What is OHIP billing code A151?

A151 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A151 pay?

The current OHIP fee for A151 is $83.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A151 to OHIP?

A151 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A151 claims against the Schedule of Benefits rules before submission.

What codes are related to A151?

Codes related to A151 in the Schedule of Benefits include A153, A154, A158, A150, A760.

All codes

A151

A151 – Complex medical specific re-assessment

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

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Levels of this visit

The A15x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A158 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
A154 Medical specific re-assessment
A service rendered by a specialist in Endocrinology & Metabolism requiring a full, relevant history and physical examination of one or more systems.
$72.00
A151 Complex medical specific re-assessment(this code)
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
A153 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Endocrinology & Metabolism (15) in a place other than a patient’s home.
$95.95

Consultations

A156 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…
$110.15
A155 Consultation
A consultation rendered by a specialist in Endocrinology & Metabolism following a written request from a referring physician, nurse practitioner, or dental surgeon, including a…
$172.95
A150 Comprehensive endocrinology consultation
A consultation rendered by a specialist in endocrinology who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes in direct…
$342.25

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. It includes all the requirements of a medical specific re-assessment (a full, relevant history and physical examination of one or more systems).

Must include a full, relevant history and physical examination of one or more systems.

The physician must report his/her findings, opinions, or recommendations in writing to the patient’s primary care physician or the amount payable for the service will be adjusted to a lesser assessment fee.

Usage limits

Limited to 4 per patient per physician per 12-month period (alone or in combination with A153). Services in excess of this limit are adjusted to a lesser assessment fee.

A153Medical specific assessment A154Medical specific re-assessment A158Partial assessment A150Comprehensive endocrinology consultation A760Complex endocrine neoplastic disease assessment

A151 is specifically for Endocrinology (specialty 15). Other specialties use different codes for the same service (e.g., A601 for Cardiology, A051 for Community Medicine).

The fee for A151 is $83.40.

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