What is OHIP billing code A443?

A443 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A443 pay?

The current OHIP fee for A443 is $95.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A443 to OHIP?

A443 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A443 claims against the Schedule of Benefits rules before submission.

What codes are related to A443?

Codes related to A443 in the Schedule of Benefits include C443, A444, A441, E078.

All codes

A443

A443 – Medical specific 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
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(this code)
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 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 system(s) needed to make a diagnosis, exclude disease, and/or assess function.

Full history of the presenting complaint

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 1 per 12-month period (max 2 under specific conditions: different diagnosis or 90-day gap + hospital admission).

C443Medical specific assessment (In-patient)A444Medical specific re-assessment A441Complex medical specific re-assessment E078Chronic disease assessment premium

A443 is the out-patient version; use C443 for in-patients.

Excess assessments are adjusted to a lesser fee.

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