What is OHIP billing code A343?

A343 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A343 pay?

The current OHIP fee for A343 is $95.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A343 to OHIP?

A343 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A343 claims against the Schedule of Benefits rules before submission.

What codes are related to A343?

Codes related to A343 in the Schedule of Benefits include A345, A745, A346, A340, A341, A348, E078.

All codes

A343

A343 – Medical specific assessment

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

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Levels of this visit

The A34x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A348 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…
$44.75
A340 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in Radiation Oncology that requires a full, relevant history and physical examination of one or more systems.
$72.00
A341 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.
$83.40
A343 Medical specific assessment(this code)
Medical Specific Assessment Radiation Oncology
$95.95

Consultations

A346 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…
$114.90
A345 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…
$178.75

Medical Specific Assessment - Radiation Oncology

Must include a direct physical encounter with the patient, including taking a history and performing a physical examination.

Includes inquiry carried out to arrive at an opinion as to the nature of the patient's condition.

Includes making arrangements for related assessments, procedures, or therapy and interpreting results.

Includes discussion with and providing advice/information (including prescribing therapy) to the patient or their representative.

A345Consultation A745Limited consultation A346Repeat consultation A340Medical specific re-assessment A341Complex medical specific re-assessment A348Partial assessment E078Chronic disease assessment premium

Physician in hospital but not on duty in the Emergency Department when seeing patient(s) in the Emergency or OPD - use General Listings.

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