What is OHIP billing code A400?

A400 is "Comprehensive community medicine consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A400 pay?

The current OHIP fee for A400 is $270.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A400 to OHIP?

A400 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A400 claims against the Schedule of Benefits rules before submission.

What codes are related to A400?

Codes related to A400 in the Schedule of Benefits include A050, A055, A405, A056, C400, W400.

All codes

A400

A400 – Comprehensive community medicine consultation

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

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Levels of this visit

The A40x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

A405 Limited consultation
A limited consultation rendered by a specialist in Community Medicine (05).
$94.75
A400 Comprehensive community medicine consultation(this code)
A consultation rendered by a specialist in community medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact with…
$270.60

A consultation rendered by a specialist in community medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

Must satisfy all elements of a consultation as defined in the General Preamble ().

A written request from the referring provider must be kept in the medical record.

A written report (findings, opinions, recommendations) must be sent to the referring provider.

Minimum 75 minutes of direct contact with the patient is required.

Start and stop times must be recorded in the patient's permanent medical record.

Usage limits

Limited to one service per two consecutive 12-month periods for the same diagnosis. Consultations for a clearly defined unrelated diagnosis are limited to one service every 12 months.

A050Special community medicine consultation (minimum 50 minutes)A055Community medicine consultation (standard)A405Limited community medicine consultation A056Repeat community medicine consultation C400Comprehensive community medicine consultation - Hospital In-patient W400Comprehensive community medicine consultation - Long-Term Care

The calculation of time excludes non-patient-facing time such as time spent reviewing charts, imaging, or documentation.

The fee for A400 is $270.60 (as of the current Schedule).

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