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A008

A008Mini assessment

OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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 which only a minor assessment (A001) was rendered.

When to Use

  • A patient presents with a sprained ankle from a WSIB-related injury and also requests a refill for their hypertension medication during the same visit. The WSIB component is billed as A001.
  • A patient attends for a follow-up of a WSIB-related back strain, for which only a minor assessment (A001) is appropriate, and also reports a new, unrelated rash. The rash assessment is billed as A008.
  • During a visit for a WSIB-related knee injury (billed as A001), the patient mentions a sore throat that developed yesterday. The physician assesses the sore throat, billing A008 for this unrelated issue.

Common Pitfalls

  • Billing A008 when the WSIB component of the visit is more than a minor assessment (e.g., A007 or higher).
  • Billing A008 for the WSIB-related problem instead of the unrelated problem, or billing it for both components of the visit.
  • Submitting A008 when the physician also bills for a different or higher-level assessment for the non-WSIB problem during the same encounter.

Billing Tips

  • Ensure the WSIB-related problem is billed as A001; A008 is specifically for the *unrelated* non-WSIB issue in this mixed-problem visit.
  • Verify that no other assessment code (other than A001 for the WSIB component) is submitted for the non-WSIB problem, as this would make A008 ineligible.
Provider Fee$13.40

Effective: April 1, 2026

Category

A. Consultations and Visits

Subcategory

CONSULTATIONS AND VISITS

Service Type

Consultations and Visits

Code Classes

Assessment

The assessment must be for a problem unrelated to the WSIB claim.

The service must be performed during the same visit as a WSIB-related assessment.

The WSIB component of the visit must be a minor assessment (A001).

A008 is only payable when the WSIB component of the visit is the service described as A001.

In circumstances where a different service or a higher level of assessment is claimed, A008 is not payable in addition.

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