What is OHIP billing code A058?

A058 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A058 pay?

The current OHIP fee for A058 is $39.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A058 to OHIP?

A058 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A058 claims against the Schedule of Benefits rules before submission.

What codes are related to A058?

Codes related to A058 in the Schedule of Benefits include A055, A053, A054, C058.

All codes

A058

A058 – Partial assessment

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(this code)
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
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 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 record of the encounter.

Must include a direct physical encounter with the patient.

Must include a history of the presenting complaint.

Must include a necessary physical examination.

Must include advice to the patient.

A permanent medical record of the assessment must be maintained.

A055Consultation - Community Medicine A053Medical Specific Assessment - Community Medicine A054Medical Specific Re-assessment - Community Medicine C058Concurrent care (Hospital In-patient)

A058 is the General Listing (A-prefix) code for Community Medicine partial assessments.

For hospital in-patient concurrent care, see code C058 (Concurrent care), which is distinct from the A058 partial assessment.

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