What is OHIP billing code A045?

A045 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A045 pay?

The current OHIP fee for A045 is $145.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A045 to OHIP?

A045 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A045 claims against the Schedule of Benefits rules before submission.

What codes are related to A045?

Codes related to A045 in the Schedule of Benefits include A935, A046, A043, A044.

All codes

A045

A045 – Consultation

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

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Levels of this visit

The A04x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A044 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…
$33.40
A043 Specific assessment
A specific assessment is a service rendered by a specialist in Neurosurgery (04) in a place other than a patient’s home.
$64.90

Consultations

A046 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…
$64.85
A045 Consultation(this code)
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures).
$145.60

A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures). The consultant physician, competent in neurosurgery, provides an opinion on a complex, serious, or obscure case, or when requested by the patient/representative. The service includes all necessary elements to prepare a written report with findings, opinions, and recommendations.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A written request from a referring physician, nurse practitioner, or dental surgeon is mandatory.

The consultant must provide a written report (findings, opinions, and recommendations) to the referring provider.

A signed copy of the written request must be maintained in the consultant's medical record.

The request must identify the consultant, the referring provider (including billing number), and the patient (name and health number).

The request must specify the services required and relevant clinical information.

Usage limits

Limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician (except for repeat consultations or specific hospital/ED scenarios). Limited to one service every 12 months for a clearly defined unrelated diagnosis.

A935Special surgical consultation (50 minutes)A046Repeat consultation A043Specific assessment A044Partial assessment

Preoperative consultations for low-risk elective procedures (e.g., cataract, colonoscopy) are only payable if medically necessary and documented as such.

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