What is OHIP billing code A586?

A586 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A586 pay?

The current OHIP fee for A586 is $110.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A586 to OHIP?

A586 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A586 claims against the Schedule of Benefits rules before submission.

What codes are related to A586?

Codes related to A586 in the Schedule of Benefits include A285, A286, C586, A580.

All codes

A586

A586 – Repeat 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
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(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…
$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 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

Must be rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures).

The consultant must be the same physician who rendered the initial consultation.

The service must be for the same presenting problem as the initial consultation.

Another physician must have rendered care to the patient in the interval between the initial consultation and the repeat consultation.

Requires a new written request for the repeat consultation.

The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

A written report (findings, opinions, and recommendations) must be provided to the referring provider.

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.

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

Repeat consultations are an exception to the general limit of one consultation per two consecutive 12-month periods for the same diagnosis.

A285Consultation (Laboratory Medicine)A286Limited consultation (Laboratory Medicine)C586Repeat consultation (In-patient Laboratory Medicine)A580Comprehensive laboratory medicine consultation

A586A is designated for 'Video Only' virtual care services.

The written request must identify the consultant, the referrer, and the patient, and specify the service required.

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