What is OHIP billing code A027?

A027 is "Consultation in association with special visit", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A027 pay?

The current OHIP fee for A027 is $158.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A027 to OHIP?

A027 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A027 claims against the Schedule of Benefits rules before submission.

What codes are related to A027?

Codes related to A027 in the Schedule of Benefits include A025, A026, C990.

All codes

A027

A027 – Consultation in association with special visit

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
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(this code)
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

Consultation in association with special visit to a hospital in-patient, long-term care in-patient or emergency department patient.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Written request from a referring physician, nurse practitioner, or dental surgeon

Written report to the referring provider including findings, opinions, and recommendations

Complexity, seriousness, or obscurity of the case requires a specialist's opinion

Visit must be non-elective and initiated by the patient or on their behalf

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 (or common medical record in hospital/LTC/multi-specialty clinic).

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

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

Usage limits

One per two consecutive 12-month periods for the same diagnosis by the same physician.

A025Dermatology Consultation A026Dermatology Repeat Consultation C990Special visit to hospital in-patient - daytime - first person seen

A027 is the specific consultation code used when a special visit premium is also being claimed in a hospital or LTC setting.

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