What is OHIP billing code A071?

A071 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A071 pay?

The current OHIP fee for A071 is $103.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A071 to OHIP?

A071 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A071 claims against the Schedule of Benefits rules before submission.

What codes are related to A071?

Codes related to A071 in the Schedule of Benefits include C071, A073, A074, A078, E078.

All codes

A071

A071 – Complex medical specific re-assessment

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

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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(this code)
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
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 complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition. It includes all the requirements of a medical specific re-assessment, which requires a full, relevant history and physical examination of one or more systems.

The physician must report his/her findings, opinions, or recommendations in writing to the patient’s primary care physician.

Requires a full, relevant history and physical examination of one or more systems.

Usage limits

Limited to 4 per patient per physician per 12-month period (combined with A073). Services in excess of this limit are adjusted to a lesser assessment fee.

C071Complex medical specific re-assessment (Hospital In-patient version)A073Medical specific assessment A074Medical specific re-assessment A078Partial assessment E078Chronic disease assessment premium

A071 is subject to the same conditions as its hospital counterpart C071.

The chronic disease assessment premium (E078) is not payable for in-patients, long-term care residents, or emergency department patients.

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