What is OHIP billing code A070?

A070 is "Consultation in association with special visit", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A070 pay?

The current OHIP fee for A070 is $255.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A070 to OHIP?

A070 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A070 claims against the Schedule of Benefits rules before submission.

What codes are related to A070?

Codes related to A070 in the Schedule of Benefits include A075, A775, A770.

All codes

A070

A070 – Consultation in association with special visit

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

Ask a question

Levels of this visit

The A07x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A078 Partial assessment
A partial assessment is a limited medical service that includes a history of the presenting complaint, the necessary physical examination, advice to the patient, and an…
$49.65
A074 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist (Geriatrics) requiring a full, relevant history and physical examination of one or more systems.
$79.85
A073 Medical specific assessment
A medical specific assessment rendered by a specialist in Geriatrics (07), requiring a full history of the presenting complaint and a detailed examination of the affected part(s)…
$99.05
A071 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$103.80

Consultations

A076 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…
$113.35
A075 Consultation
A consultation rendered by a specialist in Geriatrics (07) following a written request from a referring physician, nurse practitioner, or dental surgeon.
$223.30
A070 Consultation in association with special visit(this code)
A consultation rendered by a geriatrician (specialty 07) in association with a special visit to a hospital in-patient, long-term care in-patient, or emergency department patient.
$255.85

A consultation rendered by a geriatrician (specialty 07) in association with a special visit to a hospital in-patient, long-term care in-patient, or emergency department patient. This code is specifically designed to be billed when the consultation occurs during a non-elective special visit to these settings.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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

The consultant must provide a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

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

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

The request would ordinarily also include appropriate clinical information, such as the reason for the referral for consultation, present and past history, physical findings and relevant test results and reports.

Usage limits

Consultations for the same patient by the same physician for the same diagnosis are limited to one service per two consecutive 12-month periods (with specific exceptions for hospital/ED follow-ups between 12-24 months). Consultations for a clearly defined unrelated diagnosis are limited to one service every 12 months.

A075Geriatric Consultation (standard)A775Comprehensive geriatric consultation (minimum 75 minutes)A770Extended comprehensive geriatric consultation (minimum 90 minutes)

A070 is the specific code for geriatric consultations performed during special visits; for standard geriatric consultations not associated with a special visit, use A075.

Special visit premiums are only eligible for non-elective services initiated by the patient or their representative.

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in