What is OHIP billing code A186?

A186 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A186 pay?

The current OHIP fee for A186 is $125.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A186 to OHIP?

A186 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A186 claims against the Schedule of Benefits rules before submission.

What codes are related to A186?

Codes related to A186 in the Schedule of Benefits include A113, C186, W186, K180.

All codes

A186

A186 – Repeat consultation

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
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(this code)
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

Repeat consultation rendered by a specialist in Neurology (18).

Requires a minimum of 20 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention.

Must include the elements of a medical specific re-assessment.

Start and stop times must be recorded in the patient’s permanent medical record.

Usage limits

Limited to 6 per patient, per physician, per 12-month period. Services in excess of this limit will be adjusted to a lesser assessment fee.

A113Complex neurological assessment (Primary code listed on A141)C186Complex neurological assessment - Hospital equivalent W186Complex neurological assessment - Long-term care equivalent K180Dose titration and programming of external infusion pump for Parkinson's

If start and stop times are not recorded, the amount payable will be adjusted to a lesser paying fee.

Not intended for the evaluation and/or management of uncomplicated neurological disorders (e.g., carpal tunnel syndrome, Bell’s palsy, asymptomatic diabetic neuropathy).

A consultation or assessment service should be claimed for the initial evaluation; A186 is for ongoing management.

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