What is OHIP billing code A215?

A215 is "Limited consultation for acute pain management", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A215 pay?

The current OHIP fee for A215 is $69.75, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill A215 to OHIP?

A215 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A215 claims against the Schedule of Benefits rules before submission.

What codes are related to A215?

Codes related to A215 in the Schedule of Benefits include C215, A210, A015.

All codes

A215

A215 – Limited consultation for acute pain management

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

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Levels of this visit

The A21x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

A215 Limited consultation for acute pain management(this code)
A limited consultation for acute pain management is a consultation which takes place when a physician is requested by another physician to see a hospital in-patient because of the…
$69.75
A210 Special anaesthetic consultation
A special anaesthetic consultation is a consultation rendered by an anaesthesia (01) specialist that includes all appropriate elements of a regular consultation and requires a…
$163.20

A limited consultation for acute pain management is a consultation which takes place when a physician is requested by another physician to see a hospital in-patient because of the complexity or severity of the acute pain condition. This specific code (A215) is used when the service is rendered in association with a special visit premium.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

The consultant must provide a written report (findings, opinions, recommendations) to the referring provider.

The request must identify the consultant, referring provider, and patient by name and billing/health numbers.

The medical record must document the time at which the special visit took place.

Usage limits

Consultations are generally limited to one service per patient per physician per two consecutive 12-month periods for the same diagnosis.

C215Limited consultation for acute pain management (standard in-patient)A210Special anaesthetic consultation A015Anaesthesia Consultation (Full)

A215 is the 'General Listing' version of the acute pain consultation, used in conjunction with premiums as per .

The routine pre-anaesthetic evaluation does not constitute a consultation regardless of setting.

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