What is OHIP billing code A168?

A168 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A168 pay?

The current OHIP fee for A168 is $44.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A168 to OHIP?

A168 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A168 claims against the Schedule of Benefits rules before submission.

What codes are related to A168?

Codes related to A168 in the Schedule of Benefits include A163, A164, A161, C168, E060.

All codes

A168

A168 – Partial assessment

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

Ask a question

Levels of this visit

The A16x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A168 Partial assessment(this code)
A partial assessment is a limited medical service that includes a history of the patient's presenting complaint, the necessary physical examination, advice to the patient, and the…
$44.75
A164 Medical specific re-assessment
A medical specific re-assessment rendered by a specialist in Nephrology.
$72.00
A161 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
A163 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Nephrology (16) in a place other than a patient’s home.
$95.95

Consultations

A166 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…
$116.75
A165 Consultation
A consultation rendered by a specialist in nephrology following a written request from a referring physician, nurse practitioner, or dental surgeon.
$180.75
A160 Comprehensive nephrology consultation
A consultation rendered by a specialist in nephrology who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of direct…
$342.25

A partial assessment is a limited medical service that includes a history of the patient's presenting complaint, the necessary physical examination, advice to the patient, and the maintenance of an appropriate medical record.

History of the presenting complaint.

Necessary physical examination.

Advice to the patient.

Appropriate record.

Usage limits

No specific frequency limit is defined for partial assessments in the General Preamble, unlike general or specific assessments.

A163Medical specific assessment A164Medical specific re-assessment A161Complex medical specific re-assessment C168Concurrent care (In-patient Nephrology)E060Post Renal Transplant Assessment Premium

A168 is the Nephrology-specific code for a partial assessment.

The fee for A168 is $44.75.

The post-renal transplant premium (E060) is a significant add-on for this code in the first 3 years post-transplant.

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