What is OHIP billing code A616?

A616 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A616 pay?

The current OHIP fee for A616 is $118.05, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A616 to OHIP?

A616 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A616 claims against the Schedule of Benefits rules before submission.

What codes are related to A616?

Codes related to A616 in the Schedule of Benefits include A615, A655, A613, C616.

All codes

A616

A616 – Repeat consultation

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
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(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…
$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 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

A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon in connection with an insured dental procedure rendered in a hospital.

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 consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data.

A consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable.

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. In such cases, the written request may be contained on the common medical record.

Usage limits

Repeat consultations are not subject to the 'one service per two consecutive 12 month periods' limit that applies to regular consultations (A615), provided the criteria for a repeat consultation (care by another physician in the interval) are met.

A615Consultation A655Limited consultation A613Medical specific assessment C616Repeat consultation (In-patient)

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

If the physician rendering the service requests a referral after the service has been provided, a consultation is not payable; the appropriate visit fee should be claimed instead.

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