What is OHIP billing code A515?

A515 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A515 pay?

The current OHIP fee for A515 is $106.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A515 to OHIP?

A515 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A515 claims against the Schedule of Benefits rules before submission.

What codes are related to A515?

Codes related to A515 in the Schedule of Benefits include A315, A425, A316, C515.

All codes

A515

A515 – Limited consultation

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
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(this code)
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

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. Otherwise, a limited consultation has the same requirements as a full consultation.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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

One service per two consecutive 12 month periods per patient by the same physician for the same diagnosis (subject to specific exceptions for hospital/ED settings).

A315Consultation A425Comprehensive physical medicine and rehabilitation consultation A316Repeat consultation C515Limited consultation (Hospital In-patient)

A limited consultation is defined as being less demanding and requiring substantially less time than a full consultation.

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