What is OHIP billing code A007?

A007 is "Intermediate assessment or well baby care", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A007 pay?

The current OHIP fee for A007 is $44.55, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A007 to OHIP?

A007 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A007 claims against the Schedule of Benefits rules before submission.

What codes are related to A007?

Codes related to A007 in the Schedule of Benefits include A001, A002, A003, A777, K017.

All codes

A007

A007 – Intermediate assessment or well baby care

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(this code)
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
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 intermediate assessment is a primary care general practice service that requires a more extensive examination than a minor assessment. It requires a history of the presenting complaint(s), inquiry concerning, and examination of the affected part(s), region(s), system(s), or mental or emotional disorder as needed to make a diagnosis, exclude disease, and/or assess function. Well baby care is a periodic assessment of a well newborn / infant during the first two years of life including complete examination with weight and measurements, and instructions to the parent(s) or patient’s representative regarding health care.

For Intermediate Assessment: Requires history of presenting complaint, inquiry, and examination of affected parts/regions/systems/mental disorder as needed to make a diagnosis, exclude disease, and/or assess function.

For Well Baby Care: Requires complete examination with weight and measurements, and instructions to the parent(s) or representative regarding health care.

Must include a direct physical encounter (unless billed as virtual care A007A).

Must include all specific elements of assessments as defined in (history, physical exam, inquiry, arrangements for follow-up, etc.).

A001Minor assessment A002Enhanced 18 month well baby visit A003General assessment A777Intermediate assessment - Pronouncement of death K017Periodic health visit - child

A007 is eligible for Age-Based Fee Premiums ():

- 65 years and older: +15%

For pronouncement of death in a location other than the home, use A777 (Intermediate assessment - Pronouncement of death).

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