What is OHIP billing code A116?

A116 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A116 pay?

The current OHIP fee for A116 is $122.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A116 to OHIP?

A116 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A116 claims against the Schedule of Benefits rules before submission.

What codes are related to A116?

Codes related to A116 in the Schedule of Benefits include A715, A710, A915, C116, A116A.

All codes

A116

A116 – Repeat consultation

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
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(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…
$122.00

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 new written request from the referring provider is required for each repeat consultation.

The consultant must have previously seen the patient for the same presenting problem.

Another physician must have rendered care to the patient in the interval between the initial consultation and the repeat consultation.

A written report (including findings, opinions, and recommendations) must be sent to the referring provider.

The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

Usage limits

Not subject to the 'one per 24 months' limit applicable to other consultations, provided the requirement for interval care by another physician is met.

A715Consultation A710Comprehensive critical care medicine consultation A915Limited consultation C116Repeat consultation (Hospital In-patient)A116ARepeat consultation (Virtual - Video Only)

A116 is eligible for age-based fee premiums ().

If the requirements for a repeat consultation are not met (e.g., no interval care by another physician), the fee will be adjusted to a lesser assessment fee.

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