What is OHIP billing code A112?

A112 is "Periodic oculo-visual assessment - aged 65 years and above", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A112 pay?

The current OHIP fee for A112 is $48.90, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill A112 to OHIP?

A112 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A112 claims against the Schedule of Benefits rules before submission.

What codes are related to A112?

Codes related to A112 in the Schedule of Benefits include A110, E077, A115.

All codes

A112

A112 – Periodic oculo-visual assessment - aged 65 years and above

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

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Levels of this visit

The A11x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A118 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…
$44.75
A110 Periodic oculo-visual assessment
A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…
$48.90
A112 Periodic oculo-visual assessment - aged 65 years and above(this code)
A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…
$48.90
A114 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist that requires a full, relevant history and physical examination of one or more systems.
$72.00
A111 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 and includes all the…
$83.40
A113 Complex neurological assessment
An assessment for the ongoing management of complex chronic neurological conditions where the complexity of the condition requires the continuing management by a neurologist and…
$120.00

Consultations

A116 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…
$122.00

A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia, hypermetropia, presbyopia, anisometropia or astigmatism) for patients aged 19 or less or aged 65 or more. This service includes all components required to perform the assessment (ordinarily a history of the presenting complaint, past medical history, visual acuity examination, ocular mobility examination, slit lamp examination of the anterior segment, ophthalmoscopy, tonometry) advice and/or instruction to the patient and provision of a written refractive prescription if required.

All insured services must be documented in appropriate records. The record must establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

Age

aged 65 years and above

A110 E077 A115

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