What is OHIP billing code A078?

A078 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A078 pay?

The current OHIP fee for A078 is $49.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A078 to OHIP?

A078 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A078 claims against the Schedule of Benefits rules before submission.

What codes are related to A078?

Codes related to A078 in the Schedule of Benefits include A073, A074, A071, C078.

All codes

A078

A078 – Partial 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(this code)
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
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 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 appropriate medical record.

History of the presenting complaint.

Necessary physical examination.

Advice to the patient.

Appropriate medical record.

Usage limits

Only eligible for payment for a patient at least 65 years of age or when the assessment is for the assessment of dementia.

A073Medical specific assessment (Geriatrics)A074Medical specific re-assessment (Geriatrics)A071Complex medical specific re-assessment (Geriatrics)C078Concurrent care (Inpatient equivalent of A078)

A078 is the Geriatrics-specific partial assessment code.

If the assessment is for dementia, it is eligible for payment regardless of the patient's age.

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