What is OHIP billing code A094?

A094 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A094 pay?

The current OHIP fee for A094 is $30.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A094 to OHIP?

A094 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A094 claims against the Schedule of Benefits rules before submission.

What codes are related to A094?

Codes related to A094 in the Schedule of Benefits include A095, A935, A096, A093, C094.

All codes

A094

A094 – Partial assessment

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

Ask a question

Levels of this visit

The A09x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A094 Partial assessment(this code)
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…
$30.35
A093 Specific assessment
A service rendered by a specialist in Cardiac Surgery (09) in a place other than a patient’s home, requiring a full history of the presenting complaint and a detailed examination…
$55.70

Consultations

A096 Repeat consultation
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…
$75.20
A095 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).
$113.15

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 record.

History of the presenting complaint.

Necessary physical examination.

Advice to the patient.

Appropriate medical record.

A095Consultation A935Special surgical consultation A096Repeat consultation A093Specific assessment C094Specific re-assessment (In-patient)

A094 is listed under General Listings for Cardiac Surgery.

Physicians in hospital but not on duty in the emergency department when seeing patients in the emergency or OPD should use General Listings (A094).

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in