What is OHIP billing code A470?

A470 is "Comprehensive respiratory disease consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A470 pay?

The current OHIP fee for A470 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A470 to OHIP?

A470 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A470 claims against the Schedule of Benefits rules before submission.

What codes are related to A470?

Codes related to A470 in the Schedule of Benefits include A475, A575, A476, A570.

All codes

A470

A470 – Comprehensive respiratory disease consultation

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

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Levels of this visit

The A47x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A478 Partial assessment
A partial assessment is a limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate…
$45.25
A474 Medical specific re-assessment
A medical specific re-assessment rendered by a specialist in Respiratory Disease (47), requiring a full, relevant history and physical examination of one or more systems.
$75.30
A471 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$89.40
A473 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in respiratory disease (specialty 47) in a place other than a patient’s home.
$102.60

Consultations

A476 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$119.35
A475 Consultation
Consultation Respiratory Disease
$192.30
A470 Comprehensive respiratory disease consultation(this code)
A consultation rendered by a specialist in respiratory disease who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…
$342.25

A consultation rendered by a specialist in respiratory disease 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.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Must satisfy all the elements of a consultation as defined in the General Preamble (), including a written request from a referring physician, nurse practitioner, or dental surgeon, and a written report to the referring provider.

Minimum of 75 minutes in direct contact with the patient.

The start and stop times must be recorded in the patient’s permanent medical record.

Calculation of time excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation.

Calculation of time excludes non-patient-facing time (e.g., time spent reviewing charts, imaging, or documentation).

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

Usage limits

Limited to one service per two consecutive 12-month periods (1 per 24 months) for the same patient by the same physician for the same diagnosis, unless it qualifies as a repeat consultation or meets specific hospital/emergency department exceptions defined in .

A475Respiratory disease consultation (regular)A575Respiratory disease limited consultation A476Respiratory disease repeat consultation A570Complex respiratory assessment

If the time or documentation requirements are not met, the service may be adjusted to a lesser assessment fee (e.g., A475 or A473).

Eligible for age-based fee premiums for patients under 16 years of age ().

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