What is OHIP billing code A074?

A074 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A074 pay?

The current OHIP fee for A074 is $79.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A074 to OHIP?

A074 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A074 claims against the Schedule of Benefits rules before submission.

What codes are related to A074?

Codes related to A074 in the Schedule of Benefits include A073, A071, A078, C074.

All codes

A074

A074 – 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(this code)
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
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 re-assessment is a service rendered by a specialist (Geriatrics) requiring a full, relevant history and physical examination of one or more systems.

Requires a direct physical encounter with the patient.

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

Includes making arrangements for follow-up care and providing advice/information to the patient or representative.

Usage limits

Limited to two per patient per physician per consecutive 12-month period. This limit does not apply to specific re-assessments rendered for hospital admissions. Services in excess of the limit are adjusted to a lesser assessment fee.

A073Medical specific assessment A071Complex medical specific re-assessment A078Partial assessment C074Medical specific re-assessment (In-patient)

As outlined on page , admission assessments are deemed to be a specific re-assessment or medical specific re-assessment under either of the following circumstances: 1. for those procedures prefixed with a “Z” or noted as an IOP, by a surgical specialist who has assessed the patient prior to admission in respect of the same illness; or 2. for those patients who have been assessed by a physician and subsequently admitted to the hospital for the same illness by the same physician.

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