What is OHIP billing code A076?

A076 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A076 pay?

The current OHIP fee for A076 is $113.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A076 to OHIP?

A076 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A076 claims against the Schedule of Benefits rules before submission.

All codes

A076

A076 – Repeat 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(this code)
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 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 physician in the interval following the initial consultation but preceding the repeat consultation. A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon. General Consultation Requirements As per , a consultation is an assessment rendered following a written request from a referring practitioner who requests the opinion of a consultant physician because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested. The service includes the services necessary to enable the consultant to prepare a written report to the referring practitioner. The consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data. This service includes the common elements of all insured services as described in and , and the specific elements of assessments as described in .

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the new written request for the repeat consultation, signed by the referring physician, nurse practitioner, or dental surgeon, must be kept in the consulting physician's medical record. For services in hospitals, long-term care institutions, or multi-specialty clinics with common records, the request may be on the common record.

The request must identify the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number.

The written request must set out the information relevant to the referral and specify the service(s) required.

A written report including findings, opinions, and recommendations must be prepared and sent to the referring practitioner.

The standard limits on the number of consultations per 12 or 24 month period do not apply to repeat consultations ().

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