A066 – Repeat consultation
OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits
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.
When to Use
- Bill A066 when a patient returns for follow-up on the same presenting problem after seeing another physician (e.g., GP, another specialist) for interim care, and you are providing the subsequent consultant opinion.
- Use A066 if you previously saw the patient for the same issue, another physician managed them, and you are now re-evaluating them for the same problem.
- This code is appropriate when the patient's care for a specific problem has been handed off to another physician, and you are brought back into the management of that same problem.
Common Pitfalls
- Billing A065 (initial consultation) instead of A066 when the patient has been seen by another physician for the same problem in the interim.
- Failing to obtain and retain a new written request from the referring provider for the repeat consultation, which is a mandatory documentation requirement.
- Submitting A066 when the patient has not seen another physician in the interval, which would make A065 the appropriate code.
Billing Tips
- Ensure the new written request clearly states the patient's name, health number, referring provider's name and OHIP billing number, and the specific service required.
- Remember that A066 is not subject to the same frequency limits as A065; however, it still requires a comprehensive assessment and a written report to the referring physician.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
A. Consultations and Visits
Consultation
A new written request from the referring provider is mandatory.
The request must identify the consultant, referring provider (name and billing number), and patient (name and health number).
The request must specify relevant clinical information and the service required.
The consultant must prepare a written report (findings, opinions, and recommendations) and send it to the referring provider.
The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.
A copy of the signed written request must be kept in the consultant's medical record (except in settings with common medical records).
A066 is specifically for Orthopaedic Surgery (06).
Preoperative consultations for low-risk elective procedures (e.g., cataract surgery, colonoscopy, arthroscopic surgery) are only eligible if the medical record demonstrates the consultation is medically necessary.
Eligible for age-based fee premiums as defined in .
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