What is OHIP billing code A246?

A246 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A246 pay?

The current OHIP fee for A246 is $53.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A246 to OHIP?

A246 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A246 claims against the Schedule of Benefits rules before submission.

What codes are related to A246?

Codes related to A246 in the Schedule of Benefits include A245, W346, A935.

All codes

A246

A246 – Repeat consultation

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

Ask a question

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
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(this code)
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 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 physician in the interval following the initial consultation but preceding the repeat consultation.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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

The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

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.

Usage limits

Repeat consultations are not subject to the limit of one consultation per two consecutive 12-month periods that applies to regular consultations.

A245Consultation (Otolaryngology)W346Repeat consultation (Non-emergency long-term care in-patient services)A935Special surgical consultation

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in