What is OHIP billing code A033?

A033 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A033 pay?

The current OHIP fee for A033 is $56.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A033 to OHIP?

A033 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A033 claims against the Schedule of Benefits rules before submission.

What codes are related to A033?

Codes related to A033 in the Schedule of Benefits include A034, A035, A036, C033.

All codes

A033

A033 – Specific assessment

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

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Levels of this visit

The A03x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A034 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…
$34.10
A033 Specific assessment(this code)
A specialist service requiring 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…
$56.40

Consultations

A036 Repeat consultation
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…
$76.45
A035 Consultation
A consultation rendered by a specialist in General Surgery (03) following a written request from a referring physician, nurse practitioner, or dental surgeon.
$114.75

A specialist service requiring 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.

Usage limits

Limited to one per patient per physician per 12-month period. The limit is increased to two per 12-month period if the patient presents a second time with a clearly different and unrelated diagnosis.

A034Partial assessment A035Consultation A036Repeat consultation C033Specific assessment (In-patient)

A033 is not eligible for the age-based fee premiums listed in (except for Ophthalmology codes A233/A234).

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