What is OHIP billing code A176?

A176 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A176 pay?

The current OHIP fee for A176 is $66.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A176 to OHIP?

A176 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A176 claims against the Schedule of Benefits rules before submission.

What codes are related to A176?

Codes related to A176 in the Schedule of Benefits include A175, A935, C176, W176.

All codes

A176

A176 – Repeat consultation

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

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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(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…
$66.60
A175 Consultation
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 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.

A new written request from the referring provider is required for each repeat consultation.

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

A written report (including findings, opinions, and recommendations) must be prepared and sent to the referring provider.

The written request must identify the consultant, the referring provider (name and billing number), and the patient (name and health number).

A copy of the signed written request must be maintained in the consultant's medical record (except in hospitals/LTCs with common records).

Usage limits

Repeat consultations are not subject to the standard limit of one consultation per two consecutive 12-month periods for the same diagnosis.

A175Consultation (Vascular Surgery)A935Special surgical consultation C176Repeat consultation (Non-emergency hospital in-patient)W176Repeat consultation (Non-emergency long-term care in-patient)

A repeat consultation is specifically for cases where the patient was managed by another physician between the initial consultation and the current visit for the same problem.

If the consultant requests the referring provider to submit a referral after the service has already been provided, the service is not payable as a consultation.

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