What is OHIP billing code A510?

A510 is "Complex neuromuscular assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A510 pay?

The current OHIP fee for A510 is $104.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A510 to OHIP?

A510 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A510 claims against the Schedule of Benefits rules before submission.

What codes are related to A510?

Codes related to A510 in the Schedule of Benefits include C510, W510, A511, C311.

All codes

A510

A510 – Complex neuromuscular assessment

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

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Levels of this visit

The A51x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A510 Complex neuromuscular assessment(this code)
An assessment for the ongoing management of specific diseases of the neuromuscular system where the complexity of the condition requires the continuing management by a physical…
$104.85
A511 Complex physiatry assessment
This service is an assessment in relation to traumatic brain injury, stroke (hemorrhagic and ischemic), or spinal cord injury where the complexity of the condition requires the…
$114.80

Consultations

A515 Limited consultation
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation.
$106.60

An assessment for the ongoing management of specific diseases of the neuromuscular system where the complexity of the condition requires the continuing management by a physical medicine and rehabilitation specialist. Eligible conditions include generalized peripheral neuropathies, myopathies, diseases of the neuromuscular junction, or diseases of the motor neurone.

A complex neuromuscular assessment must include the elements of a medical specific re-assessment, or the amount payable will be adjusted to lesser assessment fee.

The physician must be managing one of the following: generalized peripheral neuropathies, myopathies, diseases of the neuromuscular junction, or diseases of the motor neurone.

Usage limits

Limited to 6 per patient, per physician, per 12-month period. Services in excess of this limit will be adjusted to a lesser assessment fee.

C510Complex neuromuscular assessment (Inpatient)W510Complex neuromuscular assessment (Long-term care)A511Complex physiatry assessment (for TBI, stroke, or SCI)C311Complex medical specific re-assessment

A consultation or assessment service, as appropriate, may be claimed for the initial evaluation of a patient.

A510 is specifically for ongoing management by a Physical Medicine & Rehabilitation specialist.

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