What is OHIP billing code A446?

A446 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A446 pay?

The current OHIP fee for A446 is $115.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A446 to OHIP?

A446 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A446 claims against the Schedule of Benefits rules before submission.

What codes are related to A446?

Codes related to A446 in the Schedule of Benefits include A445, A845, C446, W446.

All codes

A446

A446 – Repeat 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(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…
$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

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 written request from a referring physician, nurse practitioner, or dental surgeon is required.

A new written request is required specifically for the repeat consultation.

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

The patient must have been seen by another physician in the interval between the initial consultation and the repeat consultation.

The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

Usage limits

Not subject to the one service per two consecutive 12-month periods limit that applies to initial consultations.

A445Consultation A845Limited consultation C446Repeat consultation (Hospital In-patient)W446Repeat consultation (Long-term care)

If consultation requirements (e.g., written request, written report) are not met, the amount payable will be reduced to a lesser assessment fee.

A copy of the written request must be kept in the consulting physician's medical record (except in hospitals or multi-specialty clinics with common records).

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