivery Division
Date issued: March 13, 2026
Bulletin Number: 260314

The Ministry of Health (ministry) and the Ontario Medical Association (OMA) have been working together to modernize the descriptions assigned to the numeric diagnostic codes used in Ontario Health Insurance Plan (OHIP) service provider claim submissions.

New Diagnostic Codes

  • 308 – Gender Dysphoria
  • 489 – Respiratory syncytial virus (RSV)

Deleted Diagnostic Codes

  • 100 – Venereal Diseases
  • 903 – Social, Marital and Family Problems: Illegitimacy

Updated Diagnostic Code Descriptions

Please see the newly updated Diagnostic Codes document for full details.

CategoryDiagnostic Codes with Updated Description
Infections and Parasitic Diseases097, 098, 099, 131
Neoplasms228
Endocrine, Nutritional and Metabolic Diseases and Immunity Disorders243, 244, 251, 252, 253, 255, 256, 257, 259
Diseases of Blood and Blood-Forming Organs288, 289
Mental and Behavioural Disorders291, 292, 295, 296, 297, 298, 300, 301, 302, 303, 304, 305, 306, 307, 309, 311, 314, 319
Diseases of the Nervous System and Sense Organs346
Diseases of the Digestive System521, 564
Diseases of the Genito-Urinary System599
Symptoms, Signs and Ill-Defined Conditions795
Supplementary Classifications895, 899

Keywords/Tags

Diagnostic code; 100, 308; 489, 903; diagnostic code descriptions

Contact information

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