What is OHIP billing code A237?

A237 is "Periodic oculo-visual assessment - aged 19 years and below", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A237 pay?

The current OHIP fee for A237 is $59.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A237 to OHIP?

A237 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A237 claims against the Schedule of Benefits rules before submission.

What codes are related to A237?

Codes related to A237 in the Schedule of Benefits include A239, A115, A230.

All codes

A237

A237 – Periodic oculo-visual assessment - aged 19 years and below

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

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Levels of this visit

The A23x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A230 Orthoptic assessment
Orthoptic assessment must include quantitative measurement of all cardinal positions of gaze (straight ahead, left, right, up, down, tilt right and tilt left), sensory testing for…
$26.20
A234 Partial assessment
A partial assessment is a limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate…
$31.95
A237 Periodic oculo-visual assessment - aged 19 years and below(this code)
A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…
$59.35
A239 Periodic oculo-visual assessment - aged 65 years and above
A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…
$59.35
A233 Specific assessment
A specific assessment is a service rendered by a specialist, in a place other than a patient’s home, that requires a full history of the presenting complaint and detailed…
$60.50

Consultations

A236 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…
$48.00
A235 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…
$86.25
A231 Neuro-ophthalmology consultation
A consultation rendered by an ophthalmologist with fellowship training in neuro-ophthalmology for a patient with a neuro-ophthalmological disorder, requiring specific documented…
$155.45

A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia, hypermetropia, presbyopia, anisometropia or astigmatism) for patients aged 19 or less.

Must include all components required to perform the assessment: history of the presenting complaint, past medical history, visual acuity examination, ocular mobility examination, slit lamp examination of the anterior segment, ophthalmoscopy, and tonometry.

Includes advice and/or instruction to the patient.

Includes provision of a written refractive prescription if required.

Age

periodic oculo-visual assessment - aged 19 years and below (A155)

Usage limits

Limited to one per patient per 12 month period regardless of whether it is rendered by a physician or an optometrist (who bills it as a 'major oculo-visual examination').

A239Periodic oculo-visual assessment - aged 65 years and above A115Major eye examination A230Orthoptic assessment

Other consultation and visit codes are not to be used as a substitute for this service when the 12-month limit is reached.

Services in excess of the one-per-12-month limit are not insured services.

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