What is OHIP billing code A244?

A244 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A244 pay?

The current OHIP fee for A244 is $30.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A244 to OHIP?

A244 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A244 claims against the Schedule of Benefits rules before submission.

All codes

A244

A244 – Partial assessment

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

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Levels of this visit

The A24x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A244 Partial assessment(this code)
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…
$30.45
A243 Specific assessment
Specific assessment and medical specific assessment are services rendered by specialists, in a place other than a patient’s home, and require a full history of the presenting…
$44.75

Consultations

A246 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…
$53.65
A245 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (in connection with an insured dental…
$92.70

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 record. Specific Elements of Assessments In addition to the common elements, all services which are described as assessments, or as including assessments (e.g. consultations), include the following specific elements: • A. A direct physical encounter with the patient including taking a patient history and performing a physical examination. • B. Other inquiry (including taking a patient history), carried out to arrive at an opinion as to the nature of the patient's condition, (whether such inquiry takes place before, during or after the encounter during which the physical examination takes place) and/or follow-up care. • C. Performing any procedure(s) during the same encounter as the physical examination, unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with an assessment. • D. Making arrangements for any related assessments, procedures or therapy, and/or interpreting results. • E. Making arrangements for follow-up care. • F. Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient's representative, whether by telephone or otherwise, on matters related to: 1. the service; and 2. in circumstances in which it would be professionally appropriate that results can be reported upon prior to any further patient visit, the results of related procedure(s) and/or assessment(s). • G. When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided. • H. Providing premises, equipment, supplies, and personnel for the specific elements of the service except for any aspect(s) that is (are) performed in a hospital or nursing home.

A partial assessment requires an appropriate record.

All insured services must be documented in medical records to establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

This is a General Listing and is used for services rendered in a physician's office, or when a physician who is in a hospital but not on duty in the Emergency Department sees patients in the Emergency or Out-Patient Department. It is also used in conjunction with special visit premiums.

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