What is OHIP billing code A356?

A356 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A356 pay?

The current OHIP fee for A356 is $64.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A356 to OHIP?

A356 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A356 claims against the Schedule of Benefits rules before submission.

What codes are related to A356?

Codes related to A356 in the Schedule of Benefits include A355, C356, W356, A935, A353.

All codes

A356

A356 – Repeat consultation

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

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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
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(this code)
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

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 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. In such cases, the written request may be contained on the common medical record.

The request identifies 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 written request sets out the information relevant to the referral and specifies the service(s) required.

The consultant must provide a written report (including findings, opinions, and recommendations) to the referring practitioner.

Includes a general, specific, or medical specific assessment and a review of all relevant data.

Usage limits

Not subject to the 'one per 24 months' limit applicable to initial consultations (A355), provided the specific requirements for a repeat consultation are met.

A355Consultation C356Repeat Consultation (Hospital In-patient)W356Repeat Consultation (Long-Term Care)A935Special Surgical Consultation A353Specific Assessment

Does not include endoscopic examination.

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