What is OHIP billing code A316?

A316 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A316 pay?

The current OHIP fee for A316 is $106.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A316 to OHIP?

A316 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A316 claims against the Schedule of Benefits rules before submission.

What codes are related to A316?

Codes related to A316 in the Schedule of Benefits include A315, A515, A425, C316.

All codes

A316

A316 – Repeat consultation

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

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Levels of this visit

The A31x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A318 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…
$44.45
A310 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist (specifically Physical Medicine & Rehabilitation) that requires a full, relevant history and physical…
$75.90
A311 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition and includes all the…
$82.75
A313 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in a place other than a patient's home.
$86.40

Consultations

A316 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…
$106.60
A315 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…
$220.80

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

A new written request from a referring physician, nurse practitioner, or dental surgeon is required.

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

A written report (including findings, opinions, and recommendations) must be sent to the referring provider.

The consultant's medical record must contain a copy of the signed written request (except in hospitals/LTC with common records).

The request must identify the consultant, the referrer (name and billing number), and the patient (name and health number).

Usage limits

Not subject to the 'one service per two consecutive 12-month periods' limit that applies to general consultations (A315).

A315Consultation A515Limited consultation A425Comprehensive physical medicine and rehabilitation consultation C316Repeat consultation (Inpatient)

A repeat consultation is only valid if another physician provided care for the same problem in the interval between the initial consultation and the repeat consultation.

If the requirements for a consultation are not met (e.g., no written request or report), the fee will be adjusted to a lesser assessment fee.

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