What is OHIP billing code A614?

A614 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A614 pay?

The current OHIP fee for A614 is $72.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A614 to OHIP?

A614 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A614 claims against the Schedule of Benefits rules before submission.

What codes are related to A614?

Codes related to A614 in the Schedule of Benefits include C614, A613, A611, A618, E078.

All codes

A614

A614 – Medical specific re-assessment

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

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Levels of this visit

The A61x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A618 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…
$44.75
A614 Medical specific re-assessment(this code)
A medical specific re-assessment is a service rendered by a specialist in Haematology (61) that requires a full, relevant history and physical examination of one or more systems.
$72.00
A611 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 and includes all the…
$83.40
A613 Medical specific assessment
A service rendered by a specialist in Haematology, in a place other than a patient’s home, requiring a full history of the presenting complaint and detailed examination of the…
$95.95

Consultations

A616 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…
$118.05
A615 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon who requests the opinion of a haematology…
$192.90

A medical specific re-assessment is a service rendered by a specialist in Haematology (61) that requires a full, relevant history and physical examination of one or more systems.

Requires a full, relevant history and physical examination of one or more systems.

Usage limits

Limited to two per patient per physician per consecutive 12 month period, except for specific re-assessments rendered for hospital admissions. Claims in excess of this limit are adjusted to a lesser assessment fee.

C614Medical specific re-assessment (In-patient)A613Medical specific assessment A611Complex medical specific re-assessment A618Partial assessment E078Chronic disease assessment premium

Admission assessments are deemed to be a medical specific re-assessment if the physician assessed the patient prior to admission for the same illness.

If the physician is in the hospital but not on duty in the Emergency Department when seeing patients in the Emergency or OPD, use General Listings (A614).

For services not listed in the Haematology section, refer to the Internal Medicine Section.

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