What is OHIP billing code A006?

A006 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A006 pay?

The current OHIP fee for A006 is $47.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A006 to OHIP?

A006 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A006 claims against the Schedule of Benefits rules before submission.

What codes are related to A006?

Codes related to A006 in the Schedule of Benefits include A905, C006, E079.

All codes

A006

A006 – Repeat consultation

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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Levels of this visit

The A00x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A008 Mini assessment
A mini assessment is rendered when an assessment of a patient for an unrelated non-WSIB problem is performed during the same visit as an assessment of a WSIB related problem for…
$13.40
A001 Minor assessment
A minor assessment includes one or both of the following: a brief history and examination of the affected part or region or related to a mental or emotional disorder…
$26.80
A004 General re-assessment
A general re-assessment is a comprehensive assessment service that includes all the elements of a general assessment (A003), with the exception that the patient's history does not…
$39.35
A007 Intermediate assessment or well baby care
An intermediate assessment is a primary care general practice service that requires a more extensive examination than a minor assessment.
$44.55
A003 General assessment
A general assessment is a service, rendered at a place other than in a patient’s home that requires a full history (the elements of which must include a history of the presenting…
$95.60

Consultations

A006 Repeat consultation(this code)
An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval…
$47.10
A005 Consultation
A consultation is an assessment rendered following a written request from a referring: physician 2.
$95.60

An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval following the initial consultation but preceding the repeat consultation.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

A written report (including findings, opinions, and recommendations) must be sent to the referring provider.

The consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data.

Usage limits

Not subject to the 'one service per two consecutive 12 month periods' limit that applies to initial consultations. However, it is only eligible when the patient has been seen by another physician for the same problem in the interval since the initial consultation.

A905Limited consultation C006Repeat consultation (Inpatient)E079Smoking cessation discussion

A repeat consultation is specifically for the same presenting problem as the initial consultation.

If the consultant is referred for a clearly defined unrelated diagnosis, it is billed as a new consultation (subject to the 12-month limit) rather than a repeat consultation.

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