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Ajax Harwood Clinic
Ajax Harwood Clinic Family Medicine · Ajax, Ontario
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Ajax Harwood Clinic · Physician Resource

Ontario OHIP Diagnostic Codes
Reference & Acuity Guide

Full MOH code list with modern synonyms · FHO+ acuity band reference · Search by condition, abbreviation, or patient language

Ontario OHIP diagnostic codes — physician reference for FHO/FHN billing and acuity optimization. The MOH diagnostic code list uses terminology from the 1970s. Common conditions including COPD, atrial fibrillation, GERD, ADHD, PCOS, HPV, long COVID, and dyslipidemia are routinely miscoded or impossible to find because modern clinical terms do not appear in the official labels. For FHO+ and FHN physicians in Ontario, undercoded conditions are invisible to the Ministry’s acuity calculation and directly affect capitation rates. This free searchable reference — built by the physicians at Ajax Harwood Clinic in Ajax, Ontario — maps modern clinical language, abbreviations, and brand names to the correct MOH diagnostic codes, with a built-in FHO+ acuity band guide identifying which codes carry the highest capitation weight.
How FHO+ acuity banding works: The Ministry calculates your roster’s acuity score based on diagnostic codes attached to billing claims over a 2-year window. Higher-acuity codes increase your capitation rate. The codes below are the highest-value for acuity capture — click any card to see the coding trap most physicians miss. Codes only count when attached to a claim; a diagnosis in the chart with no associated billing is invisible to the Ministry.
Tier 1 — Critical acuity
Highest capitation weight · Ensure these are on every relevant claim
Tier 2 — High acuity
Significant weight · Commonly miscoded or undercoded
Tier 3 — Moderate acuity
Cumulative value · Important when combined with Tier 1–2 conditions
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Try: HPV · GERD · long COVID · Ozempic · A-fib · Hashimoto · Gardasil
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About this resource

Built by the physicians at
Ajax Harwood Clinic

The Ontario OHIP diagnostic code list uses terminology from the 1970s. Common conditions are routinely miscoded or not found because the search terms don’t match. This tool bridges modern clinical language to archaic code labels — with acuity traps flagged for FHO/FHN physicians.

We’re a Family Health Organization in Ajax, Ontario with on-site physio, diabetes education, and mental health support. We welcome referrals from across Durham Region.

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88 Harwood Ave S, Ajax · FHO+ · Teaching site
© Ajax Harwood Clinic · 88 Harwood Ave S, Ajax, ON · ajaxharwoodclinic.com · MOH Diagnostic Codes April 2023 · Physician reference only
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88 Harwood Avenue South
Ajax, Ontario  L1S 2H6
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ajaxharwoodclinic@gmail.com
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Ajax Harwood Clinic
88 Harwood Avenue South, Ajax, Ontario  ·  Est. 1989
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