What is OHIP billing code A283?

A283 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A283 pay?

The current OHIP fee for A283 is $82.50, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill A283 to OHIP?

A283 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A283 claims against the Schedule of Benefits rules before submission.

What codes are related to A283?

Codes related to A283 in the Schedule of Benefits include A284, C283, A285, E078, A286, A586.

All codes

A283

A283 – Medical specific assessment

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

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Levels of this visit

The A28x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A284 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…
$38.85
A283 Medical specific assessment(this code)
A service rendered by a specialist in Laboratory Medicine requiring a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or…
$82.50

Consultations

A286 Limited consultation
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation.
$108.95
A285 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…
$163.00

A service rendered by a specialist in Laboratory Medicine requiring a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function.

Full history of the presenting complaint.

Detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function.

Direct physical encounter with the patient (unless rendered via virtual care suffix A).

Usage limits

Limited to one per patient per physician per 12-month period. The limit is increased to two per 12-month period if: (1) the patient presents a second time with a clearly different and unrelated diagnosis, or (2) at least 90 days have elapsed and the second assessment is a hospital admission assessment. Any combination of medical specific assessments and complex medical specific re-assessments is limited to 4 per patient per physician per 12-month period.

A284Partial assessment C283Medical specific assessment (In-patient)A285Consultation (Laboratory Medicine)E078Chronic disease assessment premium A286Limited consultation A586Repeat consultation

A283 is the 'General Listing' (typically office/out-patient) version of the medical specific assessment for Laboratory Medicine.

For in-patient services, see code C283.

Special visit premiums (-) may apply if the physician is called to see the patient on an urgent basis outside of regular office hours.

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