What is OHIP billing code A206?

A206 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A206 pay?

The current OHIP fee for A206 is $71.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A206 to OHIP?

A206 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A206 claims against the Schedule of Benefits rules before submission.

What codes are related to A206?

Codes related to A206 in the Schedule of Benefits include A205, C206, W306, A935.

All codes

A206

A206 – Repeat 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(this code)
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
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon.
$134.25

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 following the initial consultation but preceding the repeat consultation.

Written request from referring provider must be in the medical record

Request must identify consultant, referring provider (with billing number), and patient

Consultant must perform a general, specific, or medical specific assessment

Written report must be sent to the referring provider

Usage limits

Not subject to the 1 per 24-month limit applicable to initial consultations.

A205Consultation C206Repeat consultation (Hospital In-patient)W306Repeat consultation (Long-Term Care)A935Special surgical consultation

Special visit premiums (Travel and Person Seen) may be claimed if the visit is non-elective and meets -78 criteria.

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