What is OHIP billing code A083?

A083 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A083 pay?

The current OHIP fee for A083 is $54.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A083 to OHIP?

A083 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A083 claims against the Schedule of Benefits rules before submission.

All codes

A083

A083 – Specific assessment

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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Levels of this visit

The A08x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A084 Partial assessment
A partial assessment is the limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient and appropriate…
$34.75
A083 Specific assessment(this code)
A specific assessment is a service rendered by a specialist in a place other than a patient's home.
$54.40

Consultations

A086 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…
$62.80
A085 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for insured dental procedures in hospital).
$106.25

A specific assessment is a service rendered by a specialist in a place other than a patient's home. It requires 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, and/or exclude disease, and/or assess function. In addition to the common elements, all services which are described as assessments, or as including assessments (e.g. consultations), include the following specific elements: • A. A direct physical encounter with the patient including taking a patient history and performing a physical examination. • B. Other inquiry (including taking a patient history), carried out to arrive at an opinion as to the nature of the patient's condition, (whether such inquiry takes place before, during or after the encounter during which the physical examination takes place) and/or follow-up care. • C. Performing any procedure(s) during the same encounter as the physical examination, unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with an assessment. • D. Making arrangements for any related assessments, procedures or therapy, and/or interpreting results. • E. Making arrangements for follow-up care. • F. Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient's representative, whether by telephone or otherwise, on matters related to: the service; and in circumstances in which it would be professionally appropriate that results can be reported upon prior to any further patient visit, the results of related procedure(s) and/or assessment(s). • G. When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided. • H. Providing premises, equipment, supplies, and personnel for the specific elements of the service except for any aspect(s) that is (are) performed in a hospital or nursing home.

Requires a full history of the presenting complaint and 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. See .

The medical record must establish that an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary. See .

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