What is OHIP billing code A628?

A628 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A628 pay?

The current OHIP fee for A628 is $44.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A628 to OHIP?

A628 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A628 claims against the Schedule of Benefits rules before submission.

What codes are related to A628?

Codes related to A628 in the Schedule of Benefits include A623, A624, A621, C628.

All codes

A628

A628 – Partial assessment

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

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Levels of this visit

The A62x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A628 Partial assessment(this code)
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
A624 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in Clinical Immunology (62) that requires a full, relevant history and physical examination of one or more…
$72.00
A621 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
A623 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in a place other than a patient’s home, requiring a full history of the presenting complaint and a detailed…
$95.95

Consultations

A626 Repeat consultation
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…
$105.25
A625 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based insured dental…
$160.30

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.

History of the presenting complaint.

Necessary physical examination.

Advice to the patient.

Appropriate medical record.

Usage limits

No specific frequency limit is defined for Partial Assessments in the General Preamble (unlike General or Specific Assessments).

A623Medical specific assessment A624Medical specific re-assessment A621Complex medical specific re-assessment C628Concurrent care (In-patient)

For services not listed under Clinical Immunology, physicians should refer to the Internal Medicine section.

If the physician is in the hospital but not on duty in the Emergency Department, the General Listings (A-prefix) apply for patients seen in the ED or OPD.

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