What is OHIP billing code A605?

A605 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A605 pay?

The current OHIP fee for A605 is $188.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A605 to OHIP?

A605 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A605 claims against the Schedule of Benefits rules before submission.

What codes are related to A605?

Codes related to A605 in the Schedule of Benefits include A600, A675, A606, C605, A603.

All codes

A605

A605 – Consultation

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

Ask a question

Levels of this visit

The A60x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A608 Partial assessment
A partial assessment is the limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient and appropriate…
$49.80
A604 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist and requires a full, relevant history and physical examination of one or more systems.
$72.65
A601 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$84.10
A603 Medical specific assessment
A medical specific assessment is a specialist service requiring a full history of the presenting complaint and a detailed examination of the affected systems to make a diagnosis…
$96.70

Consultations

A606 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…
$105.25
A605 Consultation(this code)
A consultation rendered by a specialist in cardiology following a written request from a referring physician, nurse practitioner, or dental surgeon.
$188.45
A600 Comprehensive cardiology consultation
This service is a consultation rendered by a specialist in cardiology who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct…
$342.25

A consultation rendered by a specialist in cardiology following a written request from a referring physician, nurse practitioner, or dental surgeon. The service includes the necessary assessment and review of data to provide a written report back to the referrer.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures) is mandatory.

A written report containing findings, opinions, and recommendations must be sent to the referring provider.

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

The medical record must contain a copy of the signed written request (except in hospitals/clinics with common records).

The request must identify 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

Limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician (except for repeat consultations or specific hospital/ED scenarios). Limited to one service every 12 months for a clearly defined unrelated diagnosis.

A600Comprehensive cardiology consultation (minimum 75 minutes)A675Limited consultation A606Repeat consultation C605In-patient cardiology consultation A603Medical specific assessment

If the physician is in the hospital but not on duty in the emergency department, A605 should be used for patients seen in the ED or OPD.

Age-based fee premiums apply for patients under 16 years of age ().

For services not specifically listed in the Cardiology section, refer to the Internal Medicine section.

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in