What is OHIP billing code A156?

A156 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A156 pay?

The current OHIP fee for A156 is $110.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A156 to OHIP?

A156 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A156 claims against the Schedule of Benefits rules before submission.

What codes are related to A156?

Codes related to A156 in the Schedule of Benefits include A155, A150, A255, A153, A154, A155, A150, A255.

All codes

A156

A156 – Repeat consultation

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

Ask a question

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
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(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…
$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 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.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Requires a new written request from a referring physician, nurse practitioner, or dental surgeon.

The consultant must have previously rendered an initial consultation 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.

Includes all services necessary to prepare a written report (findings, opinions, and recommendations) to the referring provider.

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

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

In the event these requirements are not met, the amount payable for a consultation will be reduced to a lesser assessment fee.

Usage limits

Not subject to the 'one per 24 months' limit that applies to standard consultations (A155).

A155Consultation A150Comprehensive endocrinology consultation A255Limited consultation A153Medical specific assessment A154Medical specific re-assessment A155 A150 A255 A153 A154 A151 A158

A repeat consultation is an exception to the general rule that limits consultations for the same diagnosis to one per two consecutive 12-month periods.

If the requirements for a repeat consultation (e.g., new written request or interval care by another physician) are not met, the service may be adjusted to a lesser assessment fee.

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in