What is OHIP billing code A036?

A036 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A036 pay?

The current OHIP fee for A036 is $76.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A036 to OHIP?

A036 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A036 claims against the Schedule of Benefits rules before submission.

What codes are related to A036?

Codes related to A036 in the Schedule of Benefits include A035, W036, A935.

All codes

A036

A036 – Repeat consultation

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
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(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…
$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 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

Must be rendered by the same consultant who performed the initial consultation.

Must be for the same presenting problem as the initial consultation.

Requires a new written request from a referring physician, nurse practitioner, or dental surgeon.

Care must have been rendered to the patient by another physician in the interval between the initial and repeat consultation.

Includes the services necessary to prepare a written report (findings, opinions, and recommendations) to the referring provider.

Consultant must perform a general, specific, or medical specific assessment.

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, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the 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

Not subject to the 'one per 24 months' limit applicable to standard consultations, provided the 'care in the interval' requirement is met.

A035Consultation W036Repeat consultation (Long-Term Care)A935Special surgical consultation

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