What is OHIP billing code A471?

A471 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A471 pay?

The current OHIP fee for A471 is $89.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A471 to OHIP?

A471 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A471 claims against the Schedule of Benefits rules before submission.

What codes are related to A471?

Codes related to A471 in the Schedule of Benefits include A473, A474, A470, A570, C471.

All codes

A471

A471 – 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 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(this code)
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
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 complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition. It requires a full, relevant history and physical examination of one or more systems.

Requires a full, relevant history and physical examination of one or more systems.

The physician must report findings, opinions, or recommendations in writing to the patient’s primary care physician.

Usage limits

Limited to 4 per patient per physician per 12-month period. This limit applies to the combination of medical specific assessments and complex medical specific re-assessments.

A473Medical specific assessment A474Medical specific re-assessment A470Comprehensive respiratory disease consultation A570Complex respiratory assessment C471Complex medical specific re-assessment (In-patient)

If the usage limit of 4 per 12 months is exceeded, the fee will be adjusted to a lesser assessment fee.

A471 is intended for complex, obscure, or serious conditions; routine follow-up of uncomplicated COPD should be billed using other assessment codes.

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