What is OHIP billing code A073?

A073 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A073 pay?

The current OHIP fee for A073 is $99.05, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A073 to OHIP?

A073 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A073 claims against the Schedule of Benefits rules before submission.

What codes are related to A073?

Codes related to A073 in the Schedule of Benefits include A074, A071, A078, A375, A076, K077.

All codes

A073

A073 – Medical specific 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(this code)
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
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 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), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function.

Full history of the presenting complaint.

Detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function.

Usage limits

Limited to 1 per patient per physician per 12-month period. This limit is increased to 2 if the patient presents with a clearly different diagnosis or if the second assessment is a hospital admission assessment at least 90 days after the first. Additionally, any combination of A073 and A071 is limited to 4 per patient per physician per 12-month period.

A074Medical specific re-assessment A071Complex medical specific re-assessment A078Partial assessment A375Limited consultation A076Repeat consultation K077Geriatric telephone support

A073 is eligible for payment for the assessment of dementia regardless of the patient's age.

Excess services beyond the usage limits will be adjusted to a lesser assessment fee.

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