What is OHIP billing code A194?

A194 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A194 pay?

The current OHIP fee for A194 is $47.05, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A194 to OHIP?

A194 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A194 claims against the Schedule of Benefits rules before submission.

What codes are related to A194?

Codes related to A194 in the Schedule of Benefits include A193, A195, C192.

All codes

A194

A194 – Partial assessment

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(this code)
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
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

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 record.

History of presenting complaint

Necessary physical examination

Advice to the patient

Appropriate medical record

A193Specific assessment A195Psychiatric consultation C192Hospital subsequent visit (first 5 weeks)

If the service duration is less than 20 minutes, it must be billed as an assessment (A194) rather than psychotherapy.

A194 is the standard code for brief psychiatric follow-ups or medication checks in an office setting.

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