What is OHIP billing code A050?

A050 is "Special community medicine consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A050 pay?

The current OHIP fee for A050 is $176.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A050 to OHIP?

A050 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A050 claims against the Schedule of Benefits rules before submission.

What codes are related to A050?

Codes related to A050 in the Schedule of Benefits include A400, A055, A056, C050, W050.

All codes

A050

A050 – Special community medicine consultation

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

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Levels of this visit

The A05x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A058 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…
$39.95
A054 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in community medicine that requires a full, relevant history and physical examination of one or more systems.
$64.30
A051 Complex medical specific re-assessment
A service rendered by a specialist in Community Medicine (05) requiring a full, relevant history and physical examination of one or more systems.
$74.45
A053 Medical specific assessment
A service rendered by a specialist in Community Medicine in a place other than a patient’s home, requiring a full history of the presenting complaint and detailed examination of…
$83.85

Consultations

A056 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…
$94.75
A055 Consultation
A consultation rendered by a specialist in community medicine following a written request from a referring physician, nurse practitioner, or dental surgeon.
$152.80
A050 Special community medicine consultation(this code)
A consultation rendered by a specialist in community medicine who provides all the appropriate elements of a consultation and spends a minimum of 50 minutes in direct contact with…
$176.10

A consultation rendered by a specialist in community medicine who provides all the appropriate elements of a consultation and spends a minimum of 50 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Must satisfy all the elements of a consultation as defined in General Preamble .

Requires a written request from a referring physician, nurse practitioner, or dental surgeon in connection with an insured dental procedure rendered in a hospital.

A written report including findings, opinions, and recommendations must be sent to the referring physician, nurse practitioner or dental surgeon.

Minimum of 50 minutes of direct contact with the patient is required, exclusive of time spent rendering any other separately billable intervention to the patient.

The start and stop times must be recorded in the patient’s permanent medical record.

Usage limits

Consultations for the same patient by the same physician for the same diagnosis are generally limited to one service per two consecutive 12-month periods (subject to specific exceptions for hospital inpatients or emergency department visits).

A400Comprehensive community medicine consultation (75 minutes)A055Community medicine consultation (standard)A056Community medicine repeat consultation C050Special community medicine consultation - Hospital In-patient W050Special community medicine consultation - Long-Term Care

Calculation of the 50-minute minimum excludes non-patient-facing time (e.g., reviewing charts, imaging, or documentation).

If the consultation is requested by a Medical Trainee, the fee is adjusted to a lesser assessment fee.

Special visit premiums (-) may apply if the service is rendered in a qualifying location (e.g., home, hospital, or LTC) and meets the criteria for an emergency or special visit.

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