What is OHIP billing code A118?

A118 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A118 pay?

The current OHIP fee for A118 is $44.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A118 to OHIP?

A118 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A118 claims against the Schedule of Benefits rules before submission.

All codes

A118

A118 – Partial assessment

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(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…
$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
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 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. In addition to the common elements, all services which are described as assessments include the following specific elements: • A direct physical encounter with the patient including taking a patient history and performing a physical examination. • 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. • 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. • Making arrangements for any related assessments, procedures or therapy, and/or interpreting results. • Making arrangements for follow-up care. • 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 results of related procedures. • When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided. • 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.

A partial assessment requires documentation of a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate record.

The start and stop times must be recorded in the patient’s permanent medical record.

For the Trauma Premium (E420), the medical record must list the Injury Severity Score (ISS).

For the Chronic Disease Assessment Premium, the patient's established diagnosis of a chronic disease must be documented in the patient's medical record.

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