What is OHIP billing code A353?

A353 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A353 pay?

The current OHIP fee for A353 is $51.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A353 to OHIP?

A353 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A353 claims against the Schedule of Benefits rules before submission.

What codes are related to A353?

Codes related to A353 in the Schedule of Benefits include A355, A356, A354, C353.

All codes

A353

A353 – Specific assessment

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

Ask a question

Levels of this visit

The A35x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A354 Partial assessment
A partial assessment is the limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient and appropriate…
$30.60
A353 Specific assessment(this code)
A specific assessment rendered by a specialist in Urology, requiring a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or…
$51.45

Consultations

A356 Repeat consultation
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…
$64.90
A355 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…
$93.15

A specific assessment rendered by a specialist in Urology, 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.

Requires a full history of the presenting complaint.

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

Usage limits

Limited to one per patient per physician per 12-month period. This limit is increased to two if the patient presents a second time with a complaint for which a clearly different diagnosis is made, unrelated to the diagnosis made at the time of the first specific assessment.

A355Consultation A356Repeat consultation A354Partial assessment C353Specific assessment (In-patient)

Does not include endoscopic examination.

Eligible for Special Visit Premiums (Travel and First/Additional Person) if the visit is non-elective and meets the criteria in -.

Not eligible for age-based percentage premiums ().

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in