What is OHIP billing code A138?

A138 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A138 pay?

The current OHIP fee for A138 is $44.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A138 to OHIP?

A138 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A138 claims against the Schedule of Benefits rules before submission.

What codes are related to A138?

Codes related to A138 in the Schedule of Benefits include C138, W138, A135, A130, A133, A134, W160, W164.

All codes

A138

A138 – Partial assessment

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

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Levels of this visit

The A13x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A138 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
A134 Medical specific re-assessment
A service rendered by a specialist in Internal Medicine requiring a full, relevant history and physical examination of one or more systems.
$72.00
A131 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.
$83.40
A133 Medical specific assessment
A service rendered by a specialist in a place other than a patient’s home, requiring a full history of the presenting complaint and detailed examination of the affected part(s)…
$95.95

Consultations

A136 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…
$123.10
A135 Consultation
A consultation is an assessment rendered following a written request from a referring: physician 2.
$192.85
A130 Comprehensive internal medicine consultation
A consultation rendered by a specialist in internal medicine who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of…
$342.25

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.

Usage limits

Often used as the lesser assessment fee when limits for General Assessments () or Medical Specific Assessments () are exceeded.

C138 W138 A135 A130 A133 A134 W160 W164 W165 W166

A138 is specifically listed under Internal Medicine (13) General Listings.

Eligible for the Chronic Disease Assessment Premium (E078) for specialty 13 (Internal Medicine) as it is a partial assessment and specialty 13 is in the designated specialty list on , provided other criteria are met.

Not eligible for Age-based fee premiums ().

Not eligible for the Hospitalist Premium ().

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