What is OHIP billing code A181?

A181 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A181 pay?

The current OHIP fee for A181 is $75.20, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill A181 to OHIP?

A181 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A181 claims against the Schedule of Benefits rules before submission.

All codes

A181

A181 – 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 A18x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A188 Partial assessment
Partial assessment rendered by a specialist in Neurology (18).
$39.40
A184 Medical specific re-assessment
Medical specific re-assessment rendered by a specialist in Neurology (18).
$64.95
A181 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 and includes all the…
$75.20
A183 Medical specific assessment
Medical specific assessment rendered by a specialist in Neurology (18).
$82.40

Consultations

A186 Repeat consultation
Repeat consultation rendered by a specialist in Neurology (18).
$125.50
A185 Consultation
A consultation is an assessment rendered by a neurologist following a written request from a referring physician, nurse practitioner, or dental surgeon.
$225.55
A180 Special neurology consultation
Special neurology consultation is a consultation in which the physician provides all the elements of a consultation (A185) and spends a minimum of 75 minutes in direct contact…
$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 and includes all the requirements of a medical specific re-assessment. A medical specific re-assessment requires 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.

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.

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