What is OHIP billing code A184?

A184 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A184 pay?

The current OHIP fee for A184 is $64.95, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill A184 to OHIP?

A184 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A184 claims against the Schedule of Benefits rules before submission.

What codes are related to A184?

Codes related to A184 in the Schedule of Benefits include A183, A181, A113.

All codes

A184

A184 – 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(this code)
Medical specific re-assessment rendered by a specialist in Neurology (18).
$64.95
A181 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…
$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

Medical specific re-assessment rendered by a specialist in Neurology (18).

Requires a minimum of 20 minutes in direct contact with the patient.

Time spent on other separately billable interventions must be excluded from the 20-minute minimum.

The start and stop times of the service must be recorded in the patient's permanent medical record.

The assessment must be for the ongoing management of a complex chronic neurological condition.

Usage limits

Limited to two (2) per patient per physician per consecutive 12-month period (excluding hospital admissions).

A183Medical specific assessment (Initial complex neurological assessment)A181Complex medical specific re-assessment A113Complex neurological assessment (specific to neuro-oncology/neuromuscular with higher limits)

A184 is the re-assessment code; A183 is the corresponding initial assessment code.

The 20-minute requirement is strictly for direct patient contact time.

Not intended for the management of uncomplicated neurological disorders (e.g., carpal tunnel syndrome, Bell’s palsy).

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