What is OHIP billing code A075?

A075 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A075 pay?

The current OHIP fee for A075 is $223.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A075 to OHIP?

A075 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A075 claims against the Schedule of Benefits rules before submission.

What codes are related to A075?

Codes related to A075 in the Schedule of Benefits include A070, A076, C075, A775, A770.

All codes

A075

A075 – Consultation

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
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(this code)
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 consultation rendered by a specialist in Geriatrics (07) following a written request from a referring physician, nurse practitioner, or dental surgeon. It includes the assessment of the patient and a written report back to the referrer.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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

A written report (including findings, opinions, and recommendations) must be provided to the referring physician, nurse practitioner or dental surgeon. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable.

Usage limits

Limited to one service per two consecutive 12-month periods (i.e., once every 24 months) for the same patient by the same physician for the same diagnosis. Consultations for a clearly defined unrelated diagnosis are limited to one service every 12 months.

A070Consultation in association with special visit A076Repeat geriatric consultation C075Geriatric consultation (In-patient)A775Comprehensive geriatric consultation (minimum 75 minutes)A770Extended comprehensive geriatric consultation (minimum 90 minutes)

Where a physician who has been paid for a consultation for the patient for the same diagnosis makes a request for a referral for ongoing management of the patient, the service rendered following the referral is not payable as a consultation, except as outlined in the Virtual Care Services section under definitions, part 3, commentary 3.

In the preoperative preparation of a patient undergoing the following low risk elective surgical procedures under local anaesthesia and/or I.V. sedation, a preoperative consultation by any physician is only eligible for payment where the medical record demonstrates the consultation is medically necessary: cataract surgery, colonoscopy, cystoscopy, carpal tunnel surgery, or arthroscopic surgery.

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