What is OHIP billing code A175?

A175 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A175 pay?

The current OHIP fee for A175 is $125.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A175 to OHIP?

A175 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A175 claims against the Schedule of Benefits rules before submission.

What codes are related to A175?

Codes related to A175 in the Schedule of Benefits include A935, A176, C175, W175.

All codes

A175

A175 – Consultation

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

Ask a question

Levels of this visit

The A17x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A174 Partial assessment
A partial assessment is a limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate…
$26.75
A173 Specific assessment
A specific assessment is a service rendered by a specialist in a place other than a patient’s home, requiring a full history of the presenting complaint and a detailed examination…
$49.30

Consultations

A176 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…
$66.60
A175 Consultation(this code)
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon who requests the opinion of a vascular…
$125.15

A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon who requests the opinion of a vascular surgeon due to the complexity, seriousness, or obscurity of the case. It includes the necessary assessment and a written report back to the referrer.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Written request from a referring physician, NP, or dental surgeon.

Written report (findings, opinions, and recommendations) sent to the referring physician, nurse practitioner or dental surgeon.

Performance of 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.

Usage limits

One per two consecutive 12-month periods for the same diagnosis; one per 12 months for a clearly defined unrelated diagnosis.

A935Special surgical consultation A176Repeat consultation C175Consultation (Hospital In-patient)W175Consultation (Long-Term Care In-patient)

Preoperative consultations for low-risk elective procedures (cataract, colonoscopy, etc.) are only eligible if medically necessary.

If consultation requirements are not met, the fee will 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