What is OHIP billing code A476?

A476 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A476 pay?

The current OHIP fee for A476 is $119.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A476 to OHIP?

A476 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A476 claims against the Schedule of Benefits rules before submission.

What codes are related to A476?

Codes related to A476 in the Schedule of Benefits include A475, A470, A575, C476.

All codes

A476

A476 – Repeat 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(this code)
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 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 physician in the interval following the initial consultation but preceding the repeat consultation.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A new written request from the referring provider is mandatory.

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

The consultant must perform a general, specific, or medical specific assessment as part of the service.

The medical record must contain a copy of the signed written request, identifying the consultant, referring provider, and patient.

Usage limits

Not subject to the standard consultation limit of one service per two consecutive 12-month periods.

A475Consultation A470Comprehensive respiratory disease consultation A575Limited consultation C476Repeat consultation (In-patient)

A repeat consultation is specifically for cases where the same consultant is seeing the patient again for the same problem after another physician has provided care in the interval.

If the requirements for a repeat consultation are not met, the claim may be adjusted to a lesser assessment fee.

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