What is OHIP billing code A195?

A195 is "Psychiatric consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A195 pay?

The current OHIP fee for A195 is $254.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A195 to OHIP?

A195 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A195 claims against the Schedule of Benefits rules before submission.

What codes are related to A195?

Codes related to A195 in the Schedule of Benefits include A190, A795, A695, A395, A196, A895, C895, W895.

All codes

A195

A195 – 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(this code)
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 consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based insured dental procedures). The consultant physician, a specialist in psychiatry, provides an opinion on a complex, serious, or obscure case and must provide a written report (including findings, opinions, and recommendations) to the referring provider.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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.

A written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable.

Age

<16

Usage limits

Limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician (). Consultations for a clearly defined unrelated diagnosis are limited to one every 12 months.

A190Special psychiatric consultation (minimum 75 minutes)A795Geriatric psychiatric consultation (age 75+, minimum 75 minutes)A695Neurodevelopmental consultation (minimum 90 minutes)A395Limited consultation A196Repeat consultation A895Consultation in association with special visit C895Psychiatric Consultation (Hospital In-patient)W895Psychiatric Consultation (Long-Term Care In-patient)

If the requirements for a consultation (request/report) are not met, the fee is reduced to a lesser assessment fee.

For psychiatric consultation extensions with parents or caregivers, see K630.

A195 is the general listing code; for specific complex scenarios, see A190 (Special), A795 (Geriatric), or A695 (Neurodevelopmental).

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