All codes
A608
A608 – Partial assessment
OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits
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 record.
When to Use
- Bill A608 for a focused assessment of a new, minor complaint where a full comprehensive assessment (A007) is not warranted.
- Use A608 when a patient presents with a specific, isolated symptom (e.g., a new rash, a sore throat) and requires a brief history, targeted exam, and immediate advice.
- A608 is appropriate for follow-up of a resolved minor issue where no significant change or new problem has emerged.
Common Pitfalls
- Billing A608 for a service that meets the criteria for a more complex assessment code (e.g., A007, A603) will likely result in a claim rejection.
- Failure to document the specific presenting complaint, targeted examination, and advice provided can lead to audit issues.
- Using A608 for routine follow-up of chronic conditions that require ongoing management or a more detailed reassessment (e.g., A604) is incorrect.
Billing Tips
- When billing A608, ensure the documentation clearly distinguishes the service from a simple follow-up visit (K013) by detailing the specific history and examination performed.
- A608 can be billed with the congestive heart failure premium (E088) if all criteria are met, including the patient having a documented diagnosis of CHF and the service being provided in an office or hospital outpatient clinic setting.
Provider Fee$0.00
Specialist Fee$38.05
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Assessment
Code Classes
Assessments
A partial assessment requires documentation of a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate record.
For services not listed, refer to Internal Medicine section
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