What is OHIP billing code A570?

A570 is "Complex respiratory assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A570 pay?

The current OHIP fee for A570 is $108.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A570 to OHIP?

A570 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A570 claims against the Schedule of Benefits rules before submission.

What codes are related to A570?

Codes related to A570 in the Schedule of Benefits include A575, E078.

All codes

A570

A570 – Complex respiratory assessment

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

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Levels of this visit

The A57x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A570 Complex respiratory assessment(this code)
This service is an assessment for the ongoing management of the following conditions of the respiratory system where the complexity of the condition requires the continuing…
$108.95

Consultations

A575 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.
$119.35

This service is an assessment for the ongoing management of the following conditions of the respiratory system where the complexity of the condition requires the continuing management by a respirology specialist (47): a. chronic respiratory failure (i.e. a symptomatic patient with a PaO2 <60mmHg and/or a PaCO2 >50mmHg); b. bronchiectasis with frequent infections; c. cystic fibrosis; d. active pulmonary or extrapulmonary disease due to mycobacterial tuberculosis complex (latent tuberculosis infection is excluded); or e. active pulmonary or extrapulmonary non-tuberculous mycobacterial disease (airway or tissue colonization without disease is excluded). A570 must include the elements of a medical specific re-assessment, or the amount payable will be adjusted to a lesser assessment fee. It is not intended for the evaluation and/or management of uncomplicated respiratory disorders (e.g. routine follow-up of uncomplicated chronic obstructive pulmonary disease).

A written request signed by the referring provider must be kept in the consultant's medical record.

The request must identify the consultant, the referring provider (including billing number), and the patient.

The consultant must provide a written report (including findings, opinions, and recommendations) to the referring provider.

The service must include a general, specific, or medical specific assessment and a review of all relevant data.

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. E078 is not eligible for payment same patient same day as A570.

A575Respiratory disease repeat consultation E078Chronic Disease Management Premium

If the consultation requirements (request/report) are not met, the fee will be reduced to a lesser assessment fee.

A570 is specifically listed under the Respiratory Disease section (Specialty 47).

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