What is OHIP billing code A190?

A190 is "Special psychiatric consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A190 pay?

The current OHIP fee for A190 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A190 to OHIP?

A190 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A190 claims against the Schedule of Benefits rules before submission.

What codes are related to A190?

Codes related to A190 in the Schedule of Benefits include A195, C190, W190, K630, A895.

All codes

A190

A190 – Special psychiatric consultation

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

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Levels of this visit

The A19x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A194 Partial assessment
A partial assessment is the limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient and appropriate…
$47.05
A193 Specific assessment
A specific assessment is a service rendered by a specialist in Psychiatry, in a place other than a patient’s home, requiring a full history of the presenting complaint and a…
$98.70

Consultations

A196 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…
$120.30
A195 Psychiatric consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based insured dental…
$254.30
A190 Special psychiatric consultation(this code)
Special psychiatric consultation is a consultation in which the physician provides all the elements of a consultation (A195) and spends a minimum of 75 minutes in direct contact…
$342.25

Special psychiatric consultation is a consultation in which the physician provides all the elements of a consultation (A195) and spends a minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Must provide all elements of a consultation (A195), including a general, specific, or medical specific assessment and a review of all relevant data.

Requires a written request from a referring physician, nurse practitioner, or dental surgeon.

Requires a written report (findings, opinions, and recommendations) to the referring provider.

Minimum of 75 minutes in direct contact with the patient.

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

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

Consultations are limited to one service per two consecutive 12-month periods for the same diagnosis, or one service every 12 months for a clearly defined unrelated diagnosis.

A195Psychiatric Consultation C190Special psychiatric consultation (Hospital In-patient)W190Special psychiatric consultation (Long-Term Care In-patient)K630Psychiatric consultation extension A895Consultation in association with special visit

Time calculation excludes time devoted to any other separately billable service and non-patient-facing time (e.g., chart review, documentation).

If consultation requirements (e.g., written request/report) are not met, the fee will be adjusted to a lesser assessment fee.

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