What is OHIP billing code A441?

A441 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A441 pay?

The current OHIP fee for A441 is $83.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A441 to OHIP?

A441 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A441 claims against the Schedule of Benefits rules before submission.

What codes are related to A441?

Codes related to A441 in the Schedule of Benefits include A443, A444, C441, A448.

All codes

A441

A441 – Complex medical specific re-assessment

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

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Levels of this visit

The A44x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A448 Partial assessment
Partial assessment, Medical Oncology (44) general listing.
$44.75
A444 Medical specific re-assessment
Medical specific re-assessment rendered by a specialist in Medical Oncology.
$72.00
A441 Complex medical specific re-assessment(this code)
A complex medical specific re-assessment is a re-assessment of a patient necessitated by the complexity, obscurity, or seriousness of the patient’s condition.
$83.40
A443 Medical specific assessment
A service rendered by a specialist in Medical Oncology requiring a full history of the presenting complaint and detailed examination of the affected part(s), region(s), or…
$95.95

Consultations

A446 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…
$115.95
A445 Consultation
A consultation rendered by a specialist in Medical Oncology (44) following a written request from a referring physician, nurse practitioner, or dental surgeon.
$183.40

A complex medical specific re-assessment is a re-assessment of a patient necessitated by the complexity, obscurity, or seriousness of the patient’s condition. It requires a full history of the presenting complaint and a physical examination of one or more systems.

The physician must report his/her findings, opinions, or recommendations in writing to the patient’s primary care physician or the amount payable for the service will be adjusted to a lesser assessment fee.

Usage limits

Limited to 4 per patient per physician per 12-month period. This limit is shared with medical specific assessments (A443); any combination of these two services is limited to 4 per 12-month period.

A443Medical specific assessment A444Medical specific re-assessment C441In-patient complex medical specific re-assessment A448Partial assessment

If the usage limit is exceeded, the claim will be adjusted to a lesser assessment fee.

A441 is the office/out-patient version; for in-patient services, use C441.

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