What is OHIP billing code A585?

A585 is "Diagnostic consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A585 pay?

The current OHIP fee for A585 is $106.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A585 to OHIP?

A585 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A585 claims against the Schedule of Benefits rules before submission.

What codes are related to A585?

Codes related to A585 in the Schedule of Benefits include C585, A580, A285, A586.

All codes

A585

A585 – Diagnostic consultation

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

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Levels of this visit

The A58x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

A585 Diagnostic consultation(this code)
A diagnostic laboratory medicine consultation is the service rendered when tissue, slides, specimens and/or laboratory results prepared in one licensed laboratory are referred to…
$106.50
A586 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…
$110.00
A580 Comprehensive laboratory medicine consultation
A consultation rendered by a specialist in laboratory medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…
$342.25

A diagnostic laboratory medicine consultation is the service rendered when tissue, slides, specimens and/or laboratory results prepared in one licensed laboratory are referred to a laboratory medicine physician not in the same licensed laboratory for a written opinion.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Requires a written interpretative report of the procedure to the referring provider.

The consultant must be in a different licensed laboratory than the one where the specimens/results were prepared.

Usage limits

Consultations rendered to the same patient by the same physician for the same diagnosis are limited to one service per two consecutive 12-month periods (subject to general preamble exceptions for repeat consultations or hospital/ED settings).

C585Diagnostic consultation (Hospital In-patient)A580Comprehensive laboratory medicine consultation A285Consultation (Laboratory Medicine)A586Repeat consultation (Laboratory Medicine)

The specific elements for A585 are the same as for the L800 series of codes (Surgical Pathology).

A585 is listed under Laboratory Medicine (28) General Listings.

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