What is OHIP billing code A016?

A016 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A016 pay?

The current OHIP fee for A016 is $52.15, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill A016 to OHIP?

A016 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A016 claims against the Schedule of Benefits rules before submission.

What codes are related to A016?

Codes related to A016 in the Schedule of Benefits include A015, C016, A816.

All codes

A016

A016 – Repeat consultation

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

Ask a question

Levels of this visit

The A01x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A014 Partial assessment
A partial assessment is a limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate…
$31.45
A013 Specific assessment
A specialist assessment rendered by an anaesthesiologist (specialty 01) in a place other than the patient's home.
$64.65

Consultations

A016 Repeat consultation(this code)
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$52.15
A015 Consultation
A consultation rendered by an anaesthesia (01) specialist following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital dental…
$109.70

A repeat consultation is 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 new written request from a referring physician, nurse practitioner, or dental surgeon must be kept in the consulting physician’s medical record (or common medical record in hospital/LTC/multi-specialty clinic).

The request identifies the consultant by name and/or specialty, referring provider by name and billing number, and patient by name and health number.

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

A written report (findings, opinions, and recommendations) must be provided to the referring provider (and patient's primary care provider if referral by NP).

The consultant must 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 (A015).

A015Consultation (Anaesthesia)C016Repeat consultation (In-patient)A816Midwife or Aboriginal Midwife-Requested Anaesthesia Assessment (MAMRAA)

Eligible for age-based fee premiums for patients under 16 years of age.

Eligible for special visit premiums (travel, etc.) if criteria are met.

If requested by a Medical Trainee, the fee is adjusted to a lesser assessment fee.

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in