What is OHIP billing code A023?

A023 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A023 pay?

The current OHIP fee for A023 is $46.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A023 to OHIP?

A023 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A023 claims against the Schedule of Benefits rules before submission.

What codes are related to A023?

Codes related to A023 in the Schedule of Benefits include A025, A026, A024, A020, C023.

All codes

A023

A023 – Specific assessment

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

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Levels of this visit

The A02x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A024 Partial assessment
A limited service constituting a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate record.
$23.50
A023 Specific assessment(this code)
A specific assessment is a service rendered by a specialist in Dermatology (02) in a place other than the patient's home.
$46.15
A020 Complex dermatology assessment
An assessment for the ongoing management of complex dermatological conditions where the complexity of the condition requires continuing management by a dermatology specialist.
$60.00

Consultations

A026 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…
$47.75
A025 Consultation
An assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon, including a general, specific or medical specific assessment…
$77.50
A027 Consultation in association with special visit
Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient.
$158.15
A021 Advanced Dermatology Consultation
A consultation for the investigation, diagnosis, and management of complex diseases of the integumentary system where the complexity of the condition requires the medical…
$164.90

A specific assessment is a service rendered by a specialist in Dermatology (02) in a place other than the patient's home. It requires a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function.

Full history of the presenting complaint.

Detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function.

Direct physical encounter with the patient (unless billed as virtual care A023A).

Usage limits

Limited to one per patient per physician per 12-month period. This limit is increased to two per 12-month period if the patient presents a second time with a complaint for which the diagnosis is clearly different and unrelated to the first assessment.

A025Consultation A026Repeat consultation A024Partial assessment A020Complex dermatology assessment C023Specific assessment (Hospital In-patient)

A023 is the standard specialist assessment for Dermatology when consultation criteria (referral) are not met or for subsequent assessments that do not meet 'Complex' (A020) criteria.

The fee for A023 is $46.15 (as per the Numeric Index).

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