What is OHIP billing code A262?

A262 is "Level 2 - Paediatric assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A262 pay?

The current OHIP fee for A262 is $50.20, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A262 to OHIP?

A262 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A262 claims against the Schedule of Benefits rules before submission.

What codes are related to A262?

Codes related to A262 in the Schedule of Benefits include A261, A263, K267, K269.

All codes

A262

A262 – Level 2 - Paediatric assessment

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

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Levels of this visit

The A26x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A261 Level 1 - Paediatric assessment
A Level 1 paediatric assessment includes one or both of the following: a brief history and examination of the affected part or region or related to a mental or emotional disorder…
$24.85
A262 Level 2 - Paediatric assessment(this code)
A Level 2 paediatric assessment is a paediatric service that requires a more extensive examination than a level 1 paediatric assessment.
$50.20
A264 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in Paediatrics (26) that requires a full, relevant history and physical examination of one or more systems.
$70.75
A263 Medical specific assessment
A service rendered by a specialist in Paediatrics requiring a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s)…
$95.75

Consultations

A266 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…
$104.70
A265 Consultation
A consultation rendered by a Paediatrician following a written request from a referring physician, nurse practitioner, or dental surgeon, requiring a comprehensive assessment and…
$190.35
A260 Special paediatric consultation
A special paediatric consultation is a consultation in which the physician provides all the elements of a consultation (A265) and spends a minimum of 75 minutes in direct contact…
$342.25

A Level 2 paediatric assessment is a paediatric service that requires a more extensive examination than a level 1 paediatric assessment. It requires a history of the presenting complaint(s), inquiry concerning, and examination of the affected part(s), region(s), system(s), or mental or emotional disorder as needed to make a diagnosis, exclude disease, and/or assess function. It also includes well baby care, which is a periodic assessment of a well newborn / infant during the first two years of life including complete examination with weight and measurements, and instructions to the parent(s) or patient’s representative regarding health care.

Requires a history of the presenting complaint(s).

Requires inquiry concerning and examination of the affected part(s), region(s), system(s), or mental/emotional disorder.

For well baby care: includes complete examination with weight and measurements, and instructions to parents/representatives.

Age

Paediatrics general listings (A167): adult patient eligible only if seen by the paediatrician in the 12 months before age 18 with ongoing chronic condition management and less than 22 years of age - older patients need written MOH prior approval

A261Level 1 - Paediatric assessment A263Medical specific assessment K267Periodic health visit (2-11 years)K269Periodic health visit (12-17 years)

A262 is considered a 'Level 2' assessment, which is more extensive than a 'Level 1' (A261).

A262 can be used as the assessment component of a Periodic Health Visit (K267, K269).

Unless otherwise specified in the Schedule, the calculation of time for A260, A262 and A667 excludes (1) time devoted to any other service or procedure for which an amount is payable in addition to the consultation and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or documentation, etc.

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