What is OHIP billing code A205?

A205 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A205 pay?

The current OHIP fee for A205 is $134.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A205 to OHIP?

A205 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A205 claims against the Schedule of Benefits rules before submission.

What codes are related to A205?

Codes related to A205 in the Schedule of Benefits include C205, A206, A203, A204, A935.

All codes

A205

A205 – Consultation

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

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Levels of this visit

The A20x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A204 Partial assessment
A partial assessment is a limited medical service that includes a history of the patient's presenting complaint, the necessary physical examination, advice to the patient, and the…
$40.50
A203 Specific assessment
A service rendered by a specialist in a place other than a patient’s home, requiring a full history of the presenting complaint and detailed examination of the affected part(s)…
$62.65

Consultations

A206 Repeat consultation
An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval…
$71.45
A205 Consultation(this code)
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon.
$134.25

A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon. The referring practitioner requests the opinion of a consultant physician competent to give advice in this field because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. A consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring practitioner. Except where otherwise specified, the consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data. For this specific consultation (A205) in Obstetrics and Gynaecology, the collection of cervical cancer screening specimen(s) is included in the service when a pelvic examination is a normal part of the consultation. However, the add-on codes E430 or E431 can be billed in addition when this collection is performed outside of a hospital or IHCSC.

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.

The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

C205 A206 A203 A204 A935

The collection of cervical cancer screening specimen(s) is included in the consultation, repeat consultation, general or specific assessment (or re-assessment), or routine post-natal visit when pelvic examination is normal part of the foregoing services. However, the add-on codes E430 or E431 can be billed in addition to these services when collection of cervical cancer screening specimen(s) is performed outside of a hospital or IHCSC.

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