What is OHIP billing code A346?

A346 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A346 pay?

The current OHIP fee for A346 is $114.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A346 to OHIP?

A346 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A346 claims against the Schedule of Benefits rules before submission.

What codes are related to A346?

Codes related to A346 in the Schedule of Benefits include A345, A745, A343.

All codes

A346

A346 – Repeat consultation

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
Medical Specific Assessment Radiation Oncology
$95.95

Consultations

A346 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…
$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

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 request must identify the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The consultant is required to 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 physician, nurse practitioner or dental surgeon.

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained.

Usage limits

Not subject to the standard consultation limit of one per two consecutive 12-month periods, provided the criteria for a 'repeat' consultation are met (intervening care by another physician).

A345Consultation A745Limited consultation A343Medical specific assessment

A repeat consultation is specifically for the same presenting problem as the initial consultation.

The 'intervening care' by another physician is a mandatory condition for billing A346 instead of a standard consultation or assessment.

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