What is OHIP billing code A335?

A335 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A335 pay?

The current OHIP fee for A335 is $57.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A335 to OHIP?

A335 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A335 claims against the Schedule of Benefits rules before submission.

What codes are related to A335?

Codes related to A335 in the Schedule of Benefits include C335, A365, A330, A332, A331, A338.

All codes

A335

A335 – Consultation

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

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Levels of this visit

The A33x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A331 Minor assessment
A minor assessment (A331) is the service rendered when a radiologist evaluates a patient on a non-emergent basis resulting in the cancellation or deferral of a planned diagnostic…
$26.80
A338 Minor assessment
A minor assessment (A338) is the service rendered when a radiologist evaluates a patient on a non-emergent basis on the advisability of performing a diagnostic radiological…
$26.80

Consultations

A335 Consultation(this code)
A diagnostic radiology consultation is a specialist assessment rendered by a radiologist in specific clinical scenarios, including providing a written opinion on images from…
$57.90

A diagnostic radiology consultation is a specialist assessment rendered by a radiologist in specific clinical scenarios, including providing a written opinion on images from another facility, consulting on the advisability of a procedure that is not performed, or providing an opinion prior to complex interventional procedures.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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

A written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

Scenario A: Radiographs or ultrasounds made at one institution or facility are referred to a radiologist at a different institution or facility for his/her written opinion.

Scenario B: A radiologist is required to make a special visit at evening or night (17:00h to 07:00h) or on a Saturday, Sunday or holiday to consult on the advisability of performing a diagnostic radiological procedure which eventually is not done.

Scenario C: A radiologist is required to render an opinion prior to an interventional procedure and all of the following requirements are met: (i) the consultation is performed in an area remote from the radiologist’s normal procedural suite; (ii) the requirements for a consultation are met; (iii) the consultation is not solely for the purpose of clarifying or obtaining consent; and (iv) the associated procedure is one of the following: J021, J025, J040, J041, J046, J048, J049, J050, J055, J056, J057, J058, J059, J063, J065, J066, N107, N118, N122, N125, S233, Z446, Z456, Z562, Z594.

Usage limits

Limited to one service per two consecutive 12-month periods for the same diagnosis (with exceptions for hospital/ED settings). Limited to one service every 12 months for a clearly defined unrelated diagnosis.

C335In-patient Consultation A365Special interventional radiological consultation A330Radiology second opinion of CT study A332Radiology second opinion of MRI study A331Minor assessment (cancelled procedure)A338Minor assessment (advisability of procedure not done)

A335 is the primary code for diagnostic radiology consultations.

Minor assessments (A331, A338) may be applicable if a procedure is cancelled or not done under non-emergent conditions.

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