What is OHIP billing code A445?

A445 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A445 pay?

The current OHIP fee for A445 is $183.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A445 to OHIP?

A445 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A445 claims against the Schedule of Benefits rules before submission.

What codes are related to A445?

Codes related to A445 in the Schedule of Benefits include A845, A446, C445, W445.

All codes

A445

A445 – Consultation

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
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(this code)
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 consultation rendered by a specialist in Medical Oncology (44) following a written request from a referring physician, nurse practitioner, or dental surgeon. The service includes the necessary assessment and review of data to provide a written report with findings, opinions, and recommendations to the referring provider.

A written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures) is mandatory.

The consultant must be competent to give advice due to the complexity, seriousness, or obscurity of the case.

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

A copy of the signed written request must be maintained in the consultant's medical record (except in hospitals/LTCs with common records).

The request must identify the consultant, the referring provider (name and billing number), and the patient (name and health number).

Usage limits

Limited to one service per two consecutive 12-month periods (24 months) for the same patient by the same physician for the same diagnosis, unless the second service is a repeat consultation or rendered in a hospital/Emergency Department setting between 12 and 24 months after the first. Limited to one service every 12 months for a clearly defined unrelated diagnosis.

A845Limited consultation A446Repeat consultation C445In-patient consultation W445Long-term care consultation

If the requirements for a consultation (e.g., written request or report) are not met, the fee will be adjusted to a lesser assessment fee.

Preoperative consultations for low-risk elective procedures (e.g., cataract surgery, colonoscopy) are only payable if medically necessary and documented as such.

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