What is OHIP billing code A056?

A056 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A056 pay?

The current OHIP fee for A056 is $94.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A056 to OHIP?

A056 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A056 claims against the Schedule of Benefits rules before submission.

What codes are related to A056?

Codes related to A056 in the Schedule of Benefits include A055, A050, A400, C056, W056.

All codes

A056

A056 – Repeat 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(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…
$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
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 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

A new written request from the referring physician, nurse practitioner, or dental surgeon is required for each repeat consultation.

The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

A written report (including findings, opinions, and recommendations) must be prepared and sent to the referring provider.

The medical record must contain a copy of the signed written request identifying the consultant, the referring provider (with billing number), and the patient.

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

Usage limits

Not subject to the standard consultation limit of one service per two consecutive 12-month periods, provided the criteria for a repeat consultation (intervening care by another physician) are met.

A055Consultation (Community Medicine)A050Special community medicine consultation A400Comprehensive community medicine consultation C056Repeat consultation (Hospital In-patient)W056Repeat consultation (Long-Term Care)

Special visit premiums (travel, emergency, etc.) may be billed in addition to A056 if the criteria in - are met.

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